{"created":"2023-06-19T09:47:34.156535+00:00","id":2061,"links":{},"metadata":{"_buckets":{"deposit":"40b89f12-3a6a-42a7-88f0-73bdc94bbab9"},"_deposit":{"created_by":3,"id":"2061","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"2061"},"status":"published"},"_oai":{"id":"oai:shukutoku.repo.nii.ac.jp:00002061","sets":["212:213"]},"author_link":["4045","4046"],"item_10006_alternative_title_1":{"attribute_name":"その他（別言語等）のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"ブータンの青年の薬物乱用に対する仏教的・西洋的アプローチの接合（接点）（インターフェイス）にて ： 機関による実践（トリートメント）及びその効果に対するクライエントの理解の比較を踏まえて"}]},"item_10006_date_granted_11":{"attribute_name":"学位授与年月日","attribute_value_mlt":[{"subitem_dategranted":"2022-03-15"}]},"item_10006_degree_grantor_9":{"attribute_name":"学位授与機関","attribute_value_mlt":[{"subitem_degreegrantor":[{"subitem_degreegrantor_name":"淑徳大学"}],"subitem_degreegrantor_identifier":[{"subitem_degreegrantor_identifier_name":"博福乙第2","subitem_degreegrantor_identifier_scheme":"kakenhi"}]}]},"item_10006_degree_name_8":{"attribute_name":"学位名","attribute_value_mlt":[{"subitem_degreename":"博士（社会福祉学）"}]},"item_10006_description_7":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"The phenomenon of increasing substance abuse and addiction among the youth population in Bhutan has become a concern for the Bhutanese family system and society as a whole. Youth, who account for 60% of the total population of Bhutan, are the future leaders of the country. There is an urgent need to explore and understand the various treatment approaches in the government and non-government agencies in Bhutan which currently address the drug problem.\nThe gravity of the problem not withstanding, there is a serious dearth of systematic empirical study in this area. This study undertook an in-depth exploration of the various treatment approaches to substance abuse and addiction as practiced in four broad treatment contexts in Bhutan: i) Government agencies represented by the Bhutan Narcotics Control Authority (BNCA), Ministry of Health, and Ministry of Education, Education and Training institutions ii) Buddhist monasteries which comprise Buddhist monks from the Zhung Dratshang (Central Monastic Body); iii) Civil society organizations, which include the two rehabilitations centres – the Institute of Wellbeing and Samzang Residential Drug and Alcohol Rehabilitation Centre in Bhutan; and iv) Community outreach which is respresented by one Buddhist monk. Interviews with both program implementers and clients yielded a number of significant findings related to three research themes namely i) distinguishing treatment approaches ii) factors which contribute to effectiveness of treatment; and iii) antecedents to drug addiction.\nVia document analysis and the author’s on-ground experience, four broad treatment approaches were distinguished for further exploration: Western approach, Buddhist approach, Community approach and Mindfulness-based approach. The research confirmed that the Western approach is practiced in the government agencies and civil society organizations. The Buddhist approach is known as the Choeshed Layrim (Buddhist discourse) and practiced by the Zhung Dratshang (central monastic body in Bhutan), while the community outreach approach was implemented by a Buddhist monk with no formal affiliations with any organization. On the basis of distinguishing three forms of mindfulness (Western secular mindfulness; contemplative mindfulness and Buddhist meditation), the Mindfulness-based approach was found to be practiced by program implementers in all treatment contexts. However, in practice, these four treatment approaches were not sharply delineated.\nThis study has shown that the Buddhist and Western approaches are the overarching approaches; the integration of Western and Buddhist approaches is evident in all the four treatment contexts. While the Mindfulness-based approach emerges as the linking approach across the three approaches of Western, Buddhist and community outreach. However, this utilization of a mindfulness-based approach was in most instances dependent on the individual program implementers. This completed Phase 1 of the research relating to theme one.\nPhase 2 of the research utilized data collected from clients in Phase 1, which had revealed that clients tended to identify positive attributes of program implementers as contributing to the effectiveness of the treatment approach in the four treatment contexts. A rating scale of attributes was formulated and interviews with program implementers were conducted to compare client and program implementers perceptions of factors contributing to effectiveness. It was found that positive attributes such as caring, having a positive nature, being a good listener, showing acceptance, being polite, and being trustworthy contributed to the effectiveness of the treatment. This completed theme two of the research. Finally, from the interviews in Phase 1, it was shown that both program implementers and clients identified factors such as peer pressure, family environment, accessibility, and cultural influences which played an important role in promoting drug use and addiction among the youth in Bhutan; completing the third theme relating to antecedents to drug addiction in Bhutan.\nThe study will have implications for policy, practice and the status of knowledge in this field especially for stakeholders in Bhutan and directions for future research. Importantly, the study will provide a credible baseline for civil society organizations, drug regulatory authorities in government, professionals in the education sector, researchers and scholars, and other stakeholders in Bhutan. The study will initiate the development of a knowledge bank consisting of empirical studies in this area for Bhutan. In conclusion, the study clearly revealed that the substance abuse and addiction treatment in Bhutan indicates that treatment approaches and their effectiveness are impacted by the interface of Buddhism with both clinical Western and contemporary secular mindfulness-based approaches.","subitem_description_type":"Abstract"}]},"item_10006_dissertation_number_12":{"attribute_name":"学位授与番号","attribute_value_mlt":[{"subitem_dissertationnumber":"号"}]},"item_10006_version_type_18":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"ドマ, デチェン"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Doma, Dechen","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-10-26"}],"displaytype":"detail","filename":"内容の要旨および審査結果の要旨.pdf","filesize":[{"value":"725.3 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"内容の要旨および審査結果の要旨","url":"https://shukutoku.repo.nii.ac.jp/record/2061/files/内容の要旨および審査結果の要旨.pdf"},"version_id":"a6cdeb55-3b84-48a6-bbd2-f8549276fea9"},{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-11-02"}],"displaytype":"detail","filename":"博士論文全文.pdf","filesize":[{"value":"3.8 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"博士論文全文","url":"https://shukutoku.repo.nii.ac.jp/record/2061/files/博士論文全文.pdf"},"version_id":"20b3dc7d-700e-483c-858c-fb7e12bb15e7"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Buddhist approach","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"cannabis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"substance abuse","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"addiction","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"mindfulness-based approach","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"community outreach","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"program implementers","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"western approach","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"youth","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"doctoral thesis","resourceuri":"http://purl.org/coar/resource_type/c_db06"}]},"item_title":"At the Interface of Buddhism and Western Approaches to Youth Substance Abuse in Bhutan : A comparison of client and agency understanding of treatment and effectiveness","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"At the Interface of Buddhism and Western Approaches to Youth Substance Abuse in Bhutan : A comparison of client and agency understanding of treatment and effectiveness"}]},"item_type_id":"10006","owner":"3","path":["213"],"pubdate":{"attribute_name":"公開日","attribute_value":"2022-07-15"},"publish_date":"2022-07-15","publish_status":"0","recid":"2061","relation_version_is_last":true,"title":["At the Interface of Buddhism and Western Approaches to Youth Substance Abuse in Bhutan : A comparison of client and agency understanding of treatment and effectiveness"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-06-19T09:55:46.651015+00:00"}