A retrospective analysis of alcohol consumption on laboratory tasks as related to therapeutic outcome

Miller, Peter M.; Hersen, Michel; Eisler, Richard M.; Elkin, Thomas E.

doi:10.1016/0005-7967(74)90095-3

Cited by 33 publications

(7 citation statements)

References 8 publications

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“…A similar paradigm had been used by Miller, Hersen, Eisler and Elkin (1974), for example. Small quantities of a variety of three alcoholic and three non-alcoholic drinks were provided to clients who were then asked to rate them, whilst unsupervised, on a variety of dimensions.…”

Section: Using Alcohol In Assessment and Treatmentmentioning

confidence: 93%

Idiosyncratic patterns of drinking in long-term successful controlled drinkers

Booth

2006

Addiction Research & Theory

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A historical summary is given of the clinical application of assessment and treatment procedures emanating from the new model of problem drinking that was emerging in the 1970s contemporaneously with the opening of the Windsor Clinic in Liverpool. Learning from the sometimes unexpected long-term outcomes of treated clients has provided invaluable feedback for this service. Controlled drinking is a goal choice selected by most clients at treatment entry but is a long-term successful drinking status found less commonly than abstinence. A sample of 10 clients who have been successful in maintaining controlled drinking after treatment for an average of 5 years is described. Common strategies that these individuals have adopted -including an initial period of abstinence, maintaining regular attendance at the agency, alcohol consumption levels considerably less than recommended limits and avoiding distilled spirits and solitary drinking -appear to be important.

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Section: Using Alcohol In Assessment and Treatmentmentioning

confidence: 93%

Idiosyncratic patterns of drinking in long-term successful controlled drinkers

Booth

2006

Addiction Research & Theory

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“…This article is intended solely for the personal use of the individual user and is not to be disseminated broadly. Miller, Hersen, Eisler, & Elkin, 1974). However, some studies support the relation between cue reactivity and relapse.…”

Section: Laboratory Studiesmentioning

confidence: 99%

“…Although cue reactivity seems to be a robust phenomenon, the question arises as to its ability to predict relapse following abstinence. Measures obtained in the laboratory may bear little relation to actual relapse; even samples of consummatory behaviors may be subject to multiple influences, rendering them questionable as analogues to real-world behavior (although see Miller, Hersen, Eisler, & Elkin, 1974). However, some studies support the relation between cue reactivity and relapse.…”

Section: Studies Of Cue Reactivitymentioning

confidence: 99%

Relevance of cue reactivity to understanding alcohol and smoking relapse.

Niaura

Rohsenow

Binkoff

et al. 1988

Journal of Abnormal Psychology

697

458

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Several learning-based theories have been forwarded to account for the problem of drug relapse, including conditioned withdrawal, conditioned compensatory responding, appetitive motivational models, and social learning models. The various models are compared and evaluated against available evidence from studies with humans pertaining to alcohol and tobacco addiction. Studies that are reviewed focus primarily on the antecedents and consequences of alcohol and smoking relapse, as well as on reactions to cues that have been associated with prior drug ingestion, in an attempt to understand their motivational relevance. Problems in evaluating the various relapse models in humans are discussed. It is concluded that the appetitive model is better supported than the withdrawal model, and the compensatory model is least supported. Reactions to substance use stimuli may play an important role in alcohol and smoking relapse. Concepts drawn from the various theoretical models are linked tentatively in a schematic diagram of a hypothesized sequence of cognitive/affective, physiological, and behavioral events that lead to initial drug use after a period of abstinence (slip) and then to continued use (a relapse). The treatment implications of some of the cue reactivity models are discussed.

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“…To unobtrusively measure levels of beer consumption, we asked participants to taste and then rate beverages on characteristics including taste, price, and color during a 15-min drinking period in accord with procedures elaborated by Marlatt, Demming, and Reid (1973). This procedure has been shown to be sensitive to levels of alcohol consumption in alcoholics versus social drinkers and has been successfully used to predict alcohol treatment outcome (Miller, Hersen, Eisler, & Eichler, 1974) and ad libitum drinking rates for alcoholic women (Tracey, Karlin, & Nathan, 1974). Test-retest reliability after 6 weeks was .72 for a group of 12 male social drinkers (Marlatt, Pagano, Rose, & Marques, 1975).…”

Section: Materials and Measuresmentioning

confidence: 99%