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Motivational Interviewing in Groups: Group Process Considerations 小组动机性访谈:小组过程考虑
Pub Date : 2015-01-02 DOI: 10.1080/1556035X.2015.999616
J. Krejci, Quinn Neugebauer
Motivational interviewing (MI) has emerged as an evidence-based practice for addiction treatment. Firmly rooted in the client-centered schools of therapy, key concepts include the “spirit” of MI, the 4 processes, microskills, and the provision of feedback, advice, and suggestions within an MI framework. Strategies for adapting this approach to group therapy are reviewed and include strategies for blending individual and group processes, responding to change talk within the group setting, normalizing motivational differences, and incorporating skills-training protocols.
动机访谈(MI)已经成为一种基于证据的成瘾治疗实践。牢牢扎根于以客户为中心的治疗学派,关键概念包括MI的“精神”,4个过程,微技能,以及在MI框架内提供反馈,建议和建议。本文回顾了将这种方法应用于团体治疗的策略,包括融合个人和团体过程的策略,对团体环境中的变化谈话做出反应,使动机差异正常化,并纳入技能培训协议。
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引用次数: 8
Tell Me a Story: The Role of Honest Sharing in Recovery 给我讲个故事:诚实分享在康复中的作用
Pub Date : 2015-01-02 DOI: 10.1080/1556035X.2015.999615
L. Lederman
The power of storytelling in recovery was demonstrated as early as the mid1930s when two alcoholics, Bill Wilson (a stockbroker) and Dr. Bob Smith (a surgeon), first met. Each had a long and disappointing history of attempts to stay sober. By sharing their drinking stories with one another, the two discovered that they helped each other achieve and maintain sobriety. Their discovery became a template for recovery in Alcoholics Anonymous (AA) and for other 12-step programs that have sprung up over the decades since that time. The ability to talk about one’s addiction issues with other addicts plays an equally fundamental role in addiction treatment groups led by counselors or therapists. Tracing back to the mid-20th century, the longstanding therapeutic assumption is that in the safety of a group who shares a common problem, people are more willing to talk openly and honestly about their experiences, feelings, and behaviors. But communication among recovering addicts is more than the sharing of stories about their struggles (and successes) with their drug of choice. Although there clearly is a relationship between telling one’s story and staying clean or sober, it can be argued that it is talking itself that is the mechanism for change. Viewed through the lens of the role of communication in recovery, talking aloud about a shared condition allows recovering addicts to “hear themselves” and confront themselves whether that sharing takes place both in self-help and addiction treatment groups. Researchers who study communication have identified several different phenomena that shed light on the fundamental role that talking (especially storytelling) plays in the development of human beings. For example, the self-disclosures shared by one recovering addict increase the likelihood of reciprocal self-disclosures in the other person. Through their self-disclosures, people often discover that they no longer feel alone or different. Feeling less isolated and more connected and understood, they talk increasingly more honestly with one another. At the same time they are becoming more honest with themselves as they hear their own words. Some researchers have even gone so far to suggest that it is through the shared storytelling that many recovering alcoholics begin to see their multiple selves: the active addict self, the recovering self , and what I have referred to in my own work as the aspirational self . The aspirational
早在20世纪30年代中期,当比尔·威尔逊(股票经纪人)和鲍勃·史密斯医生(外科医生)这两个酗酒者第一次见面时,讲故事在康复过程中的作用就得到了证明。每个人都有过很长一段令人失望的戒酒史。通过互相分享他们的饮酒故事,两人发现他们互相帮助对方实现并保持清醒。他们的发现成为匿名戒酒会(AA)康复的模板,也成为此后几十年涌现的其他12步戒酒项目的模板。在由咨询师或治疗师领导的成瘾治疗小组中,与其他成瘾者谈论成瘾问题的能力同样发挥着重要作用。追溯到20世纪中期,长期以来的治疗假设是,在一个有共同问题的群体中,人们更愿意公开和诚实地谈论他们的经历、感受和行为。但是,康复中的瘾君子之间的交流不仅仅是分享他们与所选药物斗争(和成功)的故事。虽然讲自己的故事和保持戒毒或清醒之间有明显的关系,但可以说,说话本身就是改变的机制。从沟通在康复过程中的作用来看,大声谈论共同的情况可以让康复中的成瘾者“听到自己的声音”,并面对自己是否在自助和成瘾治疗小组中都有这种分享。研究交流的研究人员发现了几种不同的现象,这些现象揭示了说话(尤其是讲故事)在人类发展中所起的基本作用。例如,一个正在康复的瘾君子分享的自我表露增加了另一个人自我表露的可能性。通过自我表露,人们常常发现他们不再感到孤独或与众不同。感觉不那么孤立,更多的是联系和理解,他们彼此之间的交谈越来越诚实。与此同时,当他们听到自己的话时,他们对自己变得更加诚实。一些研究人员甚至认为,正是通过分享故事,许多正在康复的酗酒者开始看到他们的多重自我:活跃的瘾君子自我,正在康复的自我,以及我在自己的工作中提到的有抱负的自我。梦寐以求的
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引用次数: 2
Focus Groups as a Means for Preventing Adolescent Alcohol Consumption: Qualitative and Process Analysis 焦点小组作为预防青少年饮酒的手段:定性和过程分析
Pub Date : 2015-01-02 DOI: 10.1080/1556035X.2015.999619
M. Gatta, C. Rotondo, M. Salis, E. Ferruzza
The present study analyzed focus groups (FGs) used as part of a prevention action project targeting students in their secondary school to identify a prevention strategy capable of modifying adolescents' opinions on alcohol and its consumption. This part of the research aimed to provide a 1st snapshot of the topics developed. Among the main topics that emerged spontaneously were: the idea that alcohol consumption is natural in our society; the limited awareness of the risks of drinking; the concept that there is a normal use of alcohol; and abuse being related to problems of physical and psychological health.
本研究分析了焦点小组(FGs),作为针对中学生的预防行动项目的一部分,以确定能够改变青少年对酒精及其消费的看法的预防策略。这一部分的研究旨在提供所开发主题的第一个快照。自发出现的主要话题包括:饮酒在我们的社会中是自然的;对饮酒风险的认识有限;酒精的正常使用是一个概念;虐待与身体和心理健康问题有关。
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引用次数: 10
Upcoming Articles 即将到来的文章
Pub Date : 2015-01-02 DOI: 10.1080/1556035x.2015.1023663
Sarah Elison, Lee Hogan, Glyn Davies
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引用次数: 0
Understanding the Link Between Personal Recovery Experience and Program Delivery Decisions of Administrators Working in Addiction Agencies Serving Women in Canada 了解在加拿大为妇女服务的成瘾机构工作的管理人员的个人康复经验和项目交付决策之间的联系
Pub Date : 2015-01-02 DOI: 10.1080/1556035X.2015.999618
G. Novotna, M. Dobbins, J. Henderson, S. Jack, W. Sword, A. Niccols
Research suggests that some administrators of addiction agencies draw heavily on their personal recovery experience when making their decisions. The purpose of this study was to describe the role of personal recovery experience in administrators’ practice-related decision making. A qualitative study involving 23 administrators of Canadian addiction agencies was conducted. The interviewed administrators incorporated their personal recovery experience into (a) clinical decisions; (b) staff supervision and in-service training; (c) program planning, development, and administration; and (d) community service planning and policymaking. Future research should address the complexity of practice-related decision making among this group of decision makers.
研究表明,一些成瘾机构的管理者在做决定时,会大量借鉴他们的个人康复经历。本研究旨在探讨个人康复经验在行政人员实务相关决策中的作用。对加拿大成瘾机构的23名管理人员进行了定性研究。受访的管理人员将他们的个人康复经验纳入(a)临床决策;(b)工作人员监督和在职培训;(c)项目规划、开发和管理;(d)社区服务规划和政策制定。未来的研究应该解决在这群决策者中与实践相关的决策的复杂性。
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引用次数: 2
A Meta-Analysis Exploring the Relationship Between 12-Step Attendance and Adolescent Substance Use Relapse 12步治疗与青少年药物使用复吸关系的meta分析
Pub Date : 2015-01-02 DOI: 10.1080/1556035X.2015.999621
E. Hennessy, Benjamin W. Fisher
This article describes results from a systematic review and meta-analysis of research exploring the relationship between adolescent 12-step program attendance and relapse after treatment. A systematic literature search was conducted resulting in 364 unduplicated abstracts to review. Four studies were eligible and were double-coded for variables. Outcome effect sizes were then analyzed in a random-effects model. The overall mean effect indicated beneficial results for adolescents who attended 12-step programs posttreatment. These findings support the clinical recommendation that adolescents attend 12-step programs, yet the findings highlight the need for future research among this population that clearly documents variables related to recovery outcomes.
本文描述了一项系统综述和荟萃分析的结果,该研究探讨了青少年参加12步治疗计划与治疗后复发之间的关系。系统的文献检索得到364篇无重复摘要。四项研究符合条件,并对变量进行了双重编码。然后在随机效应模型中分析结果效应大小。总体平均效果表明,参加12步治疗方案的青少年在治疗后获得了有益的结果。这些研究结果支持了临床建议青少年参加12步治疗计划,但研究结果强调了未来对这一人群进行研究的必要性,以清楚地记录与康复结果相关的变量。
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引用次数: 19
Editorial Board EOV 编辑委员会EOV
Pub Date : 2014-10-02 DOI: 10.1080/1556035x.2014.981081
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引用次数: 0
Inside Rehab: The Surprising Truth About Addiction Treatment-and How to Get Help That Works; and Clean: Overcoming Adiction and Ending America's Greatest Tragedy 内部康复:关于成瘾治疗的惊人真相-以及如何获得有效的帮助;《清洁:克服毒瘾,结束美国最大的悲剧》
Pub Date : 2014-10-02 DOI: 10.1080/1556035X.2014.967582
Barney Straus
A pair of books that are sharply critical of the addiction treatment industry were released by the popular press in 2013. Clean by David Sheff (2013) and Inside Rehab by Anne M. Fletcher (2013) both address America’s addiction epidemic and its treatment. The two books complement each other in several ways. While Sheff presents a sweeping polemic aimed at reforming the way we think about and treat addiction, Fletcher offers a more dispassionate critique of the treatment landscape. As is so often the case for those interested in addiction, both authors were motivated to write about the subject, at least in part, by personal experience: Sheff through being the parent of an addict and Fletcher through her own struggles with alcohol. As Sheff captured so poignantly in his 2008 memoir Beautiful Boy, he is the father of a drug-addicted son. Although Fletcher discussed her own struggle with problematic drinking in her 2001 book Sober for Good, she leaves out her personal experience in Inside Rehab and rather maintains the perspective of an objective investigator. Perhaps this is because she never was “inside rehab” during her own recovery. Nevertheless, both she and Sheff offer equally critical descriptions of our current system of care for those struggling with addictive disorders. Both authors use clear, straightforward prose that reveals their anger toward current addiction policy and treatment in the United States. Sheff’s primary thesis is that addiction should move swiftly away from being seen as a legal issue toward one that ought to be addressed purely as a medical problem. While many treatment centers, as well as Alcoholics Anonymous (AA), have long subscribed to the “disease model” of addiction treatment and in more recent years the National Institute on Drug Abuse has termed addiction a “brain disease,” Sheff does much to help us remove the quotation marks around the word disease. Fletcher, on the other hand, uses such quotation marks, signaling her own skepticism about the legitimacy of
2013年,大众媒体出版了两本尖锐批评成瘾治疗行业的书。大卫·谢夫的《清洁》(2013)和安妮·m·弗莱彻的《内部康复》(2013)都探讨了美国的成瘾流行病及其治疗。这两本书在几个方面相辅相成。谢夫提出了一场旨在改革我们思考和治疗成瘾方式的全面论战,而弗莱彻则对治疗现状进行了更为冷静的批评。就像那些对成瘾感兴趣的人经常遇到的情况一样,两位作者都是出于个人经历而写作这个主题的,至少部分是出于个人经历:谢夫是一个瘾君子的父母,弗莱彻是她自己与酒精的斗争。正如谢夫在2008年出版的回忆录《美丽的男孩》(Beautiful Boy)中深刻描写的那样,他是一个吸毒成瘾儿子的父亲。虽然弗莱彻在她2001年出版的《永远清醒》一书中讨论了她自己与酗酒问题的斗争,但她在《内部康复》一书中没有提到她的个人经历,而是保持了一个客观调查者的视角。也许这是因为在她自己的康复过程中,她从来没有“进入康复中心”。尽管如此,她和谢夫都对我们目前对那些与成瘾障碍作斗争的人的护理体系进行了同样批判的描述。两位作者都用清晰、直白的文字表达了他们对美国当前成瘾政策和治疗的愤怒。谢夫的主要论点是,成瘾应该迅速从一个法律问题转变为一个纯粹的医学问题。虽然许多治疗中心,包括匿名戒酒会(AA),长期以来一直认同成瘾治疗的“疾病模式”,近年来,国家药物滥用研究所(National Institute on Drug Abuse)将成瘾称为“脑部疾病”,但谢夫做了很多工作,帮助我们去掉了“疾病”这个词的引号。弗莱彻,另一方面,使用这样的引号,表明她自己对合法性的怀疑
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引用次数: 1
The Development of the Hope and Coping in Recovery Measure (HCRM) 康复措施中希望与应对的发展
Pub Date : 2014-10-02 DOI: 10.1080/1556035X.2014.969059
Sterling T. Shumway, John B. Dakin, Sara Smock Jordan, T. Kimball, K. Harris, Spencer D. Bradshaw
A large body of research exists on the causes, effects/consequences, and treatment of substance use disorder (SUD). However, studies on recovery from SUD, including its definition, factors, and sustainability, are lacking. The purpose of this study is to identify and assess the factors of recovery from SUD by developing and testing the Hope and Coping in Recovery Measure (HCRM). A principal components analysis revealed two distinct factors (hope and coping) to be present in the process of recovery from SUD. Implications for future research on the recovery process and the HCRM are discussed.
大量的研究存在于物质使用障碍(SUD)的原因、影响/后果和治疗方面。然而,对SUD的回收,包括其定义、影响因素和可持续性的研究还很缺乏。本研究的目的是通过开发和测试康复中的希望和应对措施(HCRM)来识别和评估康复的因素。主成分分析揭示了两个不同的因素(希望和应对)存在于从SUD恢复的过程中。最后讨论了对未来回收过程和HCRM研究的启示。
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引用次数: 13
The Impact of Therapeutic Factors on Locus of Control of Addicts in Therapeutic Communities 治疗因素对社区成瘾者控制点的影响
Pub Date : 2014-10-02 DOI: 10.1080/1556035X.2014.967576
Y. Amram, R. Benbenishty
Therapeutic communities (TCs) aim to help people with substance use disorders change their lifestyle and reintegrate into society. Addicts seek therapy when they feel they have lost control over their lives. Therapeutic factors (TFs) are those aspects of the therapeutic process that stimulate the desired change. This article examines TF perceptions among clients in TCs and the impact of those factors on changing the locus of control (LOC) during the therapeutic process. The findings indicate that perceptions of TFs improved as treatment progressed, and LOC steadily increased during the treatment process. In addition, the higher the perceived level of TFs at the beginning of the process, the more the participants experienced a steady growth in their internal LOC for their lives.
治疗社区旨在帮助物质使用障碍患者改变他们的生活方式并重新融入社会。当成瘾者感到对自己的生活失去控制时,他们会寻求治疗。治疗因素(TFs)是治疗过程中刺激预期变化的那些方面。本文研究了在治疗过程中,tc患者的TF感知以及这些因素对控制位点(LOC)改变的影响。研究结果表明,随着治疗的进展,对TFs的感知有所改善,LOC在治疗过程中稳步增加。此外,在过程开始时,感知到的TFs水平越高,参与者对生活的内在LOC的稳定增长就越多。
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引用次数: 7
期刊
Journal of groups in addiction & recovery
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