Objective: The study tested whether adding up to 18 months of telephone continuing care, either as monitoring and feedback (TM) or longer contacts that included counseling (TMC), to intensive outpatient programs (IOPs) improved outcomes for alcohol-dependent patients. Method: Participants (N = 252) who completed 3 weeks of IOP were randomized to…

This writing shares the first author's personal experience with alcohol, the negative consequences of his choices, and the ultimate answering of the question, "Am I an alcoholic and should I drink again?" The decision-making process and the eventual answer come from Blaise Pascal, a 17th-century mathematician. This process is explained and…

The aim of this study was to determine whether a socially focused treatment can effect change in the patient's social network from one that reinforces drinking to one that reinforces sobriety. Alcohol dependent men and women (N = 210) recruited from the community were randomly assigned to 1 of 3 outpatient treatment conditions: network support…

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.…

Alcohol abuse imposes financial, social, and emotional burdens on drinkers and their families. Couples suffering from alcohol-related problems who seek therapy often have expectations of retribution, restitution, and refuge. Although thoughts of retribution are difficult to elicit in therapy, non-drinking spouses often expect to inflict pain on…

Investigated cause of abusive drinking among the elderly and treatment practices and counseling strategies used by professionals who serve them. Structured interviews with six practitioners who were knowledgeable about alcohol abuse among the elderly revealed consensus that alcoholism is a physiological disorder with attendant psychological and…

Married or cohabiting female alcoholic patients (n = 138) and their non-substance-abusing male partners were randomly assigned to 1 of 3 equally intensive interventions: (a) behavioral couples therapy plus individual-based treatment (BCT; n = 46), (b) individual-based treatment only (IBT; n = 46), or (c) psychoeducational attention control…

The matching hypothesis, presented in this study, predicts that designing treatment according to patient characteristics leads to better outcomes. A study was conducted to collect data on current practices of patient-treatment matching in alcohol treatment. A questionnaire was completed by 70 directors of Veterans Administration inpatient alcohol…

Describes inception and evolution of a 14-month project providing group counseling to offenders placed on probation after conviction for driving while intoxicated (DWI). Describes modifications of group counseling techniques, necessitated by the involuntary nature of members' participation. Presents generalizations concerning social psychological…

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…

Used covert sensitization and alcohol education/counseling to eliminate drinking behavior in two motivated offenders in their early twenties who had previously been classified as "alcoholic." In over 24 months for 1 subject, and 9 months for the other, only 1 conviction for 1 of the subjects occurred, which turned out to be minor and…

Research for biological-genetic markers of alcoholism is discussed in context of a multifactorial, heterogeneous, developmental model. Suggested that strategies used in linkage and association studies will require modification. Also suggested several extant associations of genetic markers represent true secondary interactive phenomena that alter…

Recent studies show the neuropsychopharmacologic basis of alcoholism. Studies involving the serotonergic and opioidergic neurotransmitter systems have shown consistent results. Concurrent nosologic developments have led to identification of subtypes of alcoholism. This article reviews literature in these various areas in an effort to enhance…

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)

Alcoholism etiology is discussed from developmental behavior genetic perspective. Temperament features that appear to be associated with heightened risk for alcoholism are examined. Their interactions with the environment during course of development are considered within epigenetic framework and, as discussed, have ramifications for improving…