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A Vision for Us 我们的愿景
Pub Date : 2014-10-02 DOI: 10.1080/1556035X.2014.967572
J. Roth
As our journal completes its ninth year, we are embarking on an exciting new adventure. We have slowly expanded our readership, our panel of reviewers, our community of authors, and our editorial staff. I have been grateful, in my role as Editor in Chief, to provide both direction and managerial functions so that our journal might grow. We have learned from the experience of intentional communities, such as those supporting recovery from addiction, that sharing the exercise of authority is vital to the survival of the group. Thus, mutual-support groups like Alcoholics Anonymous recommend rotation of leadership to protect the group from exclusive reliance on one member who may become unavailable through relapse or departure from the group. I have therefore invited our editorial board members and reviewers to join in a revised editorial structure for our journal. Twenty-three colleagues have agreed to be part of our new editorial board. Each of them has committed to managing the review process for one issue of the journal in the role of editor for that issue (see Table 1). The editor will take responsibility for the following tasks:
随着我们的杂志完成了它的第九年,我们开始了一个激动人心的新冒险。我们慢慢地扩大了我们的读者群,我们的审稿人小组,我们的作者社区和我们的编辑人员。作为总编辑,我一直很感激能为我们的期刊提供指导和管理职能,使我们的期刊得以成长。我们从互助社区的经验中了解到,例如那些支持戒除毒瘾的社区,分享权力对团体的生存至关重要。因此,像戒酒互助会这样的互助团体建议轮流领导,以保护团体不完全依赖一个成员,而这个成员可能会因为复发或离开团体而变得不可用。因此,我邀请我们的编辑委员会成员和审稿人加入我们期刊的修订编辑结构。23位同事已经同意加入我们的新编委会。他们每个人都承诺以该期刊的编辑角色管理该期刊的审稿过程(见表1)。编辑将负责以下任务:
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引用次数: 0
Addiction and the Mediation of Hope on Craving, Readiness, and Coping 成瘾和希望对渴望、准备和应对的调解
Pub Date : 2014-10-02 DOI: 10.1080/1556035X.2014.969062
Spencer D. Bradshaw, Sterling T. Shumway, Eugene W. Wang, K. Harris
Craving, a compulsive motivation to use, and conscious readiness to change (RTC) are distinct motivators of human behavior. Recovery requires RTC despite involuntary cravings. A structural equation modeling analysis examining hope as a mediator between these constructs found craving to directly associate with precontemplation, while hope partially mediated the relationship between craving, contemplation, and coping. Craving's indirect effect on action toward change occurred only through hope. While craving appears to be a strong associate of precontemplation, hope appears to be an important associate of contemplation toward change and appears to be required for action. Hope also appears to be an important factor of coping in recovery.
渴望,一种强迫性的使用动机和有意识的改变准备(RTC)是人类行为的不同动机。恢复需要RTC,尽管无意识的渴望。一项结构方程模型分析检验了希望在这些构念之间的中介作用,发现渴望与预观直接相关,而希望部分地中介了渴望、沉思和应对之间的关系。渴望对改变行动的间接影响只能通过希望来实现。虽然渴望似乎是预先思考的强烈联系,但希望似乎是对变化的思考的重要联系,并且似乎是行动所必需的。希望似乎也是应对复苏的一个重要因素。
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引用次数: 11
Changing Self-Destructive Habits: Pathways to Solutions with Couples and Families 改变自我毁灭的习惯:夫妻和家庭的解决之道
Pub Date : 2014-10-02 DOI: 10.1080/1556035X.2014.967575
J. Winek
Changing Self-Destructive Habits: Pathways to Solutions with Couples and Families by Mathew D. Selekman, MSW, and Mark Beyebach, PhD, is a well-written and insightful guide to a brief family therapy approach to treating self-destructive behaviors. By coincidence, I was in need of a text for my upcoming class titled “Substance Abuse and Families Systems.” I was so impressed with this book that I was excited to adopt it as one of the main texts for the class. This class is an elective for master’s-level marriage and family therapy, community mental health counseling, and social work students. This book would also make an excellent text for an advanced undergraduate or graduate course in substance abuse and family systems. To me, one of the issues in the substance abuse field is that practitioners can become black and white in their thinking about their theory of addiction. We can lose track of our mission to help a person with an addiction in an academic debate about the origin of and path to recovery from that addiction. A clear strength of the book is its broad “both/and” approach. It describes how and in what instances addiction can be a disease with a pronounced biological component as well as how in some instances addictive behavior can be the result of maladaptive habit. The organization of the book is logical and develops the argument for this approach as it flows through the first three chapters. The authors lay out the assumptions that provide the foundations of the authors’ perspectives. Chapter 1, titled “Self-Destructive Habits: A Collaborative StrengthBased Brief Family Therapy Approach,” lays the foundation for the rest of the book. My only critique of this book is the density of the first chapter, and as I write this, I realize this is an unfair critique. The density is a function of the breadth and depth of materials covered. It explores selfdestructive behaviors comprehensively from societal and period effects to mental health/relationship issues and down to biological/brain issues. As I read this chapter, I was grateful for the illustrations and diagrams. These added clarity to a robust and comprehensive presentation.
matthew D. Selekman和Mark Beyebach博士合著的《改变自我毁灭的习惯:与伴侣和家庭一起解决问题的途径》是一本关于治疗自我毁灭行为的家庭治疗方法的简明指南,写得很好,见解深刻。巧合的是,我正在为我即将到来的名为“药物滥用和家庭系统”的课程需要一本书。这本书给我留下了深刻的印象,我很兴奋地把它作为这门课的主要教材之一。本课程为婚姻家庭治疗、社区心理健康咨询、社会工作专业硕士研究生选修课程。这本书也将使一个优秀的文本,在药物滥用和家庭系统的高级本科或研究生课程。对我来说,药物滥用领域的一个问题是,从业者在思考成瘾理论时可能会变得非黑即白。在关于成瘾的起源和康复途径的学术辩论中,我们可能会忘记我们帮助成瘾者的使命。这本书的一个明显优势是其广泛的“两者”方法。它描述了成瘾如何以及在什么情况下可以成为一种具有明显生物成分的疾病,以及在某些情况下成瘾行为如何可能是适应不良习惯的结果。本书的组织是合乎逻辑的,并在前三章中对这种方法进行了论证。作者列出了为作者的观点提供基础的假设。第一章题为“自我毁灭的习惯:基于协作力量的简短家庭治疗方法”,为本书的其余部分奠定了基础。我对这本书的唯一批评是第一章的密度,当我写这些的时候,我意识到这是一个不公平的批评。密度是材料覆盖的宽度和深度的函数。它全面探讨了自毁行为,从社会和时期影响到心理健康/关系问题,再到生物/大脑问题。当我读这一章的时候,我很感激其中的插图和图表。这些为一个健壮和全面的演示文稿增加了清晰度。
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引用次数: 0
Upcoming Manuscripts 即将到来的手稿
Pub Date : 2014-07-03 DOI: 10.1080/1556035x.2014.943031
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引用次数: 0
A Conceptual Review of the Integration of Professional Practices Within Mutual-Aid Organizations 互助组织内专业实践整合的概念回顾
Pub Date : 2014-07-03 DOI: 10.1080/1556035X.2014.943553
T. Litwicki, W. White
Resources beyond self and family to resolve significant alcohol and other drug problems have historically been provided in two venues: professionally directed addiction treatment and peer-based recovery mutual aid. Recently, recovery support organizations have emerged that share characteristics of both venues, what we identify as hybrid mutual aid (HMA). The purpose of this article is to offer a conceptual framework for HMA followed by analysis of the philosophical positions and practices of two contemporary HMA groups. The integration of these practices has the potential to impact group emergence and maintenance, while raising significant ethical questions related to governance and fiscal management.
除了自我和家庭之外,解决严重的酒精和其他药物问题的资源历来在两个方面提供:专业指导的成瘾治疗和以同伴为基础的康复互助。最近,恢复支持组织出现了,它们具有这两个场所的共同特征,我们称之为混合互助(HMA)。本文的目的是为医疗卫生管理提供一个概念框架,然后分析当代两个医疗卫生管理团体的哲学立场和实践。这些实践的整合有可能影响群体的出现和维持,同时提出与治理和财务管理相关的重大伦理问题。
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引用次数: 3
The Recovery Community Center: A New Model for Volunteer Peer Support to Promote Recovery 康复社区中心:一种促进康复的志愿者同伴支持新模式
Pub Date : 2014-07-03 DOI: 10.1080/1556035X.2014.940769
B. Haberle, S. Conway, Phil Valentine, A. Evans, W. White, L. Davidson
The last decade has seen new forms of peer support emerge from a “new addiction recovery advocacy movement.” One structure for organizing these services is the recovery community center (RCC), which combines the social fellowship of AA with the service mission of a drop-in center, while offering new services like recovery coaching. The backbone of the RCC is its volunteers from the recovery community, who instill hope, role model recovery, and dispel stigma. We describe this model and provide data from two RCCs. These data suggest that RCCs may serve as hubs of recovery-oriented systems of care, serving as the impetus for more rigorous research to be conducted on the role and effectiveness of this emerging form of service delivery.
在过去的十年里,“新成瘾康复倡导运动”中出现了新的同伴支持形式。组织这些服务的一种结构是康复社区中心(RCC),它结合了AA的社会关系和上门服务中心的服务使命,同时提供康复指导等新服务。RCC的骨干是来自康复社区的志愿者,他们灌输希望,为康复树立榜样,并消除耻辱。我们描述了这个模型,并提供了两个rcc的数据。这些数据表明,rcc可以作为以康复为导向的护理系统的中心,推动对这种新兴服务形式的作用和有效性进行更严格的研究。
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引用次数: 13
12 Steps for Best Practices in Referral to Mutual Self-Help Groups 转介到互助小组最佳实践的12个步骤
Pub Date : 2014-07-03 DOI: 10.1080/1556035X.2014.943550
B. Kelch
While membership is completely voluntary, mutual self-help group participation represents a significant portion of the de facto system of care for substance use disorders in the United States. Clinicians who treat patients with substance use disorders often refer patients to Mutual Self Help Groups (MSHG) and are met with resistance by patients who do not engage in MSHG involvement. A brief historical overview of the original 12-step program, Alcoholics Anonymous, will be provided as well as subsequent derivatives of this program. In addition, this paper will, summarize the existing literature concerning attendance at mutual self-help groups and outcomes, and make recommendations about “best practices” for clinicians contemplating referral. This discussion will be limited to mutual self-help groups that address substance use disorders (AA, NA, CA, etc.), both 12-step and non-12 step.
虽然成员是完全自愿的,但互助小组的参与代表了美国物质使用障碍护理事实上的系统的重要组成部分。治疗药物使用障碍患者的临床医生经常将患者转介到互助自助小组(MSHG),但不参与互助自助小组的患者会对此产生抵制。将简要介绍最初的12步戒酒互助会计划的历史概况,以及该计划的后续衍生项目。此外,本文将总结现有文献关于出席互助自助小组和结果,并提出关于“最佳做法”的建议,临床医生考虑转诊。本讨论将仅限于解决物质使用障碍的互助小组(AA, NA, CA等),包括12步和非12步。
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引用次数: 3
Mutual-Aid Support Groups: Benefits and Recommendations 互助支持小组:益处和建议
Pub Date : 2014-07-03 DOI: 10.1080/1556035X.2014.943029
H. Matto
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引用次数: 1
Recover to Live: Kick Any Habit, Manage Any Addiction (Conversations with 100 of the World’s Top Treatment Experts) 恢复生活:戒除任何习惯,控制任何成瘾(与100位世界顶级治疗专家的对话)
Pub Date : 2014-07-03 DOI: 10.1080/1556035X.2014.940772
L. Lederman
Recover to Live by Christopher Kennedy Lawford is the author’s most recent book on addiction and recovery. It is an encyclopedic review of addictions and their treatment(s) written by a man who himself has been substance-free for 25 years and draws upon evidence and testimony from more than 100 scientists and clinicians. The book is written for the general public rather than those of us in academic and/or treatment circles. In this sense, it can be viewed as translational: taking much of what is known about addiction and recovery and writing it for the popular audience who might not find scientific work accessible. Rather than focusing only on alcoholism and recovery, Lawford takes the perspective that there are common denominators in many addictions, their causes, and treatments. Lawford discusses (and uses his experts to provide evidence to support his assertions) addiction as a brain disease that alters neurotransmitters, which in turn change behavior and cognition, and vice versa: If the brain can be trained to follow addictive pathways, then it can be retrained to change those pathways and to allow recovery. To make his point vivid, he identifies what he refers to as the “seven toxic compulsions”—alcohol use disorders, drug use disorders, eating disorders, gambling, hoarding, sex and pornography, and smoking (nicotine dependence)—and he examines their similarities, differences, and at times intersections, as well as similarities and differences in the treatments available. Viewed this way, for example, despite differences in presenting symptoms, the food addict and the compulsive gambler are both driven to compulsive self-destruction by brain chemistry. Lawford is explicit that the purpose of his book is to change attitudes and approaches to the treatment of addiction by emphasizing the common denominators of the “seven toxic compulsions” he identifies. Lawford’s book is both a catalogue of addiction compulsions and also a self-help guide in what to do about them. It contains 12 chapters and is divided into two parts: dependence and treatment. Part 1—”Is Your Unhealthy Habit Really Dependence?”—focuses on the nature of addiction, and
克里斯托弗·肯尼迪·劳福德(Christopher Kennedy Lawford)的《恢复生活》(Recover to Live)是作者关于成瘾与康复的最新著作。这是一本百科全书式的关于成瘾及其治疗的评论,作者本人已经戒毒25年,并引用了100多位科学家和临床医生的证据和证词。这本书是写给普通大众的,而不是我们这些在学术和/或治疗圈子里的人。从这个意义上说,它可以被看作是一种翻译:把很多已知的关于成瘾和康复的东西,写给那些可能找不到科学工作的大众读者。与其只关注酗酒和康复,劳福德的观点是,许多成瘾,它们的原因和治疗都有共同点。劳福德讨论(并利用他的专家提供证据来支持他的断言)成瘾是一种脑部疾病,它会改变神经递质,进而改变行为和认知,反之亦然:如果大脑可以被训练来遵循成瘾途径,那么它可以被重新训练来改变这些途径并允许恢复。为了使他的观点更加生动,他确定了他所说的“七种有毒的强迫行为”——酒精使用障碍,药物使用障碍,饮食障碍,赌博,囤积,性和色情,以及吸烟(尼古丁依赖)——他检查了它们的相似点,不同点,有时交叉,以及可用治疗方法的相似点和不同点。例如,从这个角度来看,尽管表现出的症状不同,但食物成瘾者和强迫性赌徒都是由大脑化学物质驱使而走向强迫性自我毁灭的。劳福德明确表示,他的书的目的是通过强调他所识别的“七种有毒强迫”的共同点,改变人们对成瘾治疗的态度和方法。劳福德的书既是强迫性成瘾的目录,也是如何应对它们的自助指南。全文共12章,分为依赖和治疗两部分。第一部分-“你的不良习惯真的是依赖吗?”——关注成瘾的本质,以及
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引用次数: 0
Social Support, Group Involvement, and Well-Being Among the Family and Friends of Problem Drinkers 酗酒者家庭和朋友的社会支持、团体参与和幸福感
Pub Date : 2014-07-03 DOI: 10.1080/1556035X.2014.943551
Jo-ann Stenton, D. Best, Bridget Roberts
Challenges to the health and well-being of families of people with alcohol problems were examined in this exploratory study conducted in Melbourne, Australia. A semistructured questionnaire was developed with a group of key informants and was distributed through two mutual-aid support programs, Al-Anon and Family Drug Help. Respondents were diverse and included partners, parents, and children of problem drinkers, with a number of respondents reporting problem drinking in multiple intimates. Participants’ perceptions of the severity of participants’ problems, their well-being, and the subsequent benefits found in mutual-aid support programs suggest the need for easier access to information regarding support.
在澳大利亚墨尔本进行的这项探索性研究中,研究了对酗酒者家庭健康和福祉的挑战。一份半结构化的调查问卷由一组关键的线人组成,并通过两项互助支持计划分发,即戒酒会和家庭毒品帮助。受访者是多种多样的,包括伴侣、父母和问题饮酒者的孩子,许多受访者报告了多个亲密关系中的饮酒问题。参与者对问题严重性的认知,他们的幸福感,以及在互助支持项目中发现的后续利益表明,需要更容易地获得有关支持的信息。
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引用次数: 5
期刊
Journal of groups in addiction & recovery
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