This synopsis of the outcome literature on marital and family treatment (MFT) drew three conclusions. First, intervening at the marital/family level with nonalcoholic family members can motivate an initial commitment to change in the alcoholic who is unwilling to seek help. Second, MFT alone, or with individual alcoholism treatment, produces…

The neuropsychological deficits which are found in a significant number of alcoholics participating in the rehabilitation process have been well documented. Recent concern has also been voiced that cognitive impairments present in alcoholics receiving treatment are more severe than what has been perceived through clinical observations.…

The effects of alcohol on the developing fetus are examined. Noted is the existence of both structural problems (such as microcephaly and cardiac anomalies) and behavioral problems (such as mental retardation and speech and language deficits). The potential damage of alcohol at a very early stage of fetal development is discussed. It is thought…

Couples therapy interventions can be used with alcohol abusers and alcoholics during three broadly defined states of recovery: (1) initial commitment to change; (2) change itself; and (3) long-term maintenance of change. Intervening with the alcoholic's spouse (and/or other nonalcoholic family members) can motivate and reinforce commitment to…

Alcohol studies, like most psychological studies, have traditionally focused on males. Several psychosocial theories have been used to explain male alcoholism, including dependency, the power drive, and sex role theory. This latter stance may provide a theoretical framework for the etiology of drinking which will apply to both sexes; however,…

Although the Tension Reduction Hypothesis (TRH) of alcoholism has been the most popular explanation for alcohol abuse to date, the research addressing this model has provided tenuous support at best. In light of this contradictory support, a coping model of alcohol consumption is proposed. This model is based on the low self-image of…

In the last few years, a vast amount of research has accumulated with respect to American children's use of legal and illicit drugs. This research has included cross-sectional studies (which have attempted to determine current drug usage, age of onset for each drug used, and maximum frequency of use in the lifetime); longitudinal studies (which…

Current conceptions of Adult Children of Alcoholics (ACOAs) are unable to account for recent research which suggests many of the characteristics used to describe ACOAs are not valid. These conceptions also fail to explain the documented heterogeneity among ACOAs with regard to life and therapeutic outcomes. In this paper, an alternative model of…

Noting that little is known about how communication functions in alcoholic families, and about the effects of this alcoholic home environment on children of alcoholics, their communication patterns, and their relationships, this paper identifies strengths and weaknesses in existing literature on the alcoholic family and children of alcoholics. In…

In 1970, 1974 and 1978 similar surveys of alcohol and drug use were conducted using 10% random samples of Vancouver secondary school students (grades 8-12). The reported use of alcohol increased from 61% in 1970 to 71% in 1974 and 78% in 1978, while the use of cannabis increased from 39% in 1970 to 42% in 1974 and 47% in 1978. The use of tobacco,…

The paper examines the literature concerning drug and alcohol abuse among handicapped adolescents. An introductory section noting the relative lack of research on this problem is followed by a review of adolescent drug research identifying longitudinal studies involving more than 70,000 subjects, studies of associated personality variables, and…

Research and clinical support for the connections between alcohol abuse and the family milieu have generated increased interest in family treatment approaches to alcoholism. In assessing the "alcoholic family," the clinician must consider numerous aspects of family interaction which have been linked to abuse and to treatment outcomes.…

This paper considers etiological factors associated with fetal alcohol syndrome (FAS), presents a critical review of current findings on language deficits and FAS, and proposes a direction for future research which takes into account the semiotic aspects of language development. Criteria for establishing FAS as well as other typical…

While over 30 percent of the nation's 10 million alcoholics and problem drinkers are women, the severity of female alcoholism is statistically understated. The female inebriate is hidden by society and underserved by current treatment programs. Alcoholism in females has continued to be considered synonymous with male alcoholism. The purpose of…

Focusing on a serious social problem that links mass communication and society, this paper uses the techniques of irony and meta-research to examine the paradoxial discrepancies between the intent of acts and the outcomes of actions in social and media policy in the culture of alcohol. It examines the history and folklore of alcohol and community;…