Flores P J, Mahon L
Georgia State University, Atlanta.
Int J Group Psychother. 1993 Apr;43(2):143-56. doi: 10.1080/00207284.1994.11491213.
This article gives specific reasons and evidence why group psychotherapy is the treatment of choice for addictions. Utilizing object relations theory and the self-psychology of Kohut, the authors present a model of group psychotherapy that combines these perspectives with those of Yalom's interactional group psychotherapy. Agreeing with Kohut and other object relation theorists, the authors view addiction as a condition that is the result of a person's misguided attempts at self-repair because of deficits in psychic structure. Vulnerability of self is the consequence of developmental failures and deprivation. Substance abuse only exacerbates this condition leading to exaggerated difficulty in regulation of affect, self-care, and characterological pathology. Abstinence is usually required as the first step in arresting this process and establishing a treatment regimen that will allow the vulnerabilities of the self to be altered and restored. This article suggests that this recovery and treatment process is best accomplished in a group therapy setting that is conducted within the guidelines of the principles of object relations theory and a modified version of Yalom's interactional group therapy format.
本文给出了团体心理治疗为何是成瘾治疗首选方法的具体原因和证据。作者运用客体关系理论和科胡特的自体心理学，提出了一种团体心理治疗模式，将这些观点与亚隆的互动团体心理治疗观点相结合。作者认同科胡特及其他客体关系理论家的观点，将成瘾视为一种状况，它是由于心理结构缺陷导致个人自我修复尝试误入歧途的结果。自我的脆弱性是发展失败和匮乏的后果。物质滥用只会加剧这种状况，导致在情绪调节、自我照顾和性格病理方面出现过度困难。禁欲通常是阻止这一过程并建立一种治疗方案的第一步，该方案将使自我的脆弱性得到改变和恢复。本文表明，这种康复和治疗过程在遵循客体关系理论原则和亚隆互动团体治疗形式的修改版指导方针下进行的团体治疗环境中最易实现。
