Stetter F, Zähres S, Batra A, Mann K
Psychiatrische Universitätsklinik Tübingen.
Psychiatr Prax. 1995 Sep;22(5):189-92.
During the course of the disease many alcoholic patients are detoxified on an inpatient basis. Detoxification lasts for some days to 2 or 3 weeks. The treatment goal of abstinence usually cannot be achieved by detoxification alone. Therefore a qualified detoxification should consist of a medical treatment, a careful (psychiatric) diagnostic process and a psychotherapeutic treatment aiming at motivation for further treatment. The described program integrates these components. The psychotherapeutic approach is emphatic and directive, trying to convince all patients to apply for further alcoholism treatment. Follow-up data of 120 of the initial 130 patients eight months after detoxification showed, that 68 patients (57%) started further treatment, most of them as inpatients. In the group of prognostic unfavourable patients, who had not received any disease related counseling before detoxification (77% of the sample), 47% started further alcoholism treatment.
在疾病过程中,许多酗酒患者会在住院的情况下进行脱毒治疗。脱毒治疗持续数天至2至3周。仅靠脱毒通常无法实现戒酒的治疗目标。因此,一次合格的脱毒治疗应包括医学治疗、仔细的(精神病学)诊断过程以及旨在激发进一步治疗动机的心理治疗。所描述的方案整合了这些组成部分。心理治疗方法既注重情感又具有指导性,试图说服所有患者申请进一步的酒精成瘾治疗。对最初130名患者中的120名患者脱毒八个月后的随访数据显示,68名患者(57%)开始了进一步治疗,其中大多数是住院治疗。在预后不良的患者组中,即在脱毒前未接受任何与疾病相关咨询的患者(占样本的77%)中,47%的患者开始了进一步的酒精成瘾治疗。