依赖与相互依赖:一种治疗性成瘾者的新模式(依赖)会比我们现有的模式(相互依赖)更有效吗?

R. Weiss
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引用次数: 0

摘要

性成瘾者的配偶、伴侣、父母和其他亲人通常会接受不同形式的相互依赖模型的治疗,这种模型通常没有认识到这些人正处于一种关系危机之中。依赖性是解决这类客户的新范例。在依恋理论而非创伤理论的基础上,独立理论将先前被视为功能失调的行为(试图帮助并与性成瘾者保持联系)视为任何理性的人在面对挣扎中的家庭成员的非凡生活危机时都会采取的行动。作为对这种新模式的初步评估,在非正式的教育演讲之前和之后,对治疗这一人群的临床医生进行了调查,解释了依赖性模型及其与相互依赖性的区别。研究结果显示,临床医生目前倾向于在他们的实践中使用相互依赖的变体,尽管许多人对这种方法表示不满。在接触到相互依赖模式后,大多数临床医生表示希望摆脱相互依赖,转而支持相互依赖模式。这表明,在与性成瘾者的亲人(也许还有其他成瘾者的亲人)一起工作时,依赖的依恋和以危机为中心的模式可能比相互依赖更有效。
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Prodependence vs. Codependency: Would a New Model (Prodependence) for Treating Loved Ones of Sex Addicts Be More Effective Than the Model We’ve Got (Codependency)?
Abstract Spouses, partners, parents, and other loved ones of sex addicts are generally treated with variations of the codependency model, which, in a general way, fails to acknowledge that these individuals are in the midst of a relational crisis. Prodependence is a new paradigm for addressing this clientele. Grounded in attachment rather than trauma theory, prodependence views what has previously been seen as dysfunctional (trying to help and stay connected with a sex addict) as how any rational person would act when presented with the extraordinary life crisis of a struggling family member. As an initial evaluation of this new paradigm, clinicians who treat this population were surveyed before and after an informal educational presentation explaining the prodependence model and how it differs from codependency. Findings showed that clinicians currently tend to use variations of codependency in their practices, although many expressed dissatisfaction with this approach. After exposure to the prodependence paradigm, the majority of clinicians expressed a desire to move away from codependency in favor of the prodependence model. This suggests that the attachment and crisis-centric model of prodependence could be more effective than codependency when working with loved ones of sex addicts (and perhaps loved ones of other addicts).
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来源期刊
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2.60
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期刊介绍: Now being understood and treated as a significant and widespread disorder, sexual addiction and compulsivity is an enormously complex problem that requires a multidisciplinary approach from psychiatrists, psychologists, social workers, family therapists, pastoral counselors, and law enforcement personnel. The first and only journal devoted to topics pertaining to this growing illness, Sexual Addiction & Compulsivity: The Journal of Treatment and Prevention is a quarterly, peer-reviewed journal that provides a forum for research and clinical practice. As the source for information in this expanding new field, this journal will give practicing clinicians useful and innovative strategies for intervention and treatment from the necessary multidisciplinary perspective.
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