Self‐Efficacy Counseling and the Maintenance of Sobriety

Abstract

Self‐efficacy in relation to one's addiction is shown to be a factor in sustained sobriety, and implications for counseling are explored.

Neuropsychology: Implications for the Treatment of Alcoholism

“…Caster's success rate of 48% with 51 difficult recidivist clients is encouraging and may be a viable emphasis in alcoholism treatment with cognitively impaired patients. Caster's findings are consistent with those of other research studies and reports indicating that the acquisition of new behaviors, which improve interpersonal skills and selfefficacy, help maintain sobriety (Clifford, 1983).…”

The Benefits of a Self‐Efficacy Approach to Substance Abuse Counseling in the Era of Managed Care

“…However, this important conceptualization has not been acknowledged by many substance abuse counselors (Hser, 1995). Unfortunately, most individuals, regardless of problem severity, receive counseling based on a single model of treatment; they are encouraged to abstain entirely from psychoactive substances and to "work" the Twelve Steps of Alcoholics Anonymous (AA; Clifford, 1983;Collins, 1995). Although total abstinence, adherence to the principles of AA, and long-term residential stays are often suitable for individuals with a diagnosis of psychoactive substance dependence, they are ineffectual and inefficient strategies for those with minimal psychoactive substance involvement.…”

Addiction Beliefs of Treatment Providers: Factors Explaining Variance

“…Understanding these issues may prove useful in the enhancement of treatment efficacy, (Clifford, 1983). By investigating the beliefs of treatment providers the usefulness of specific addiction theories may be increased.…”

“…Self-efficacy refers to the belief a person has with regard to his or her ability to perform a specific behavior. The ooncept was developed by Bandura (1977;, based on Rotter's social learning theory (1966), has been examined and tested in diverse ways (Wilson, 1978;Kazdin, 1978;Weinberg et al, 1979;Donovan & Marlatt, 1980;I DiClemente, 1981;Maddux et al, 1982;Goldfried & Robins, 1982;Davis & Yates, 1982;Strecher et al, 1986;Solomon & Annis, 1989;Sexton et al, 1992), challenged as inconsistent (Kirsch, 1985) and "unacceptably flawed," (Wolpe, 1978), considered "conceptually problematic'' despite the fact that these same researchers concede that "self-efficacy ratings on specific behavioral tasks are accurate predictors of subsequent behavioral performance on those tasks," (Eastman & Marzillier, 1984), applied to theories of treatment for alcoholism (Clifford, 1983), applied to human psychopharmacology and alcohol research (Maisto et al, 1981) and health generally, including the Health Belief Model, (Rosenstock et al, 1988;O'Leary, 1992).…”