Enhancing the self-esteem of inpatient alcoholics.

This study examined the effect of pairing inpatient alcoholics with nursing home residents (NHRs) on the alcoholics' self-esteem. In this PALS program, the alcoholic inpatients assumed a helping-companion relationship with the NHRs for 2 hr per day during their last 2 weeks of treatment. Fifty alcoholic inpatients were randomly assigned to the PALS program (n = 25) or to the library for free reading time (n = 25). The Tennessee Self-Concept Scale (TSCS) was administered to all subjects in both groups before and after the interventions. Of the nine TSCS scales, the improvement on the Moral-Ethical scale was significantly greater in the PALS group. Because the alcoholic inpatients in the PALS group engaged in altruistic (moral) behavior, this study provides a logical link between the intervention and the outcome, which has been a prevalent weakness in previous studies of self-esteem in alcoholics.

Patterns of alcohol abuse among black and white alcoholics.

The drinking practices of a matched sample of 78 Black and 78 White, male, hospitalized alcoholics were compared. The groups were matched on age and educational level; and they were equivalent in terms of marital and employment status, number of times hospitalized for treatment of alcoholism and other neuropsychiatric disorders, and number of arrests. The Alcohol Use Inventory was used to assess drinking practices. Significant multivariate and univariate analysis of variance indicated that (a) Whites reported greater daily consumption of alcohol, a tendency to perceive alcohol as a means of relieving psychological distress, and a greater level of psychological distress as a consequence of alcohol abuse than Blacks; and (b) Blacks reported a tendency to perceive alcohol as a means to improve mental functioning and to experience more serious psychoperceptual withdrawal symptoms than Whites.

Drinking practices among black and white alcoholics and alcoholics of different personality types.

In order to examine the effects that race and personality type have on self-reported drinking practices, samples of 49 White and 49 Black male alcoholics were matched on age and education, and classified into two personality types according to MMPI scores. The results of multivariate and univariate analyses of variance yielded significant main effects. White alcoholics reported a greater: (a) use of alcohol for symptomatic relief of psychological distress, (b) loss of motor control and tendency to engage in destructive acts, and (c) daily consumption of beverage alcohol than Black alcoholics. Alcoholics with psychiatric-appearing MMPI profiles reported greater: (a) social benefits of alcohol use, (b) alcohol use for symptomatic relief of psychological distress, and (c) perceptual distortions associated with alcohol withdrawal than alcoholics with characterlogical-appearing MMPIs. Results were discussed in terms of need to control confounding effects of biosocial variables in cross-cultural research and implications that these effects may have on the generalizability of alcoholic personality typologies.

Differential patterns of alcohol abuse among normal, neurotic, psychotic, and characterological types.

The MMPIs of 201 male alcoholic inpatients were classified into normal, neurotic, psychotic, and characterological types according to the Goldberg rules (1972). Multivariate analysis of variance of the respective Alcohol Use Inventory ( AUI ) scores showed that the groups differed in a multivariate sense. The pattern of significant univariate differences indicated that both the neurotic and psychotic groups reported more severe symptoms and consequences of alcohol abuse than the normal and characterological types. No univariate differences were found between either the neurotic and psychotic types or the normal and characterological types. Results were discussed in terms of functions that alcohol served among the groups.