By Mark B. Sobell, Linda C. Sobell (auth.)
Ideas in regards to the nature of alcohol difficulties were present process dramatic swap over the last numerous years. This booklet summarizes the scientific learn we have now performed during the last 8 years; learn which has evoked controversy and which, we are hoping, may be evaluated as having been influential within the improvement of a systematic method of the medical therapy of alcohol difficulties. even though we reference many experiences from the overall behavioral literature on alcohol difficulties, we make no pretense of featuring an intensive overview of that literature. more often than not, this ebook makes a speciality of the examine we now have carried out, the reason for that procedure, 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 viewpoint on conventional techniques within the alcohol box, and why these ideas at the moment are being challenged. inside that conceptual framework, we then hint the improvement and class of our scientific learn, proposing for the 1st time in one paintings a whole attention of the explanation, tools, and result of the examine of Individualized Be havior remedy (IBT) for alcoholics. Following a dialogue of a number of the extra sophisticated features of that research and its effects, we describe how IBT can be utilized in an outpatient setting-the environment within which we have now performed medical learn for the final six years.
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Extra resources for Behavioral Treatment of Alcohol Problems: Individualized Therapy and Controlled Drinking
At this time, we suggest the evidence is sufficient to warrant a consideration of non problem drinking as a treatment goal in cases where individual circumstances indicate that it might be attainable without subjecting the client to immediate serious risks and it is judged to be the treatment strategy most likely to be achieved. In this regard, it is seldom the case that individuals become totally abstinent following the completion of a treatment program. Similarly, we should expect that some individuals treated with non problem drinking objectives may also experience periods of excessive drinking.
However, during weekends and holidays these very same individuals might become quite intoxicated. Several recent studies of experimental intoxication offer striking examples of stimulus control over the drinking behavior of alcoholics. ) These studies have demonstrated that even "chronic" alcoholics are capable of engaging in limited drinking behavior in the presence of appropriately de- 42 Chapter Three signed contingencies. Similarly, if problem drinking behavior is under the control of discriminative stimuli, and if characteristics of a given case so warrant, the treatment goal most likely to be achieved might involve some type of limited, non problem drinking.
In using the functional analysis model of drinking in a clinical setting, we have found that clients are more proficient at describing the stimulus situations that preceded their drinking as well as the drinking itself, as opposed to delineating immediate and longer-term consequences of their drinking. As a result, in a clinical setting it is often necessary for the therapist to more actively assist the client in interpreting and considering the long-term and total resultant consequences of various behaviors.