Abstract
This comprehensive review of behavioral efforts to assess and treat alcoholism begins by considering very briefly the present status of behavioral theories of the etiology of alcoholism. What follows then is a detailed review of recent efforts to assess levels and kinds of alcohol consumption with behavioral techniques. Finally, the remainder and bulk of the chapter highlights the manifold behavioral methods and programs that have been developed in the effort to modify alcoholic drinking.
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References
Anant, S. S., 1967, A note on the treatment of alcoholics by a verbal aversion technique, Can. Psychol 1:19–22.
Ashem, B., and Donner, L., 1968, Covert sensitization with alcoholics: A controlled replication, Behav. Res. Ther. 6:7–12.
Bigelow, G., 1973, Experimental analysis of human drug self-administration, Paper read at Eastern Psychological Association (May, 1973).
Bigelow, G., Liebson, I., and Griffiths, R. R., 1973, Experimental analysis of alcoholic drinking, Paper read at American Psychological Association (August 1973).
Bigelow, G., Liebson, I., and Lawrence, C., 1973, Prevention of alcohol abuse by reinforcement of incompatible behavior, Paper read at Association for Advancement of Behavior Therapy (December 1973).
Bigelow, G., Liebson, I., and Griffiths, R. R., 1974, Alcoholic drinking: suppression by a behavioral time-out procedure, Behav. Res. Ther. 12:107–115.
Blake, B. C., 1965, The application of behavior therapy to the treatment of alcoholism, Behav. Res. Ther. 3:78–85.
Blake, B. G., 1967, A follow-up of alcoholics treated by behaviour therapy, Behav. Res. Ther. 5:89–94.
Bois, C., and Vogel-Sprott, M., 1974, Discrimination of low blood alcohol levels and self-titration skills in social drinking, Q. J. Stud. Alcohol 35:87–97.
Briddell, D. W., and Nathan, P. E., 1976, Behavior assessment and modification with alcoholics: Current status and future trends, in “Progress in Behavior Modification” (M. Hersen, R. M. Eisler, and P. M. Miller, eds.) Vol. 2, Academic Press, New York.
Caddy, G. R., and Lovibond, S. H., 1976, Self-regulation and discriminated aversive conditioning in the modification of alcoholics’ drinking behavior, Behav. Ther. 7:223–230.
Cappell, H., 1975, An evaluation of tension models of alcohol consumption, in “Research Advances in Alcohol and Drug Problems” (Y. Israel et al. eds.), Wiley, New York.
Cappell, Ht, and Herman, C. P., 1972, Alcohol and tension reduction—A review, Q. J. Stud. Alcohol 33:33–64.
Caudill, B. D., and Marlatt, G. A., 1975, Modeling influences in social drinking: An experimental analogue,J. Consult. Clin. Psychol. 43:405–415.
Cautela, J. R., 1966, Treatment of compulsive behavior by covert sensitization, Psychol. Rep. 16:33–41.
Cautela, J. R., 1967, Covert sensitization, Psychol. Rep. 20:459–468.
Cautela, J. R., 1970, The treatment of alcoholism by covert sensitization, Psychotherapy: Theory, Research and Practice 7:86–90.
Cheek, F. E., Franks, C. M-, Laucius, J., and Burtle, V., 1971, Behavior modification training for wives of alcoholics, Q. J. Stud. Alcohol 32:456–461.
Cohen, M., Liebson, I. A., Faillace, L. A., and Allen, R. P., 1971, Moderate drinking by chronic alcoholics, J. New. Ment. Dis. 153:434–444.
Conger, J. J., 1951, The effects of alcohol on conflict behavior in the albino rat, Q. J. Stud. Alcohol 12:1–29.
Conger, J. J., 1956, Alcoholism: Theory, problem and challenge. II. Reinforcement theory and the dynamics of alcoholism, Q. J. Stud. Alcohol 17:291–324.
Cutter, H. S..G., Schwab, E. L., and Nathan, P. E., 1970, Effects of alcohol on its utility for alcoholics, Q. J. Stud. Alcohol 30:369–378.
Eysenck, H.J. (ed.), 1960, “Behaviour Therapy and the Neuroses,” Pergamon Press, London.
Franks, C. M., 1970, Alcoholism, In “Symptoms of Psychopathology” (C. G. Costello, ed.), Wiley, New York.
Garcia, J., Hankins, W. G., and Rusiniak, K. W., 1974, Behavioral regulation of the milieu interne in man and rat, Science 185:824–831.
Goldman, M., Taylor, A., Carruth, M., and Nathan, P. E., 1973, Effects of group decision-mak- ing on group drinking by alcoholics, Q. J. Stud. Alcohol 34:807–822.
Gottheil, E., Corbett, L. O., Grasberger, J. C., and Cornelison, F. S., Jr., 1971, Treating the alcoholic in the presence of alcohol, Am. J. Psychiatry 128:475–480.
Gottheil, E., Corbett, L. O., Grasberger, J. C., and Cornelison, F. S., Jr., 1972, Fixed interval drinking decisions: 1. A research and treatment model, Q. J. Stud. Alcohol 33:311–324.
Gottheil, E., Alterman, A. I., Skoloda, T. E., and Murphy, B. F., 1973, Alcoholics’ patterns of controlled drinking, Am. J. Psychiatry 130:418–422.
Gottheil, E., Crawford, H., and Cornelison, F. S., Jr., 1973, The alcoholic’s ability to resist available alcohol, Dis. New. Syst. 1973, 34:80–84.
Griffiths, R. R., Bigelow, G., and Liebson, I., 1974a, Assessment of effects of ethanol self-administration on social interactions in alcoholics, Psychopharmacologia 38:105–110.
Griffiths, R. R., Bigelow, G., and Liebson, I., 1974b, Suppression of ethanol self-administration in alcoholics by contingent time-out from social interactions, Behav. Res. Ther. 12:327–334.
Griffiths, R. R., Bigelow, G., and Liebson, I., 1975, Effects of ethanol self-administration on choice behavior: Money vs. socializing, Pharmacol., Biochem. Behav. 3:443–446.
Hallam, R., and Rachman, S., 1972, Theoretical problems of aversion therapy, Behav. Res. Ther. 10:341–353.
Hallam, R., Rachman, S., and Falkowski, W., 1972, Subjective, attitudinal and physiological effects of electrical aversion therapy, Behav. Res. Ther. 10:1–14.
Hedberg, A. G., and Campbell, L., 1974, A comparison of four behavioral treatments of alcoholism, J. Behav. Ther. Exp. Psychiatry 5:251–256.
Hersen, M., Miller, P., and Eisler, R., 1973, Interactions between alcoholics and their wives: A descriptive analysis verbal and nonverbal behavior, Q. J. Stud. Alcohol 34:516–520.
Higgins, R. L., and Marlatt, G. A., 1973, The effects of anxiety arousal upon the consumption of alcohol by alcoholics and social drinkers,J.Consult. Clin. Psychol. 41:426–433.
Hsu, J., 1965, Electroconditioning therapy with alcoholics: A preliminary report, Q. J. Stud. Alcohol 26:449–459.
Huber, H., Karlin, R., and Nathan, P. E., 1976, Blood alcohol level discrimination by non-alco- holics: The role of internal and external cues, Q.J. Stud. Alcohol 37:27–39.
Hunt, G. M., and Azrin, N. H., 1973, The community-reinforcement approach to alcoholism, Behav. Res. Ther. 11:91–104.
Jellinek, E. M., 1960, “The Disease Concept of Alcoholism,” College and University Press, New Haven.
Kraft, T., 1969, Alcoholism treated by systematic desensitization: A follow-up of eight cases, Journal of the Royal College of General Practice 18:336–340.
Kraft, T., and Al-Issa, I., 1967, Alcoholism treated by desensitization: A case study, Behav. Res. Ther. 5:69–70.
Laverty, S. G., 1966, Aversion therapies in the treatment of alcoholism, Psychosom. Med. 28:651–666.
Lazarus, A. A., 1965, Towards the understanding and effective treatment of alcoholism, S. Afr. Med. J. 39:736–741.
Lemere, F., and Voegtlin W. L., 1950, An evaluation of the aversion treatment of alcoholism, Q. J. Stud. Alcohol 11:199–204.
Lemere, F., Voegtlin, W. L., Broz, W. R., and O’Hallaren, P., 1942, Conditioned reflex treatment of alcohol addiction. V. Type of patient suitable for this treatment, Northwestern Medicine, Seattle 4:88–89.
Liebson, I., and Bigelow, G., 1972, A behavioural-pharmacological treatment of dually addicted patients, Behav. Res. Ther. 10:403.
Liebson, I., Bigelow, G., and Flame, R., 1973, Alcoholism among methadone patients: A specific treatment method, Am. J. Psychiatry 130:483.
Lovibond, S. H., and Caddy, G. R., 1970, Discriminated aversive control in the moderation of alcoholics’ drinking behavior, Behav. Ther. 1:437–444.
Ludwig, A. M., 1972, On and off the wagon: Reasons for drinking and abstaining by alcoholics, Q. J. Stud. Alcohol 33:91–96.
Ludwig, A. M., and Wikler, A., 1974, “Craving” and relapse to drink, Q. J. Stud. Alcohol 35:108–130.
Ludwig, A. M., Wikler, A., and Stark, L. H., 1974, The first drink, Arch. Gen. Psychiatry 30:539–547.
MacCulloch, M. J., Feldman, M. P., Orford, J. F., and MacCulloch, M. L., 1966, Anticipatory avoidance learning in the treatment of alcoholism: A record of therapeutic failure, Behav. Res. Ther. 4:187.
Marlatt, G. A., 1973a, A comparison of aversive conditioning procedures in the treatment of alcoholism, Paper read at Western Psychological Association (April 1973).
Marlatt, G. A., 1973b, Determinants of alcohol consumption in a laboratory taste-rating task: Implications for controlled drinking, Paper read at American Psychological Association (August 1973).
Marlatt, G. A., 1975a, The drinking profile: A questionnaire for the behavioral assessment of alcoholism, in “Behavior therapy assessment: Diagnosis and evaluation” (E. J. Mash and L. G. Terdal, eds.), Springer, New York.
Marlatt, G. A., 1975b, Alcohol, stress, and cognitive control, Paper read at NATO-sponsored International Conference on Dimensions of Stress and Anxiety (June-July 1975).
Marlatt, G. A., Demming, B., and Reid, J. B., 1973, Loss of control drinking in alcoholics: An experimental analogue, J Abnorm. Psychol. 81:233–241.
McGuire, R. J., and Vallance, M., 1964, Aversion therapy by electric shock, a simple technique, Br. Med. J. 1:151–152.
McNamee, H. B., Mello, N. K., and Mendelson, J. H., 1968, Experimental analysis of drinking patterns of alcoholics. Concurrent psychiatric observations, Am. J. Psychiatry, 124:1063–1069.
Mello, N. K., 1972, Behavioral studies of alcoholism, in “The Biology of Alcoholism” Vol. 2 (B. Kissin and H. Begleiter, eds.), Plenum Press, New York.
Mello, N. K., and Mendelson, J. H., 1965, Operant analysis of drinking patterns of chronic alcoholics, Nature 206:43–46.
Mello, N. K., and Mendelson, J. H., 1970, Experimentally induced intoxication in alcoholics; a comparison between programmed and spontaneous drinking, J. Pharmacol. Exp. Ther. 173:101–116.
Mendelson, J. H., and Mello, N. K., 1966, Experimental analysis of drinking behavior of chronic alcoholics, Ann. N. Y. Acad. Sci. 133:828–845.
Merry, J., 1966, The “loss of control” myth, Lancet 1:1267–1268.
Miller, P. M., 1972, The use of behavioral contracting in the treatment of alcoholism: A case report, Behav. Ther. 3:593–596.
Miller, P. M., 1975, A behavioral intervention program for chronic public drunkenness offenders, Arch. Gen. Psychiatry 32:915–918.
Miller, P. M., and Eisler, R. M., 1975, Alcohol and drug abuse, in “Behavior Modification Principles, Issues, and Applications” (W. E. Craighead, A. E. Kazdin, and M.J. Mahoney, eds.), Houghton Mifflin, Boston.
Miller, P. M., and Hersen, M., 1972a, A quantitative measurement system for alcoholism treatment and research, Paper read at Association for Advancement of Behavior Therapy.
Miller, P. M., and Hersen, M., 1972b, Quantitative changes in alcohol consumption as a function of electrical aversive conditioning, J. Clin. Psychol. 28:590–593.
Miller, P. M., and Hersen, M., 1975, Modification of marital interaction patterns between an alcoholic and his wife, in “Counseling Methods” (J. D. Krumboltz and C. E. Thoresen, eds.), Holt, Rinehart & Winston, New York.
Miller, P. M., Hersen, M., Eisler, R., and Hemphill, D. P., 1973, Electrical aversion therapy with alcoholics: An analogue study, Behav. Res. Ther. 11:491–497.
Miller, P. M., Hersen, M., and Eisler, R. M., 1974, Relative effectiveness of instructions, agreements, and reinforcement in behavioral contracts with alcoholics, J. Abnorm. Psychol. 83:548–553.
Miller, P. M., Hersen, M., Eisler, and Elkin, T. E., 1974, A retrospective analysis of alcohol consumption on laboratory tasks as related to therapeutic outcome, Behav. Res. Ther. 12:73–76.
Miller, P. M., Hersen, M., Eisler, R., and Hilsman, G., 1974, Effects of social stress on operant drinking of alcoholics and social drinkers, Behav. Res. Ther. 12:67–72.
Miller, P. M., Hersen, M., Eisler, R., and Watts, J. G., 1974, Contingent reinforcement of lowered blood alcohol levels in an outpatient chronic alcoholic, Behav. Res. Ther. 12:261–263.
Miller, P. M., Stanford, A. G., and Hemphill, D. P., 1974, A comprehensive social learning approach to alcoholism treatment, Social Casework 55:279–284.
Mills, K. C., Sobell, M. B., and Schaefer, H. H., 1971, Training social drinking as an alternative to abstinence for alcoholics, Behav. Ther. 2:18–27.
Nathan, P. E., 1976, Alcoholism, in “Handbook of Behavior Modification” (H. Leitenberg, ed.), Appleton-Century-Crofts, New York.
Nathan, P. E., Titler, N. A., Lowenstein, L. M., Solomon, P., and Rossi, A. M., 1970, Behavioral analysis of chronic alcoholism, Arch. Gen. Psychiatry 22:419–430.
Nathan, P. E., and O’Brien, J. S., 1971, An experimental analysis of the behavior of alcoholics and nonalcoholics during prolonged experimental drinking, Behav. Ther. 2:455–476.
National Institutes of Mental Health, Alcohol and Alcoholism, USPHS Publication No. 1640, Washington D.C.
Okulitch, P. V., and Marlatt, G. A., 1972, Effects of varied extinction conditions with alcoholics and social drinkers, J.Abnorm. Psychol. 79:205–211.
Paredes, A., Jones, B. M., and Gregory, D., 1974a, An exercise to assist alcoholics to maintain prescribed levels of intoxication, Alcohol Technical Reports 2:24–36.
Paredes, A., Gregory, D., and Jones, B. M., 1974b, Induced drinking and social adjustment in alcoholics, Q. J. Stud. Alcohol 35:1279–1293.
Pattison, E. M.,. 1966, A critique of alcoholism treatment concepts with special reference to abstinence, Q. J. Stud. Alcohol 27:49–71.
Pattison, E. M., Headley, E. B., Gleser, G. C., and Gottschalk, L. A., 1968, Abstinence and normal drinking: An assessment of changes in drinking patterns in alcoholics after treatment, Q. J. Stud. Alcohol 29:610–633.
Pomerleau, O. F., and Brady, J. P., 1975a, Behavior modification in medical practice, with an example from the treatment of problem drinking, Pa. Med. 78:49–53.
Pomerleau, O. F., and Brady, J. P., 1975b, Behavioral treatment of problem drinking, Paper read at Association for Advancement of Behavior Therapy (December 1975).
Rachman, S., 1961, Sexual disorders and behaviour therapy, Am. J. Psychiatry 118:235–240.
Raymond, M. J., 1964, The treatment of addiction by aversion conditioning with apomorphine, 1964, Behav. Res. Ther. 1:287–291.
Sanderson, R. E., Campbell, D., and Laverty, S. G., 1962, Traumatically conditioned responses acquired during respiratory paralysis,Nature 196:1235–1236.
Sanderson, R. E., Campbell, D., and Laverty, S. G, 1963, An investigation of a new aversion conditioning treatment for alcoholism, Q. J. Stud. Alcohol 24:261–275.
Sandler, J., 1969, Three aversive control procedures with alcoholics: A preliminary report, Paper read at Southeastern Psychological Association (April 1969).
Schaefer, H. H., Sobell, M. B., and Mills, K. C., 1971, Baseline drinking behavior in alcoholics and social drinkers: Kinds of drinks and sip magnitude, Behav. Res. Ther. 9:23–27.
Silverstein, S. J., Nathan, P. E., and Taylor, H. A., 1974, Blood alcohol level estimation and controlled drinking by chronic alcoholics, Behav. Ther. 5:1–15.
Skoloda, T. E., Alterman, A. I., Cornelison, F. S., and Gottheil, E., 1975, Treatment outcome in a drinking-decisions program, J. Stud. Alcohol 36:365–380.
Sobell, L. C., and Sobell, M. B., 1975, Self-reports by alcoholics, J. New. Ment. Dis. 161:32–42.
Sobell, M. B., and Sobell, L. C., 1973a, Individualized behavior therapy for alcoholics, Behav. Ther. 4:49–72.
Sobell, M. B., and Sobell, L. C., 1973b, Alcoholics treated by individualized behavior therapy: One year treatment outcome,Behav. Res. Ther. 11:599–618.
Sobell, M. B., and Sobell, L. C., 1976, Second-year treatment outcome of alcoholics treated by individualized behavior therapy: Results, Behav. Res. Ther. 14:195–215.
Sobell, M. B., Sobell, L. C., and Samuels, F. H., 1974, Validity of self-reports of alcohol-related arrests by alcoholics, Q. J. Stud. Alcohol 35:276–280.
Steffen, J. J., 1975, Electromyographically induced relaxation in the treatment of chronic alcohol abuse, J. Consult. Clin. Psychol. 43:275.
Steffen, J. J., Nathan, P. E., and Taylor, H. A., 1974, Tension-reducing effects of alcohol: Further evidence and some methodological considerations,J. Abnorm. Psychol. 83:542–547.
Sulzer, E. S., 1965, Behavior modification in adult psychiatric patients, in “Case Studies in Behavior Modification” (L. P. Ullman and L. Krasner, eds.), Holt, Rinehart, & Winston, New York.
Summers, T., 1970, Validity of alcoholics’ self-reported drinking history, Q. J. Stud. Alcohol 31:972–974.
Thimann, J., 1949, Conditioned reflex treatment of alcoholism. II. The risk of its application, its indications, contraindications, and pscychotherapeutic aspects, N. Eng. J. Med. 241:408–410.
Thornton, C. C., Alterman, A. I., Skoloda, T. E., and Gottheil, E., 1975, Drinking and Socializing in “introverted” and “extraverted” alcoholics, Paper read at National Council on Alcoholism annual meeting (April 1975).
Tracey, D., Karlin, R., and Nathan, P. E., 1976, Experimental analysis of chronic alcoholism in four women, J. Consult. Clin. Psychol, (in press).
Vogel-Sprott, M., 1975, Self-evaluation of performance and the ability to discriminate blood alcohol concentrations, J.Stud. Alcohol 36:1–10.
Voegtlin, W. L., 1940, The treatment of alcoholism by establishing a conditioned reflex, American Journal of Medical Science 199:802–809.
Voegtlin, W. L., 1947, Conditioned reflex therapy of chronic alcoholism: Ten years’ experience with the method, Rocky Mount. Med. J. 44:807–812.
Vogler, R. E., Lunde, S. E., Johnson, G. R., and Martin, P. L., 1970, Electrical aversion conditioning with chronic alcoholics, J. Consult. Clin. Psychol. 34:302–307.
Vogler, R. E., Lunde, S. E., and Martin, P. L., 1971, Electrical aversion conditioning with chronic alcoholics: Follow-up and suggestions for research, J. Consult. Clin. Psychol. 36:450.
Vogler, R. E., Compton, J. V., and Weissbach, T. A., 1975, Integrated behavior change techniques for alcoholics, J. Consult. Clin. Psychol. 43:233–243.
Wiens, A. N., Montague, J. R., Manaugh, T. S., and English, C. J., 1975, Pharmacologic aversive counterconditioning to alcohol in a private hospital: One year follow-up, Unpublished manuscript, University of Oregon Medical School.
Williams, R. J., 1948, Alcoholics and metabolism, Scientific American 179:50–53.
Williams, R. J., and Brown, R. A., 1974, Differences in baseline drinking behavior between New Zealand alcoholics and normal drinkers, Behav. Res. Ther. 12:287–294.
Williams, T. K., 1970, The ethanol-induced loss of control concept in alcoholism, Ed.D. dissertation, Western Michigan University.
Wilson, G. T., and Davison, G. C., 1969, Aversion techniques in behavior therapy: Some theoretical and metatheoretical considerations. J. Consult. Clin. Psychol. 33:327–329.
Wilson, G. T., and Rosen, R. C., 1975, Training controlled drinking in an alcoholic through a multifaceted behavioral treatment program: A case study, in “Counseling Methods” (J. D. Krumboltz and C. E. Thoreson, eds.), Holt, Rinehart & Winston, New York.
Wilson, G. T., and Tracey, D. A., 1975, An experimental investigation of the effects of covert sensitization on excessive drinking by chronic alcoholics, Unpublished manuscript, Rutgers University.
Wilson, G. T., Leaf, R., and Nathan, P. E., 1975, The aversive control of excessive drinking by chronic alcoholics in the laboratory setting, J. Appl. Behav. Anal. 8:13–26.
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Nathan, P.E., Briddell, D.W. (1977). Behavioral Assessment and Treatment of Alcoholism. In: Kissin, B., Begleiter, H. (eds) The Biology of Alcoholism. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-4199-4_8
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