correct therapeutic procedure from a transactional point of view is, after careful preliminary groundwork, to take an Adult contractual position and refuse to play any of the roles, hoping that the patient will be able to tolerate not only abstinence from drinking but also from playing his game. If he cannot, he is best referred to a Rescuer.
Antithesis is particularly difficult, because the heavy drinker is highly regarded in most Western countries as a desirable object for censure, concern or generosity, and someone who refuses to play any of these roles tends to arouse public indignation. A rational approach may be even more alarming to the Rescuers than to the Alcoholic, sometimes with unfortunate consequences to the therapy. In one clinical situation a group of workers were seriously interested in the game ‘Alcoholic’ and were attempting to effect real cures by breaking up the game rather than merely rescuing the patients. As soon as this became apparent, they were frozen out by the lay committee which was backing the clinic, and none of them was ever again called on to assist in treating these patients.