This report describes the psychological profile of a police officer who suffers from three dimensions of emotional complication: combat post-traumatic stress disorder (CPTSD), alcoholism, and role immersion. Each of the three dimensions is discussed separately, followed by a discussion of their interaction and unification. It is noted that alcohol…

Substance use histories were obtained from 103 persons (16 to 63 years of age) with recent spinal cord injuries (SCI). Lifetime exposure to and current use of substances with abuse potential were substantially greater in this sample compared to a like-age national sample. Exposure to and recent use of substances with abuse potential was…

Although alcoholism is increasingly recognized as a family disease, most research looks solely at the alcoholic, or occasionally at the alcoholic's spouse. However, there are a multitude of potential studies regarding the alcoholic family system, parent-child communication, marital communication, and sibling communication in the alcoholic home. To…

Self-help approaches to the treatment of problem drinking were investigated in five studies, including methods oriented toward controlled drinking as well as those designed to produce abstinence. Study 1 explored the utility of a self-help manual as an agent in improving maintenance following treatment by a paraprofessional. Clients who read this…

An expanded model of treatment evaluation is presented, and connections to stress and coping theory are examined. Examples are taken from a research program on the long-term outcomes of alcoholism and depression. Implications for assessment and diagnosis, program design and improvement, and stress and coping theory are explored. (SLD)

A consulting physician's report on the physiological, social, and psychiatric states of an alcoholic patient, written for the attending physician and other interested parties, is analyzed for coherence. The need for coherence in the presentation of the complex interrelationships in the patient's social context is the primary focus of the analysis.…

Homeless people with alcohol and other drug problems present the traditional substance abuse services delivery provider with special challenges. This paper discusses the optimal designs of comprehensive treatment services for homeless persons with alcohol and other drug problems. Most importantly, the homeless must have immediate access to a safe…