FEATURES OF PSYCHOTHERAPEUTIC WORK WITH FAMILIES OF DRUG DEPENDENT PATIENTS

Abstract

The article characterizes the types of relationship configurations in chemically dependent families; the internal conflicts of the addict's personality are described; the role of shame in the addiction formation is highlighted. The theoretical principles of understanding the family relationships configurations essence and its specificities in families with drug addicts are presented.
 It is presented that the most typical for families with drug addicts are symbiotic-conflict and conflict types of family relationships configurations, which allow the interaction participants to realize a dependent type of attachment. The phenomenon of family configurations repetition in different generations of the same family is revealed and described.
 Some practical psychotherapeutic techniques in dealing with addicted patients are highlighted. In particular, the differences in the implementation of psychotherapy of families of drug addicts with a predominance of symbiotic-conflict (reduction of emotional dependence) or conflict (search for other ways of communication) types of configurations are shown.
 The role of shame in working with drug addicts is described, constructive and non-constructive variants of the influence of shame on the process of overcoming excessive use are differentiated.
 Based on the description of the prevailing types of intrapersonal conflicts in drug addicts, appropriate strategies for psychotherapeutic work with them are presented.