Freedberg E J, Johnston W E
J Occup Med. 1980 Feb;22(2):83-6. doi: 10.1097/00043764-198002000-00004.
Treatment results with 370 alcoholics who sought treatment after being threatened with dismissal by their employers were compared with results with 58 alcoholics who sought treatment voluntarily. Data indicated that voluntary clients were experiencing significantly greater problems in a wide range of psychosocial areas when they entered treatment than were mandatory clients, whereas mandatory clients had a poorer work record in terms of productivity and drinking behavior interfering with work. After treatment, however, there were few differences between the groups in terms of psychosocial behavior, work performance and drinking behavior. The results suggest that coercion is a useful tool in inducing alcoholics to seek treatment, since outcome with mandatory clients is similar to that with voluntary clients and since it is likely that few of the mandatory clients would have sought treatment without pressure from their employers.
将370名因受到雇主解雇威胁而寻求治疗的酗酒者的治疗结果，与58名自愿寻求治疗的酗酒者的结果进行了比较。数据表明，自愿接受治疗的患者在进入治疗时，在广泛的心理社会领域所面临的问题比强制接受治疗的患者要严重得多，而强制接受治疗的患者在生产力和饮酒行为干扰工作方面的工作记录较差。然而，治疗后，两组在心理社会行为、工作表现和饮酒行为方面几乎没有差异。结果表明，强制手段是促使酗酒者寻求治疗的一种有用工具，因为强制接受治疗的患者的治疗结果与自愿接受治疗的患者相似，而且如果没有雇主的压力，很少有强制接受治疗的患者会寻求治疗。
