Schwartzman J, Bokos P J, Lipscomb S
Int J Addict. 1982 Feb;17(2):271-81. doi: 10.3109/10826088209071011.
A case of a 1970s methadone clinic is presented within the context of a theory of family dynamics which includes a "perverse triangle." The study of the clinic, its clients, and their families reveals a number of pervasive conflicts and covert coalitions. In the clinic, clients and paraprofessionals combine to undercut professionals and limit the effects of any meaningful treatment. Nontherapeutic alliances, first experienced in the family of the addict, are replicated not only in the clinic but in the treatment system as a whole. The effects of these pathogenic relationships, at any organizational level, are to inhibit the maturation of the addict.
本文呈现了一个20世纪70年代美沙酮诊所的案例，并将其置于一个包含“病态三角”的家庭动力学理论背景下进行探讨。对该诊所、其客户及其家庭的研究揭示了一些普遍存在的冲突和隐秘的联盟关系。在诊所里，客户和辅助专业人员联合起来削弱专业人员的权威，并限制任何有意义治疗的效果。非治疗性联盟最初出现在成瘾者的家庭中，不仅在诊所里得以重现，在整个治疗系统中也是如此。这些致病关系在任何组织层面产生的影响，都是抑制成瘾者的成熟。
