Enabling behavior in a clinical sample of alcohol-dependent clients and their partners

Rotunda, Rob J.; West, Laura; O’Farrell, Timothy J.

doi:10.1016/j.jsat.2004.01.007

Cited by 64 publications

(44 citation statements)

References 32 publications

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“…Enabling behavior expresses and reinforces the belief in one's worth. Rotunda, West, and O'Farrell's (2004) enabling research supports this interpretation. They found the CO belief most powerfully predictive of enabling was, "My partner can't get along without my help" (p. 274).…”

Section: Benefits Of Alcoholic Relationshipsmentioning

confidence: 61%

Benefits and Costs of Alcoholic Relationships and Recovery Through Al-Anon

Young

Timko

2014

Substance Use & Misuse

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Alcoholic relationships may benefit concerned others by preserving self-identity, social identity, values, security, stability, and hope. Costs of alcoholic relationships include physical symptoms, injury, mental problems, financial difficulty, legal troubles, and relational distress. Al-Anon is perceived beneficial for six primary reasons: Al-Anon philosophy, format, social support, accessibility, effectiveness, and potential to change the drinker's behavior. Possible costs of Al-Anon include marginalization of the concerned other, blame, codependent pathology, sexist stereotyping, substitute dependency, and perpetuating victimization. Conclusions/Importance: The identified costs and benefits of alcoholic relationships and help-seeking in Al-Anon can help to model decision-making processes using existing behavioral health frameworks without defaulting to the stigmatized and ambiguous codependence terminology.

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Section: Benefits Of Alcoholic Relationshipsmentioning

confidence: 61%

Benefits and Costs of Alcoholic Relationships and Recovery Through Al-Anon

Young

Timko

2014

Substance Use & Misuse

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“…Foram rastreados potenciais 55 arti gos, sendo incluídos nesta revisão 16 arti gos que preencheram os critérios de inclusão e exclusão mencionados para esta revisão 8,9,14,17,[30][31][32][33][34][35][36][37][38][39][40][41] . A Tabela 1 mostra os arti gos incluídos, suas respecti vas metodologias e os principais achados e comentários dos estudos avaliados.…”

Section: Resultsunclassified

Codependency in families of alcohol and other drug users: is it in fact a disease?

Diehl

Silva²,

Bosso³

2017

Revista Debates Em Psiquiatria

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ResumoO conceito de codependência, embora muito popular no meio clínico do campo das dependências químicas, segue sendo considerado um constructo muito criticado e controverso no meio científico. Nosso objetivo foi avaliar o estado da arte sobre o constructo de codependência de familiares de usuários de álcool e outras drogas quanto à etiologia e outros possíveis fatores relacionados. Tratase de uma revisão da literatura através da busca de artigos indexados em bases de dados, publicados nos idiomas inglês, português e espanhol, utilizando-se os descritores codependência, transtornos relacionados ao uso de substâncias e família. Foram incluídos 16 artigos nesta revisão, os quais retratam que o conceito de codependência segue teorizado e pouco explorado de forma empírica. Tentativas de escalas de rastreio foram realizadas sem replicações de estudos de campo. De uma forma geral, aqueles que se autoidentificam como pessoas codependentes, uma vez que recebem suporte, relatam alguns benefícios positivos. O termo, mais do que um conceito psicológico de fato validado, parece representar um movimento social que deu empoderamento aos membros das famílias de usuários de álcool e outras drogas. Mais estudos de campo sobre a validação conceitual da codependência e os fatores a ela relacionados devem ser conduzidos, a fim de corroborar sua real utilidade clínica e ampliação de evidência da existência desse fenômeno. Palavras-chave:Codependência, transtornos relacionados ao uso de substâncias, família. AbstractThe concept of codependency is very popular in the clinical setting in the field of addiction but continues to be a highly criticized and controversial construct in the scientific literature. The objective of this paper was to evaluate state-of-the-art information on the construct of codependency of family members of users of alcohol and other drugs with regard to etiology and other possible related factors. In this literature review, databases were searched for indexed articles published in English, Portuguese, and Spanish, using the keywords codependency, substance-related disorders, and family. A total of 16 articles were included in the review; according to these articles, the concept of codependency continues to be essentially theoretical and little explored empirically. Attempts have been made to use screening scales, but replication in field studies are lacking. Overall, individuals who self-identify as codependent report positive benefits -probably because they receive support. The term codependency, more than a validated psychological concept, seems to represent a social movement that has empowered family members of users of alcohol and other drugs. More field studies are necessary to achieve the conceptual validation of codependency, as well as to investigate factors related to it. Only then will the real clinical usefulness of this phenomenon be confirmed, and the body of evidence of its existence expanded.

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“…Heavy alcohol use correlates negatively with marital satisfaction [13 ]and many alcoholic couples (in which one of both partners abuses alcohol) report low marital [14, 15] and sexual satisfaction [16, 17], elevated rates of marital verbal aggression [18], and marital violence [19, 20]. In addition, it has been found that stressful marital functioning negatively reinforces alcohol use [21] and may facilitate relapse [22,23,24]. Alcoholic patients who perceive their spouse as highly critical, hostile or emotionally overinvolved are more likely to relapse even after correcting for alcohol problem severity [25].…”

Section: Introductionmentioning

confidence: 99%

Individual Cognitive-Behavioral Therapy and Behavioral Couples Therapy in Alcohol Use Disorder: A Comparative Evaluation in Community-Based Addiction Treatment Centers

Vedel¹,

Emmelkamp²,

Schippers³

2008

Psychother Psychosom

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Background: Alcohol abuse serves as a chronic stressor between partners and has a deleterious effect on relationship functioning. Behavioral Couples Therapy (BCT) for alcohol dependence, studied as an adjunct to individual outpatient counseling, has shown to be effective in decreasing alcohol consumption and enhancing marital functioning, but no study has directly tested the comparative effectiveness of stand-alone BCT versus an individually focused cognitive-behavioral therapy (CBT) in a clinical community sample. Methods: The present study is a randomized clinical trial evaluating the effectiveness of stand-alone BCT (n = 30) compared to individual CBT (n = 34) in the treatment of alcohol use disorders in community treatment centers in Dutch male and female alcoholics and their partners. Results: Results show both BCT and CBT to be effective in changing drinking behavior after treatment. BCT was not found to be superior to CBT. Marital satisfaction of the spouse increased significantly in the BCT condition but not in the CBT condition, the differences being significant at the post-test. Patients’ self-efficacy to withstand alcohol-related high-risk situations increased significantly in both treatment conditions, but more so in CBT than in BCT after treatment. Treatment involvement of the spouse did not increase retention. Conclusion: Regular practitioners in community treatment centers can effectively deliver both treatments. Stand-alone BCT is as effective as CBT in terms of reduced drinking and to some extent more effective in terms of enhancing relationship satisfaction. However, BCT is a more costly intervention, given that treatment sessions lasted almost twice as long as individual CBT sessions.

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Enabling behavior in a clinical sample of alcohol-dependent clients and their partners

Cited by 64 publications

References 32 publications

Benefits and Costs of Alcoholic Relationships and Recovery Through Al-Anon

Benefits and Costs of Alcoholic Relationships and Recovery Through Al-Anon

Codependency in families of alcohol and other drug users: is it in fact a disease?

Individual Cognitive-Behavioral Therapy and Behavioral Couples Therapy in Alcohol Use Disorder: A Comparative Evaluation in Community-Based Addiction Treatment Centers

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