Summary
Husbands of 20 alcoholic and 20 depressive female patients were interviewed about their wives' social role performance and about the social consequences of their illness. The interview (based on the Social Behaviour Assessment Scale), covered a 3–4 week period before hospital admission and inquired into the frequency and duration of various family problems, as well as the reactions of other family members to these problems. No inter-group differences were found in the extent of patients' deviant behaviour or in the severity of the associated difficulties of other family members. Questions on subjective aspects of the family situation, however, elicited greater distress among the husbands of the alcoholic group. Husbands of the depressive patients appeared to be more resigned in the face of their family difficulties, a finding partly related to their higher average age. It is concluded that the findings represent differences between the two groups of husbands in their attribution of responsibility for the patients' illnesses and their consequences.
Zusammenfassung
In einer Befragung von je zwanzig Ehemännern alkoholkranker und depressiver Frauen sollte erfaßt werden, inwieweit die Sicht der familiären Probleme beider Probandengruppen vergleichbar sind, bzw. auf welchen Dimensionen sie divergieren. Bezogen auf einen Zeitraum von drei bis vier Wochen vor Hospitalisierung der Patientinnen ergaben sich keine Gruppenunterschiede hinsichtlich des Ausmaßes an Verhaltensänderungen bei den Frauen und keine Unterschiede hinsichtlich des Schweregrades von Problemen im Leben der übrigen Familienmitglieder. Bei Fragen nach dem subjektiven Erleben der jeweiligen familiären Bedingungen ging aus den Angaben der Ehemänner alkoholkranker Frauen hervor, daß sie sich von vergleichbar geschilderten Gegebenheiten durchgängig, insbesondere aber im interpersonellen Bereich stärker belastet fühlen als die Partner der depressiven Frauen. Letztere berichteten eher von resignativen Gefühlen, was sich zum Teil als altersabhängig erwies. Es wird vermutet, daß die Ergebnisse auf unterschiedlich attribuierte Verantwortlichkeiten für die Probleme der Patientinnen und ihre Folgen zurückzuführen sind.
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Literatur
Ballard, R. G.: The interaction between marital conflict and alcoholism as seen through MMPIs of marriage partners. The interrelatedness of alcoholism and marital conflict, Symposium 1958. Am. J. Orthopsychiatr.29, 528–546 (1959)
Bradshaw, J., Lawton, D.: Tracing the causes of stress in families with handicapped children. Br. J. Soc. Wk.8, 181–191 (1978)
Bullock, S. C., Mudd, E. H.: The interaction of alcoholic husbands and their nonalcoholic wives during counseling. The interrelatedness of alcoholism and marital conflict, Symposium 1958, Am. J. Orthopsychiatr.29, 519–527 (1959)
Busch, H., Körmendy, E., Feuerlein, W.: Partners of female alcoholics. Br. J. Addict.68, 179–184 (1973)
Busch, H., Feuerlein, W.: Sozialpsychologische Aspekte in Ehen von Alkoholikerinnen. Schweiz. Arch. Neurol. Neurochir. Psychiatr.116, 329–341 (1975)
Cadogan, D. A.: Marital group therapy in the treatment of alcoholism. Quart. J. Stud. Alc.34, 1187–1194 (1973)
Davies-Osterkamp, S.: Alkoholismus bei Frauen. Drug Alc. Depend.1, 191–213 (1975)
Demel, I.: Die Rolle des Partners und der Familie in der Behandlung von Abhängigkeitsprozessen, insbesondere bei Suchterkrankung der Frau. Suchtgefahren23, 10–22 (1977)
Edwards, P., Harvey, C., Whitehead, P. C.: Wives of alcoholics: A critical review and analysis. Quart. J. Stud. Alc.34, 112–132 (1973)
Fox, R.: The alcoholic spouse. In: Neurotic interaction in marriage, pp. 163–172 ed. V. W. Eisenstein, New York: Basic Books 1956
Gorad, S. L.: Communicational styles and interaction of alcoholics and their wives. Family process10, 475–489 (1971)
Grad, J., Sainsbury, E.: The effect that patients have on their families in a community care and a control psychiatric service. A two years follow-up. Br. J. Psychiatr.114, 265–278 (1968)
Greene, B. L., Lee, R. R., Lustig, N.: Treatment of marital disharmony where one spouse has a primary affective disorder (manic depressive illness): I. General overview — 100 couples. J. Marr. Fam. Couns.1, 39–50 (1975)
Habermann, P.W.: Some characteristics of alcoholic marriages differentiated by level of deviance. J. Marr. Fam.27, 34–36 (1965)
Heron, D.: A second study of extreme alcoholism in adults. Eugenics Laboratory Memoirs Nr.17, London 1912
Hersen, M., Miller, P. M., Eisler, R. M.: Interactions between alcoholics and their wives: A descriptive analysis of verbal and nonverbal behavior. Quart. J. Stud. Alc.34, 516–520 (1973)
Hirsch, S. R., Platt, S., Weyman, A.: Patient's Behaviour Assessment Schedule (PBAS), 2nd ed. August 1977 (unpubl.) Training Manual and Rating Guide
Jackson, J. K.: The adjustment of the family to the crisis of alcoholism. Quart. J. Stud. Alc.15, 562–586 (1954)
James, J. E., Goldmann, M.: Behavior trends in wives of alcoholics. Quart. J. Stud. Alc.32, 373–381 (1971)
Katschnig, H. (Hrsg.): Die andere Seite der Schizophrenie. Patienten zu Hause. München: Urban und Schwarzenberg 1977
Kogan, K. L., Fordyce, W. L., Jackson, J. K.: Personality disturbance in wives of alcoholics. Quart. J. Stud. Alc.24, 227–238 (1963)
Kogan, K. L., Jackson, J. K.: Role perceptions in wives of alcoholics and nonalcoholics. Quart. J. Stud. Alc.24, 627–639 (1963)
Lemert, E. M.: The occurrence and sequence of events in the adjustment of families to alcoholism. Quart. J. Stud. Alc.21, 679–697 (1960)
Mitchell, H. E.: Interpersonal perception theory applied to conflicted marriages in which alcoholism is and is not a problem. The interrelatedness of alcoholism and marital conflict, Symposium 1958. Am. J. Orthopsychiatr.29, 547–559 (1959)
Orford, J.: A Study of the personalities of excessive drinkers and their wives, using the approaches of Leary and Eysenck. J. Consult. Clin. Psychol.44, 534–545 (1976)
Orford, J., Guthrie, S., Nicholls, P., Oppenheimer, E., Egert, S., Hensman, C.: Self-reported coping behavior of wives of excessive drinkers and its association with drinking outcome. Quart. J. Stud. Alc.36, 1254–1267 (1975)
Orford, J., Oppenheimer, E., Egert, S., Hensman, C., Guthrie, S.: The cohesiveness of alcoholism-complicated marriages and its influence on treatment outcome. Br. J. Psychiatr.128, 318–339 (1976)
Paolino, Th. J., McCrady, B., Diamond, Sh.: Psychological disturbances in spouses of alcoholics: An empirical assessment. Quart. J. Stud. Alc.37, 1600–1608 (1976)
Platt, S., Weyman, A., Hirsch, S., Hewett, S.: Social behaviour assessment schedule (SBAS): rationale, contents, scoring and reliability of a new interview schedule. Social Psychiatry15, 43–55 (1980)
Rae, J. B.: The influence of the wives on the treatment outcome of alcoholics: A follow-up study at two years. Br. J. Psychiatr.120, 601–613 (1972)
Rae, J. B., Drewery, J.: Interpersonal patterns in alcoholic marriages. Br. J. Psychiatr.120, 615–621 (1972)
Rae, J. B., Forbes, A. R.: Clinical and psychometric characteristics of the wives of alcoholics. Br. J. Psychiatr.112, 197–200 (1966)
Rimmer, J.: Psychiatric illness in husbands of alcoholics. Quart. J. Stud. Alc.35, 281–283 (1974)
Rutter, M., Brown, G. W.: The reliability and validity of measures of family life and relationships in families containing a psychiatric patient. Social Psychiatry1, 38–53 (1966)
Schuckit, M. A., Morrissey, E. R.: Alcoholism in women: Some clinical and social perspectives with an emphasis on possible subtypes. In: Alcoholism: Problems in children and women, pp. 5–35, (eds. M. Greenblatt, M. A. Schuckit). New York: Grune & Stratton 1976
Tamerin, J. S., Tolor, A., Harrington, B.: Sex differences in alcoholics: A comparison of male and female alcoholics' self and spouse perceptions. Am. J. Drug Alc. Abuse3, 457–472 (1976)
Wadsworth, A. P., Wilson, W., Barker, H. R.: Determinants of marital happiness and unhappiness rated by alcoholics and their wives. Quart. J. Stud. Alc.36, 634–644 (1975)
Wlassak, R.: Grundriß der Alkoholfrage. Leipzig: Hirzel 1929
Wills, Th. A., Weiss, R. L., Patterson, G. R.: A behavioral analysis of the determinants of marital satisfaction. J. Consult. Clin. Psychol.42, 802–811 (1974)
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Lutz, M., Appelt, H. & Cohen, R. Belastungsfaktoren in den Familien alkoholkranker und depressiver Frauen aus der Sicht der Ehemänner. Soc Psychiatry 15, 137–144 (1980). https://doi.org/10.1007/BF00578146
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DOI: https://doi.org/10.1007/BF00578146