Family psychotherapy of co-dependent relatives of alcoholic patients with regard to data of family-genetic analysis and individual psychological diagnosis: results and evaluation of efficiency

The article presents a testing of complex psychodiagnostic tools capable based on psychological means to form adaptive behavior in co-dependent family members. Objective: to improve the complex approach to rendering assistance for co-dependent persons with use of psychological means of correction and evaluation of its efficiency. Materials: 35 women - relatives of patients with alcohol dependence (F10.2) with a median age 43.7±10.4 years, visiting the course of co-dependence psychocorrection at the Addictive State Department of Mental Health Research Institute are examined with use of clinical-dynamic and experimental-psychological methods. Methods: Hamilton Anxiety and Depression Scale (HADS), Life Style Index, Marriage Satisfaction Questionnaire, World Assumptions Scale By R. Janoff-Bulman, Technique of Multiphasic Personality Investigation (TMPI), Passport of Health of the Family. Results: As a result of the study new data on substance dependent personality forming around him a complex of pathological, unhealthy relations resulting in various deviations in the family environment defined as co-dependence were obtained. Ways of psychological defense and coping strategies in women in the conditions of family co-dependence are factors influencing the efficiency of therapeutic-rehabilitative activities. In families of women co-dependent on alcoholic husbands a high degree of family history of alcoholism is revealed. Dysfunctions in family-marital relations are shown that forms mechanisms of co-dependence and increases likelihood of realization of various risks of addictive pathology. Personality traits, features of the actual status as well as styles of psychological defenses of co-dependent women - relatives of alcoholic patients are revealed. After short-term group psychotherapy with regard for data of family-genetic analysis and individual-psychological diagnosis decrease in indices of anxiety and depression and improvement of interpersonal interaction in families of women with co-dependence are established. Conclusion: Use of the program of co-dependence psychocorrection allows depathologizing the relations in families of alcoholic patients, forming the new adaptive behavior in co-dependent family members that is one of the most important aspects of the therapeutic-rehabilitative process. Developed technology of family psychotherapy of co-dependent relatives of alcoholic patients proves its efficiency at the initial stage of its implementation. Continuation of psychocorrective work at the next stages is planned in outpatient conditions.