Nace E P
Psychiatr Clin North Am. 1982 Dec;5(3):543-64.
Formulation of a therapeutic approach to the alcoholic marriage requires both an understanding of the theoretical conceptions of spouse pathology, and an understanding of the disease of alcoholism. Theories of psychopathology in the spouse (wife) of the alcoholic were reviewed and found deficient in the light of more objective research. Failure to confirm discreet, specific personality traits in wives of alcoholics parallel similar efforts in the search for an "alcoholic personality." The stress theory of spouse psychopathology enjoys clinical support and a moderate research underpinning. Emphasis is placed on the need for the psychiatrist to be prepared to diagnose alcoholism when evaluating a troubled marriage. The importance of the disease concept of alcoholism and the necessity of establishing conceptual priorities are reviewed. Treating the disease of alcoholism first, followed by marital therapy, is recommended. The treatment of the alcoholic will be more successful if the spouse or family are included in the initial evaluation and subsequent treatment plans.
制定针对酗酒婚姻的治疗方法，既需要理解配偶病理的理论概念，也需要理解酒精中毒疾病。对酗酒者配偶（妻子）的精神病理学理论进行了回顾，发现根据更客观的研究，这些理论存在缺陷。未能在酗酒者的妻子身上证实谨慎、特定的人格特质，这与寻找“酗酒人格”的类似努力相似。配偶精神病理学的压力理论得到了临床支持和一定的研究基础。强调精神科医生在评估问题婚姻时需要准备好诊断酒精中毒。回顾了酒精中毒疾病概念的重要性以及确立概念优先级的必要性。建议先治疗酒精中毒疾病，然后再进行婚姻治疗。如果配偶或家人参与初始评估和后续治疗计划，对酗酒者的治疗会更成功。
