安非他命造成的身心影響、治療策略與案例分享

The Impact of Amphetamine on Addicts' Physical and Psychological Condition, Corresponding Treatment Strategies and Three Case Reports

在台灣，安非他命濫用趨勢仍尚未能有效抑制，同時近年來推動替代療法以協助海洛英成癮者避免陷入HIV傳染風險之餘，許多公共衛生的倡導者都忽略了濫用安非他命亦有HIV傳染風險。本文除了透過各類不同統計數據來呈現安非他命濫用的實際情況外，主要目的在於說明目前濫用安非他命所造成的身心影響之最新腦功能研究成果，同時，透過3個不同藥癮歷程的安非他命成癮者的治療策略簡述，來說明如何幫助此類藥癮者走出困境，最後則以筆者在矯正機構中實際進行的流程、臨床研究，來分享刻正推展的監所內非自願性成癮者的藥癮心理治療現況。 The main purpose of this paper is to present new research on the latest brain function of those amphetamine addicts, who have been both physically and psychologically effected due to amphetamine abuse. This paper is motivated by the fact that amphetamine abuse in Taiwan hasn't been well-controlled. While maintenance therapy(methadone) has been used to prevent heroin addicts from the risk of HIV transmission, many public health advocates have ignored the abuse of amphetamine also causes the same risky HIV transmission. Through a variety of statistics, this paper presents amphetamine is currently abused. Meanwhile, a briefing of treatment strategies applied to three amphetamine addicts, whose abuse history varies from one another, indicates how these addicts escaped from difficulties. Finally, we try to share some practical processes and clinical research which demonstrate how involuntary drug addicts in a correctional situation are helped in a correctional institution.