Italian experience with family therapy of drug addicts is based on res
earch started in 1970. Italian data are comparable with experiences in
other countries. Symptoms are considered relevant to the organization
of a certain family system. Family therapy is widely used in the publ
ic and private health systems. More than 80% of the treatment centers
use it, and there is continuous updating of professionals working in t
he field. Two main strategies are used: structural and counterparadoxi
cal intervention. These therapeutic approaches are explained in light
of a typology of drug addicts established from empirical research data
, with a discussion of the evaluation of the results depending on the
kind of psychopathology. Family therapy with couples is also discussed
, and a typology of couples dealing with drug addiction problems is pr
esented.