Mental Health-Alcoholics Anonymous

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คู่มือการดำเนินงานสุขภาพจิตในชุมชน Community Mental Health Manual from various sources.

Transcript of Mental Health-Alcoholics Anonymous

  • AA

    Alcoholics

    Anonymous

    (.) 2 131 50100 053-280228 236, 525 053-273201 www.i-mapthailand.org

    .. .

    () Alcoholics Anonymous

    (.)

    A Literature Review

  • () Alcoholics Anonymous (AA)

    A Literature Review

    (.)

  • ISBN: 978-974-296-736-9 (.) (.) (.) 2 131 50100 0-5328-0228 236, 525 0-5327-3201 www.i-mapthailand.org 1 : 2553 : 42 : 1,000 / : 0-5311-0503-4, 08-1783-8569 : .. . . (). : (.); 2553.

    () Review of Alcoholics Anonymous (AA)

    . 0-5328-0228 236, 525 0-5327-3201 www.i-mapthailand.org

    .. .

  • (Alcoholics Anonymous; AA 12 12

    (.) (.)

    12 12 12

    .

    (.)

    (.)

    Alco

    holics An

    onym

    ous (AA)

  • 1 2 2 3 (spirituality) 3 (spiritual recovery) 4 (Alcoholics Anonymous; AA) 4 (higher power) 7 7 9 9 12 (Sponsorship) 12 13 12 (Twelve Steps) 14

    ()

    ()

  • 12 (Twelve Traditions) 17 (slogan) 19 12 20 12 (The Buddhist Twelve Steps) 22 25 12 (Twelve Step Facilitation: TSF) 26 TSF 28 TSF 28 TSF 29 31 32

    (.)

    Alco

    holics An

    onym

    ous (AA)

  • 1. (spirituality) (spiritual recovery)

    2. (Alcoholics Anonymous; AA)

    meta-analysis (adherence) 12 (Twelve Step Facilitation : TSF)

    3.

    (sponsorship) 12 (Twelve Steps) 12 (Twelve Traditions)

    4.

    5. 12 12

    12 12

    ()

    ()

  • 6. 12 (TSF) 12 TSF TSF project MATCH NIAAA project COMBINE NIAAA

    7.

    12

    (.)

    Alco

    holics An

    onym

    ous (AA)

  • () (Alcoholics Anonymous : AA)

    (spiritual recovery) 12 12 12 (Twelve Steps Facilitation : TSF) 12 12 12

    12

    (.)

    1

  • (Alcoholics Anonymous)

    1. (Alcoholics Anonymous) Alcoholics Anonymous World Services, Inc., New York City, USA.

    2. () 3. meta-analysis randomized

    controlled trial 4.

    (.)

    1. 2. 3.

    ()

    2

  • (Spirituality)

    (bio-medical model) (bio-psycho-social-spirituality model) (1)

    (cognitive function) (2) (3)

    (higher power) (value)

    (.)

    3

  • (4) (Spiritual recovery)

    (defense mechanism) (denial) (minimization) (projection) (rationalization) (4)

    (Alcoholics Anonymous AA) 12 (Twelve Steps) 12 (Twelve Traditions) (5)

    (Alcoholics Anonymous; AA) (Alcoholics Anonymous; AA)

    ()

    4

  • .. 1935 Bill Wilson (Bill W.) Robert Smith (Dr.Bob) the Oxford Groups Bill Dr.Bob Ebby Thatcher the Oxford Groups Bill (agnostics) (personal higher power)

    Bill 2-3

    Dr.Bob (mutual help) Bill Dr.Bob 12 (Twelve Steps) 12 (Twelve Traditions) (4, 5)

    3

    (recovery) (unity) (service)

    3

    (.)

    5

  • 12 (Twelve Steps) 12 (Twelve Traditions) 12 12 3 (6)

    ()

    100,000 2 146 12 (Al-anon) (Al-ateen) (5)

    2 (General Service Office GSO) GSO (6, 7)

    ()

    6

  • (higher power) GOD 12

    (Good Orderly Direction) (Group Of Drunks)

    GOD higher power

    (theism) (agnostics) (atheist) (8)

    .. 2547 8

    .. 2547

    .. 2549 (.)

    .. (self-help group)

    (.)

    7

  • . 3 .

    12

    (Psychological Service International PSI) 43 10 46 (9)

    www.aathailand.org

    02-231-8300 () 12 12

    AA round-up AA round-up AA round-up AA round-up (9)

    ()

    8

  • 2

    (open group) (close group) (10, 11, 12)

    1. (closed group) 2. (open group)

    4 1. (discussion)

    Big Book 12 12 (The AA Grapevine)

    2. (speaker) speaker

    3. (beginners) (new-comer)

    4. Big Book 12 12 Big Book Big Book

    60-90

    2 1

    (.)

    9

  • (10, 11, 12)

    1.

    2. 3.

    4. 5. 1

    Big Book Big Book 50 Big Book 26

    6.

    30

    7. 1

    30 60 90 6

    ()

    10

  • 8. . (speaker) 1

    15-20

    . (steps) 1 12 1

    . (back to basics) 24

    . Big Book Big Book 1 15-20

    . 11 20

    . (Just for today) (Living sober) (Daily reflections) (As Bill sees it) 1

    . (new-comer)

    . (open topics)

    9.

    10. 5 7

    (.)

    11

  • 11.

    12. ( 2)

    (10, 11, 12) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

    (Sponsorship) (sponsorship)

    sponsors sponsor sponsor (13)

    ()

    12

  • 12 sponsor sponsor sponsor sponsor 12 sponsor (8)

    (8)

    (Alcoholics Anonymous,

    2001) Big Book ..1939 12 12 (Twelve Steps and Twelve Tradition, 1953) (14, 15, 16)

    Big Book 11

    Bill Wilson Big book PDF http://www.alcoholics-anonymous.org (8)

    (.)

    13

  • Twelve Steps and Twelve Traditions (1953) 12 The AA Grapevine (8)

    12 (Twelve Steps) 12

    Bill Wilson (Bill) Robert Smith (Dr.Bob) 12 (Twelve Traditions) 12 (14, 15)

    1. 2. 3.

    4. 5. 6. 7.

    8.

    9.

    10.

    ()

    14

  • 1

    (surrender and honesty)

    (powerlessness) (unmanageability)

    (sense of relief and liberation)

    2 (open-mindedness)

    (higher power) (spiritual awakening)

    (instillation of hope)

    3 (willingness)

    4

    (self-efficacy)

    4 (self-assessment)

    (insight/self-awareness)

    5 (self-forgiveness)

    (reduced shame and guilt)

    12 (8)

    11.

    12.

    (.)

    15

  • 6

    (readiness to change)

    (cognitive consonance)

    7 (humility)

    (cognitive consonance)

    8 (taking responsibility and forgiveness of others)

    (peace of mind)

    9 (restitution to others)

    (peace of mind; self-esteem)

    10 (emotional balance)

    (self-regulation)

    11 (connectedness and emotional balance)

    (self-awareness; psychological well-being)

    12 (helping others achieve recovery)

    (enhanced self-esteem and mastery)

    ()

    16

  • 12 (Twelve Traditions) Bill Wilson (Bill) Robert Smith (Dr.Bob) 12 (Twelve

    Steps) 12 (Twelve Traditions) (anonymity) (self-supported group)

    12

    (humility) (6, 7, 11)

    (.)

    17

  • 12 (16)

    1.

    2.

    3. 4.

    5.

    6.

    7. 8.

    9.

    10.

    11.

    12.

    ()

    18

  • (slogan) 70

    (Big Book) (5, 8)

    One day at a time -

    First Thing First -

    Fake it Till You Make It -

    Easy Does It -

    Think Think Think -

    Let Go and Let God -

    Keep It Simple -

    Live and Let Live -

    Turn It Over -

    HALT (Hungry, Angry, Lonely, Tired) -

    (.)

    19

  • Grief -

    12

    (.) 12 2 24 .. 2551 21-22 .. 2552 http://www.liberationpark.org/audiox/12step.htm (17)

    12

    12 1.

    2.

    (anonymity) 3. 4. (sponsorship) 5. 12

    12 1. 1

    ()

    20

  • 2. 2

    3. 3

    4. 4

    5. 5

    6. 6

    7. 7

    1-6 7

    8. 8

    9. 9

    (.)

    21

  • 10. 10

    11. 11

    12. 12

    12 (The Buddhist Twelve Steps)

    .. 2001 12

    (Phramongkutklao Model PMK model) 12 (The Buddhist Twelve Steps) 12 (18, 19, 20)

    (higher power)

    12 (18, 19, 20)

    1.

    2.

    ()

    22

  • 3. 4.

    5.

    6. 7. 8.

    9. 10.

    11.

    12.

    12

    12 (19)

    1

    2

    (.)

    23

  • 3

    4

    5

    6

    7

    8

    ()

    24

  • 9

    10

    11

    12

    meta-analysis

    12 (TSF)

    (21)

    (.)

    25

  • meta-analysis

    (22) (adherence) 20 (23)

    (4, 5, 8)

    12 (Twelve Step Facilitation : TSF)

    (4, 5, 8)

    .. 1989 Joseph Nowinski

    12 (TSF) (24) project MATCH National Institute on Alcohol Abuse and Alcoholism (NIAAA)

    ()

    26