Self-regulation and discriminated aversive conditioning in the modification of alcoholics' drinking behavior

Caddy, Glenn R.; Lovibond, S. H.

doi:10.1016/s0005-7894(76)80279-1

Cited by 58 publications

(15 citation statements)

References 3 publications

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“…Caddy and Lovibond (1976) analyzed the effectiveness of each therapeutic component included in the design of their original 1970 study. The combined treatments used were parsed out and applied to three distinct groups of subjects, all of whom received BAC discrimination training.…”

Section: Resultsmentioning

confidence: 99%

Self-estimation of blood alcohol concentration: A review

Aston

Liguori

2013

Addictive Behaviors

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This article reviews the history of blood alcohol concentration (BAC) estimation training, which trains drinkers to discriminate distinct BAC levels and thus avoid excessive alcohol consumption. BAC estimation training typically combines education concerning alcohol metabolism with attention to subjective internal cues associated with specific concentrations. Estimation training was originally conceived as a component of controlled drinking programs. However, dependent drinkers were unsuccessful in BAC estimation, likely due to extreme tolerance. In contrast, moderate drinkers successfully acquired this ability. A subsequent line of research translated laboratory estimation studies to naturalistic settings by studying large samples of drinkers in their preferred drinking environments. Thus far, naturalistic studies have provided mixed results regarding the most effective form of BAC feedback. BAC estimation training is important because it imparts an ability to perceive individualized impairment that may be present below the legal limit for driving. Consequently, the training can be a useful component for moderate drinkers in drunk driving prevention programs.

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Section: Resultsmentioning

confidence: 99%

Self-estimation of blood alcohol concentration: A review

Aston

Liguori

2013

Addictive Behaviors

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“…A patient was classified by them as "completely successful" if: (a) he was drinking in a controlled fashion and was exceeding a blood alcohol concentration of 0-07 per cent less than once a month, (b) he and his family or collateral were both extremely satisfied with his alcohol related behavior, and (c) the therapist and follow-up staff were satisfied that the patient was drinking in an essentially normal and moderate fashion. They categorized a patient as "moderately improved" if (a) he was drinking considerably less than before treatment but was still exceeding a blood alcohol concentration of 0*07 per cent perhaps once a week, (b) both the patient and his family or collateral rated the alcohol related progress as moderate, and (c) the therapist and follow-up staff were satisfied that moderate improvement in alcohol related behavior had taken place (Caddy and Lovibond, 1975). In the second study by Caddy and Lovibond, of the 20 patients assigned to the aversion plus self-regulation group, 38 per cent were rated as "complete success" at the end of twelve months.…”

Section: Discussionmentioning

confidence: 99%

Failure of an Experimental Treatment Program to Inculcate Controlled Drinking in Alcoholics

Ewing

Rouse

1976

British Journal of Addiction to Alcohol & Other Drugs

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SammaryThis paper reviews an out-patient pilot experiment that attempted to inculcate controlled drinking behavior in alcoholics. The methods are detailed along with some of the problems experienced and solutions invoked. The nature of a long term follow-up study is discussed and the results are presented.Thirty-five patients were referred or self-referred to the experimental program. Ten people came one time only and decided that they did not want to participate. Eleven others came less than six times, some of them saying they felt that too much effort was required of them and that it would be easier to stop drinking altogether. A total of 14 people came at least six times and nine of these came on 12 to 24 occasions. Treatments were held weekly and lasted at least four hours.This follow-up is the longest yet reported of a program designed to maintain controlled drinking in alcoholics. The follow-up period ranged from 27 to 55 months since treatment was completed. Although patients who persisted in the program were very successful dt learning to recognize their levels of blood alcohol and at developing controlled drinking patterns while in the program, the follow-up results indicate that sooner or later all of them had begun to drink again with loss of control.

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“…Er stellte 7±11 Jahre nach einer Abstinenztherapie bei 7 der 93 behandelten Alkoholabhängigen einen Alkoholkonsum innerhalb der kulturell vorgegebenen Normen fest. In der Folge wurden von den australischen Psychologen Lovibond und Caddy [23,24] erste erfolgreiche kontrollierte Studien mit dem expliziten Ziel des kT durchgeführt. Die Debatte um das kT entflammte aber erst so richtig in den 70er Jahren in den USA, wo das Ehepaar Sobell [25] ± Therapeutisch begleitete Einzel-oder Gruppenprogramme, wie zum Beispiel das ¹Ambulante Gruppenprogramm zum kontrollierten Trinkenª (AkT) [40 ± 42], umfassen in der Regel 6±12 strukturierte Sitzungen, die von 1±2 Therapeuten durchgeführt und manchmal [19] c) Zudem sind Optimierungsmöglichkeiten von kT-Ansätzen für die spezifische Zielgruppe der schwer Alkoholabhängigen denkbar: ¹It is still possible that more effective forms of intervention could raise the level of severity of dependence or problems for which moderation training is considered advisableª [71].…”

Section: Historische Bezügeunclassified

Kontrolliertes Trinken: Eine Übersicht

Körkel¹

2002

Suchttherapie

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Self-regulation and discriminated aversive conditioning in the modification of alcoholics' drinking behavior

Cited by 58 publications

References 3 publications

Self-estimation of blood alcohol concentration: A review

Self-estimation of blood alcohol concentration: A review

Failure of an Experimental Treatment Program to Inculcate Controlled Drinking in Alcoholics

Kontrolliertes Trinken: Eine Übersicht

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