1 Technological Educational Institute of Athens, Athens, Greece.
2 Psychiatric Hospital of Attica, Athens, Greece.
Qual Health Res. 2017 Nov;27(13):1948-1958. doi: 10.1177/1049732316673582. Epub 2016 Nov 2.
Addiction treatment centers often fail to involve families in treatment. The aim of the present study was to explore the challenges that Greek mental health professionals encounter in their work with parents of drug and alcohol abusers. A qualitative study design was adopted, and five focus group discussions were conducted with 27 drug and alcohol professionals. The thematic analysis of their accounts revealed the key difficulties that professionals encounter in their collaboration with parents that included parental lack of involvement or over-engagement in treatment, unrealistic expectations, ambivalence or opposition to change, ethical dilemmas, and alliance issues, as well as collaboration challenges among therapists. Findings highlight the challenges of a family approach in the treatment of addiction, and underscore the value of clinical supervision in addition to specialized training, to help professionals work on their anxiety, anger, guilt, prejudices, and deception, when engaging parents in the treatment of their addicted child.
戒毒治疗中心往往未能让家属参与治疗。本研究旨在探讨希腊精神健康专业人员在为药物和酒精滥用者的家长提供服务时所遇到的挑战。本研究采用定性研究设计,对 27 名药物和酒精专业人员进行了五次焦点小组讨论。对他们的描述进行主题分析,揭示了专业人员在与父母合作时遇到的主要困难,包括父母对治疗的参与不足或过度参与、不切实际的期望、对改变的矛盾或反对、伦理困境以及治疗师之间的联盟问题,以及治疗师之间的合作挑战。研究结果突出了家庭治疗方法在治疗成瘾方面所面临的挑战,并强调了临床监督的价值,除了专门的培训外,临床监督还有助于帮助专业人员在与父母一起治疗他们成瘾的孩子时,解决焦虑、愤怒、内疚、偏见和欺骗等问题。