By Mark B. Sobell, Linda C. Sobell (auth.)
Ideas in regards to the nature of alcohol difficulties were present process dramatic swap during the last numerous years. This booklet summarizes the medical examine we've performed during the last 8 years; examine which has evoked controversy and which, we are hoping, could be evaluated as having been influential within the improvement of a systematic method of the scientific therapy of alcohol difficulties. even though we reference many stories from the overall behavioral literature on alcohol difficulties, we make no pretense of providing a radical overview of that literature. mostly, this publication makes a speciality of the study we now have performed, the explanation for that method, and a close dialogue of equipment and effects which can't be offered in magazine articles. The ebook starts by way of giving the reader a point of view on conventional innovations within the alcohol box, and why these innovations are actually being challenged. inside that conceptual framework, we then hint the advance and class of our scientific study, providing for the 1st time in one paintings a whole attention of the reason, tools, and result of the research of Individualized Be havior remedy (IBT) for alcoholics. Following a dialogue of some of the extra refined facets of that examine and its effects, we describe how IBT can be utilized in an outpatient setting-the atmosphere during which now we have performed medical examine for the final six years.
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Additional info for Behavioral Treatment of Alcohol Problems: Individualized Therapy and Controlled Drinking
Thus, while a client may report not drinking in certain situations, closer inspection may reveal that the behavior in these situations is predominantly inappropriate or self-damaging in terms of overall consequences. The model also provides an operational definition of the relative appropriateness of behaviors in terms of the consequences likely to follow those behaviors. The range of possible consequences of behaviors is depicted in the far right column of Figure 1 and explained in greater detail in Table 1.
First, while their conclusions may be fully valid for the sample they studied, this particular population may have been atypical. 7% (19 of 177) of the experimental subjects were found to have been abstinent for the full follow-up period. While follow-up abstinent rates for similar programs typically tend to be low, Pittman and Tate's findings may be unusually low. Furthermore, and contrary to numerous other studies, they found no evidence of "spontaneous recovery" among this sizable group of subjects.
In particular, selection of a treatment strategy must take into account the ecological context within which the treatment will be employed. This point cannot be emphasized strongly enough. For example, if it is established that an individual lacks assertive skills, merely teaching that individual ways to be more assertive by use of procedures such as role playing, modeling, social coaching, role reversal, and social rewards may not, in and of itself, be adequate to insure that the newly acquired skills will generalize to the client's extratreatment environment.