Galvani Sarah A
Institute of Applied Social Studies, University of Birmingham, Edgbaston, Birmingham, UK.
Drug Alcohol Rev. 2007 Mar;26(2):175-81. doi: 10.1080/09595230601146694.
Family, network or couples-based therapies have been helping to support people with substance problems for decades. Their value in supporting a person to change their alcohol or drug use is clear. However, as links between substance use and domestic abuse are increasingly recognised, these approaches need to reflect on the potential safety risks they present to people taking part. The prevalence of domestic abuse among people receiving drug and alcohol services is considerably higher than general population estimates, yet this does not appear to have been adequately addressed in network therapies. This article suggests that this needs to change and that safety of service users needs to be at least as important as the intervention itself. It offers for debate a number of potential safety issues raised by network therapies where there is evidence of domestic abuse; it provides examples of three approaches used to marshal social and network support in substance interventions; and offers a number of suggestions for how network therapies can ensure their use remains safe and supportive where there is domestic abuse.
几十年来，基于家庭、网络或夫妻关系的疗法一直在帮助支持有药物问题的人。它们在支持一个人改变饮酒或吸毒行为方面的价值是显而易见的。然而，随着药物使用与家庭虐待之间的联系越来越受到认可，这些方法需要反思它们给参与其中的人带来的潜在安全风险。接受毒品和酒精服务的人群中家庭虐待的发生率远高于一般人群的估计，但这在网络疗法中似乎并未得到充分解决。本文认为这种情况需要改变，服务使用者的安全至少应与干预本身同样重要。它提出了一些网络疗法引发的潜在安全问题以供辩论，这些问题存在家庭虐待的证据；提供了在药物干预中用于调动社会和网络支持的三种方法的示例；并就网络疗法如何确保在存在家庭虐待的情况下其使用仍然安全且具有支持性提出了一些建议。
