Abstract
In recent years there have been increasing applications of self-control techniques in clinical settings. Concurrent with this trend, there has been increasing empirical support for social learning conceptualizations of alcohol abuse, providing a theoretical rationale for the use of a self-control approach in alcohol abuse treatment. Accordingly, the outcome evaluation literature on the use of self-control techniques in the treatment of alcohol abuse is reviewed and critiqued. It was found that methodological problems limit the conclusions that can be drawn regarding the efficacy of self-control techniques, and it is argued that better designed evaluations would have theoretical and practical implications for alcohol abuse treatment. Several conceptual questions that should be considered in future outcome studies are discussed.
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References
Alden, L. (1978). Evaluation of a preventive self-management programme for problem drinkers.Canadian Journal of Behavioral Sciences, 10 258–263.
Anant, S. S. (1967). A note on the treatment of alcoholics by a verbal aversion technique.Canadian Psychologist, 1 19–22.
Anant, S. S. (1968). The use of verbal aversion (negative conditioning) with an alcoholic: A case-report.Behaviour Research and Therapy, 6 395–396.
Ashem, B., & Donner, L. (1968). Covert sensitization with alcoholics: a controlled replication.Behaviour Research and Therapy, 6 7–12.
Baker, T. B., Udin, H., & Vogler, R. E. (1975). The effects of videotaped modeling and self-confrontation on the drinking behavior of alcoholics.International Journal of the Addictions, 10 779–793.
Bandura, A. (1974). Self-reinforcement processes. Reprinted in M. J. Mahoney & C. E. Thoresen (Eds.),Self-control: Power to the person. Monterey, California: Brooks/Cole.
Caddy, G. R., & Lovibond, S. H. (1976). Self-regulation and discriminated aversive conditioning in the modification of alcoholics' drinking behavior.Behavior Therapy, 7 223–230.
Cautela, J. R. (1966). Treatment of compulsive behavior by covert sensitization.Psychological Record, 16 33–41.
Cautela, J. R. (1967). Covert sensitization.Psychological Reports, 20 459–468.
Cummings, C., Gordon, J. R., & Marlatt, G. A. (1980). Relapse: Prevention and prediction. In W. R. Miller (Ed.),The addictive behaviors. New York: Pergamon Press.
Elkins, R. L. (1980). Covert sensitization treatment of alcoholism: Contributions of successful conditioning to subsequent maintenance.Addictive Behaviors, 5 67–89.
Engle, K. B., & Williams, T. K. (1972). Effect of an ounce of vodka on alcoholics' desire for alcohol.Quarterly Journal of Studies on Alcohol, 33 1099–1105.
Glatt, M. M. (1967). The question of moderate drinking despite “loss of control.”British Journal of Addiction, 62 267–274.
Glatt, M. M. (1976). Alcoholism disease concept and loss of control revisited.British Journal of Addiction, 71 135–144.
Goldfried, M. R., & Merbaum, M. (Eds.). (1973).Behavior change through self-control. New York: Holt, Rinehart & Winston.
Hedberg, A. G., & Campbell, L. (1974). A comparison of four behavioral treatments of alcoholism.Journal of Behavior Therapy and Experimental Psychiatry, 5 251–256.
Hunt, W. A., Barnett, L. W., & Branch, L. G. (1971). Relapse rates in addiction programs.Journal of Clinical Psychology, 27 455–456.
Jellinek, E. M. (1960).The disease concept of alcoholism. New Haven: College and University Press.
Kanfer, F. H. (1977). The many faces of self-control, or behavior modification changes its focus. In R. B. Stuart (Ed.),Behavioral self-management. New York: Brunner/Mazel.
Kanfer, F. H. (1980). Self-management methods. In F. H. Kanfer & A. P. Goldstein (Eds.),Helping people change: A textbook of methods (2nd ed.). New York: Pergamon Press.
Keller, M. (1972). On the loss-of-control phenomenon in alcoholism.British Journal of Addiction, 67 153–166.
Kirschenbaum, D. S., & Tomarken, A. J. (1982). On facing the generalization problem: The study of self-regulatory failure. In P. C. Kendall (Ed.),Advances in cognitive-behavioral research and therapy (Vol. 1). New York: Academic Press.
Lovibond, S. H. (1975). Use of behavior modification in the reduction of alcohol-related road accidents. In T. Thomson & W. S. Dockens, III (Eds.),Applications of behavior modification. New York: Academic Press.
Mahoney, M. J., & Thoresen, C. E. (1974).Self-control: Power to the person. Monterey, California: Brooks/Cole.
Maisto, S. A., & Caddy, G. R. (1981). Self-control and addictive behavior: Present status and prospects.International Journal of the Addictions, 16 109–133.
Maisto, S. A., & Schefft, B. K. (1977). The constructs of craving for alcohol and loss of control drinking: Help or hindrance to research.Addictive Behaviors, 2 207–217.
Marlatt, G. A. (1978). Craving for alcohol, loss of control, and relapse: A cognitive-behavioral analyses. In P. E. Nathan, G. A. Marlatt, & T. Loberg (Eds.),Alcoholism: New directions in behavioral research and treatment. New York: Plenum Press.
Marlatt, G. A., Demming, B., & Reid, J. B. (1973). Loss of control drinking in alcoholics: An experimental analogue.Journal of Abnormal Psychology, 81 233–241.
Marlatt, G. A., & Gordon, J. R. (1980). Determinants of relapse: Implications for the maintenance of behavior change. In P. O. Davidson & S. M. Davidson (Eds.),Behavioral medicine: Changing health lifestyles. New York: Brunner/Mazel.
Merry, J. (1966). The “loss of control” myth.Lancet, 1 1257–1258.
Miller, P. M. (1976).Behavioral treatment of alcoholism. New York: Pergamon.
Miller, W. R (1978). Behavioral treatment of problem drinkers: A comparative outcome study of three controlled drinking therapies.Journal of Consulting and Clinical Psychology, 46 74–86.
Miller, W. R., Gribskov, C. J., & Mortell, R. L. (1981). Effectiveness of a self-control manual for problem drinkers with and without therapist contact.International Journal of the Addictions, 16 1247–1254.
Miller, W. R., & Munoz, R. (1976).How to control your drinking. Englewood Cliffs, New Jersey: Prentice-Hall.
Miller, W. R., Pechacek, T. F., & Hamburg, S. (1981). Group behavior therapy for problem drinkers.International Journal of the Addictions, 16 829–839.
Miller, W. R., & Taylor, C. A. (1980). Relative effectiveness of bibliotherapy, individual and group self-control training in the treatment of problem drinkers.Addictive Behaviors, 5 13–24.
Miller, W. R., Taylor, C. A., & West, J. C. (1980). Focused versus broad-spectrum behavior therapy for problem drinkers.Journal of Consulting and Clinical Psychology, 48 590–601.
Pattison, E. M. (Ed.). (1982).Selection of treatment for alcoholics. New Brunswick, New Jersey: Rutgers Center of Alcohol Studies.
Pendery, M. L., Maltzman, I. M., & West, L. J., (1982). Controlled drinking by alcoholics? New findings and a reevaluation of a major affirmative study.Science, 217 169–175.
Piorkowski, G. K., & Mann, E. T. (1975). Issues in treatment efficacy research with alcoholics.Perceptual and Motor Skills, 41 695–700.
Pomerleau, O., Pertschuk, M., Adkins, D., & d'Aquili, E. (1978). Treatment for middle income problem drinkers. In P. E. Nathan, G. A. Marlatt, & T. Loberg (Eds.),Alcoholism: New directions in behavioral research and treatment. New York: Plenum Press.
Richards, C. S. (1978). When self-control fails: Selective bibliography of research on the maintenance problem in self-control treatment programs.JSAS Catalog of Selected Documents in Psychology, 8 67–68.
Rimm, D. C., & Masters, J. C. (1979).Behavior therapy (2nd ed.). New York: Academic Press.
Sanchez-Craig, M., & Walker, K. (1982). Teaching coping skills to chronic alcoholics in a coeducational halfway house: I. Assessment of programme effects.British Journal of Addiction, 77 35–50.
Smith, R. E., & Gregory, P. B. (1976). Covert sensitization by induced anxiety in the treatment of an alcoholic.Journal of Behavior Therapy and Experimental Psychiatry, 7 31–33.
Sobell, L., & Sobell, M. (1982). Alcoholism treatment outcome evaluation methodology. In National Institute on Alcohol Abuse and Alcoholism,Prevention, intervention and treatment: Concerns and models, Alcohol and Health Monograph No. 3. Washington, D.C.: U.S. Government Printing Office.
Sobell, M. B., & Sobell, L. C. (1973). Individualized behavior therapy for alcoholics.Behavior Therapy, 4 49–72.
Tepfer, K. S., & Levine, B. A. (1977). Covert sensitization with internal aversive cues in the treatment of chronic alcoholism.Psychological Reports, 41 92–94.
Thoresen, C. E., & Coates, J. T. (1976). Behavioral self-control: Some clinical concerns. In M. Hersen, R. M. Eisler, & P. M. Miller (Eds.),Progress in behavior modification (Vol. 2). New York: Academic Press.
Thoresen, C. E., & Mahoney, M. J. (1974).Behavioral self-control. New York: Holt, Rinehart & Winston.
Tuchfeld, B. S. (1981). Spontaneous remission in alcoholic persons: Empirical observations and theoretical implications.Journal of Studies on Alcohol, 42 626–641.
Wilson, G. T., & Tracey, D. A. (1976). An experimental analysis of aversive imagery versus electrical aversive conditioning in the treatment of chronic alcoholics.Behaviour Research and Therapy, 14 41–51.
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We thank Michael P. Carey for his helpful comments on an earlier draft of this paper.
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Carey, K.B., Maisto, S.A. A review of the use of self-control techniques in the treatment of alcohol abuse. Cogn Ther Res 9, 235–251 (1985). https://doi.org/10.1007/BF01183844
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DOI: https://doi.org/10.1007/BF01183844