McKay J R, Maisto S A, Beattie M C, Longabaugh R, Noel N E
Department of Psychiatry, University of Pennsylvania, Philadelphia 19104.
J Subst Abuse Treat. 1993 Jan-Feb;10(1):17-21. doi: 10.1016/0740-5472(93)90094-i.
The present study is an investigation of differences between alcoholics and significant others in their perceptions of the functioning of their families or households. A sample of 80 pairs of alcoholic patients (PTs) and their spouses or spouse equivalents (SOs) who were living together in the same household evaluated family functioning by completing the Family Assessment Device (FAD). Agreement between PTs and SOs was moderate on the Affective Responsiveness, Communication, Problem Solving, Roles, and General Functioning scales. However, there was little or no agreement on the Behavior Control and Affective Involvement scales. These results indicate that although PTs and SOs tended to agree about how well family members work together and share thoughts and feelings, they disagreed about how well boundary issues were dealt with in their families. Implications for treating alcoholic families are discussed.
本研究调查了酗酒者与其重要他人对其家庭或家庭功能认知上的差异。80对共同居住在同一家庭的酗酒患者（PTs）及其配偶或配偶等同者（SOs）组成的样本，通过填写家庭评估量表（FAD）来评估家庭功能。在情感反应性、沟通、问题解决、角色和总体功能量表上，PTs和SOs之间的一致性为中等。然而，在行为控制和情感卷入量表上，几乎没有或完全没有一致性。这些结果表明，尽管PTs和SOs在家庭成员合作程度以及分享想法和感受方面倾向于达成一致，但在家庭中边界问题的处理效果上存在分歧。文中讨论了对酗酒家庭治疗的启示。
