• Title/Summary/Keyword: Alcoholics anonymous

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Exploring the Applicability of SMART Recovery for the Recovery of Addiction (중독 회복을 위한 SMART Recovery의 적용 가능성에 관한 연구)

  • Huh, Eun Jung;Kim, Nami;Kim, Bee
    • Proceedings of the Korea Contents Association Conference
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    • 2019.05a
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    • pp.467-468
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    • 2019
  • Alcoholics Anonymous(AA)/Narcotic Anonymous(NA)의 12 단계 중독 회복 프로그램과 선배 회복자의 지지는 중독 치료 모델에서 성공적인 회복에 기여하는 주요한 역할을 한다. 12단계 중독회복 프로그램의 특징은 특정 종교를 기반으로 하지 않지만 자신의 무력감과 영적 존재에 대한 인정을 바탕으로 한다. 어떤 이들에게는 성공의 요인으로 작용하는 이 특징이 일부 참여자에게 거부하게 하는 요인으로 작용한다. 또한 AA/NA의 오프라인 모임에서 발생하는 다양한 부작용으로 인해 사회적 지지가 필요하지만 사회적 지지를 포기하는 이탈이 발생하여 참석자의 회복에 지장을 주기도 한다. 이에 서구 여러 나라에서 AA/NA와 유사하지만 오프라인뿐만 아니라 온라인 모임이 가능하고, 외부의 존재에 대한 의존이 아닌 중독자 스스로가 중독을 극복하게 도와주며 다양한 형태의 중독의 문제를 다루도록 돕는 SMART(Self Management and Recovery Training) Recovery가 대안으로 부상하였다. 따라서 본 연구에서는 중독회복에 상호자조집단의 도움이 필요하지만 12단계 프로그램이나 오프라인 모임 외에 다른 대안이 없는 국내 상황에 대한 새로운 대안으로 SMART Recovery에 대한 정보와 접근방법들을 심도 있게 탐색하고자 한다.

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Cue-Exposure Therapy using Virtual Reality for alcohol Addicts (가상현실을 이용한 알코올중독자의 단서노출 치료)

  • Kwon, Hyo-Seok;Roh, Sung-Won;Choi, Joon-Ho;Yang, Byung-Hwan;Lee, Jang-Han
    • 한국HCI학회:학술대회논문집
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    • 2006.02b
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    • pp.639-645
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    • 2006
  • During abstinence from alcohol, craving is elicited by the cues and contexts previously associated with alcohol, and contributes to relapse. To prevent the craving and relapse experienced by alcoholics, cue-exposure therapy (CET) has been used to extinguish the association between alcohol and alcohol-related cues and contexts. This study applied CET, using a virtual reality (VR) system, to eight members of an Alcoholics Anonymous group, in eight sessions. Cues and contexts most likely to elicit an urge to drink were selected through a preliminary survey in order to compose VR-CET scenarios: a glass, bottle, food, and a bar were judged to be the most tempting for people in alcohol dependence and abstinence. By these cues and contexts, a Japanese style pub and a western bar were composed. Each session was administered for 30 minutes by a psychiatrist and included an introduction, immersion, VR navigation, interviews about feelings, and self-report questionnaires about cravings. The eight sessions consisted of initial and closing sessions, and six cue- and context-focused sessions. As a result, a reduction in cue-elicited craving after VR-CET was reported. A mean score of 15.75 (SD = 10.91) on the Alcohol Urge Questionnaire in the first session decreased to 11.57 (SD = 6.88) in the final session.

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A Study for The Prognostic Indicators of Korean Alcoholics in Psychological, Social and Biological Aspects (한국인 알코올중독 환자의 예후인자에 관한 연구 : 심리적, 사회적, 생물학적 요인을 중심으로)

  • Sung, Sang-Kyung;Chang, Hwan-Il
    • Korean Journal of Biological Psychiatry
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    • v.2 no.2
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    • pp.218-236
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    • 1995
  • The author studied prognostic indicators of sixty Korean male alcoholics in psychological, social and biological aspects who were divided into abstinent and drinking groups. Thirty patients were assigned to each group. They were controlled in age and sex. Both groups were compared in terms of the demographic characteristics, past drinking history, treatment history, famaily history, ego strength and personality factors differences and distribution of dopamine $D_2$ receptor gene Al allele. Also the author studied relation of clinical course, alcoholic family history and dopamine $D_2$ receptor gene Al allele in both groups. The results were as follows; 1) The abstinent group had higher rate of married state, higher economic status, longer education years and maintained more stable job than the drinking group. But made no differences in occupation and religion. 2) The abstinent group showed higher rate of living with family members than the drinking group, and wives and fellows of the alcoholics anonymous were important factors for maintenance of abstinence. Family loading and parent's characters were not different. 3) The abstinent group had longer maximal length of abstinence but mean amount of alcohol consumption per day were larger than the drinking group. But there were no differences in duration of past drinking, drinking pattern, main drinking time, first drinking age and preference of the kind of alcoholic beverage in the past drinking history. 4) The abstinent group showed stronger treatment motivation, absolute abstinence in treatment goal, more voluntary adimission and maintained longer therapeutic relationship otter discharge than the drinking group. But both groups showed negative attitude toward antabuse therapy. 5) The abstinent group had higher mean score in ego strength scale than the drinking group. 6) In the personality factor questionnaire, the abstinent group showed strong laugh poise and the trait of praxernia, conservatism personality but the drinking group showed tough poise, the trait of weak ego strength(unstableness) and tough mindedness personality. 7) In comparision of dopamine $D_2$ receptor gene A1 allele, the prevalence of A1 allele was seventy percent and the frequency was 0.38 in the abstinent group. The prevalence of A1 allele was sixty percent and the frequency was 0.42 in the drinking group. Both groups were not significantly different in A1 allele prevalence and frequency. 8) In comparision of dopamine $D_2$ receptor gene A1 allele according to alcoholic family history, the prevalence of A1 allele was seventy percent and the frequency was 0.43 in the family history positive group. The prevalence of A1 allele was sixty-one percent and the frequency was 0.38 in the family history negative group. Both groups were not significantly different in A1 allele prevalence and frequency. In comparision of past drinking history according to alcoholic family history, the family history positive group showed earlier first drinking and problem drinking, but the family history negative group hod longer duration of past drinking. The mean amount of alcohol consumption per day, the longest duration of abstinence and Alcoholism Screening Test of Seoul Natoinal Mental Hospital(NAST) results were not significant. In conclusion, the results suggest that successful prognostic indicators of Korean alcoholics are married state, higher economic status, longer education years, stable job, living with family members, longer abstinence during past drinking history, strong treatment motivation, absolute abstinence in treatment goal, voluntary adimission, maintained therapeufic relationship, strong ego strength and the trait of praxernia, conservatism personality. But occupation, religion, alcoholic family history, parent's characters, duration of past drinking, drinking pattern, main drinking time, first drinking age, preference of the kind of alcoholic beverage, attitude to antabuse therapy and distribution of dopamine $D_2$ receptor A1 allele were not significantly related to the prognostic indicators of Korean alcoholics.

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The Clinical Adequacy of Internalized Shame: correlation with Self-control, Aggression, and Addiction Potential (내면화된 수치심의 임상적 타당성: 자기통제력, 공격성 및 중독가능성과의 상관을 중심으로)

  • Chung, Nam-Woon;Yu, En Yung
    • Korean Journal of Culture and Social Issue
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    • v.21 no.3
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    • pp.481-496
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    • 2015
  • The purpose of this study was to search for empirical evidence between internalized shame with self-control, aggression, and addiction potential. Also examine the differences between clinical group and normal group. The data was collected from 100 AA participants and 380 Non-AA participants. For measuring each variable, internalizes shame scale(ISS), self-control rating scale(SCRS), Buss-Durkee Hostility inventory(BDH), addiction potential scale(APS) were used. The survey result was analyzed with Pearson Correlation, Partial correlation and t-test. The results shows: Frist, the internalized shame and the aggression, the addiction potential shows a positive correlation but the self-control shows negative correlation. Second, after control self-control, internalized shame positively correlate to addiction potential and aggression. Third, clinical group recorded a higher level in internalized shame, aggression and addiction potential than normal group; a lower level in self-control. Based on the finding, the implications of understandings, the interventions, the limitations of this study, and the suggestions were discussed.

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