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MMPI Profiles of 11 Caucasian, 11 Hispanic American, and 11 American Indian alcoholics were compared. The subjects were chosen randomly from among veterans in treatment for alcoholism at a small VA Medical Center. Subjects represented similar secondary diagnoses and did not differ significantly in age or education. One-way nonrepeated-measures analyses of variance on validity, clinical and the MacAndrews Alcoholism Scales showed significance only for Scale 2 scores, elevated for the Hispanic American group but within the normal range. Examination of dominant highpoint code types in each group indicated primarily 4 or 49 for the Caucasians and 24 for the Hispanic Americans. American Indian subjects were more heterogeneous with 1, 6, or 9 highpoints. Generally, the resultant profiles conform to previously published alcoholic MMPI prototypes, supporting use of the MMPI for the population studied. The results do not support development of separate MMPI norms for psychiatric subjects from these minority groups, but cross-validation on a larger sample is required.

The relationship between aging and various drinking styles was examined. Four age groups (25-34, 35-44, 45-54, and 55-65 years) and four drinking styles (nondrinkers, social drinkers, alcoholics, and abstinent alcoholics) were compared. A battery of eight neuropsychological tests was administered to 322 men; 72 nondrinkers, 100 social drinkers, 58 abstinent alcoholics, and 92 alcoholics. Cognitive dysfunction related to aging was found to be a more significant factor than decline with alcohol use. Cognitive dysfunction associated with alcohol use was significant for three Wechsler Adult Intelligence Scale subtests; Vocabulary, Digit Symbol and Block Design. Alcohol-related differences in intellectual functioning tended to diminish with increasing subject age.

Eighty-six male alcoholic inpatients were randomly assigned to comparable 3- or 5-week treatment progrrams. Psychometric testing at the beginning and the end of treatment was supplemented by follow-up data 6 months after discharge. While both the 3- and 5-week groups demonstrated significant improvement on both MMPI and follow-up data, few differences between the groups were revealed. The comparable results obtained offer little justification for prolonging inpatient treatment beyond 3 weeks. It is suggested that the inpatient phase of alcohol treatment be brief and oriented to developing a well-structured extended outpatient program.

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