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The
majority of people consider going into a rehab
clinic or ask the help of an addiction specialist
being the biggest personal defeat
they have to endure. By taking this step, they
feel it becomes obvious that they have developed
an addiction.
However, after a self-doubt period where the
acceptance of his/hers destiny is difficult and
the possibility of a misdiagnosis is taken in
consideration, the alcoholic starts to understand
that his/hers disease is an alarm signal that
requests several changes to be made in his/her
life.
The recovery can happen if
the alocholic approaches the problem with his/her
own personal strength, with the help of support
groups or addiction specialist.
Two American researchers, Prochaska and Di
Clemente, have observed and theorised the
alcoholics recovery process. There observations
are presented below:
They have identified 4
evolution phases:
Premeditated
phase - in this phase the person
drinks, but does not accepts any remark
about his/her alcohol consumption.
Meditative phase - after a
shorter or a longer period of time, the
reality so hard avoided till then
penetrates the subconscious. From this
moment, the alcoholic starts to meditate,
and plans to make some serious changes in
his/her life.
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Action phase -after
a research period, when the alcoholic tries to
find solutions to his/her problem, he/she decides
to do something, even if these actions are small
and simple changes in the life style.
Perseverance phase - in this phase the
alcoholic perseveres with the new found
solutions. Usually, these solutions are helpful
and fit his/her personal abilities and
environmental conditions.
However, the alcoholic needs more serious
attempts to recover from addiction.
The advantage of this model is that the failed
attempts are presented as learning sources and
not as bad habits that stop the recovery
progression. Unfortunately, these repeted
failures are kept secret, and each failed attempt
decreases the chances of keep trying. The
alcoholic becomes depressed and rejects useful
information or future professional help.
For many alcoholics, the first attempt to quit
drinking limits only to the symptomatic level,
imposing themself just to stop drinking. Only
later, they realise that other changes need to be
done such as changes in their believes system,
atitudinal changes, they need to solve social
problems and possible conflicts, and to improve
their relationship with family members or other
people important in their life. They will
understand that even these hidden aspects have
influenced their failures, and the alcoholics
conclude that an serious analyse of their feeling
is also essential.
The abstinence is defined as the
voluntary abstention from certain pleasures and
physiological needs.
For alcoholics, the abstinence
refers to a definitive abdication from
alcoholic drinks or any other substance that
contains alcohol, and is the
indispensable premise to a complet recovery.
Abstinence is the basic
condition in the treatment, and it's goal is to
help the alcoholic to achive a healthy and
prosper life style.
The alcohol addiction treatment
involves 4 different phases and
several different departments such as social
workers, doctors, psychologists, priests and even
sober alcoholics. The sequence of this phases
complets the therapuetic approach.
Contact phase - in this phase
several elements are important, such as
establishing a correct diagnosis and assessing
the medical complication caused by the alcohol,
obtaining a correct picture of the social
environment of the alcoholic, and reinforcing
his/hers motivation to follow a recovery path.
This stage can take place in ambulatory
counseling centers, where good results can only
be achived by very motivated alcoholics.
Dezintoxication phase is recommended
when severe withdrawal symptoms can occur. In
this phase the alcoholics follow treatment in
psychiatric hospitals under medical observation.
Disaccustom phase - in this phase the
goal is to completely reduce the physical
dependence and to strength the abstinant
behavior. In this phase, the alcoholic is usually
in a rehab center, because an ambulatory
treatment had not work or the social environment
can sabotage the recovery.
Post-cure and re-adjustment phase's - this
phase goal is to consolidate the sobriety. For a
better outcome, the sober alcoholic should
participate to support groups.
The most essential treatment element is the group
therapy, where the alcohol related themes are
discused in a group of people that share the same
problem. Each clinic has its own approach, but
the group therapy is an essential part of the
recovery.
The importance of a group therapy is
given by self-helping group where people that
share same problem meet. Other important aspect
is the active role that the acoholic is playing
in his/hers recovery process. The group minimizes
the therapist responsability and increases the
self-healing process that occurs in each patient.
Another advantage of the group therapy, is that
reduces the tendancy for abnegation among the
group members. The group also reduces the shame
that causes the abnegation, and allows the
recovery process to progress.
Many people that do not face the alcohol problem
consider that positive treatment outcomes are low
among alcoholic that undergo treatment. However,
the statistics show differently. On a long run,
among 50 percent of the alcoholics that had
followed a recovery treatment into a clinic
focused on a long-term therapy stay sober. Abou
15 percent relapse but manage to recover on their
own.
If same severe standards would be applied to
measure the changes undergo by a cardiac or
diabetic, the number of relapses among them were
higher. However, when an sober alcoholic drinks,
his/her relapses are more obvious and dramatic,
because changes at a personality level can occur.
The higher chance for a positive outcome is among
alcoholics that decide to follow a long-term
therapy, follow a complet recovery program, and
continue their reabilitation by participanting to
support groups. The sobriety rate is higher (70.5
percent) among alcoholics that have attended a
support group to remain sober, then those that
don't participate to these groups (45.5 percent).
A higher success rate is registered by sober
alcoholics that have a couple life, children, a
job, and are not older than 40.
These statistics confirm
that a sober alcoholic perseveres his/hers new
life style if he/she strongly believes in its
advantages, has the family or other people
support, and lives a stable and purposeful life.
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