Aim: Family members’ lives and health are seriously affected by alcohol- and drug addiction in close relationships, and research on addiction treatment shows that outcome of treatment is better when family is involved, both for the patient and family member. In Norway, there are clear political and professional guidelines in favour of involvement of family/significant others in the course of treatment, however, there are few addiction treatment services in Norway who comprehensively do so. The aim of this study is to explore therapists’ experiences from involving family and significant others in interdisciplinary specialised addiction treatment (TSB), within an in-patient clinic in Norway. The research question is: What significance do therapists emphasise from involving family members within interdisciplinary specialised inpatient addiction treatment, and which professional and ethical challenges arise with such involvement? Method: The data was gathered through two focus-group interviews and analysed with thematic analysis. Results: The main findings of the analysis are: (1) “A solid treatment structure for family involvement is central to family-oriented work”, (2) “Substantial positive effects for both patient, family member and therapist are attributed to family-oriented treatment focus”, and (3) “New dilemmas and challenges arise as a consequence of emphasising family-oriented work”. Conclusion: The article gives insights in how treatment practice that involves family and network members can be organised, what can be achieved with such involvement, which challenges and dilemmas can arise, and discusses how these insights challenges language, ethics and judicial framework for addiction treatment.

中文翻译：

---

«Jeg får et helt annet innblikk»：Fagpersoners erfaringer med familieorientert praksis i rusbehandling：“我有一个完全不同的观点”：专业人士在成瘾治疗中以家庭为导向的实践经验

目的：家庭成员的生活和健康受到亲密关系中的酒精和药物成瘾的严重影响，对成瘾治疗的研究表明，当有家人参与时，治疗效果会更好，对患者和家庭成员都是如此。在挪威，有明确的政治和专业指导方针支持家庭/重要其他人参与治疗过程，然而，挪威很少有成瘾治疗服务全面这样做。本研究的目的是探讨治疗师在挪威一家住院诊所内让家人和重要其他人参与跨学科专业成瘾治疗 (TSB) 的经验。研究问题是：治疗师强调让家庭成员参与跨学科专业住院成瘾治疗有什么意义，以及这种参与会带来哪些专业和伦理挑战？方法：通过两次焦点小组访谈收集数据，并通过主题分析进行分析。结果：分析的主要结果是：（1）“家庭参与的坚实治疗结构是面向家庭的工作的核心”，（2）“对患者、家庭成员和治疗师的实质性积极影响归因于家庭-导向治疗重点”，以及（3）“强调以家庭为导向的工作会带来新的困境和挑战”。结论：本文提供了有关如何组织涉及家庭和网络成员的治疗实践的见解，通过这种参与可以实现什么，