Kruse G
Klinik für Psychiatrie und Psychotherapie, Landeshauptstadt Hannover.
Fortschr Med. 1996 Oct 20;114(29):369-71.
Alcoholism is associated with a high relapse rate; within four years of a successful intensive hospital withdrawal program a good 50 percent of the patients have relapsed again. In view of this result of research into alcoholism an "aims hierarchy" has been established which meets the requirements of relapsed alcoholics while expressly rejecting the limitation of therapeutic measures to the purely somatic. Psychotherapeutic considerations that take account of the specific situation of the chronic, often multimorbid patient are applied already in the early phase of treatment. For example, relapse must not be interpreted as a failure of previous treatments or even be used as an excuse to abandon therapy.
酗酒与高复发率相关；在成功的强化住院戒酒项目开展后的四年内，高达50%的患者会再次复发。鉴于对酗酒问题的这一研究结果，已经建立了一种“目标层级体系”，该体系既满足复发酗酒者的需求，同时明确拒绝将治疗措施局限于单纯的躯体治疗。针对慢性且往往患有多种疾病的患者的具体情况的心理治疗考量，在治疗早期阶段就已应用。例如，复发绝不应被解读为先前治疗的失败，甚至不应被用作放弃治疗的借口。
