Blumberg Dean
Chemical Dependency Recovery Program, Kaiser Permanente Medical Center, San Francisco, California 94115, USA.
J Psychoactive Drugs. 2005 Mar;37(1):15-25. doi: 10.1080/02791072.2005.10399745.
This qualitative study, presented in two parts, refines the model of how chemically dependent adolescents initiate and engage in the recovery process. Part 1 (published in 2004) described the research process and results used to derive the model. In Part 2, this model is compared with extant theories on stages of recovery in chemically dependent adults. Participants' stories in large part followed the stages of Stephanie Brown's adult-based Developmental Model of Recovery, but the intensity and focus of some issues (e.g., relationships) and tasks (e.g., separation/individuation) are different for adolescents than for adults. Consequently, the markers of entry into each stage, the focus of tasks within each stage, and the time required to traverse some stages and phases are different for adolescents. Treatment implications for the adolescent population on the basis of these differences are reviewed, and topics for further research are suggested.
这项定性研究分为两个部分，完善了关于化学物质依赖青少年如何启动并参与康复过程的模型。第一部分（于2004年发表）描述了用于推导该模型的研究过程和结果。在第二部分中，将此模型与现有的关于化学物质依赖成年人康复阶段的理论进行了比较。参与者的故事在很大程度上遵循了斯蒂芬妮·布朗基于成年人的康复发展模型的阶段，但青少年在一些问题（如人际关系）和任务（如分离/个体化）上的强度和重点与成年人不同。因此，青少年进入每个阶段的标志、每个阶段内任务的重点以及跨越某些阶段和时期所需的时间都有所不同。基于这些差异，对青少年群体的治疗意义进行了综述，并提出了进一步研究的主题。
