title: [The dual commitment of an outpatient clinic specialized in chemical dependency of the Brazilian Navy: to the patients and to the institution].
abstract: A pioneering study conducted at the Center for Chemical Dependency (CEDEQ) of the Brazilian Navy (MB), by means of an ethnographic study with participant observation, investigated the influence of MB in the identification of alcoholism among patients. This article presents one of the research results, namely the dual commitment of this Outpatient Clinic to the patients and to the institution. The results encompass topics such as the organization and functioning of CEDEQ, therapeutic contract, anonymity and confidentiality, discharge, relapses, readmission and abandonments, secondary gains, "scams" and sanctions in addition to the ambiguous perceptions about treatment. In essence, these findings clarify a little more about the institutional intricacies that contribute to lead many patients to alcoholism.
authors.affiliation: Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil, espindolahalpern@yahoo.com.br.
authors.forename: Elizabeth Espindola
authors.initials: EE
authors.lastname: Halpern
authors.affiliation: Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil, espindolahalpern@yahoo.com.br.
authors.forename: Ligia Costa
authors.initials: LC
authors.lastname: Leite
mesh_terms: D000437:Alcoholism / Q000175:diagnosis*; D000554:Ambulatory Care Facilities; D001938:Brazil; D006801:Humans; D008889:Military Personnel; D012106:Research / Q000639:trends; D019966:Substance-Related Disorders