Do changes in selfishness explain 12-step benefit? A prospective lagged analysis.
Do changes in selfishness explain 12-step benefit? A prospective lagged analysis.
复制标题
自私程度的改变可以解释 12 步效益吗？
DOI：
10.1080/08897077.2012.691453
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发表时间：
2013
期刊：
影响因子：
3.5
通讯作者：
Hagler,Kylee
中科院分区：
文献类型：
--
作者：
Tonigan,JScott;Rynes,Kristina;Toscova,Radka;Hagler,Kylee
12-步出勤率与增加禁欲。12步文学中的一个强有力的主张是，酗酒者是病态的自私，而12步的工作减少了这种自私，这反过来又导致了持续的戒酒。本研究通过调查12步出勤、病理性自恋和饮酒之间的联系来验证这一假设。130名早期匿名戒酒会（AA）成员从治疗和社区AA中招募，他们的AA和治疗史有限。大多数样本是酒精依赖，并报告招募前使用非法药物。参与者在摄入量和3，6和9个月时接受采访。大多数参与者在整个随访期间参加了AA会议，这种出席率预测了戒酒率的增加和饮酒强度的降低。12-步骤附属显着较高的病理性自恋（PN）相对于一般人群样本和他们的PN仍然升高。与预测相反，PN与12步会议出席率无关，也不能预测后来的戒酒或饮酒强度。研究结果不支持PN减少解释12步获益的假设。一个替代功能的重点放在病态自私的12步程序进行了讨论，并建议在未来的研究中使用不引人注目的措施自私。
12-Step attendance is associated with increased abstinence. A strong claim made in 12-step literature is that alcoholics are pathologically selfish and that working the 12 steps reduces this selfishness, which, in turn, leads to sustained alcohol abstinence. This study tested this assumption by investigating the linkages between 12-step attendance, pathological narcissism, and drinking. One hundred thirty early Alcohol Anonymous (AA) affiliates with limited AA and treatment histories were recruited from treatment and community-based AA. A majority of the sample was alcohol dependent and reported illicit drug use before recruitment. Participants were interviewed at intake and at 3, 6, and 9 months. A majority of participants attended AA meetings throughout follow-up and such attendance predicted increased abstinence and reduced drinking intensity. 12-Step affiliates were significantly higher on pathological narcissism (PN) relative to general population samples and their PN remained elevated. Contrary to predictions, PN was unrelated to 12-step meeting attendance and did not predict later abstinence or drinking intensity. The findings did not support the hypothesis that reductions in PN explain 12-step benefit. An alternative function for the emphasis placed on pathological selfishness in 12-step programs is discussed and a recommendation is made to use unobtrusive measures of selfishness in future research.