Non traditional methods of treatment of alcoholism has always recognized that 12 Step models work for some individuals but not for most, at least not for very long. The problem is that nothing appears either. Designing an effective treatment for people is proving a complex task which must take into account many variables in conditions do not lend themselves easily to any particular model. Therefore most programs offer little beyond "do not drink, go to meetings, workyour program, and repeat - forever. "
It is also difficult to remember that people were to stop drinking as long as alcohol has existed. Some people quit when their doctor suggests it's time, when the other spouse threatens to leave, some before collecting their first DUI with all the attendant costs and embarrassment, and even more simply because they decide d '. They quit with or without the assistance programs or meetings.
So what happened?
Historically, the most recentmethods of treatment derived from the experience of two alcoholic intractable Bill W. and Dr. Bob. They discovered a way that worked when nothing else had for them, thus giving rise to AA and 12 steps. And as it has been generalized by treatment providers to individuals whose characteristics are very different from Bill and Bob, two white, male, middle class, middle-aged drunks.
Despite marketing to the contrary, alcohol is not an equal opportunity disease. Hisprevalence varies widely depending on age, ethnicity, geography, income, education, religion and many other factors. The treatment which ignores these factors is much less likely to succeed than methods that do. Accordingly, 12 step success tends to correlate to how the client is the original Bill W. / Dr. Bob profile.
In addition, treatment programs that do not account for differences in how people process information will also suffer. In the1960 and 1970, Dr. Jane Loevinger, at Washington University in St. Louis, has developed a model of adult development. Working with test protocol Dr. Loevinger in Minnesota and Alaska in the 1990s, Dr. Ed Wilson referenced levels of development success to 12 Step, and the identification of those customers for whom conventional treatment tends to be ineffective, and those for which it is often against-productive.
As noted, the development of comprehensive and effectiveStrataGas treatment for people is a challenge and multi-faceted. Paradoxically, including levels of development as another variable actually makes things easier - if not easy. It allows the clinician to quickly determine the suitability of the customer for 12 Step programs, calculates the proportion of effective initial mixture cognitive / behavioral therapy, indicates the true "half-step" distance to maintain that the client does not feel condescension, or mystified, and most likelymethods to prevent relapse.
Development considerations are not, of course, the supply of miracles. Effective treatment will still require conscientious therapists who are not tied to a particular model or constrained by their own history. In addition, with time and confidence, customers are likely to reveal higher levels of knowledge that require continuous adjustment of the treatment plan. But this is, after all, the definition of "professional", is not it?
Good therapeutic services arenot static and neither people. To propose so as to end forever "recovery" is to do a disservice to clinicians and clients consciousness.
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