title: [Structure and Family Type in Patients With Substance Abuse or Dependence Psychoactive Rehabilitation Center of Addiction in the Municipality of Chia Cundinamarca].
abstract: OBJECTIVE
  To determine the family type, family structure in a group of patients with a diagnosis of substance abuse or dependence who were at a rehabilitation center for addiction during the period between August and October 2009.
  
  
  METHODS
  Through a descriptive qualitative-interpretative methodology 10 patients who met inclusion criteria for substance dependence or abuse were studied. The fieldwork and transcripts were made for three months by non-participant observation, non-structured interviews and examination of patients' clinical history.
  
  
  RESULTS
  Seven of the families interviewed were single-parent families with an unconventional organization on "gender roles". Single-parent families favored loneliness, difficulty in rule-setting, de-idealization of the place of the father in the family structure and a constant search for complicity. In the analysis by categories, we found that in 10 families in the study of individuals with addictions it is common to find family structure characteristics such as inadequate communication, lack of authority rules and limits, presence of triangulations, the lack of cohesion due to the existence of a disconnected relationship pattern and changed roles compared to conventional gender. The search for the affection of the mother at her emotional overload absence of roles and lack of father, raised by the separation of the couple, was found as an essential aspect underlying the addictive behavior. A pattern of parental abandonment is configured.
  
  
  CONCLUSIONS
  The findings confirmed what has been mentioned by various authors regarding the characteristics of the family typology structure and personal factors in patients with addictions, in addition to their need for affection combined with the desire for the mother's presence. The family typology does not determine for itself the abuse of psychoactive substances, but the influence of other factors such as family structure, especially deficient affective interactions, which should be considered in the development of therapeutic strategies.
authors.affiliation: Universidad El Bosque, Bogotá, Colombia. Electronic address: vargaspedro@unbosque.edu.co.
authors.forename: Pedro
authors.initials: P
authors.lastname: Vargas Navarro
authors.affiliation: Universidad El Bosque, Bogotá, Colombia.
authors.forename: Mario Danilo
authors.initials: MD
authors.lastname: Parra Vera
authors.affiliation: Universidad El Bosque, Bogotá, Colombia.
authors.forename: Caterín
authors.initials: C
authors.lastname: Arévalo Zamora
authors.affiliation: Universidad El Bosque, Bogotá, Colombia.
authors.forename: Luisa Karen
authors.initials: LK
authors.lastname: Cifuentes Gaitán
authors.affiliation: Universidad El Bosque, Bogotá, Colombia.
authors.forename: Jaime
authors.initials: J
authors.lastname: Valero Carvajal
authors.affiliation: Universidad El Bosque, Bogotá, Colombia.
authors.forename: Margarita
authors.initials: M
authors.lastname: Sierra de Jaramillo
mesh_terms: D000293:Adolescent; D000328:Adult; D002670:Child, Abandoned; D003105:Colombia; D005191:Family Characteristics; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000534:rehabilitation; D055815:Young Adult
keywords: Abuso de drogas; Abuso de sustancias; Dependencia de sustancias; Drug abuse; Family relationships; Relaciones familiares; Substance abuse; Substance dependence