Outpatient treatment of the problem drinker: Strategies for attaining abstinence

Autor: Stephen B. Levenberg
Rok vydání: 1981
Předmět:
Zdroj: General Hospital Psychiatry. 3:219-225
ISSN: 0163-8343
DOI: 10.1016/0163-8343(81)90005-0
Popis: The initial phase of outpatient alcohol treatment is often the most difficult, since the patient must cease drinking—a change he has typically been unable to accomplish in the past. This paper describes a model of treatment which emphasizes that well-intentioned attempted solution behaviors by the patient and his family frequently serve to perpetuate the very drinking behavior they intend to eliminate. “Second order,” illogical interventions can be a powerful clinical method for overcoming this vicious cycle of repetitive abusive drinking. The model is family oriented and conceptualizes cessation of drinking (in the motivated patient) as a product of undoing the commonsensical but ineffective attempts of the patient and his family. Two case studies are offered, illustrating the techniques.
Databáze: OpenAIRE