Psicoterapia de grupo de alcoólatras e de suas esposas

Hetem, Guido

doi:10.1590/S0004-282X1969000100003

Resumos

São referidos os resultados obtidos com psicoterapia de grupo de 11 alcoólatras e suas esposas, separadamente. Dois grupos de 6 e 5 alcoólatras foram tratados durante 6 a 4 meses respectivamente; simultâneamente foram tratados grupos de suas respectivas esposas durante 18 a 11 meses, respectivamente. Para cada grupo foi feita uma reunião por semana, de uma hora de duração nos 8 meses iniciais e, a seguir, uma reunião cada duas semanas. Em todos os casos, os pacientes já eram alcoólatras antes de se casarem. No grupo de alcoólatras o autor assumia uma atitude paternal, protetora e compreensiva, fornecendo todos os medicamentos necessários; no grupo das esposas sua atitude era sobretudo analítica. Os resultados foram ótimos, bons ou regulares em 8 alcoólatras (72%), após 2 e 3 anos de seguimento. O tratamento foi bem aceito tanto pelos alcoólatras quanto por suas esposas. Os melhores resultados foram obtidos com os pacientes cujas esposas melhoraram nitidamente de seus conflitos pessoais e modificaram suas condutas em relação aos hábitos dos maridos.

The experience with group psychoterapy treatment of 11 alcoholic patients (two groups of 6 and 5 patients treated during 6 and 4 months respectively) is reported. Simultaneously their wives, identicaly grouped, have been treated during 18 and 11 months respectively. Each group had a week session lasting an hour during the first 8 months and every two weeks afterwards. All patients have been know to be alcoholics before marriage. In the alcoholic group the author mantained a paternal disposition, protective and comprehensive, giving all drug support; as far as concern their wives the author's position was mainly analytical. After a two or three years follow-up 8 alcoholics have had regular, good or excellent results (72%). Group psychoterapy treatment has been well taken by alcoholic patients as well as their wives. The treatment of alcoholic's wives was very important, the best results being observed with patients which wives psychological conditions improved. The alcoholic patients can get some improvement, even after leaving the treatment, if their wives change their position towards them.

Psicoterapia de grupo de alcoólatras e de suas esposas

Group psychotherapy of alcoholics and their wives

Guido Hetem

Departamento de Neurologia da Faculdade de Medicina de Ribeirão Preto, São Paulo (Prof. Jorge Armbrust-Figueiredo): Assistente voluntário

RESUMO

São referidos os resultados obtidos com psicoterapia de grupo de 11 alcoólatras e suas esposas, separadamente. Dois grupos de 6 e 5 alcoólatras foram tratados durante 6 a 4 meses respectivamente; simultâneamente foram tratados grupos de suas respectivas esposas durante 18 a 11 meses, respectivamente. Para cada grupo foi feita uma reunião por semana, de uma hora de duração nos 8 meses iniciais e, a seguir, uma reunião cada duas semanas. Em todos os casos, os pacientes já eram alcoólatras antes de se casarem. No grupo de alcoólatras o autor assumia uma atitude paternal, protetora e compreensiva, fornecendo todos os medicamentos necessários; no grupo das esposas sua atitude era sobretudo analítica. Os resultados foram ótimos, bons ou regulares em 8 alcoólatras (72%), após 2 e 3 anos de seguimento. O tratamento foi bem aceito tanto pelos alcoólatras quanto por suas esposas. Os melhores resultados foram obtidos com os pacientes cujas esposas melhoraram nitidamente de seus conflitos pessoais e modificaram suas condutas em relação aos hábitos dos maridos.

SUMMARY

The experience with group psychoterapy treatment of 11 alcoholic patients (two groups of 6 and 5 patients treated during 6 and 4 months respectively) is reported. Simultaneously their wives, identicaly grouped, have been treated during 18 and 11 months respectively. Each group had a week session lasting an hour during the first 8 months and every two weeks afterwards. All patients have been know to be alcoholics before marriage. In the alcoholic group the author mantained a paternal disposition, protective and comprehensive, giving all drug support; as far as concern their wives the author's position was mainly analytical. After a two or three years follow-up 8 alcoholics have had regular, good or excellent results (72%). Group psychoterapy treatment has been well taken by alcoholic patients as well as their wives. The treatment of alcoholic's wives was very important, the best results being observed with patients which wives psychological conditions improved. The alcoholic patients can get some improvement, even after leaving the treatment, if their wives change their position towards them.

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1. BAILEY, M. B. Alcoholism and marriage. A review of research and professional literature. Quart. J. Stud. Ale. 22:81-97, 1961.
2. BAILEY, M. B.; HABERMAN, P. & ALKSNE, H. Outcome of alcoholic marriage: endurance, termination or recovery. Quart. J. Stud. Alc. 23: 610-623, 1962.
3. BECKER, G. S. & ISRAEL, P. Integrated drug and psychoterapy in the treatment of alcoholism. Quart. J. Stud. Ale. 22:610-633, 1961.
4. CHAPMAN, A. H. Trastornos Psiquiátricos en la Practica Médica. Editorial Espaxs, Barcelona, 1967, pág. 175.
5. CLANCY, J. The use of intellectual processes in group psychoterapy with alcoholics. Quart. J. Stud. Ale. 23:432-441, 1962.
⁶
Colloque Européen sur l'Alcoolisme. O.M.S., Copenhague, Danemark.
7. DESCURET, G. B. F. La Medicina delle Passioni. Quinta edizione milanese. Presso Ernesto Oliva Editore, Milano, 1861, pág. 225.
8. ESSER, P. H. Group psychotherapy with alcoholics. Quart. J. Stud. Ale. 22:640-651, 1951.
9. EY, H. Manuel de Psychiatric 2čme. Edition, Masson et Cie., Paris, 1963, pág. 670.
10. FENICHEL, O. Teoria Psicoanalítica de las Neurosis. Editorial Nova, Buenos Aires, 1957, pág. 485.
11. HARRISON, J. R.; ADAMS, R. D.; BEESON, P. B.; RESNIK, W. H.; THORN, G. W. & WINTROBE, M. M. Principles of Internal Medicine. 2nd. edition. The McGraw Hill Book Co. Inc., New York, 1954, pág. 775.
12. IGERSHEIMER, W. W. Group psychotherapy of nonalcoholics. Quart. J. Sutd. Ale. 20:77-85, 1959.
13. KOGAN, K. L.; FORDYCE, W. E. & JACKSON, J. K. Personality disturbance in wives of alcoholics. Quart. J. Stud. Alc. 24:227-238, 1963.
14. KOGAN, K. L. & JACKSON, J. K. Role perceptions in wives of alcoholics and nonalcoholics. Quart. J. Stud. Ale. 24:627-638, 1963.
15. KOGAN, K. L. & JACKSON, J. K. Some role perceptions of wives alcoholics. Psychol. Rep. 9:119-124, 1961.
16. LEMERT, E. M. The ocurrence and sequence of events in the adjustements of families to alcoholism. Quart. J. Stud. Ale. 21:679-697, 1960.
17. LEMERT, E. M. Dependence in married alcoholics. Quart. J. Stud. Ale. 23:590-609, 1962.
18. MORRIS, E. C. Practical and theoretical considerations in the psychotherapy of alcoholism. Quart. J. Stud. Ale. 20:281-287, 1959.
19. NOYES, A. P. & KOLB, L. C. Modern Clinical Psychiatry. W. B. Saunders Co., Philadelphia and London, 1957. pág. 208.
20. PIXLEY, J. M. & JOHN, R. S. Group therapy designed to meet the needs of alcoholic's wife. Quart. J. Stud. Ale. 24:304-314, 1963.
21. SAUGY, D. de L'alcoolique et sa femme. Hygične Mentale 60, 3 e 4, 1962.
22. SCOTT, E. M. The technique of psychotherapy with alcoholics. Quart. J. Stud. Alc. 22:69-78, 1962.
23. SILBER, A. Psychotherapy with alcoholics. J. Nerv. Ment. Dis. 129: 477-485, 1959.
24. SMITH, J. A. Psychiatric treatment of the alcoholic. J.A.M.A. 163: 734-738, 1957.
25. STRECKER, E. A. Psychotherapy in pathological drinking, J. A.M. A. 147:813-815, 1951.
26. VOTH, A. C. Group therapy with hospitalized alcoholics, a twelve-year study. Quart. J. Stud. Ale. 24:304-314, 1963.

Datas de Publicação

Publicação nesta coleção
13 Maio 2013
Data do Fascículo
Mar 1969

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. BAILEY, M. B. Alcoholism and marriage. A review of research and professional literature. Quart. J. Stud. Ale. 22:81-97, 1961.

[2] 2. BAILEY, M. B.; HABERMAN, P. & ALKSNE, H. Outcome of alcoholic marriage: endurance, termination or recovery. Quart. J. Stud. Alc. 23: 610-623, 1962.

[3] 3. BECKER, G. S. & ISRAEL, P. Integrated drug and psychoterapy in the treatment of alcoholism. Quart. J. Stud. Ale. 22:610-633, 1961.

[4] 4. CHAPMAN, A. H. Trastornos Psiquiátricos en la Practica Médica. Editorial Espaxs, Barcelona, 1967, pág. 175.

[5] 5. CLANCY, J. The use of intellectual processes in group psychoterapy with alcoholics. Quart. J. Stud. Ale. 23:432-441, 1962.

[6] ⁶
Colloque Européen sur l'Alcoolisme. O.M.S., Copenhague, Danemark.

[7] 7. DESCURET, G. B. F. La Medicina delle Passioni. Quinta edizione milanese. Presso Ernesto Oliva Editore, Milano, 1861, pág. 225.

[8] 8. ESSER, P. H. Group psychotherapy with alcoholics. Quart. J. Stud. Ale. 22:640-651, 1951.

[9] 9. EY, H. Manuel de Psychiatric 2čme. Edition, Masson et Cie., Paris, 1963, pág. 670.

[10] 10. FENICHEL, O. Teoria Psicoanalítica de las Neurosis. Editorial Nova, Buenos Aires, 1957, pág. 485.

[11] 11. HARRISON, J. R.; ADAMS, R. D.; BEESON, P. B.; RESNIK, W. H.; THORN, G. W. & WINTROBE, M. M. Principles of Internal Medicine. 2nd. edition. The McGraw Hill Book Co. Inc., New York, 1954, pág. 775.

[12] 12. IGERSHEIMER, W. W. Group psychotherapy of nonalcoholics. Quart. J. Sutd. Ale. 20:77-85, 1959.

[13] 13. KOGAN, K. L.; FORDYCE, W. E. & JACKSON, J. K. Personality disturbance in wives of alcoholics. Quart. J. Stud. Alc. 24:227-238, 1963.

[14] 14. KOGAN, K. L. & JACKSON, J. K. Role perceptions in wives of alcoholics and nonalcoholics. Quart. J. Stud. Ale. 24:627-638, 1963.

[15] 15. KOGAN, K. L. & JACKSON, J. K. Some role perceptions of wives alcoholics. Psychol. Rep. 9:119-124, 1961.

[16] 16. LEMERT, E. M. The ocurrence and sequence of events in the adjustements of families to alcoholism. Quart. J. Stud. Ale. 21:679-697, 1960.

[17] 17. LEMERT, E. M. Dependence in married alcoholics. Quart. J. Stud. Ale. 23:590-609, 1962.

[18] 18. MORRIS, E. C. Practical and theoretical considerations in the psychotherapy of alcoholism. Quart. J. Stud. Ale. 20:281-287, 1959.

[19] 19. NOYES, A. P. & KOLB, L. C. Modern Clinical Psychiatry. W. B. Saunders Co., Philadelphia and London, 1957. pág. 208.

[20] 20. PIXLEY, J. M. & JOHN, R. S. Group therapy designed to meet the needs of alcoholic's wife. Quart. J. Stud. Ale. 24:304-314, 1963.

[21] 21. SAUGY, D. de L'alcoolique et sa femme. Hygične Mentale 60, 3 e 4, 1962.

[22] 22. SCOTT, E. M. The technique of psychotherapy with alcoholics. Quart. J. Stud. Alc. 22:69-78, 1962.

[23] 23. SILBER, A. Psychotherapy with alcoholics. J. Nerv. Ment. Dis. 129: 477-485, 1959.

[24] 24. SMITH, J. A. Psychiatric treatment of the alcoholic. J.A.M.A. 163: 734-738, 1957.

[25] 25. STRECKER, E. A. Psychotherapy in pathological drinking, J. A.M. A. 147:813-815, 1951.

[26] 26. VOTH, A. C. Group therapy with hospitalized alcoholics, a twelve-year study. Quart. J. Stud. Ale. 24:304-314, 1963.