Zweben J E, Clark H W, Smith D E
14th Street Clinic and Medical Group & East Bay Community Recovery Project, Oakland, California.
J Psychoactive Drugs. 1994 Oct-Dec;26(4):327-44. doi: 10.1080/02791072.1994.10472453.
This article examines the relationships between various types of traumatic experiences and addictive behavior, with an eye to formulating effective treatment strategies. Interventions in the posttraumatic stress disorder (PTSD) and related fields are reviewed in an effort to understand how best to integrate them into substance abuse treatment. The recovery-oriented therapy model is used as a framework to define treatment tasks at each stage of the recovery process: how one addresses painful issues depends on the objective, given the recovery stage at hand. These tasks include making a commitment to abstinence, stopping alcohol and other drug use, consolidating abstinence and changing lifestyles, and addressing short- and long-term psychosocial issues. The article focuses on the clinical features of PTSD in an effort to enhance the practitioner's ability to address this disorder within the context of substance abuse treatment. Finally, recommendations are offered for training practitioners at varying skill levels in the addiction treatment field.
本文探讨了各类创伤经历与成瘾行为之间的关系，旨在制定有效的治疗策略。回顾了创伤后应激障碍（PTSD）及相关领域的干预措施，以了解如何最好地将它们整合到药物滥用治疗中。以康复为导向的治疗模式被用作一个框架，来界定康复过程每个阶段的治疗任务：鉴于当前的康复阶段，如何处理痛苦问题取决于目标。这些任务包括承诺戒除、停止饮酒和使用其他药物、巩固戒除成果并改变生活方式，以及处理短期和长期的心理社会问题。本文着重探讨创伤后应激障碍的临床特征，以提高从业者在药物滥用治疗背景下处理该障碍的能力。最后，针对成瘾治疗领域不同技能水平的从业者培训提出了建议。
