FAMILY VS BEHAVIORAL TREATMENT OF ALCOHOLISM

酗酒是影响家庭的主要公共卫生问题 作为个体。酒精中毒的治疗通常集中在 确定的患者的饮酒行为，仅为次要的 试图改变家庭互动的模式。世界上的文学 然而，过去十年的研究表明，对于某些亚型的酗酒者来说， 饮酒可能会反映出家庭的干扰，并使之永久化。 系统。两个酗酒者亚型与这个问题最相关。这个 第一个亚型由内在型或神经型饮酒者组成，他们 饮酒可能得到家庭系统的支持。在这些酗酒者中， 饮酒可能会减少家庭紧张，转移人们对家庭的注意力 有问题。第二个子类型由外部化或 典型的酗酒者，他们的饮酒行为代表了一种模式 冲动的行为取代了家庭制度的影响。 后一个子类型表示单个问题，并且与 前者，饮酒倾向于破坏人际关系，而不是 减弱它们的强度。基于这些特征，它是 假设将观察到不同的有效率 在这两种类型的酗酒者中，当关注行为和家庭时 对以系统为重点的治疗进行了比较。当前的项目代表了 对以前提交的文件的修订，其重点是测试两个 代表这两种亚型的患者的治疗模式 酗酒者。更改和添加以粗体表示。

Alcoholism is a major public health problem that affects families as well as individuals. Alcoholism treatments have typically focused upon the drinking behaviors of the identified patient and only secondarily have attempted to alter patterns of family interactions. Literature of the past decade, however, has suggested for some subtypes of alcoholics, drinking may reflect and be perpetuated by a disturbance of the family system. Two alcoholics subtypes are most relevant to this issue. The first subtype consists od internalizing or neurotiform drinkers whose drinking may be supported by the family system. Among these alcoholics, drinking may reduce family tension and divert attention away from family problems. The second subtype consists of externalizing or characterological alcoholics, whose drinking behaviors represent a pattern of impulsive behavior that supercedes the influence of the family system. This latter subtype represents an individual problem and, unlike the former, drinking tends to disrupt interpersonal relationships rather than attenuate their intensity. On the basis of these characterizations, it is hypothesized that differential rates of effectiveness will be observed among these two subtypes of alcoholics when behavioral focused and family systems-focused treatments are compared. The current projects represents a revision of a previous submission, the focus of which is to test two treatment models on patients representing these two subtypes of alcoholics. Changes and additions are indicated by bold type.