Levy M S
Harvard Medical School, Cambridge, Massachusetts.
J Subst Abuse Treat. 1990;7(4):245-54. doi: 10.1016/0740-5472(90)90048-u.
Through a discussion of several case vignettes, the author emphasizes the utilization of an individually tailored treatment approach when working with people experiencing problems related to alcohol consumption. Patients may achieve abstinence without believing in the disease concept of alcoholism, and attending Alcoholics Anonymous meetings need not always be a part of the treatment. Furthermore, for some patients, controlled drinking may be as desirable an outcome as abstinence. The importance of entertaining a multiplicity of perspectives when conducting clinical work with such patients is discussed.
通过对几个病例 vignettes 的讨论，作者强调在与有饮酒相关问题的人合作时采用个性化定制的治疗方法。患者在不相信酒精成瘾的疾病概念的情况下也可能实现戒酒，参加戒酒互助会并不总是治疗的一部分。此外，对一些患者来说，控制饮酒可能与戒酒一样是理想的结果。文中讨论了在对此类患者进行临床工作时考虑多种观点的重要性。
