Change in paradigms in addiction therapy


Paradigms constitute a model description of the problems and their solutions. They are important as certain methods of work, ideas for interpreting e.g. behaviour of people, in need for help, criteria for success or failure come from them. Recent years have brought an important change, which can still be seen happening, of paradigms in theraupetic rehabilitation in the area of understanding addicts as well as the understanding of addiction itself. The change influences the occurences of new therapeutic programs, which are no longer focused on sobriety itself, but it also has a huge influence on programs limiting alcohol abuse nad reducing its negative consequences and damage. It must be emphasized that these are programs which are not designed for everyone and each of them is dedicated to strictly defined group of people with an addiction in a broad sense.


Paradigms; addiction; motivation; alcohol abuse programs; programs of reducing the damage

[1]Blomquist J., 1998, Beyound treatment? Widening the approach to alcohol problems and solutions, Departament of Social Works, Stockholm Univeristy, Stockholm.
[2]Brehm S.S., Brehm J.W., 1981, Psychological Reactance, New York.
[3]De Barbaro B., 2007, Po co psychoterapii postmodernizm, „Psychoterapia”, 3(142).
[4]Dodziuk A. (red.), 1993, Wybrane spojrzenia na alkoholizm i jego leczenie, IPZiT, Warszawa.
[5]Emrick C.D., 1974, A review of psychologically oriented treatment of alcoholism: I. The use and interrelationships of outcome criteria and drinking behaviour following treatment, „Quarterly Journal of Studies on Alcohol”, 35.
[6]Gaś Z.B., 2002, Redukcja szkód a profilaktyka uzależnień, „Remedium”, lipiec–sierpień.
[7]Głowik T., 2017a, O podmiotowości pacjenta, psychoterapii w terapii uzależnień i innych, „Terapia Uzależnienia i Współuzależnienia”, 2.
[8]Głowik T., 2017b, Zmiany w leczeniu osób uzależnionych w Polsce, „Świat Problemów”, listopad.
[9]Hughes J.R., 2007, Defining dependence: Describing symptom clusters versus central constructs, „Addiction”, 102(10), 1531–1532.
[10]Klingemann H., Klingemann J., 2013, Czy terapia jest koniecznością? Samowyleczenia a system lecznictwa, [w:] Terapia uzależnień. Metody oparte na dowodach naukowych, (red.) Miller M. Peter, Warszawa.
[11]Kuhn T., 2001, Struktura rewolucji naukowych, wyd. 2, Warszawa.
[12]Lilienfeld S.O., Lynn S.J., Ruscio J., Beyerstein B.L., 2011, 50 wielkich mitów psychologii popularnej. Półprawdy, ćwierćprawdy i kompletne bzdury, Warszawa–Stare
[13]Mellibruda J., Sobolewska-Mellibruda Z., 2006, Integracyjna psychoterapia uzależnień. Teoria i praktyka, Warszawa.
[14]Miller M.P. (red.), 2013, Terapia uzależnień. Metody oparte na dowodach naukowych, Warszawa.
[15]Miller W.R., Rollnick S., 2010, Wywiad motywujący. Jak przygotować ludzi do zmiany, Kraków.
[16]Miller W.T., 2009, Wzmacnianie motywacji do zmiany w terapii nadużywania substancji, Warszawa.
[17]Prochaska J.O., Norcross J.C., DiClemente C.C., 2008, Zmiana na dobre, Warszawa.
[18]Roberts C., 2003, The emerging what works evidence and its implications for practice in the National Probation Service, National Probation Service What Works [19]Conferencje 2003 pack. A whole service approach to delivering interwention 8–10 December, Nottingham.
[20]Süß H.M., 1995, Zur Wirksamkeit der Therapie bei Alkoholabhängigen: Ergebnisse einer Meta-Analyse, „Psychologische Rundschau”, 46.

Published : 2019-03-07

Głowik, T. (2019). Change in paradigms in addiction therapy. Polish Journal of Social Rehabilitation, (17), 91–101.

Tomasz Głowik
The Maria Grzegorzewska University  Poland

CitedBy Crossref

CitedBy Scopus

Copyright Notice:

Articles are published in accordance with conditions identical to the Creative Commons Attribution 4.0 (also called as CC-BY) license conditions, available on and this permission applies to any language version or any later version of the license as published by the Creative Commons organization.

Author retain the copyright to the article, while at the same time he/she transfers the article property rights to the Publisher free of charge (without territorial and time restrictions).

The online edition of the Polish Journal of Social Rehabilitation is published under Open Access, which means that users can read, download, copy, distribute, print, search, and link to the full texts of these articles - are provided with full unrestricted access.

The publisher does not charge for providing access to full versions of articles nor for their use as referred to in above.