Harm Reduction Therapy Center, 423 Gough Street, San Francisco, CA 94102, USA.
J Clin Psychol. 2010 Feb;66(2):164-74. doi: 10.1002/jclp.20671.
This article describes and illustrates the ongoing development of a treatment for working with families and friends of drug users using harm reduction principles. The author was instrumental in applying harm reduction principles to substance abuse and has used these same principles to help families deal with the pessimism, pain, and grief that accompany their relationship to a person with an active substance abuse problem. The treatment involves learning decision-making processes based on both self-care and love for the substance abuser and is based on the values of harm reduction, caring, and incrementalism, rather than those of codependency, tough love, and abrupt behavior change. A long-term family therapy group and two family consultations illustrate the treatment and its applications.
本文描述并说明了一种基于减少伤害原则，针对药物使用者的家庭和朋友的治疗方法的持续发展。作者在将减少伤害原则应用于药物滥用方面发挥了重要作用，并使用这些相同的原则帮助家庭应对与有药物滥用问题的人关系所带来的悲观、痛苦和悲伤。这种治疗方法涉及基于自我照顾和对药物滥用者的爱的决策过程，并且基于减少伤害、关怀和渐进主义的价值观，而不是相互依赖、严厉的爱和突然的行为改变的价值观。一个长期的家庭治疗小组和两个家庭咨询案例说明了这种治疗方法及其应用。
