Quinn W H, Kuehl B P, Thomas F N, Joanning H
Department of Child and Family Development, University of Georgia, Athens 30602.
Am J Drug Alcohol Abuse. 1988;14(1):65-87. doi: 10.3109/00952998809001536.
Adolescent drug use in the community is a widespread social problem. The abuse of alcohol and/or other illegal drugs ranges from random experimentation to a complex pattern of regular use of a combination of drugs. This paper addresses systemic therapeutic interventions which have been constructed to achieve drug-free behavior. The family is considered the unit of treatment. Contextual goals (necessary to attain a therapeutic climate) and family goals are delineated. These include unity and action within a parental coalition, therapeutic utilization of urinalyses, the bogeyman cometh, probation, home detoxification, and countering adolescent sabotage. Family structural and interactional features outside the explicit arena of drug-taking, such as marital conflict or adolescent autonomy/dependence issues, are not addressed but are discussed elsewhere. Clinical illustrations to document interventions discussed are provided.
社区中的青少年吸毒是一个普遍存在的社会问题。酒精和/或其他非法药物的滥用程度不一，从偶尔尝试到经常同时使用多种药物的复杂模式。本文探讨了为实现无毒品行为而构建的系统性治疗干预措施。家庭被视为治疗单位。明确了情境目标（营造治疗氛围所必需的）和家庭目标。这些目标包括家长联盟内部的团结与行动、尿液分析的治疗性应用、“妖怪来了”、缓刑、家庭戒毒以及应对青少年的破坏行为。吸毒这一明确领域之外的家庭结构和互动特征，如婚姻冲突或青少年的自主/依赖问题，本文不予讨论，但在其他地方有相关探讨。文中还提供了临床实例以记录所讨论的干预措施。
