Alcohol Research

Journal covering alcohol research.

Articles from Vol. 23, No. 2, 1999

Alcoholism Treatment in the United States: An Overview
On any given day, more than 700,000 people in the United States receive alcoholism treatment in either inpatient or outpatient settings. For many of those patients, detoxification-with or without pharmacotherapy-is the first step of treatment. The major...
Brief Intervention in Primary Care Settings: A Primary Treatment Method for At-Risk Problem, and Dependent Drinkers
Primary health care providers identify and treat many patients who are at risk for or are already experiencing alcohol-related problems. Brief interventions-counseling delivered by primary care providers in the context of several standard office visits-can...
Cognitive-Behavioral Coping-Skills Therapy for Alcohol Dependence: Current Status and Future Directions
Cognitive-behavioral coping-skills training (CBST) is an alcoholism treatment approach aimed at improving the patients' cognitive and behavioral skills for changing their drinking behavior. CBST encompasses a variety of approaches that despite their...
Contingency Management: Incentives for Sobriety
Contingency management (CM), the systematic reinforcement of desired behaviors and the withholding of reinforcement or punishment of undesired behaviors, is an effective strategy in the treatment of alcohol and other drug (AOD) use disorders. Animal...
Coping-Skills Training and Cue-Exposure Theraphy in the Treatment of Alcoholism
Coping-skills training (CST) and cue-exposure treatment (CET) are two relatively new approaches in alcoholism treatment. With CST, the therapist tries to strengthen the patient's skills in coping with situations associated with a high risk of drinking....
Diagnosis and Treatment of Alcohol-Dependent Patients with Comorbid Psychiatric Disorders
Psychiatric disorders occur more often among alcoholics than among the general population. The psychiatric disorders that alcoholics most frequently experience include mood disorders (e.g., depression), anxiety disorders, and antisocial personality disorder....
Medications to Treat Alcoholism
Advances in neurobiology support the development of medications to treat alcoholism by modifying the activity of specific chemical messengers (ie., neurotransmitters) in the brain. Among the most promising new medications is acamprosate, which appears...
Motivation for Change and Alcoholism Treatment
Motivation plays an important role in alcoholism treatment by influencing patients to seek, complete, and comply with treatment as well as make successful long-term changes in their drinking. Both alcohol-abusing and alcohol-dependent people can be classified...
Professional Interventions That Facilitate 12-Step Self-Help Group Involvement
Facilitating patients' involvement with 12-step self-help organizations, such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA), is often a goal of substance abuse treatment. Twelve-step-facilitation (TSF) interventions have been found to he...
Relapse Prevention: An Overview of Marlatt's Cognitive-Behavioral Model
Relapse prevention (RP) is an important component of alcoholism treatment. The RP model proposed by Marlatt and Gordon suggests that both immediate determinants (e.g., high-risk situations, coping skills, outcome expectancies, and the abstinence violation...
The Community-Reinforcement Approach
The community-reinforcement approach (CRA) is an alcoholism treatment approach that aims to achieve abstinence by eliminating positive reinforcement for drinking and enhancing positive reinforcement for sobriety. CRA integrates several treatment components,...
Treating Problem Drinking
Recent data suggest that most people experiencing alcohol problems have problems of mild to moderate severity. Relative to alcoholics, these drinkers have a shorter problem-drinking history, greater social and economic stability, and greater personal...
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