Clinical Case Studies in the Behavioral Treatment of Alcoholism

by William M. Hay, Peter E. Nathan

Overview

There is no shortage of books on behavioral research, on behavioral research on alcoholism, or on behavioral research on alcoholism treatment. Most of the authors of chapters in this book have been involved in the writing of these books. The books and their authors have played an important role in the dramatic increase in the influence of behavioral approaches to one of our society's most troubling human problems. There are not many books, though, which detail the longitudinal course of the behavioral therapies, none doing so for behavior therapy with al­ coholics and problem drinkers. That this book now appears, then, is a first, made more valuable by the fact that the chapter's authors are both research­ ers and clinicians, willing and able to combine respect for empirical data with clinical sensitivity and compassion, concern, and commitment for their patients. The chapters in this book reveal important commonalities and telling divergencies in technique, strategy, and treatment tactics. Despite a common perspective on etiology and treatment, the authors of the chapters in this book diverge in criteria for deciding on treatment goal, choice of initial intervention target, the specifics of techniques used, and follow-up procedures. Common to all, though, is an openness to innovation, a pragmatic appreciation of approaches that work, and a sincere respect for the patient and his or her fundamental desire for a healthy, happier, and more produc­ tive life.

Product Details

ISBN-13:	9781461334170
Publisher:	Springer US
Publication date:	02/09/2012
Edition description:	1982
Pages:	324
Product dimensions:	5.98(w) x 9.02(h) x 0.03(d)

Table of Contents

I. Contemporary Behavioral Assessment and Treatment Procedures.- 1. Behavioral Treatment of Binge Drinking.- 1. Introduction.- 2. Reason for Referral.- 3. History of Drinking Problem.- 4. Current Status.- 5. Assessment Procedures.- 6. Treatment Goals.- 7. Treatment Implementation.- 8. Treatment Results.- 9. Discussion.- Commentary.- 10. References.- 2. Behavioral Treatment of Alcoholism: The Unvarnished Story.- 1. Introduction.- 2. Mrs. J.- Commentary.- 3. References.- 3. When Is a Book a Treatment? Bibliotherapy for Problem Drinkers.- 1. Introduction.- 2. Controlled Drinking.- 3. Bibliotherapy.- 4. Differential Diagnosis.- 5. Case One: Leah.- 6. Case Two: Richard.- 7. Discussion.- Commentary.- 8. References.- 4. Behavioral Treatment of Outpatient Problem Drinkers: Five Clinical Case Studies.- 1. Introduction.- 2. Case No. 1 (Therapist L. C. S.).- 3. Case No. 2 (Therapist T. D. N.).- 4. Case No. 3 (Therapist M. B. S.).- 5. Case No. 4 (Therapist N. E. N.).- 6. Case No. 5 (Therapist T. C.).- 7. Concluding Comments.- Commentary.- 8. References.- II. Relationships between Marital Discord and Alcohol Abuse.- 5. Louise: The Real and the Ideal.- 1. The Setting.- 2. Behavioral Assessment, Including Drinking History.- 3. Louise at the Beginning of Treatment.- 4. The Eight-Session Contract.- 5. The Contract That Worked.- 6. Louise: The Real and the Ideal.- Commentary.- 7. References.- 6. Conjoint Behavioral Treatment of an Alcoholic and His Spouse: The Case of Mr. and Mrs. D..- 1. Introduction.- 2. Identifying Information.- 3. History of Drinking Problems and Current Status.- 4. Psychological-Psychiatric History.- 5. Assessment Procedures.- 6. Treatment Goals and Implementation Strategy.- 7. Results.- 8. Discussion.- Commentary.- 9. References.- 7. The Behavioral Assessment and Treatment of an Alcoholic Marriage: The Case of Mr. and Mrs. L..- 1. Introduction.- 2. Subject Characteristics and Reason for Referral.- 3. Assessment Procedures.- 4. Alcohol Treatment Procedures.- 5. Marital Treatment Procedures.- 6. Follow-up Procedures.- 7. Results of Treatment.- 8. Discussion.- Commentary.- 9. References.- III. Specialized Behavioral Assessment and Treatment Procedures.- 8. Successful Moderation in a Chronic Alcohol Abuser: The Case of Bob S..- 1. Introduction.- 2. Reason for Referral.- 3. History of Drinking Problem.- 4. Recent Drinking History and Current Status.- 5. Assessment Procedures and Formulation of Treatment Goals.- 6. Continued Treatment.- 7. Treatment Results.- Commentary.- 8. References.- 9. Cue Exposure and Relapse Prevention.- 1. Introduction.- 2. Mr. M. and His Problems.- 3. Drinking Prior to Treatment.- 4. Treatment Plans.- 5. Hospital Treatment.- 6. Results of Initial Treatment.- 7. Six-Month Follow-up.- 8. Eighteen-Month Follow-up.- 9. The Next Five Years.- 10. Discussion.- Commentary.- 11. References.- 10. Cue Exposure and Response Prevention in South London.- 1. Case History.- 2. Assessment.- 3. Treatment.- 4. Results.- 5. Discussion.- Commentary.- 6. References.- IV. Conceptualization and Treatment of Alcoholism: Two Models.- 11. Decision Strategies in the Path of Alcoholism Treatment.- 1. Introduction.- 2. Alcoholism as a Syndrome.- 3. Selection and Matching of Treatment.- 4. Methodological Strategies.- 5. Pathways of Treatment.- 6. Block Variables.- 7. Summary.- Commentary.- 8. References.- 12. A Multivariate Approach to Restricted Drinking.- 1. Introduction.- 2. The Case of Ralph P.- 3. Multivariate Assessment.- 4. The Setting of Treatment Goals.- 5. The Implementation and Outcome of Therapy.- Commentary.- 6. References.