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 concerning the nature of alcohol difficulties were present process dramatic switch over the last a number of years. This booklet summarizes the scientific learn now we have carried out over the last 8 years; examine which has evoked controversy and which, we are hoping, should be evaluated as having been influential within the improvement of a systematic method of the scientific remedy of alcohol difficulties. even though we reference many reports from the final behavioral literature on alcohol difficulties, we make no pretense of proposing a radical assessment of that literature. quite often, this booklet makes a speciality of the learn we now have carried out, the explanation for that strategy, and a close dialogue of equipment and effects which can't be provided in magazine articles. The ebook starts off through giving the reader a standpoint on conventional thoughts within the alcohol box, and why these options are actually being challenged. inside that conceptual framework, we then hint the improvement and class of our medical examine, providing for the 1st time in one paintings a whole attention of the explanation, tools, and result of the learn of Individualized Be­ havior treatment (IBT) for alcoholics. Following a dialogue of a number of the extra refined points of that learn and its effects, we describe how IBT can be utilized in an outpatient setting-the surroundings during which we've got carried out medical examine for the final six years.

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

Example text

Of 86-proof alcohol daily for an extended period of time had developed no physiological cravings for alcohol. , physical dependence on alcohol). The second line of evidence that suggested some alcoholics could resume non problem drinking stemmed from 39 published studies reporting such outcomes. Lest the reader miss the significance of this point, these 39 studies were in the published literature prior to 1970. Furthermore, it will be remembered from our earlier discussion that the overwhelming majority of these studies did not employ a controlled drinking treatment goal.

Moreover, the model provides a structure which forces the clinician to become aware of the behavioral complexities of drinking and the possibility of unanticipated consequences. , SiD implies that a complex of discriminative stimuli (SD) are usually present for a given individual at any given time. This symbol is preferred over a single SD, as it indicates that most situations related to drinking involve a large number of poten- Functional Analysis of Drinking Behavior 39 tially effective setting events.

Six major classes of possible responses are delineated. These response classes include not only the full range of alternative responses (options) for a given situation but also a symbol indicating that each response class has an associated probability of occurrence in that given situation. Relative response strength, or probability, is an important consideration, as it is indicative of the individual's learning history. Self-damaging (inappropriate) nondrinking responses are included to emphasize that the adequacy of the various response possibilities must be determined by their expected consequences.

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