Working with the Problem Drinker: A Solution-Focused Approach
Working with the Problem Drinker: A Solution-Focused Approach
复制标题
与有问题的饮酒者合作：以解决方案为中心的方法
DOI：
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发表时间：
1992
期刊：
影响因子：
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通讯作者：
Scott D. Miller
中科院分区：
文献类型：
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作者：
Insoo Kim Berg;Scott D. Miller
当酒精中毒的公认标准治疗是长期且昂贵的时候，密尔沃基的布雷特家庭治疗中心开发的以解决方案为重点的治疗提供了一种简短且具有成本效益的替代方案。伯格（Insoo Kim Berg）和米勒（Scott D. Miller）认为，与问题饮酒者打交道，最具建设性的策略是关注解决方案，而不是病态；他们最关心的是什么是有效的。为此，他们不拒绝传统的治疗方案；相反，他们将其视为治疗酒精滥用的灵活和多维方法的一部分。作者成功地在他们的问题饮酒者的工作中使用了以解决方案为中心的疗法，但这是他们与客户合作的哲学——在客户的信仰体系内——鼓励改变是他们模型的核心。该模式以以解决问题为重点的简短治疗哲学为基础，在药物滥用治疗方法中引入了一种范式变化。伯格和米勒不是治疗问题饮酒者，而是与客户一起治疗问题饮酒。作者对客户的尊重和对自己停止酗酒能力的乐观态度令人振奋，这给那些无法适应传统长期项目或已经放弃自己的客户带来了希望。这本书展示了如何帮助客户构建一个不再酗酒或滥用药物的问题的未来。以解决方案为中心的治疗，基于对客户的尊重和合作，专注于成功和解决方案。治疗师与来访者一起制定目标，而不是强加“适当的”治疗目标。如果一种解决方案不起作用，就会责怪技术而不是客户，客户和治疗师会继续“做一些不同的事情”。作者的模型不仅仅是一系列干预措施；这是一种多方面的治疗方法，可以适应任何有效的方法，无论是简短的治疗，匿名戒酒会，还是更正式的住院治疗项目。
At a time when the accepted standard treatment for alcoholism is long-term and expensive, solution-focused therapy, as developed at the Brief Family Therapy Center in Milwaukee, offers a brief and cost-effective alternative. Insoo Kim Berg and Scott D. Miller believe that a focus on solutions, rather than pathology, is the most constructive strategy for working with problem drinkers; their foremost concern is with what works. To this end they don't reject traditional treatment programs; rather, they view them as one part of a flexible and multidimensional approach to alcohol abuse treatment. The authors successfully utilize solution-focused therapy in their work with problem drinkers, but it is their philosophy of working with clients-and within clients' belief systems-to encourage change that is at the heart of their model. The model, grounded in the philosophy of solution-focused brief therapy, introduces a paradigmatic change in the approach to substance abuse treatment. Rather than treating a problem drinker, Berg and Miller work with clients to treat problem drinking. The authors' refreshing blend of respect for their clients and optimism about their ability to stop abusive drinking offers hope to clients who can't fit into traditional long-term programs or who have given up on themselves. This book shows how clients can be helped to construct a future where drinking or substance abuse is no longer a problem. Solution-focused therapy, based on respect for and collaboration with the client, concentrates on success and solutions. Therapists develop goals with the client, rather than imposing "appropriate" treatment objectives. If one solution doesn't work, the technique-not the client-is blamed and client and therapist go on to "do something different." The authors' model is much more than a list of interventions; it is a multi-faceted approach to treatment, which can adapt to anything that works, whether brief therapy, AA, or more formal inpatient programs.