Надежда и помощ за семейства и приятели на алкохолици

 

 
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Как можем да помогнем на алкохолика - ИНТЕРВЕНЦИЯ
21.02.06 17:09
Интервенцията е действие отвън (поради естеството на болестта алкохолика не може да се мотивира или да изпълни решението сам ) насочено да предизвика решение за лечение на алкохолна зависимост.
Поради естеството на болестта с характерните за нея механизми на илюзия и отричане много рядко алкохолик в напреднал стадии взема решение да започне лечение. За да стане това е необходимо той/тя да достигне собственото си “дъно”. За всеки обаче това дъно е различно, то е такова състояние в което човек не може да понася себе си. Едно е безпорно вярно, колкото по дълбоко е ‘дъното’, толкова по малка е вероятността алкохолика да престане да пие и да започне да ‘здравее’. В живота на всеки алкохолик има няколко важни момента в които той може да бъде мотивиран за лечение. Живота на пиещия прилича на спущане с подземен асансьор в шахта. Всяка от претърпените неудачи и загуби би могла да е ‘ДЪНО’ от което зависимия да се оттластне , да се мотивира за лечение.

Претърпени неудачи и загуби     Омаловажаване и оправдания

Успал се е и не е отишъл на работа-налагат му наказание В първия момент това притеснява Алкохолика. Но минава време и започва да действа механизма на отрицанието и илюзиите. И той си казва ’Какво пък толкова е станало, аз да не съм роб, мога да си взема 1 ден отпуск ‘ така се омаловажава загубата и той продължава ‘надолу’.

Карал пиян. Спират го –глобяват го и му вземат книжката Загубата е много голяма, и претеснението силно- това също е един добър мотив да спре. Но минава 1-2 месеца, всичко се оправя и ‘услужливата’ памет забравя за претърпяната загуба и той продължава надолу.

Жената му го напуща взема и децата със себе си Отново голяма загуба. Той не е мислел че пиенето ще развали семейството му.
Но след няколко дни всичко ‘неудобно’ се забравя даже се преиначава ‘Какво толкова даже сега ми е по добре – ще си пия на спокойствие като няма кой да ми мърмори. Продължава надолу.

Изгонват го от работа Това е огромна загуба. Няма работа, няма пари за пиене – човекът решава да спре да пие. И така ден –два но не издържа и започва да търси нова работа.
И продължава надолу.

Изгонват го от жилището поради неплатени сметки Много удобен момент да спре ако има кой да го насочи, ако не след ден два това се омаловажава намира се ‘вратичка - Ще живея при мама’ и отново надолу.

СМЪРТ ////// Там най-отдолу в шахтата е смъртта. Мотивацията е много ниска – ‘За какво да се мъча като няма за какво да живея’.

Във всеки един от описаните в таблицата примерни моменти може да се прекъсне пиенето и алкохолика да започне лечение. След такива сътресения в живота алкохолика е най възприемчив и един разговор , провокиращ мотивация има изгледи за успех.

Обикновено живота на алкохолно зависимия се върти в цикъл – пиянство -> страдание -> трезвен .

Пиян (в запой)     Страдание (махмурлук)

    Трезвен

Тук не може да се провежда интервенция, много вероятно е той нищо да не помни от това което е говорено.
Това е момента в който се мотивират съзависимите.
    Най-удобен момент за мотивиране на алкохолика – когато той чувства неудобство и вина и механизмите на отричане и илюзия не действат така силно.

    Периода на ремисия не е удобен, тогава механизма на отрицанието действа най-силно и един отговор като “Не съм зависим. Мога да спра когато пожелая-както сега” не е от полза за никого.

МЕТОД НА ИНТЕРВЕНЦИЯТА

ЛИЧНОСТТА която провежда (ръководи) интервенцията трябва да е много добре подготвена. Трябва да знае какво прави, защо го прави и как да го направи.

Какво не е интервенцията?

  • Не е поредната семейна разправия.
  • Не е предтекст за оплакване от тежката съдба на съзависимите.
  • Не е равносметка на алкохолика за неговите социални роли и как той не ги изпълнява.
  • Не е дискусия по въпроса защо алкохолика пие (макар че е възможно, много вероятно той да се опита да насочи разговора натам).
  • Не е дискусия на тема алкохолизъм и нормално ли е пиенето.
  • Не е терапевтична сесия, нито поставяне на диагноза за зависимост.
  • Не е сесия за претенции и обвинения на зависимия.
  • Не е публично унижаване на алкохолика.
  • Интервенцията е :

  • Действие отвън (поради естеството на болестта алкохолика не може да се мотивира или да изпълни решението сам ) насочено да предизвика решение за лечение на алкохолна зависимост.
  • Помагане на човек, който не иска помощ.
  • Действие, коренно противоположно на тава което мисли и желае алкохолика във връзка с пиенето си.
  • Атака срещу защитната система на зависимостта, но не и срещу самия зависим.
  • Интервенцията е КОНФРОНТАЦИЯ -
    ДЕЛОВА КОНКРЕТНА ДОБРОЖЕЛАТЕЛНА
    Говорим само за фактите и постъпките, не и за досещанията си или за намеренията на алкохолика Не правим обобщения, всички аргументи са конкретни факти, а не убежденията ни или общи оценъчни констатации. Интервенцията става в атмосфера на загриженост и обич към зависимия; тя не е атака срещу него, а израз на нашето желание да му помогне наистина.
  • Участниците в инретвенцията са оптимално 3-5 души, най-малко 2.

    Това са хора които:

  • Познават добре алкохолика и знаят факти от неговия живот под влияние на алкохола.
  • Действително искат да помогнат
  • Достатъчно решени и мотивирани (да не забравяме че интервенцията е конфронтация).
  • Да са добре подготвени.
  • Те трябва да:

  • приемат и знаят факти относно алкохолната болест.
  • се занимават със зависимия , а не със себе си.
  • знаят и помнят че целта на интервенцията е да се доведе зависимия до решението за лечение и осъществяване на това решение.
  • Зависимия непременно да е трезвен.
  • Необходима е синхронизация и добра комуникация в групата.
  • Какво говорим по време на интервенционната сесия?

  • За това че зависимият е важен за нас, че държим на него ( държим на теб, именно затова )
  • За инциденти и факти, свързани с пиенето на зависимия .(Какво си правил, НЕ какъв си ) Най-добре е всичко да бъде предварително написано на лист и прочетено.
  • За това къде и кога зависимият трябва да отиде за помощ. (Искаме да се лекуваш…). Списък с конкретни места, адреси, ден, часове!!! Добре е някой от провеждащите, да е ходил на местата преди това и да се е уговорил за прием на зависимия.
  • Евентуално - ултиматум (Какво ще последва ако не започнеш лечението).
    Ултиматума трябва да е :
    - ИСТИНСКИ (например жената действително е решена да се разведе)
    - РЕАЛЕН (тя да има възможност да го осъществи )
  • На края неуспешна интервенция НЯМА, дори да не е постигната целта, тя
    - променя преди всичко самите учасници, те се осъзнават и групират силите си
    - променя атмосферата, конфигурацията на силите , начина на комуникация

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