Learning techniques for alcohol abuse

Eighteen month follow-up data are presented for two projects evaluating the effectiveness of learning techniques for treating alcohol abuse and achieving moderation using three groups of subjects-inpatient alcoholics, outpatient alcoholics and problem drinkers. Subjects received various combinations of the following procedures: videotape self-confrontation of drunken comportment, blood alcohol concentration discriminating training, aversion training for overconsumption, avoidance practice, behavior counseling and alternatives training, and alcohol education. While the loss of subjects was considerable between 12 and 18 months follow-up, the data were very similar. Subjects in all groups improved in terms of reductions in alcohol intake and on drinking-related variables. Significant between-groups differences in favor of subjects whose training included actual experience in drinking moderately were found only for the inpatient alcoholics. In this research, the best candidate for moderation was the less chronic. younger drinker with a relatively lower alcohol intake, a more stable vocational record and no history of hospitalization for alcohol abuse or physical deterioration from drinking. We believe that the techniques with the greatest potential for the prevention and treatment of alcohol abuse are videotape self-confrontation, blood alcohol discrimination training, and alcohol education/alternatives training.     

An exposure approach to alcohol abuse

The drinking behaviour of alcoholics was firstly analysed in terms of antecedents, behaviour and consequences. Thereafter, treatment consisted of exposure to the antecedents of drinking, whilst patients were prevented from drinking. Five out of the six patients attained abstinence from drinking by the end of therapy, this abstinence being maintained over follow-ups of up to 9 months, and also noted an absence of desire to drink at the end of therapy. The possible mechanisms in operation during treatment are discussed, including operant or classical conditioning, teaching of self control and cognitive invalidation.     

Legal aspects of alcohol abuse in the navy

Alcohol abuse is antithetical to order and discipline in the military. Alcohol-related situations arise that range from inconsequential “drunken sailor” boisterousness to major scale imperiling of military missions with serious implications for readiness, safety, and security. The complex management of alcohol abuse and alcoholism in the Navy is detailed in this article, with special emphasis on legal considerations that span offenses from simple drunkenness to court martial level infractions of military and civilian criminal codes.     

Alcohol consumption, alcohol abuse, personality and female perpetrated spouse abuse

As part of the Winnipeg Health and Drinking Survey, this study examined the problem of female perpetrated spouse abuse and its relationship to alcohol consumption and personality. Subjects were drawn from a random sample of Winnipeg residents (N = 1257) between the ages of 18 and 65 years. For this study, data from the subsample of female subjects who were married or cohabiting (N = 452) were analyzed. Results show that more than 39% of female subjects participated in some form of spouse abuse with their male partners. Being young and having high scores on Eysenck's psychoticism scale, the Neuroticism Index and the MacAndrew Scale were found to be significant risk factors in the occurence of partner abuse among females. Also, the interaction between alcohol consumption and Eysenck's psychoticism scale was found to be a weak but significant predictor for this form of violence.     

Neurophysiologic mechanisms of internal inhibition

The experimental results obtained in the authors’ laboratory as a result of multiple recording of slow biopotentials, the recording of neuronal activity and of mathematical modeling, are reviewed. The authors conclude that the elaboration of internal inhibition is followed, and determined to a great extent, by the restriction in conduction of excitations due to the increase of inhibitory hyperpolarization and discordance in the periodicity of slow potentials, reflecting oscillations in excitability of neuronal populations in the cortex and other brain structures.     

Further findings on assaultiveness and alcohol use in interpersonal disputes

In a previous study uniform observational data were collected regarding family disputes managed by police officers; those data contradicted views commonly held by social scientists and by police about the roles of assaultiveness and alcohol use in these events. In the present study police officers employed systematic naturalistic observation during their interventions as third parties in disputes between nonfamily members as well as those between family members. Tentative conclusions about assaultiveness, based on the data of both studies, are that it: does not usually precede the arrival of police in such disputes; is associated with interpersonal closeness of the disputants; is associated with poverty rather than race; and is as likely in a middle-class small city as in a poor inner-city area. Tentative conclusions about the use of alcohol in police-managed interpersonal disputes are: that these disputes are not usually influenced by alcohol use; and that assaultiveness is not related to alcohol use in such disputes.     

Adolescent alcohol and substance abuse: parent and peer effects

There has been considerable research into the effects of peer and parent drug usage on substance abuse by the adolescent. A correlation has been shown to exist between parent usage and increased adolescent substance usage. The parental attitude toward illicit substance use has been positively correlated with adolescent substance use. Once the adolescent starts using illicit drugs, the influence of parents decreases, and the peer influence increases. The research provides further support to Kandel's theory of stages of substance use. In addition, it provides support to the theory that adolescent substance usage is learned, in part, by modeling and imitation. The results are not as conclusive in predicting personality characteristics of the adolescent and parental influence that predate adolescent substance abuse.     

Unilateral family therapy for alcohol abuse: A working conception

Abstract

Unilateral family therapy is presented as a new mode of family therapy in which intervention is directed toward changing the behavior of an uncooperative family member through working with a cooperative member as mediator. In this initial exposition of the unilateral approach, it is applied to the problem of endeavoring to reach and change an uncooperative alcohol abuser through giving therapeutic assistance to a cooperating spouse. A working conception of this mode of therapy is presented based upon the authors' current clinical research in this area. Directions for further research and development are identified.     

The alcohol expectancy concept: Applications to assessment,prevention, and treatment of alcohol abuse

Recent developments in alcohol expectancy research and theory have converged with concepts emanating from cognitive science and neuroscience. The use of these concepts can increase theoretical understanding of expectancy structure and process and make available more comprehensive strategies for expectancy assessment. Fledgling prevention and treatment applications are currently best guided by existing research in social cognition and cognitive therapy, but cognitive science may suggest novel approaches. In particular, the grounding of prevention efforts in expectancy theory may advance work that has, to date, been largely atheoretical.     

弗洛伊德心理学的神经生理学模式

将研究人类大脑的神经科学与研究人类心智的精神分析相结合的设想,源于精神分析心理学的创始人弗洛伊德,精神分析理论中一直隐含和贯穿着一种神经学或神经生理学的模式.弗洛伊德提出的这个神经学模式包括神经元和能量或数量两个元素,其工作原理是神经元的惯性原理.     

信任的心理和神经生理机制

信任是建立在对他人的意向或行为的积极预期基础上而敢于托付（愿意承受风险）的一种心理状态。心理学家以及组织管理学家通过对信任发展的研究提出了信任发展的二元互动模型、理性选择模型、动机归因模型和可信赖程度--合作双螺旋模型。背叛行为会对信任关系的建立与发展带来永久性的伤害。已有的关于信任的神经生理机制的研究表明：人们所表现出的信任行为与其催产素水平密切相关,而且信任与背纹状体、前脑岛以及处理奖赏信息相关的脑区--伏隔核、尾状核、腹内侧额叶/前额脑区底部和侧前扣带皮层--的活动相关联。尽管目前关于信任的研究已经取得了很大进展,但是要解开信任的心理机制及其神经生理机制之谜,还需要进一步的研究。     

Cognitive rehabilitation of chronic alcohol abusers

The current literature suggests that individuals who chronically abuse alcohol exhibit a wide variety of cognitive deficits resulting from cerebral dysfunction that is either directly or indirectly related to their alcohol consumption history. Cognitive deficits have been hypothesized as having implications for standard alcohol treatment efficacy as they may directly affect cognitively impaired individuals’ abilities to utilize various treatment modalities. Although evidence is accumulating that suggests this is actually the case, the majority of alcohol treatment programs neither directly consider the impact cognitive deficits have on treatment efficacy nor do they employ cognitive rehabilitation treatment strategies to remediate identified cognitive deficits. Few studies exist that investigate the remediability of neurobehavioral deficits or the efficacy of integrating cognitive rehabilitation strategies into more traditional treatment programs. Empirical investigations conducted to date indicate that some cognitive deficiencies secondary to alcoholism are amenable to cognitive rehabilitation and this remediation is generalizable. Rigorous well-controlled treatment outcome investigations are needed in order to determine the efficacy of cognitive rehabilitation techniques in naturalistic settings using ecological outcome measures. Also, emphasis should be placed on integrating cognitive rehabilitation techniques with proven efficacy into traditional alcoholism treatment programs.     

Mental health and welfare transitions: depression and alcohol abuse in AFDC women

From a selection perspective, does prior dysfunction select women into welfare or serve as a barrier to leaving welfare? From a social causation perspective, does entering or exiting welfare lead to changes in well being? These questions were analyzed in panel data for over 3,600 women drawn from the National Longitudinal Survey of Youth for the period 1992–94. Welfare is associated with both depression and alcohol consumption cross‐sectionally. This link appears to derive in small part from selection into welfare by depression (in interaction with marital status), but depression and alcohol abuse did not operate as barriers to leaving welfare. Entering welfare was clearly associated with increased depression and alcohol consumption, but confidence in an apparent beneficial effect on alcohol symptoms of leaving welfare for employment was limited by small sample sizes. These findings are located in the context of the 1996‐welfare reform and the recent economic expansion. One implication is that community psychology should consider welfare entry as a risk factor similar to adverse employment changes such as job loss.     

The relation of personality to alcohol abuse/dependence in a high-risk sample

The current study had two goals. The first goal was to test the mediational role of young adult personality in the relation between parental alcoholism and young adult alcoholism. The second was to examine the associations between personality and alcohol use motives and reasons to limit drinking in order to explore possible mechanisms by which personality may influence alcohol abuse/dependence. Multilevel modeling techniques were used to analyze data obtained from a community sample of young adult children of alcoholics and demographically matched controls. Results revealed that young adult neuroticism and agreeableness each, in part, mediated the effect of parental alcoholism on young adult alcoholism. Moreover, individuals high in neuloticism reported stronger coping motives to use alcohol, individuals low in agreeableness reported stronger coping motives and weaker upbringing reasons to limit drinking, and individuals low in conscientiousness reported stronger coping and enhancement motives to use alcohol, and weaker performance reasons to limit drinking.