Download Behavioral Treatment of Alcohol Problems: Individualized by Mark B. Sobell, Linda C. Sobell (auth.) PDF

By Mark B. Sobell, Linda C. Sobell (auth.)

Ideas in regards to the nature of alcohol difficulties were present process dramatic switch during the last numerous years. This booklet summarizes the scientific study we now have performed over the last 8 years; study which has evoked controversy and which, we are hoping, can be evaluated as having been influential within the improvement of a systematic method of the scientific therapy of alcohol difficulties. even supposing we reference many reviews from the overall behavioral literature on alcohol difficulties, we make no pretense of proposing a radical evaluation of that literature. most often, this publication specializes in the learn now we have performed, the explanation for that strategy, and an in depth dialogue of equipment and effects which can't be awarded in magazine articles. The publication starts off by way of giving the reader a point of view on conventional suggestions within the alcohol box, and why these suggestions are actually being challenged. inside of 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 learn of Individualized Be­ havior treatment (IBT) for alcoholics. Following a dialogue of the various extra refined features of that research and its effects, we describe how IBT can be utilized in an outpatient setting-the environment within which now we have performed scientific learn for the final six years.

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Extra info for Behavioral Treatment of Alcohol Problems: Individualized Therapy and Controlled Drinking

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On the other hand, for most persons, ingestion of a single drink in a social setting would rarely constitute a problem. Thus, it is necessary to recognize that what constitutes a problem for one individual may not be a 38 Chapter Three problem for another. That is, drinking problems may be social determined. The second example involves a person with no prior history of alcohol problems who drinks a six-pack of 12-oz. beers in the confines of his home over a one-hour period. If this individual were to do nothing else but retire to bed after drinking, it is unlikely that this drinking would incur deleterious consequences.

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.

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.

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