Nursing Department, Faculty of Health and Caring Professions, University of West Attica, Athens, Greece.
Psychiatric Hospital of Attica, Athens, Greece.
Adv Exp Med Biol. 2021;1337:361-370. doi: 10.1007/978-3-030-78771-4_41.
Despite the large number of studies that demonstrate the need for family involvement in addiction treatment, mental health professionals (MHPs) are often reluctant to collaborate with the affected family members (AFMs), while several times they enter-consciously or unconsciously-into a competitive relationship with the family of the person with addiction problems (PAPs). The present study presents the results of a thematic analysis of 42 vignettes provided by MHPs working in drug and alcohol addiction treatment. Participants' experiences were depicted by two overarching themes: the caring and the traumatizing triangle. Present findings suggest that MHPs' awareness of triadic influences and attempts to build alliances with AFMs supports PAPs' needs for reconciliation with AFMs and is supported by multidisciplinary need containment. In the attempt to collaborate with AFMs, MHPs need to avoid accepting the idealization of the PAPs and not to ally into the underestimation of the family, in order to resolve possible separation phenomena and to avoid therapeutic failure. Additionally, MHPs are called upon working out their own difficulties and possibly their prejudices about triangular interactions, so that the triangle MHPs-PAPs-AFMs can function therapeutically in a multidisciplinary context. Clinical supervision and Balint groups may support addiction professionals in these challenging tasks.
尽管大量研究表明家庭参与成瘾治疗的必要性，但心理健康专业人员（MHPs）往往不愿意与受影响的家庭成员（AFMs）合作，而有时他们会不自觉地与成瘾问题患者（PAPs）的家庭进入竞争关系。本研究对从事药物和酒精成瘾治疗的 42 个案例进行了主题分析，呈现了 MHPs 的经验：关怀和创伤三角。研究结果表明，MHPs 对三方影响的认识以及与 AFMs 建立联盟的尝试，支持了 PAPs 与 AFMs 和解的需求，并得到了多学科需求遏制的支持。在尝试与 AFMs 合作时，MHPs 需要避免接受 PAPs 的理想化，也不要与低估家庭的观点结盟，以解决可能的分离现象并避免治疗失败。此外，MHPs 被要求解决他们自己的困难，以及他们可能对三角互动的偏见，以便在多学科背景下，MHPs-PAPs-AFMs 三角能够发挥治疗作用。临床监督和巴林小组可以支持成瘾专业人员完成这些具有挑战性的任务。
