Störungen durch Konsum von Alkohol aus personzentrierter Sicht

Abstract

In order to comprehend alcohol use disorders from a person-centered perspective, it is important to recognize the internalized contradictions experienced by individuals between their self-image and their experience. Rogers termed these contradictions “incongruences”, while Motivational Interviewing, a personcentered method of facilitating change, employs the term “discrepancies”.
A useful distinction can be made between two groups of sources of incongruence: The first category comprises stress and trauma that lead to drinking (primary incongruences). The second category consists of sources of incongruence in the form of physical and psychosocial consequences of drinking (secondary incongruences).
In Motivational Interviewing, the therapeutic focus addresses secondary incongruences, that means the consequences of alcohol use. In extended person-centered interventions, addressing stress and trauma (primary sources of incongruence) assumes greater significance.
For counsellors and therapists of all professions, the fundamental question is: How empathy, acceptance, and congruence can be achieved with individuals grappling with severe alcohol use disorder and can be sustained throughout the therapeutic process?