Bell J
Drug and Alcohol Unit, Prince of Wales Hospital, Randwick, Australia.
Br J Addict. 1992 Jul;87(7):1049-54. doi: 10.1111/j.1360-0443.1992.tb03123.x.
The last decade has witnessed an expansion of treatment services and research into alcoholism and addiction. As so often happens when attempting to find solutions to pressing individual and social problems, the solutions have come to acquire an importance of their own, obscuring the problems they were intended to solve. Many programmes are characterized by stereotyped approaches to treatment, which seem more in line with the needs of the staff than with the problems of the clients. The hopes that treatment for addictions will solve some of the problems of contemporary society have given treatment a salience which cannot be justified in terms of results. Frustrated at the results of treatment, clinic staff intensify their efforts and attribute the shortcomings of treatment to a lack of client motivation. There are disconcerting parallels between these behaviours in clinicians and the behavioural changes of the Alcohol Dependence Syndrome. The label 'Treatment dependence syndrome' is proposed to characterize a pattern of individual and institutional behaviour which is both self-perpetuating and self-defeating.
在过去十年中，酗酒和成瘾问题的治疗服务及相关研究不断扩展。在试图寻找紧迫的个人和社会问题解决方案时，常常会出现这样的情况：解决方案自身变得重要起来，反而模糊了其原本要解决的问题。许多项目的特点是采用刻板的治疗方法，这些方法似乎更符合工作人员的需求，而非服务对象的问题。人们寄希望于成瘾治疗能解决当代社会的一些问题，这使得治疗备受关注，但其结果却难以证明这种关注的合理性。临床工作人员对治疗结果感到沮丧，于是加大努力，并将治疗的不足归咎于服务对象缺乏动力。临床医生的这些行为与酒精依赖综合征的行为变化之间存在令人不安的相似之处。本文提出“治疗依赖综合征”这一标签，用以描述一种既自我延续又自我挫败的个人和机构行为模式。
