Fernandez Anne C, Begley Ellen A, Marlatt G Alan
Addictive Behaviors Research Center, University of Washington, Seattle, 98195-1525, USA.
Psychol Addict Behav. 2006 Jun;20(2):207-13. doi: 10.1037/0893-164X.20.2.207.
Through the use of published literature and empirical research, the authors explore the differing conceptual frameworks, techniques, and effectiveness of various family interventions for change-resistant, substance-abusing adults. The 2 dominant programs in place to help families and friends deal with the addiction of an adult loved one are the Johnson Intervention and Al-Anon. Research on these 2 programs is presented, followed by an outline of promising alternative approaches. These include A Relational Intervention Sequence for Engagement, Community Reinforcement Training, Community Reinforcement and Family Training, Unilateral Family Therapy, and Pressures to Change. The effectiveness and appropriateness of these approaches in different situations are discussed. In addition, areas in need of further study are pointed out.
通过运用已发表的文献和实证研究，作者探讨了针对抗拒改变、滥用药物的成年人的各种家庭干预措施的不同概念框架、技巧和效果。目前用于帮助家庭和朋友应对成年亲人成瘾问题的两个主要项目是约翰逊干预法和嗜酒者互诫协会。文中介绍了对这两个项目的研究，随后概述了有前景的替代方法。这些方法包括关系介入序列、社区强化训练、社区强化与家庭训练、单边家庭治疗以及改变压力。讨论了这些方法在不同情况下的有效性和适用性。此外，还指出了需要进一步研究的领域。
