Handlarz M C, De Schmer M C, Waingortin D, Cervone N, Farías M A
Acta Psiquiatr Psicol Am Lat. 1976 Dec;22(4):289-94.
The addict was approached at a Hospital of a private community with the following working plans: a. Amission. a.1. Diagnostic individual interview. a.2. Familiar interview. b. Evaluation. c. Therapeutic criteria and recommendations. c.1. Individual psychological. c.2. Group psychological. c.3. Drug therapy (Psychiatric). Some general characteristics common to all patients are reviewed, among them: age (all patients are adolescents); vulnerability of personality and ego weakness; absent father; narcissistic mother; disgregation of the family and pathological communication among their members; unaccepted griefs; magic expectations on the activity of the drug. Some case-studies are summarized, and some conclusions are drawn, among which: a) the patient usually employs maniac mechanisms, leading to the omnipotent negation of the illness and the refusal of any treatment; b) the family grows very anxious because of the patient, and shows marked reluctance to accept its role in the patient's disorders; c) the therapist is under permanent pressure from the patient and the family; d) the therapeutic team obtains more results from the coordinated action than the single therapist; e) the institution must provide an adequate container for the anxieties of all people involved in a therapeutic procedure.
在一个私人社区的医院里,对成瘾者制定了以下工作计划:a. 入院。a.1. 诊断性个人访谈。a.2. 家属访谈。b. 评估。c. 治疗标准与建议。c.1. 个体心理治疗。c.2. 团体心理治疗。c.3. 药物治疗(精神科)。回顾了所有患者共有的一些一般特征,其中包括:年龄(所有患者均为青少年);人格脆弱和自我软弱;父亲缺失;母亲自恋;家庭解体以及家庭成员之间的病态沟通;未被接受的悲伤;对药物作用的神奇期望。总结了一些案例研究,并得出了一些结论,其中包括:a)患者通常采用躁狂机制,导致对疾病的全能否定和拒绝任何治疗;b)家属因患者而变得非常焦虑,并明显不愿接受其在患者疾病中的作用;c)治疗师始终承受着来自患者和家属的压力;d)治疗团队通过协作行动比单个治疗师能取得更多成果;e)机构必须为治疗过程中所有相关人员的焦虑提供一个适当的容纳场所。