Mazur A
Zespołu Kształcenia i Rozwoju Kadr, Instytutu Medycyny Pracy, Lodzi.
Med Pr. 1993;44(5):485-90.
It is assumed by the author that the pre-addiction personality as well as probable events which could directly precede excessive drinking (understood even as a main cause) are, in the practice of a therapist, less important than the fact that a person who abuses alcohol will sooner or later complicate his or her life and arising difficulties will motivate per se his or her further drinking. Thus, reaching for alcohol activates a progressive rhythm which, with passing time, becomes autonomic against an individual genesis of addiction, and a difficult situation which an addict does not want or is not able to solve or does not understand at all that it results from an excessive drinking, becomes a crucial point. Therefore, the prognosis in treatment of alcoholics depends mainly on the patient's awareness of casual interrelationship between his difficult situation and excessive drinking. Following the studies of a large group of examined and treated alcohol addicts, "rather positive" prognosis applied to only 10% out of 718 persons while 40% remained with definitely "negative" prognosis.
作者认为，在治疗师的实践中，成瘾前人格以及可能直接先于过度饮酒的事件（甚至被视为主要原因），不如酗酒者迟早会使自己的生活变得复杂这一事实重要，而由此产生的困难本身又会促使其进一步饮酒。因此，饮酒引发了一种渐进的节奏，随着时间的推移，这种节奏会独立于成瘾的个体成因，而成瘾者不想或无法解决，甚至根本不明白是过度饮酒导致的困境，就成了关键点。所以，酗酒者的治疗预后主要取决于患者对自身困境与过度饮酒之间因果关系的认知。在对大量接受检查和治疗的酗酒成瘾者进行研究后发现，718人中只有10%的人预后“较为积极”，而40%的人预后肯定“消极”。
