[Alcohol dependence syndrome and BDIM (before-discharge intervention method)--Report 3. The patients' self-reports about BDIM].
The purpose of this study is to identify how the effects of BDIM are evaluated by patients who were practiced BDIM. 153 patients were treated by the structured BDIM (Before-Discharge Intervention Method) program. Among them, 82 patients (53.6%) have attended self-help group meetings or maintained the therapeutic relationship (as outpatients or inpatients) in the 4 months' study period. To identify the maintenance of the effects of BDIM, we made our questionaire that consist of the patients' choice of answer and the patients' self-reporting. 76 of 82 patients answered our questionaire. After 76 patients discharged from hospital, 4 1/3 years have passed on the average. Their positive answers are as follows. (1) I became aware that my drinking had bad effect on my beloved family. (2) I became aware that my family have kept compassion, expectation and appreciation for me. Their message treated me and strengthened my self-esteem. In addition, I accepted the reality of my drinking problems. (3) I recognized all my family members want my abstinence and functional communication. (4) I was extremely impressed by my family members' tears. Their tears made me decide strong abstinence. (5) I was empowered by my family members. Through BDIM, I felt a sense of security, self-esteem and freedom. (6) I thought that BDIM was a good treatment program. And I thought that the application of letters is useful to recover the patients from alcohol dependence syndrome. Their negative answers are as follows. (1) I thought it was impossible for me to be abstinent. (2) I couldn't keep the motivation of abstinence. (3) I thought BDIM was a negative treatment method. Some findings of this study are as follows: First, the letters which was handed from family members to the patient were read again and again, also preserved with much care. Therefore we get know that BDIM is useful for the patient to get and remember some good memories of the family members for a long time. Second, BDIM is helpful for the patients to become aware of their own drinking problems and realize the necessity of recovery.
Ino
Aro
A
Mental Care Center, Prefecture of Mie, 1-12-1 Shiroyama, Tsu-City, Mie 514-0818, Japan.
Hayashi
Tatsuya
T
Yamashiro
Kazunori
K
Kishimoto
Toshifumi
T
D000368:Aged; D000436:Alcoholics Anonymous; D000437:Alcoholism / Q000523:psychology* / Q000534:rehabilitation*; D001364:Awareness; D003717:Denial, Psychological; D005190:Family / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010351:Patient Discharge; D011613:Psychotherapy / Q000379:methods*; D011795:Surveys and Questionnaires