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Groups in Addiction and Recovery: Signs of a Paradigm Shift 成瘾和康复中的群体:范式转变的迹象
Pub Date : 2016-01-02 DOI: 10.1080/1556035X.2016.1136150
T. Lyons
The four articles appearing in this volume of the Journal of Groups in Addiction & Recovery are each, in different ways, an essay in the application of theory to the problem of addiction. Theory underlies the presentation of observational evidence, intervention research, and systematic reviews of research in these four articles. The Kuhnian paradigm shift applies in the fields of social science as well as in the natural sciences. In the field of psychopathology, for instance, Freudian theories were supplanted by cognitive-behavioral theory by the 1970s and 1980s. However, Freudian theory did not thereby lose its significance; it is the basis for depth psychology, and contemporary understandings of mental illness would be impossible without it. Gatta and colleagues present research on an interventionmethod, which they call the focus group, in the prevention of alcohol abuse among Italian teenagers. They compare self-reported alcohol consumption among a group of teenagers randomly assigned to attend four focus-group sessions held weekly in school versus a control group who attended a brief informational session only. At baseline, a majority of teens in the sample, aged an average 15 years old, were reporting alcohol consumption, despite World Health Organization guidelines that state young people this age should abstain from alcohol. Gatta et al. found that the students who attended the focus groups reduced their alcohol consumption more at posttest than the control group. This study is significant in that the intervention is a relatively simple schoolbased activity. In this study, theory is implicit. As Gatta and colleagues demonstrate, group discussions are powerful vehicles for behavior change even when the exact mechanisms whereby the groups effect change are unexplored. The article by Bradshaw and colleagues is also an intervention study of a 1.5day program for alcoholics and their families. Bradshaw and colleagues measured family functioning and personal readiness to change before and after the intervention. Among other findings, they observed, somewhat paradoxically, that higher levels of family functioning prior to the intervention were negatively associated with personal readiness to change after the intervention. They present interesting speculations arising from this finding and directions for further research. This study, like the Gatta et al. study, is based on a group intervention, but for a very different population—families rather than unrelated high school students. The mechanisms of change in the intervention are again not specified in this article. In contrast to the first two studies, the article by Corrigan is a qualitative observational study of Al-Anon. Like the other 12-step movements that have arisen from Alcoholics Anonymous, Al-Anon is best understood as a social movement, rather than a professional therapy or intervention per se. Corrigan interviewed Al-Anon participants both in small groups (two groups of five and three
《成瘾与康复团体杂志》这一卷中的四篇文章,从不同的角度来说,都是一篇理论应用于成瘾问题的文章。在这四篇文章中,理论是观察证据、干预研究和系统研究综述的基础。Kuhnian范式转换不仅适用于自然科学领域,也适用于社会科学领域。例如,在精神病理学领域,弗洛伊德理论在20世纪70年代和80年代被认知行为理论所取代。然而,弗洛伊德的理论并没有因此失去它的意义;它是深度心理学的基础,没有它,当代对精神疾病的理解是不可能的。Gatta和他的同事们介绍了一种干预方法,他们称之为焦点小组,用于预防意大利青少年酗酒。他们比较了一组青少年的自我报告饮酒量,这些青少年被随机分配参加每周在学校举行的四次焦点小组会议,而对照组只参加了简短的信息会议。尽管世界卫生组织(World Health Organization)的指导方针指出,这个年龄段的年轻人应该戒酒,但在基线时,样本中大多数平均年龄为15岁的青少年都在报告饮酒。Gatta等人发现,参加焦点小组的学生在测试后比对照组更能减少饮酒量。这项研究的意义在于干预是一种相对简单的基于学校的活动。在本研究中,理论是隐含的。正如Gatta及其同事所证明的那样,小组讨论是改变行为的有力工具,即使小组影响改变的确切机制尚不清楚。布拉德肖及其同事的这篇文章也是一项针对酗酒者及其家庭的1.5天项目的干预研究。布拉德肖和同事们在干预前后测量了家庭功能和个人改变的准备程度。在其他发现中,他们观察到,在干预之前较高水平的家庭功能与干预后个人改变的准备程度呈负相关,这有点矛盾。他们从这一发现中提出了有趣的推测和进一步研究的方向。这项研究,像Gatta等人的研究一样,是基于群体干预,但针对的是一个非常不同的人群——家庭,而不是不相关的高中生。在这篇文章中,改变干预的机制也没有具体说明。与前两项研究相比,科里根的文章是对匿名者协会的定性观察研究。就像匿名戒酒会产生的其他12步运动一样,匿名戒酒会最好被理解为一种社会运动,而不是一种专业治疗或干预本身。科里根采访了匿名者协会的参与者,包括小组(两组五人或三人)和
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引用次数: 0
Upcoming Articles 即将到来的文章
Pub Date : 2016-01-02 DOI: 10.1080/1556035x.2016.1136152
Patricia E. Penn, D. Brooke, A. Brooks, S. Gallagher, Allison D. Barnard, A. Sotskova, Erica M. Woodin, Laura Aslan, T. Parkman, Nina Skagerlind
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引用次数: 0
Hispanic Perspectives on Recovery High Schools: If We Build Them, Will They Come? 西班牙人对重建高中的看法:如果我们建了,它们会来吗?
Pub Date : 2016-01-01 Epub Date: 2016-10-11 DOI: 10.1080/1556035X.2016.1211058
Maurya Glaude, Luis R Torres

Recovery High Schools (RHSs) have been among the continuum of care for adolescents experiencing addiction since 1979 (Moberg & Finch, 2008). Outcome studies for RHSs are limited, and even less is known about RHS engagement of Hispanics. RHS students are overwhelmingly middle-class non-Hispanic White students with prior formal treatment (Moberg & Finch, 2008). Hispanic youth are more likely to live in discordant low-income ethnic enclaves, placing them at high risk for addictive disorders (Torres, Kaplan, & Valdez, 2011). The individualized approach of RHSs could make them a culturally relevant continuing care intervention. This paper reviews the literature to explore the use of RHSs by Hispanics.

自1979年以来,康复高中(rhs)一直是治疗青少年成瘾的连续机构之一(Moberg & Finch, 2008)。对RHS的结果研究是有限的,对西班牙裔RHS参与的了解更少。RHS学生绝大多数是中产阶级非西班牙裔白人学生,之前接受过正式治疗(Moberg & Finch, 2008)。西班牙裔青年更有可能生活在不和谐的低收入族裔聚居地,这使他们处于成瘾障碍的高风险中(Torres, Kaplan, & Valdez, 2011)。rhs的个性化方法可以使其成为与文化相关的持续护理干预。本文回顾了相关文献,探讨了西班牙裔人使用rss的情况。
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引用次数: 4
Good Will Is Not Enough 光有善意是不够的
Pub Date : 2015-10-02 DOI: 10.1080/1556035X.2015.1099922
J. Lindenmeyer
Most of the helping professionals in the field of substance abuse problems do their work with a lot of engagement and good will. But their work is very often mainly based on a mixture of selectively remembered personal experience and personal convictions while lacking profound scientific knowledge of what really works best for their clients. On the other hand, many clinicians complain that addiction research is not really helpful because their daily work with patients is much more complex than typical research designs. For this reason, it is with great pleasure that I start my new role as guest editor of the Journal of Groups in Addiction & Recovery by presenting two articles that, besides their diverse subjects, share their emphasis on the need for a better scientific understanding of prevention and treatment efforts in the field:
在药物滥用问题领域,大多数帮助专业人员都是带着大量的投入和善意来工作的。但他们的工作往往主要是基于选择性记忆的个人经验和个人信念的混合,而缺乏真正对客户最有效的深刻的科学知识。另一方面,许多临床医生抱怨说,成瘾研究并没有真正的帮助,因为他们与病人的日常工作比典型的研究设计要复杂得多。出于这个原因,我非常高兴地开始了我作为《成瘾与康复团体杂志》客座编辑的新角色,我将发表两篇文章,除了它们不同的主题外,它们都强调需要对该领域的预防和治疗工作有更好的科学理解:
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引用次数: 0
Editorial Board EOV 编辑委员会EOV
Pub Date : 2015-10-02 DOI: 10.1080/1556035x.2015.1099919
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引用次数: 0
Recovery From Adolescent Substance Use Disorder: Young People in Recovery Describe the Process and Keys to Success in an Alternative Peer Group 从青少年物质使用障碍中恢复:恢复中的年轻人描述了在另一个同伴团体中成功的过程和关键
Pub Date : 2015-10-02 DOI: 10.1080/1556035X.2015.1089805
Angela J. Nash, M. Marcus, J. Engebretson, O. Bukstein
Though “recovery management” is the current paradigm for substance use disorder treatment, the mechanisms and processes by which adolescents achieve long-term recovery remain undefined. Seeking to learn from those with lived experience, the author conducted an extensive ethnography with participants of an established but previously unstudied recovery support program. The alternative peer group (APG) model blends positive peer influence with clinical practice to help adolescents achieve recovery. This overview manuscript expands the definition of adolescent recovery and identifies treatment and contextual elements that promote the recovery process. A model for adolescent recovery is proposed, and implications for research and practice are discussed.
虽然“恢复管理”是目前药物使用障碍治疗的范例,但青少年实现长期恢复的机制和过程仍不明确。为了向那些有生活经验的人学习,作者对一个已建立但以前未研究的康复支持计划的参与者进行了广泛的人种志研究。替代性同伴群体(APG)模型将积极的同伴影响与临床实践相结合,以帮助青少年实现康复。这份概述手稿扩展了青少年康复的定义,并确定了促进康复过程的治疗和背景因素。提出了一个青少年康复模型,并讨论了对研究和实践的影响。
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引用次数: 14
Hope, Readiness, and Coping in Family Recovery From Addiction 希望,准备和应对家庭戒毒康复
Pub Date : 2015-10-02 DOI: 10.1080/1556035X.2015.1099125
Spencer D. Bradshaw, Sterling T. Shumway, Eugene W. Wang, K. Harris, Douglas B. Smith, Heather Austin-Robillard
Addiction adversely affects families, making family recovery important. Family members appear to benefit from hope, healthy coping skills, and a readiness to change. Family recovery research is limited and relationships between these variables are underexplored. Using structural equation modeling, preparation for change at initial assessment before a family treatment program predicted higher hope and coping skills after participation. Initial levels of hope predicted coping skills posttreatment. Gender, treatment track of the addict, and family members’ relation to the addict showed significant effects. The importance of family members’ hope, coping, and readiness to change in family recovery are discussed.
成瘾对家庭有不利影响,因此家庭康复很重要。家庭成员似乎受益于希望、健康的应对技能和改变的准备。家庭恢复的研究是有限的,这些变量之间的关系没有得到充分的探讨。利用结构方程模型,在家庭治疗计划之前的初步评估中为改变做准备,预测了参与后更高的希望和应对技能。最初的希望水平预示着治疗后的应对技能。成瘾者的性别、治疗轨迹、家庭成员与成瘾者的关系均有显著影响。讨论了家庭成员希望、应对和准备改变在家庭恢复中的重要性。
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引用次数: 26
E pluribus unum: Our Diversity Is Our Source 合众为一:我们的多样性是我们的源泉
Pub Date : 2015-07-03 DOI: 10.1080/1556035X.2015.1067081
David H. Johnson, A. Cicchetti
It seems like everywhere we turn these days, someone is talking about the topic of diversity, and we think this is a very good development in our society. Just a quick search of the literature surrounding “diversity” reveals that diversity enjoys a diverse audience ranging from nursing (Benton, 2009) to public administration (Lewis, 2011) to orchestras (Schweitzer, 2014) to European football (Maderer, Holtbrügge, & Schuster, 2014) to American cuisine (Andriani, 2010). Diversity is becoming ever more diverse. America’s national motto, e pluribus unum (“Out of many, one”), was adopted in 1776, and although many believe it refers to a single nation arising out of 13 colonies or states, it originated out of the original proposal for a national seal, a proposal that was not adopted but included the symbols for the 6 “Countries from which these States have been peopled” (MacArthur, 2015). For those who care to know, the 6 countries were England, Scotland, Ireland, France, Holland, and Germany. Though the seal was not adopted, the motto was and we have seen it on our money ever since. Learning about our differences helps us to respect, if not embrace, those around us. In working with and helping those with addictions, we serve a diverse group of people, we serve alongside diverse practitioners, and we serve through diverse means and methods. This issue of Journal of Groups in Addiction and Recovery takes diversity as its theme. In these pages, you will find articles from scholars in Finland, Norway, France, England, and the United States. They report on work they have been doing with clientele who are as varied as Al-Anon members in Finland to American Indians in the Northern United States. Treatments range from residential addiction treatment to peer support self-help groups to psychotherapy. We are excited to present such a diverse array of knowledge for our journal readers in this issue. Kuuluvainen and Isotalus provide a thematic analysis of the association between supportive communication and the helping mechanisms of Al-Anon support groups. Their investigation reveals six mechanisms across two levels of supportive communication. Johansen, Ness, and Wennesland present an explanatory case study focused on leadership processes in self-help programs. In contrast to 12-step programs, this study looks at a professionally led self-help program in Norway and draws comparisons between the top-down leadership model of the Norwegian program and the peer-led processes of Alcoholics Anonymous and similar 12-step programs.
似乎这些天我们所到之处,都有人在谈论多样性的话题,我们认为这是我们社会的一个很好的发展。只要快速搜索一下有关“多样性”的文献就会发现,多样性的受众范围很广,从护理(Benton, 2009)到公共管理(Lewis, 2011),从管弦乐队(Schweitzer, 2014)到欧洲足球(Maderer, holtbrgge, & Schuster, 2014),再到美国美食(Andriani, 2010)。多样性正变得越来越多样化。美国的国家格言e pluribus unum(“合众为一”)于1776年被采纳,尽管许多人认为它是指从13个殖民地或州中产生的一个单一国家,但它起源于最初的国家印章提案,该提案未被采纳,但包含了6个“这些国家曾经居住过的国家”的符号(MacArthur, 2015)。对于那些关心的人来说,这六个国家是英格兰、苏格兰、爱尔兰、法国、荷兰和德国。虽然这枚印章没有被采纳,但这句格言却被采纳了,从那以后我们就在我们的钞票上看到了它。了解我们之间的差异有助于我们尊重周围的人,如果不是拥抱的话。在帮助那些有毒瘾的人的过程中,我们为不同的人群服务,我们与不同的从业者一起服务,我们通过不同的手段和方法服务。这一期的《成瘾与康复群体杂志》以多样性为主题。在这些网页中,你会发现来自芬兰、挪威、法国、英国和美国学者的文章。他们报告了他们所做的工作,这些客户从芬兰的匿名者协会成员到美国北部的美洲印第安人都有。治疗范围从住院成瘾治疗到同伴支持自助小组,再到心理治疗。我们很高兴能在这期杂志上为我们的读者呈现如此多样化的知识。Kuuluvainen和Isotalus对支持沟通与戒酒会支持团体的帮助机制之间的关系进行了专题分析。他们的调查揭示了两层支持沟通的六种机制。Johansen, Ness和Wennesland提出了一个关于自助项目中的领导过程的解释性案例研究。与12步计划相反,这项研究考察了挪威一个专业领导的自助计划,并将挪威计划自上而下的领导模式与匿名戒酒会(Alcoholics Anonymous)和类似的12步计划的同伴领导过程进行了比较。
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引用次数: 0
Words and Beyond: Members’ Experiences of the Supportive Communication and Helping Mechanisms of Al-Anon Groups 言语与超越:成员对匿名者组织的支持性沟通和帮助机制的体验
Pub Date : 2015-07-03 DOI: 10.1080/1556035X.2015.1066725
Venla Kuuluvainen, P. Isotalus
Al-Anon members (n = 20) were interviewed to investigate the association between communication and the helping mechanisms of Al-Anon. The research material was thematically analyzed and resulted in six mechanisms of supportive communication (sense of belonging, seeing oneself in relation to others, experiencing self-efficacy, developing a new story, moving the attention to oneself, and finding building blocks of recovery) that operated at two levels of supportive communication: content and relationships. These results provide an outlook on the communication that produces helping mechanisms in mutual-support groups.
我们采访了20名Al-Anon成员,以调查沟通与Al-Anon帮助机制之间的关系。对研究材料进行了主题分析,得出了六种支持性沟通机制(归属感、看到自己与他人的关系、体验自我效能、发展新故事、将注意力转移到自己身上、找到恢复的基石),这些机制在两个支持性沟通层面上运作:内容和关系。这些结果为在相互支持的群体中产生帮助机制的交流提供了一个前景。
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引用次数: 5
Changes in Psychological Time Perspective During Residential Addiction Treatment: A Mixed-Methods Study 住院成瘾治疗期间心理时间视角的变化:一项混合方法研究
Pub Date : 2015-07-03 DOI: 10.1080/1556035X.2015.1066728
S. Davies, Pavlos C. Filippopoulos
Time perspective (TP) refers to an individual's subjective relationship to the past, present, and future. Zimbardo's Time Perspective Inventory (ZTPI) is a scale designed to capture 5 distinct constructs of subjective temporality (Zimbardo & Boyd, 1999). It is regarded as a valid predictor of health-related choices and mental health. This mixed methodological study investigates psychological perspectives of time in a group of 63 individuals seeking help for alcohol/drug dependence issues who then successfully completed a group residential addiction treatment intervention. Measures of TP using a short-form ZTPI and a qualitative component were taken at preintervention and postintervention along with scores of depression and anxiety. Findings demonstrated that past-negative, present-fatalism, and present-hedonistic TPs were significantly positively associated with depression and anxiety. Significant negative relationships were found between mental health concerns and both past-positive and future TPs. Distinct changes were revealed in temporality between premeasures and postmeasures of the addiction treatment intervention from both quantitative and qualitative perspectives highlighting significant adaptations in relationships to time. The potential use and implications of these findings for understanding addiction and considering psychotherapeutic treatment are discussed.
时间视角(TP)是指个体对过去、现在和未来的主观关系。津巴多的时间视角量表(ZTPI)是一个旨在捕捉主观时间性的5种不同结构的量表(津巴多和博伊德,1999)。它被认为是健康相关选择和心理健康的有效预测指标。这项混合方法学研究调查了63名寻求酒精/药物依赖问题帮助的人的时间心理学观点,这些人随后成功地完成了团体住宅成瘾治疗干预。在干预前和干预后,使用短格式ZTPI和定性成分测量TP以及抑郁和焦虑评分。研究结果表明,过去消极情绪、现在宿命论情绪和现在享乐主义情绪与抑郁和焦虑呈显著正相关。发现心理健康问题与过去和未来的TPs呈显著负相关。从定量和定性的角度来看,成瘾治疗干预的前测量和后测量之间的时间性发生了明显的变化,突出了时间关系的显著适应。这些发现对理解成瘾和考虑心理治疗的潜在用途和意义进行了讨论。
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引用次数: 26
期刊
Journal of groups in addiction & recovery
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