Subject(s)
Alcohol Drinking , Behavior Therapy/methods , Adult , Age Factors , Alcoholic Intoxication , Aversive Therapy , Counseling , Ethanol/blood , Female , Follow-Up Studies , Health Education , Humans , Male , Middle Aged , Social Environment , Videotape RecordingSubject(s)
Alcoholism/therapy , Behavior Therapy , Adult , Behavior Therapy/methods , Female , Follow-Up Studies , Humans , Male , Middle AgedABSTRACT
This paper reports on referral sources and the disposition of 409 problem drinkers who were contacted over a two-year period for participation in a 17-week alcohol abuse treatment program. A longitudinal follow-up design was used with 103 persons to evaluate various learning-based techniques in moderating their drinking habits. Referrals were analyzed by source (75% were legal referrals), percentage completing the program (70%, 72%, and 69% for self, legal, and mental health referrals), and "success" at one year. Legal referrals reported a significantly smaller pretreatment alcohol intake than self and mental health referrals. However, the decrease in alcohol intake for legal and nonlegal referrals were almost identical. The stigma of alcoholism as a disease and the coercion associated with referral by legal agencies were considered to be factors in acceptance of treatment and in treatment outcome.
Subject(s)
Alcoholism/psychology , Community Mental Health Services/organization & administration , Referral and Consultation/statistics & numerical data , Alcoholism/therapy , Attitude , California , Forensic Psychiatry , Humans , Patient Acceptance of Health CareABSTRACT
Studies that report conflicting relationships between alcohol abuse and locus of control were reviewed. Possible explanations for the results were presented, as were data that indicate that locus of control may be related to age and to social desirability, but not to alcohol abuse. It was suggested that in the absence of a clear theoretical rationale for relating locus of control to alcohol abuse, the contradictory findings are not surprising.
Subject(s)
Alcoholism/etiology , Internal-External Control , Adult , Age Factors , Humans , Male , Social DesirabilitySubject(s)
Alcoholism/therapy , Behavior Therapy/methods , Adult , Alcohol Drinking , Aversive Therapy , Avoidance Learning , Counseling , Ethanol/blood , Female , Follow-Up Studies , Health Education , Humans , Male , Middle Aged , Visual PerceptionABSTRACT
Alcoholics were exposed to behavior counseling alone (N =10), or behavior counseling with either videotape self-confrontation (N = 10) or role-modeling (N = 10), and compared to alcoholics receiving standard inpatient treatment (N =10). Immediate alternation of drinking topographies and posttreatment follow-up drinking dispositions served as dependent variables. Subjects receiving videotape self-confrontation achieved greater positive changes in posttreatment drinking analysis sessions than did other treatment groups. Follow-up probes suggested superiority of the experimental treatments in general, and particularly videotape self-confrontation. Performance in the posttreatment analysis sessions was predictive of follow-up drinking status (p less thann .05).
