Discusses the relationship between the surrender reaction and the grief process resulting from alcohol-related losses. Presents factors that inhibit people addicted to alcohol from resolving their grief issues, and discusses the mourning tasks that must be completed to maintain sobriety and the state of surrender. (LLL)

Suggests that self-efficacy in relation to one's addiction is a factor in sustained sobriety, and explores implications for counseling. Treatment strategies that improve clients' coping skills, develop their sense of personal control, and enhance perceptions of self-efficacy reduce the risk of alcoholic relapses. (JAC)

Reviews literature on both alcoholism and controlled drinking approaches based on a multimodal viewpoint. Provides a combined perspective of humanistic and behavioral principles. Presents the issue of alcohol involvement from a stage phenomena point of view and suggests intervention steps to address life-problem, emotional, and behavioral aspects…

The problem drinking continuum was devised to illustrate different kinds of alcohol-related problems, without implying irreversibility, progression, or the presence of a unitary disease. It is one way of conceptualizing alcohol dependencies that has been fruitful in outpatient counseling, residential care, alcohol education, and training programs.…

Presents case summary involving survivors of suicide of 17-year-old child. Includes two therapists' comments on working with issues and dynamics described. One therapist suggests seeking entry into the family system through the father's difficulties. Another therapist recommends using the "Gandhi technique" or the intervention used by…

Notes that adult children of alcoholics attending college present unique problems and opportunities to the college counselor. Presents a treatment model for serving such students which identifies four survivor roles and their manifestations, and suggests counseling techniques for each role. (Author/NB)

Notes extent and nature of problem drinking among older adults and role of mental health counselors. Asserts that nature of alcohol abuse by older persons and variety of problematic drinking behaviors suggest that range of counseling goals may be appropriate. Stresses that a broader range of treatment strategies is needed than has characterized…

Discusses ways that school counselors can empower children of alcoholics (COAs) by teaching them new ways of behaving and coping skills. Proposes that counselors can assist COAs through the use of cognitive behavior therapy in the school setting. Describes characteristics of COAs and family roles of hero, scapegoat, lost child, placater, and…

Presents an overview of substance abuse, focusing on Native American students. Emphasizes school counselor intervention strategies and the counselor client relationship. Counselors must be aware of their own values and cultural attitudes in dealing with Indian students. (JAC)

Discusses an intervention technique that can be used in working with alcoholics and drug abusers who deny the need for help. The intervention focuses on the family, providing them with drug education and improved communication skills. Defusion, reframing, and positive data are used. The counselor's role is described. (JAC)

Sees many adult children of alcoholics identifying themselves in hero role, making it useful tool for uncovering negative behaviors and starting to work toward change. Describes alcoholic home and hero roles of overachiever, controller, and perfectionist. Considers usefulness of individual counseling, group therapy, family therapy, and play…

Presents unilateral family therapy in which intervention is directed toward changing the behavior of an uncooperative family member through working with a cooperative member as mediator. Applies the approach to the problem of endeavoring to reach and change an uncooperative alcohol abuser. (Author)

Provides a conceptual framework for discussing the role of alcohol in a person's life and for planning appropriate interventions when abuse is evidenced. Discusses drive reduction and the dynamic of alcohol involvement through four involvement stages. (Author/RC)