Behavioral alcohol treatment research advances: Barriers to utilization

Miller, William R.

doi:10.1016/0146-6402(87)90012-9

Cited by 21 publications

(6 citation statements)

References 80 publications

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“…Scientists have tended to rely on academic journals for the dissemination of new knowledge, but very few substance abuse clinicians use such journals to inform their practice (Miller, 1987b;Sobell, 1996). A survey of 99 directors of alcoholism treatment centers found that treatment providers preferred to obtain information by faceto-face interaction (e.g., workshops and consultation with colleagues) and made very limited use of scientific books, journals, and conferences (Levinson, Schaefer, Sylvester, Meland, & Haugen, 1982).…”

Section: How Open Are Clinicians To Innovation?mentioning

confidence: 99%

See 1 more Smart Citation

Disseminating evidence-based practices in substance abuse treatment: A review with suggestions

Miller¹,

Sorensen²,

Selzer³

et al. 2006

Journal of Substance Abuse Treatment

361

347

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Section: How Open Are Clinicians To Innovation?mentioning

confidence: 99%

“…Research tends to be published in outlets and formats that are relatively inaccessible to busy practitioners, often with little effort given to addressing and adapting it to the needs of community programs (Miller, 1987a). Researchers and clinicians have operated in zones of comfort with too little overlap.…”

Section: Barriers For Adopting Ebtsmentioning

confidence: 99%

Disseminating evidence-based practices in substance abuse treatment: A review with suggestions

Miller¹,

Sorensen²,

Selzer³

et al. 2006

Journal of Substance Abuse Treatment

361

347

View full text Add to dashboard Cite

“…Nathan and colleagues found that inpatient treatment produced no greater benefits than did outpatient treatment and that intensive alcoholism treatment was not cost-effective. NIAAA asked Wallace to revise this draft, which he did by softening its major points and eliminating a number of references and key concl usions by the original authors, after which Nathan, McCrady, and Longabaugh withdrew their names from the document (Miller 1987). mentioned specifically two studies in his rebuttal to my article that he likewise emphasized in the Sixth Special Report.…”

Section: Evaluating Treatment Outcomesmentioning

confidence: 93%

Why and by Whom the American Alcohol Treatment Industry Is Under Siege

Peele

1990

Journal of Psychoactive Drugs

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Conventional disease-based inpatient alcoholism treatment is under attack in the United States and internationally because it accomplishes little beyond simple counseling and is less effective than other life-skill-oriented therapies. Nonetheless, disease-model adherents retain a stranglehold on American alcoholism treatment and attack all "nontraditionalists" who question their approaches. One such attack by Wallace (1989) is discussed. In addition, Wallace's claim that his treatment program at Edgehill Newport as well as other private treatment centers have remission rates ten times as high as those found for typical hospital treatments is examined critically. Finally, the group of researchers who question at least some elements of the standard wisdom about alcoholism and addiction is found to include nearly every major research figure in the field.

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“…Esto ya fue apuntado por Miller (1987), quién refiriéndose a los tratamientos del alcoholismo, indicaba que demostrar que nuestras técnicas funcionan no es suficiente; hay que hacérselas llegar a los clínicos y convencerlos de que funcionan, dado que en éste como en otros campos, con frecuencia los clínicos ignoran las publicaciones útiles y relevantes. Además, la mayoría de las revistas científicas son inaccesibles a los clí-nicos y cuando las leen les parece difícil de leer, con estadísticos pEira ellos incomprensibles y que hace que no sean fáciles de manejar.…”

Section: La Escasa Incidencia De La Investigación En La Práctica Clínicaunclassified

La discrepancia entre la investigación y la práctica clínica de la terapia de conducta

Iglesias¹

1999

RPPC

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La terapia y modificación de conducta se ha consolidado como la terapia psicológica de mayor relevancia y eficacia en sus 40 años de existencia. Sin embargo cada vez más se hace evidente el surgimiento de discrepancias entre la investigación que sustenta sus técnicas de tratamiento y la práctica de la misma por parte de los psicólogos clínicos. Se analizan distintas discrepancias que se vienen arrastrado desde hace años (p. ej., el diagnóstico psiquiátrico; evaluación conductual vs. psicodiagnóstico clásico; casos simples vs. complejos; tratamientos simples vs. complejos; tratamiento fijo vs. cambiante; terapeutas en la investigación y en la práctica clínica; los diseños de caso único; criterio clínico vs. estadístico; poblaciones análogas vs. clínicas; duración de la terapia; éxitos y fracasos; y, seguimientos] así como la situación actual. Dentro de ésta se analiza el estado de las anteriores así como la escasa incidencia de la investigación en la práctica clínica, el paso del entrenamiento formal a la práctica clínica, el tiempo dedicado a la lectura (actualización) por parte de los clínicos e investigadores, la primacía de varios problemas clínicamente representativos, la eñcacia en la investigación y práctica clínica y sus puntos fuertes y débiles. Se concluye que una parte importante de lo expuesto se relaciona con el paso de la teoría a la práctica y de la práctica a la tecnología y que ello es habitual en todas las ciencias aplicadas. El ser conscientes de ello puede ayudar a solventar algunas de las discrepancias que se han analizado.Palabras clave: terapia de conducta, modificación de conducta, investigación, prácti-ca clínica, discrepancias. Discrepancias between research and cUnical practice ofbehavior therapyBehavior therapy and modification, with 40 years of history, it is today Consolidated as the more relevant and efficcient of the psychological treatments. However it becomes evident the emergence of discrepancies among the investigation that sustain their treatment techniques and the practice of the same one on the part of the clinical psychologist. Different discrepancies are analyzed that are come crawling for years (e.g., the role of psychiatric diagnosis; behavioral assessment vs. traditional psychological assessment; single cases vs. complex cases; fíxed treatment vs. changing treatment; therapist in the research and in the clinical practice; the designs of N=l; the clinical significance vs. the statistical signiñcance; analogue samples vs. clinical samples; duration of therapy; successes and failures; and follow-ups) as well as the current situation. We analized the state of the previous one as well as the little incidence of the research in the clinical practice, the step of the formal training to the clinical practice, the time dedicated to the reading on the part of the clinical and researchers, the primacy of several problems clinically representatives, the effectiveness in the research and in the clinical practice, and its strong and weaks points. We conclude that an important part of...

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Behavioral alcohol treatment research advances: Barriers to utilization

Cited by 21 publications

References 80 publications

Disseminating evidence-based practices in substance abuse treatment: A review with suggestions

Disseminating evidence-based practices in substance abuse treatment: A review with suggestions

Why and by Whom the American Alcohol Treatment Industry Is Under Siege

La discrepancia entre la investigación y la práctica clínica de la terapia de conducta

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