An Examination of Family-Involved Approaches to Alcoholism Treatment

Abstract

This article introduces the development and theoretical underpinnings of family-involved treatment for alcoholism against a backdrop of major theories of addiction. It describes several interventions from the family therapy literature in relation to Prochaska, DiClemente, and Norcross's model of change, with an emphasis on behavioral techniques. It also outlines efficacy research and considers some problems with the family approach. Although the lack of agreement regarding theory and practice may be the most salient difficulty for the field, the discussion further reveals an inconsistency between the tenets of the family systems paradigm and behaviorally-based family interventions. It suggests that the family approach should expand its scope of analysis and challenges researchers to incorporate additional techniques from diverse perspectives.

Pattern and Trend of Substance Abuse in Eastern Rural Iran: A Household Survey in a Rural Community

“…In this questionnaire higher scores indicate the worse family health conditions. The group therapies of the intervention group based on the transtheoretical approach were held for 29 sessions (2 times a week) 13. The subjects of this group were divided into 2 groups of 12 people for holding the meetings.…”

“…The subjects of this group were divided into 2 groups of 12 people for holding the meetings. The first 14 meetings included early stages of change (pre-contemplation, contemplation, and preparation) and the next 15 meetings were for later stages of change (action, and maintenance) 8,13…”

Perspektive Članova Obitelji O Djelovanju Klubova Liječenih Alkoholičara

“…U skladu s obiteljskom sistemskom terapijom, tretman uključuje educiranje svih članova obitelji o tome kako obiteljski sustavi funkcioniraju, reduciranje razine tjeskobe u obitelji, kao i promoviranje diferencijacije kod svih članova obitelji (Chan, 2003.). Zato partneri/ice osobe ovisne o alkoholu u KLA uče o načinima emocionalnog odvajanja od osobe ovisne o alkoholu i kako pomoći samom sebi (Torre, 2006.…”

“…), a pomažući sebi, pomažu i partneru/ici koji se liječi, što posljedično dovodi do optimističnijeg stava prema budućnosti i životu općenito (Arcidiacono i sur., 2009.). Osim emocionalnog odvajanja, u sklopu Al-Anon grupa partnere/ice osoba ovisnih o alkoholu potiče se na fokusiranje na vlastite potrebe i ispunjavanje vlastitih interesa i aspiracija (Collins, 1990., prema Chan, 2003.). Slično kao u KLA, i obiteljska terapija pruža sigurno i iskreno okruženje u kojoj su članovi obitelji u mogućnosti istražiti, iskazati svoje osjećaje i gdje se njihovo iskustvo ima prilike čuti i uvažiti (Barnett, 2003.).…”

A Promising Approach for Families of and Young Adults with Opioid-Related Disorders: The Recovery Oriented Community (ROC) Program

“…Most treatment research indicates that a family component is necessary for treatment to be effective, particularly with opiate addicts aged 15 to 25 years old [16][17][18][19][20]. Little et al [21] conducted a randomized pilot study for adolescent drug abusers.…”