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Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Resumen: El presente art\u00edculo analiza los cruces entre experiencias terap\u00e9uticas y v\u00ednculos afectivos en las trayectorias de dos grupos de pacientes con padecimientos cr\u00f3nicos: personas con consumos problem\u00e1ticos de drogas en tratamiento en dispositivos religiosos de atenci\u00f3n terap\u00e9utica; y personas con VIH bajo atenci\u00f3n cl\u00ednica y tratamiento antirretroviral. El art\u00edculo parte de una estrategia metodol\u00f3gica cualitativa, basada en entrevistas en profundidad. La hip\u00f3tesis es que los tratamientos (farmacol\u00f3gicos o psicol\u00f3gicos) usualmente resultan insuficientes para brindar respuestas terap\u00e9uticas adecuadas a estos dos padecimientos cr\u00f3nicos. Los grupos entrevistados reconocen la centralidad de las dimensiones afectivas para la adherencia a las pautas de tratamiento propuestas y para un abordaje integral, y consecuentemente m\u00e1s efectivo, del VIH y de las adicciones a las drogas. El art\u00edculo concluye presentando una noci\u00f3n de adherencia que excede el comportamiento individual de mero cumplimiento de las prescripciones de los tratamientos. La adherencia es menos una experiencia personal que colectiva, en la que el entorno cercano de familiares, redes de pares y profesionales y otros referentes terap\u00e9uticos juegan un papel central.<\/jats:p>","DOI":"10.1590\/0102-311x00035919","type":"journal-article","created":{"date-parts":[[2020,5,11]],"date-time":"2020-05-11T19:29:42Z","timestamp":1589225382000},"source":"Crossref","is-referenced-by-count":1,"title":["Los v\u00ednculos afectivos en la adherencia a tratamientos por VIH y por consumos problem\u00e1ticos de drogas (Argentina, 2014-2016)"],"prefix":"10.1590","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8823-8587","authenticated-orcid":false,"given":"Daniel","family":"Jones","sequence":"first","affiliation":[{"name":"Consejo Nacional de Investigaciones Cient\u00edficas y T\u00e9cnicas,  Argentina; Universidad de Buenos Aires,  Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4657-7388","authenticated-orcid":false,"given":"Santiago Luj\u00e1n","family":"Cunial","sequence":"additional","affiliation":[{"name":"Universidad de Buenos Aires,  Argentina; University of Pennsylvania,  USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2020]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1111\/1467-9566.t01-1-00337","article-title":"The illness experience state of knowledge and perspectives for research","volume":"25","author":"Pierret J","year":"2003","journal-title":"Sociol Health Illn"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1038\/s41586-019-1027-4","article-title":"HIV-1 remission following CCR5 32\/?32 haematopoietic stem-cell transplantation","volume":"568","author":"Gupta R","year":"2019","journal-title":"Nature"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1689","DOI":"10.1001\/jama.284.13.1689","article-title":"Drug dependence, a chronic medical illness implications for treatment, insurance, and outcomes evaluation","volume":"284","author":"McLellan A","year":"2000","journal-title":"JAMA"},{"year":"1978","series-title":"El nacimiento de la cl\u00ednica: una arqueolog\u00eda de la mirada m\u00e9dica","author":"Foucault M","key":"ref4"},{"year":"2014","series-title":"Personas que usan estupefacientes en Argentina. 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