The relationship between substance user treatment and 12-step fellowships: Current knowledge and research questions
The relationship between substance user treatment and 12-step fellowships: Current knowledge and research questions
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DOI：
10.1080/10826080601142071
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发表时间：
2007-01-01
影响因子：
2
通讯作者：
Magura, Stephen
中科院分区：
文献类型：
--
作者：
Magura, Stephen
这篇文章回顾并综合了两种不同的帮助药物使用者的方法之间的关系，正式的“成瘾治疗”和12步互助。涉及以下问题：对有药物使用相关问题的人进行正式治疗和参加12步研究金的程度；治疗与12步治疗之间存在重叠；早期尝试“整合”治疗和12步互助；12步疗法与治疗的异同；12步计划中的灵性问题；参与12步治疗后护理的效果以及寻求帮助的人是否可以“匹配”到12步疗法。这篇文章提出了一些相关的问题，这些问题可以通过进一步的研究来回答，包括使用治疗和12步治疗的生命周期模式、这种情况的结果、在不同时间使用不同干预措施的原因、参与12步治疗作为主要干预措施的可行性、追求精神价值与社会支持因素对12步治疗有效性的相对贡献，以及世俗与12步互助的相对有效性。文章最后提出了对正式治疗和12步互助之间关系的重新概念化，这可能有助于构建未来的研究。
This article reviews and synthesizes information about the relationship between two distinct approaches to helping substance users, formal "addiction treatment" and 12-step mutual aid. The following issues are addressed: Extent of formal treatment and 12-step fellowship participation for persons with substance use-related problems; overlap between treatment and 12-step participation; early attempts to "integrate" treatment and 12-step mutual aid; differences and similarities between the 12-step program and treatment; issues ofspirituality in the 12-step program; effectiveness of 12-step participation as treatment aftercare; and whether help-seekers can be "matched" to 12-step. The article poses pertinent questions that could answered by additional research, including life cycle patterns of usage of treatment and 12-step, outcomes of such episodes, reasons for using different interventions at different times, feasibility of 12-step participation as a primary intervention, the relative contributions of striving for spiritual values vs. social support factors to the effectiveness of 12-step, and the comparative effectiveness of secular vs. 12-step, mutual aid. The article concludes with a proposed reconceptualization of the relationship between formal treatment and 12-step mutual aid that may help in structuring future research.