FAMILY VS BEHAVIORAL TREATMENT OF ALCOHOLISM

酗酒是一个主要的公共卫生问题，也影响到家庭 作为个体。 酒精中毒治疗通常集中在 已识别患者的饮酒行为， 试图改变家庭互动的模式 文学 然而，过去的十年表明，对于某些亚型的酗酒者， 饮酒可能反映并延续了家庭的干扰， 系统 两个酗酒者亚型与这个问题最相关。 的 第一种亚型由OD内化或神经性饮酒者组成， 家庭系统可以支持饮酒。 在这些酗酒者中， 饮酒可以缓解家庭紧张，转移对家庭的注意力 问题 第二种亚型包括外化或 性格学上的酗酒者，他们的饮酒行为代表了一种模式， 冲动行为的影响，凌驾于家庭系统的影响。 后一个子类型代表一个单独的问题， 前者，饮酒往往会破坏人际关系，而不是 减弱其强度。 根据这些特征， 假设将观察到不同的有效率 在这两种类型的酗酒者中， 系统集中的治疗进行了比较。 目前的项目代表 一个以前提交的修订，其重点是测试两个 代表这两种亚型的患者的治疗模型 酗酒者 改动和增补用黑体字表示。

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.