In 12-step groups, helping helps the helper.
In 12-step groups, helping helps the helper.
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在 12 步小组中，帮助者帮助帮助者。
DOI：
10.1111/j.1360-0443.2004.00782.x
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发表时间：
2004
期刊：
影响因子：
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通讯作者：
Ammon,LyndsayN
中科院分区：
文献类型：
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作者：
Zemore,SarahE;Kaskutas,LeeAnn;Ammon,LyndsayN
目的 辅助治疗原则表明，在互助团体中，帮助别人的人就是帮助自己。目前的研究调查了接受酒精和毒品问题治疗的客户是否从帮助他人中受益，以及帮助与 12 步参与有何关系。设计纵向治疗结果。参与者通过广告和治疗转介从北加州湾区社区招募了 279 名酒精和/或毒品依赖者（162 名男性，117 名女性）组成的不同种族社区样本。参与者接受四天治疗计划之一的治疗。测量帮助清单测量了参与者在治疗期间通过分享经验、解释如何获得帮助以及提供住房和就业建议来帮助他人所花费的时间。在基线和 6 个月的随访中对 12 步参与和物质使用结果进行测量。发现帮助和 12 步参与成为治疗结果的重要且相关的预测因素。在一般样本中，通过随访时的 12 步参与，可以强烈且积极地预测随访时的完全戒断，但不能通过治疗期间的帮助来预测；尽管如此，仍有助于积极预测随后的 12 步参与。在随访期间仍在饮酒的个体中，治疗期间提供帮助可预测酗酒的可能性较低，而 12 步参与的效果证明不一致。结论研究结果支持辅助治疗原则并阐明 12 步参与的过程。
AimsThe helper therapy principle suggests that, within mutual‐help groups, those who help others help themselves. The current study examines whether clients in treatment for alcohol and drug problems benefit from helping others, and how helping relates to 12‐step involvement.DesignLongitudinal treatment outcome.ParticipantsAn ethnically diverse community sample of 279 alcohol‐ and/or drug‐dependent individuals (162 males, 117 females) was recruited through advertisement and treatment referral from Northern California Bay Area communities. Participants were treated at one of four day‐treatment programs.MeasurementsA helping checklist measured the amount of time participants spent, during treatment, helping others by sharing experiences, explaining how to get help and giving advice on housing and employment. Measures of 12‐step involvement and substance use outcomes were administered at baseline and a 6 month follow‐up.FindingsHelping and 12‐step involvement emerged as important and related predictors of treatment outcomes. In the general sample, total abstinence at follow‐up was strongly and positively predicted by 12‐step involvement at follow‐up, but not by helping during treatment; still, helping positively predicted subsequent 12‐step involvement. Among individuals still drinking at follow‐up, helping during treatment predicted a lower probability of binge drinking, whereas effects for 12‐step involvement proved inconsistent.ConclusionsFindings support the helper therapy principle and clarify the process of 12‐step affiliation.