Setting a treatment strategy. Conceptual models

Authors

  • Antoni Gual Unitat d’Alcohologia de la Generalitat. ICPP. Hospital Clínic. Barcelona. Presidente de Socidrogalcohol Enviar correspondencia a: Antoni Gual. Unitat d’Alcohologia de la Generalitat. ICPP. Hospital Clínic. Villarroel 170. 08036 Barcelona.

DOI:

https://doi.org/10.20882/adicciones.535

Keywords:

treatment, bio-psycho-social, motivation, therapeutic strategies, alcoholism

Abstract

It is important to overcome old treatment models based in moral approaches. Instead, a bio-psychosocial approach is proposed. To treat alcohol dependence properly, treatment must be organized on an individual basis, combining pharmacological and psychological approaches. Selection of treatment will depend on psycho-social and familial characteristics of each individual. A motivational approach is proposed. In this model, the therapist accompanies the patient through the process of change, instead of pushing him. Internal confrontation is seen as a more powerful tool, that also leads to less resistance than the behavioural interventions based on external confrontation strengthening denial mechanisms.

References

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Editores Kranzler H, Rounsaville B. Marcel Dekker, USA.

(5) Gual A. 1998 ¿Está cambiando el tratamiento del alcoholismo? Adicciones 10(3): 205-208.

(6) Schuckkit.

(7) Prochaska y DiClemente.

(8) Miller y Rollnick.

Published

2002-12-15

Issue

Section

Originals