병식이 없는 알코올 중독 환자를 위한 치료계획

• 영문명: Treatment Plan for Alcohol Dependent Patients with Poor Insight
• 발행기관: 한국중독정신의학회
• 저자명: 신재정(Jae-Jeong Shin) 채숙희(Sukhi Chai)
• 간행물 정보: 『중독정신의학』Vol.15, No.1, 3~8쪽, 전체 6쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2011.04.30

영문 초록

Most patients entering treatment do not have the volition to change their addiction problems. Substance abusers often have characteristics of denial, rationalization, projection, defensive-ness, manipulation, and resistance. Furthermore, because these responses can block successful treatment, clinicians and interventions often focus on them. The clinician’s task is to elicit and enhance motivation. Addiction stems from an addictive personality. Alcoholics must learn how to spot the resistance to change associated with addictive thinking and how to use this evidence to achieve abstinence and ongoing stable recovery. A strategy of aggressive confrontation is likely to evoke strong resistance and outright denial. Researchers recommend using empathy, not authority and power. The clinician’s style influences the alcoholic’s motivation. Research suggests that the more clinicians use adversarial, confrontational techniques with alcoholics, the less likely such clients are to change.

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키워드

Alcohol dependence Poor insight Addictive personality Constructive confrontation 알코올 의존증 병식 결여 중독성 인격 건설적 직면.