Ludwig A M
J Stud Alcohol. 1985 Jan;46(1):53-8. doi: 10.15288/jsa.1985.46.53.
Interviews were conducted with 29 alcoholics who claimed a "spontaneous" remission from alcoholism to elucidate the cognitive processes associated with the initiation and maintenance of absolute or relative abstinence. Factors associated with the initiation of abstinence included hitting a personal bottom, alcohol-induced physical problems, allergy or physical aversion, change in lifestyle and spiritual-mystical experiences. With respect to the maintenance of abstinence, the majority periodically resorted to willpower, some claimed the disappearance of craving and others were protected by their physical aversion to alcohol. Cognitive factors underlying the maintenance of abstinence overwhelmingly involved negative associations to the notion of drinking. The implications of these findings for psychotherapy are discussed.
对29名声称已“自发”戒酒的酗酒者进行了访谈，以阐明与完全戒酒或相对戒酒的开始及维持相关的认知过程。与戒酒开始相关的因素包括触及个人底线、酒精引起的身体问题、过敏或身体反感、生活方式改变以及精神神秘体验。关于戒酒的维持，大多数人定期依靠意志力，一些人声称渴望消失了，还有一些人因身体对酒精的反感而受到保护。戒酒维持背后的认知因素绝大多数涉及对饮酒概念的负面联想。讨论了这些发现对心理治疗的意义。
