Menu

A+ A A-

Download article

Shustov D.I., Novikov S.A., Shustov A.D.
Psychotherapy of patients with alcohol dependence with the type of their personality and autoagressive behaviour taken into account

Abstract.
The article presents the findings of a clinical trial conducted on 190 male adults aged from 21 to 64 years (the mean age made up 37±9,4). The correlations between the patient’s alcohol dependence, self-destructive behaviour and personality traits have been found. Correlations between the emotionally unstable personality type and suicidal autoagression, the dissocial personality type and autoagression in the form of antisocial as well as risky behaviours; the narcissistic personality type and autoagression in professional relationships; paranoid personality type and autoagression in family relations have been identified. The rationale for the use of methods to neutralize the craving for alcohol, to change autoagressive behaviour patterns and to address patient’s personality type in the psychotherapeutic treatment of alcohol dependence has been substantiated. The authors show that the best therapeutic outcomes with the use of the approach proposed have been achieved in patients with anxious (avoiding), anankastic, schizoid and histrionic personality types. More than 60% of these patients resumed alcohol abuse within the second year of treatment, 25% of them achieved a remission for more than 2 years. It has been demonstrated that most challenges occurred in psychotherapy with patients of the emotionally unstable, dissocial, narcissistic and paranoid personality types due to the difficulties related to a therapeutic alliance establishment between a patient and a therapist. The article provides recommendations concerning the psychotherapeutic treatment of alcohol dependence with a patient’s personality type and his/her autoagression taken into account. The outcomes of the psychotherapeutic approach proposed by the authors have been analyzed.
Key words: psychotherapy, alcohol dependence, personality, autoagressive behaviour.

References

1. Koshkina EA, Pavlovskaya NI. Analiz alkogol'noi politiki v stranakh Part-nerstva "Severnoe Izmerenie" i rekomendatsii po povysheniiu ee effektivnosti [The analysis of alcoholic policy in the countries of Partnership "Northern Measurement" and references on rising of its efficiency]. Voprosy narkologii. 2012;(5):62-77.
2. Shustov DI. Autoagressiia, suitsid i alkogolizm [Autoaggression, suicide and alcoholism]. Moscow, RF: Kogito-Tsentr; 2005. 214 р.
3. Pompili M, Serafini G, Innamorati M, Dominici G, Ferracuti S, Kotzalidis GD, Serra G, Girardi P, Janiri L, Tatarelli R, Sher L, Lester D. Suicidal Behavior and Alcohol Abuse. Int J Environ Res Public Health. 2010 Apr;7(4):1392-431.
4. Portnov AA, Piatnitskaya IN. Klinika alkogolizma [Clinic of an alcoholism]. Leningrad, RF: Meditsina, 1971. 367 р.
5. Kocić S, Radovanović S, Vasiljević D, Milosavljević M, Dordević G, Zivanović S. Sex as suicidal risk factor. Med Pregl. 2012 Sep-Oct;65(9-10):415-20.
6. Dvorshchenko VP. Diagnosticheskii test lichnostnykh rasstroistv [Diagnostic test of personal disorders]. Moscow, RF: Rech; 2008. 112 р.
7. Lichko AE. Psikhopatii i aktsentuatsii kharaktera u podrostkov [Psychopathy and accentuation of character at teenagers]. Leningrad, RF: Meditsina; 1983. 208 р.
8. Preuss UW, Johann M, Fehr C, Koller G, Wodarz N, Hesselbrock V, Wong WM, Soyka M. Personality disorders in alcohol-dependent individuals: relationship with alcohol dependence severity. Eur Addict Res. 2009;15(4):188-95
9. Cacciola JS, Rutherford MJ, Alterman AI, McKay JR, Snider EC. Personality disorders and treatment outcome in methadone maintenance patients. J Nerv Ment Dis. 1996 Apr;184(4):234-9.

Поиск по сайту