Therapists' conceptualizations of alcoholism: Measurement and implications for treatment decisions.

Moyers, Theresa B.; Miller, William R.

doi:10.1037/0893-164x.7.4.238

Cited by 80 publications

(104 citation statements)

References 54 publications

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“…In particular, we test whether the factorial structure for the VSS is the same as that of the SUSS. Furthermore, we compare our fi ndings with the results of Humphreys et al [7] and Moyers and Miller [1] to explore similarities and differences in Swiss and US staff members' understanding of substance use disorders. We hypothesize that Swiss staff members will also make a distinction between the different model beliefs and that validity and reliability indices are similar for the VSS as for the SUSS.…”

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confidence: 89%

“…When differences occurred between the original and back-translated English versions, VSS items were revised and adapted accordingly. The response format was the same as used by Moyers and Miller [1] and Humphreys et al [7] , with respondents rating statement refl ecting each substance use disorder model from 0 (strongly disagree) to 4 (strongly agree).…”

Section: Methodsmentioning

confidence: 99%

“…The reliability of the SUSS was supported by it having internal consistencies with r = 0.78 for the Disease model subscale, r = 0.75 for Psychosocial model subscale, and r = 0.61 for the Eclectic model subscale. Validity was supported by a confi rmatory factor analysis, largely replicating Moyers and Miller's [1] initially identifi ed UAS structure. Further, professions differed signifi cantly on their endorsement of each scale.…”

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confidence: 98%

“…The meaning of the Eclectic model subscale, which had less impressive psychometric characteristics in Moyers and Miller's [1] and Humphreys et al's [7] studies, is less clear, but it seems to refl ect a fl exible approach to understanding and treating substance use disorders.…”

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confidence: 99%

“…Humphreys et al [7] developed the SUSS as a modifi cation of Moyers and Miller's [1] Understanding of Alcoholism Scale (UAS). In their psychometric study with a sample of 170 addiction counselors and therapists, Moyers and Miller [1] identifi ed three subscales: Disease model beliefs refl ecting alcoholism as a progressive illness, Psychosocial model beliefs refl ecting alcoholism as a maladaptive learned behavior, and Heterogeneity model beliefs refl ecting patients with alcoholism as a diverse population.…”

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confidence: 99%

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Validity and Reliability of the German Version of the Short Understanding of Substance Abuse Scale

et al. 2005

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This paper presents the German version of the Short Understanding of Substance Abuse Scale (SUSS) [Humphreys et al.: Psychol Addict Behav 1996;10:38–44], the Verständnis von Störungen durch Substanzkonsum (VSS), and evaluates its psychometric properties. The VSS assesses clinicians’ beliefs about the nature and treatment of substance use disorders, particularly their endorsement of psychosocial and disease orientation. The VSS was administered to 160 treatment staff members at 12 substance use disorder treatment programs in the German-speaking part of Switzerland. Because the confirmatory factor analysis of the VSS did not completely replicate the factorial structure of the SUSS, an exploratory factor analysis was undertaken. This analysis identified two factors: the Psychosocial model factor and a slightly different Disease model factor. The VSS Disease and Psychosocial subscales showed convergent and discriminant validity, as well as sufficient reliability.

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confidence: 89%

Section: Methodsmentioning

confidence: 99%

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confidence: 98%

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confidence: 99%

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confidence: 99%

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Validity and Reliability of the German Version of the Short Understanding of Substance Abuse Scale

et al. 2005

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Do Health Care Workplaces Affect Treatment Environments?

E¹,

Humphreys²

1997

J. Community. Appl. Soc. Psychol.

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Previous research has demonstrated that characteristics of the health care workplace influence staff outcomes such as morale and burnout, but the potential effect of health care workplaces on the treatment environment has been little studied. Building on a model proposed by Schaefer and Moos (1993), we propose that the workplace factors of supervisory work environment (e.g. support from supervisors, managerial control) and programme philosophical orientation (e.g. disease model of addiction, psychosocial learning model of addiction) predict four treatment environment elements: patient autonomy, staff control, staff sensitivity, and patient alienation. Multiple regression analysis of data drawn from a survey (response rate=86%) of 327 staff members at 15 Veterans Affairs (VA) inpatient substance abuse treatment programmes revealed that greater managerial control over staff predicted greater patient alienation, lower staff sensitivity towards patients, and greater staff control over patients. Stronger disease model programme orientations predicted less patient alienation and greater staff sensitivity, whereas stronger psychosocial model programme orientations predicted less staff control. These results suggest that health care workplaces may influence treatment environments. Implications for further research and practice are discussed.

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Perceptions of the Supervisory Relationship: Recovering and Nonrecovering Substance Abuse Counselors

Culbreth

Borders

1999

Jour of Counseling & Develop

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The unique set of dynamics found in the substance abuse field (i.e., recovering and nonrecovering counselors and supervisors) calls for a separate examination of the supervisory relationship within this context. The authors examined differences in counselors' perceptions of the supervisory relationship based on counselor and supervisor recovery status, and the match or mismatch of counselor and supervisor recovery status. Substance abuse counselors (N = 547) working in a statewide public mental health system located in the Southeast rated satisfaction with supervision and reported perceptions of various dimensions of the supervisory relationship. Results of the 2 (counselor recovery status: nonrecovering and recovering) H 2 (supervisor recovery status: nonrecovering and recovering) multivariate analysis of variance indicated no significant differences in ratings of satisfaction or relationship dimensions based on either the counselors' or supervisors' recovery status. A significant interaction effect for counselor and supervisor recovery status (i.e., match or mismatch of recovery status) was found for all satisfaction and relationship measures.

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Therapists' conceptualizations of alcoholism: Measurement and implications for treatment decisions.

Cited by 80 publications

References 54 publications

Validity and Reliability of the German Version of the Short Understanding of Substance Abuse Scale

Validity and Reliability of the German Version of the Short Understanding of Substance Abuse Scale

Do Health Care Workplaces Affect Treatment Environments?

Perceptions of the Supervisory Relationship: Recovering and Nonrecovering Substance Abuse Counselors

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