Second year treatment outcome of alcoholics treated by individualized behavior therapy: Results

Second year treatment outcome results are reported for 69 of 70 male alcoholics who, while hospitalized at Patton State Hospital, served as subjects in an experiment evaluating ‘Individualized Behavior Therapy (IBT)’ techniques. Subjects were initially assigned to either a controlled drinking or non-drinking (abstinence) treatment goal. and were then randomly assigned to either an experimental group receiving IBT or a control group receiving conventional state hospital treatment oriented towards abstinence. Previously reported results found that IBT subjects functioned significantly better than control subjects throughout the first year of follow-up. Second year follow-up results found that IBT subjects treated with a controlled drinking goal functioned significantly better than their respective control subjects on a variety of measures, including drinking behavior. Differences between IBT subjects treated with a non-drinking goal and their control subjects did not retain statistical significance during the second year of follow-up. Individual drinking profiles are presented for all subjects. Only subjects treated by IBT with a goal of controlled drinking engaged in a substantial amount of limited, non-problem drinking during the second year interval, and those subjects also had more abstinent days than subjects in any other group. The nature of adequate follow-up procedures and measures is discussed. Implications of these findings for alcoholism treatment are considered.     

Evaluation as a function of correspondence and hedonic relevance

An experiment was conducted to test and refine some of the implications of Jones and Davis' (1965) model of the attribution process in person perception. Subjects read anecdotes about actors who performed either in-role (low correspondence) or out-of-role (high correspondence) behaviors which were positive, negative, or neutral in the subject's estimation (hedonic relevance). Respect and admiration for the actor were influenced by both hedonic relevance and correspondence (did the action reflect an inner attribute?), but liking and friendship were affected by hedonic relevance only. The implications for the evaluation process in person perception were discussed.     

An exploratory investigation of the origin and maintenance of phobias

Phobies were asked to relate past events which they believed caused or contributed to their fear, and to describe cognitive events experienced while imagining phobic interactions. Approximately half the subjects were able to recall relevant learning experiences, with direct experiences far more common than vicarious experiences or learning based on verbal instruction. Almost all of the subjects reported self-verbalizations while imagining the phobic situation, in every case phobic relevant. However, in a minority of instances were the verbalizations ‘catastrophic’ in nature. In only about half the cases did the phobies report that, in vivo, thoughts preceeded fear in the phobic situation (in contrast to a comparison group of less fearful subjects for which thoughts did preceed fear to a significant degree). Results are discussed in terms of possible limitations of a cognitive interpretation of phobic behavior.     

Assertive training versus rehearsal and the importance of making an assertive response

This study dealt with whether mere practice would enhance assertion, and whether assertive training would reduce negative effect in simulated target situations, even when subjects (Ss) made no overt response. Males reporting difficulty with authority figures received either rehearsal alone or the complete assertive training package; in a subsequent behavioral test half in each group were told to make a response, with the remainder instructed to remain silent. Objective ratings revealed marked improvement following assertive training, while the effects of practice alone were negligible. For Ss receiving assertive training, reduction in selfreported negative affect in the target situations appeared to be independent of whether or not they engaged in overt verbalization, suggesting that assertive training, per se may enhance feelings of well-being.     

A two year follow-up study of public vocational school graduates

A 2-year follow-up study of public vocational school graduates revealed that the graduates successfully obtained jobs. Among the factors deemed important by both graduates and employer, communication skills were mentioned as vital. Counseling and preparation in getting along with others were perceived by graduates as inferior. Except for cooperative work program graduates, adjustment to an 8 hr workday caused some problems.     

Sequential variables and the Kamin effect

The results of two experiments demonstrated that retention deficits occurred in a within-subjects design only when the intermediate interval test was either the first or second test of the retention of prior aversive conditioning experience; when two relearning tests preceded a 1-hr test, no performance deficits were observed. It was suggested that internal cues may serve as memory attributes of avoidance behavior during early stages of avoidance learning, while other stimuli may facilitate the retrieval of the memory of prior avoidance training with repeated testing.     

Self-disclosure reciprocity,liking and the deviant

Conflicting predictions were derived from social exchange theory about the role of social attraction and the reciprocity norm on mutual self-disclosure in dyadic relationships. Sixty-six female subjects were exposed to one of three levels of disclosure input: conventional-low disclosure, conventional-high disclosure, or devianthigh disclosure. In support of the reciprocity norm prediction, willingness to disclose personal information was a positive function of the amount of disclosure input from another person, regardless of the degree of liking for the initial discloser.     

Alcoholics treated by individualized behavior therapy: One year treatment outcome

One-year treatment outcome results are reported for 70 male alcoholics who, while hospitalized at Patton State Hospital, served as subjects in an experiment evaluating ‘Individualized Behavior Therapy (IBT)’ techniques. Initially, subjects had been assigned to a controlled drinking or non-drinking (abstinence) treatment goal, and then were randomly assigned to either an experimental group receiving IBT or a control group receiving conventional state hospital treatment. One year follow-up results demonstrated that IBT treated subjects had functioned significantly better than control subjects. Dependent variable measures included daily drinking disposition, general emotional adjustment, vocational satisfaction, occupational status, driving status and an index of residential status and stability. The results support the view that some ‘alcoholics’ can acquire and maintain controlled drinking behavior over at least a 1-yr follow-up interval. The difficulties of designing and applying sophisticated follow-up procedures and measures are discussed.     

Electrical aversion therapy with alcoholics: An analogue study

Chronic alcoholic patients matched on age, education and length of problem drinking were assigned to one of three treatment conditions, with 10 subjects in each group: (1) Electrical Aversion Conditioning (high shock paired with alcohol sips); (2) Control Conditioning (very low shock paired with alcohol sips); and (3) Group Therapy (confrontation psychotherapy). Groups 2 and 3 were included to control for possible ‘attention-placebo’ and expectancy factors involved in the conditioning procedures. Subjects in each group were given instructions designed to produce high expectancy for therapeutic success. Pre-post measures of alcohol consumption and attitudes toward alcohol were obtained using an analogue ‘taste test’ assessment procedure. No statistically significant differences in reduced alcohol consumption or attitudes toward alcohol were found among the groups. Trends in the data support the contention that effects of electrical aversion may be more related to such factors as therapeutic instructions, expectancy, specificity of the procedure or experimental demand characteristics than to conditioning factors.     

The behavioral treatment of insomnia an alternative to drug therapy.

The use of hypnotic drugs to treat insomnia is criticized because of (a) tolerance effects, (b) carry-over effects, (c) alterations in sleep patterns, (d) rebound effects, and (e) attributional effects. Behavioral treatments represent a more viable alternative and are reviewed under four headings: (a) systematic desensitization: (b) applied relaxation; (c) attribution-based therapies; and (d) classical conditioning therapies. The behavioral therapies are predicated upon three views of insomnia: first, that insomnia results from excessively high levels of arousal prior to and during sleep; second, that insomnia occurs when the sleep environment lacks sufficient stimulus control over sleeping; and finally, that insomnia is often enhanced and maintained by exacerbation cycles in which worries about not falling asleep interfere even further with one's sleep.     

Differences in baseline drinking behavior between New Zealand alcoholics and normal drinkers

Details of alcohol drinking by 12 New Zealand hospitalized alcoholics and 12 normal drinkers from the local community were compared in an experimental bar-and-lounge environment. Differences between the drinking behavior of the two groups were found to be statistically significant on measures of total alcohol consumed, sip size and rate of alcohol ingestion (speed of drinking). The drinking pattern exhibited was similar to that reported in baseline studies of North American drinkers, as reported by Schaefer et al. (1971). This similarity was discussed in terms of a behavioral profile of alcoholics as compared with normal drinkers for the diagnosis of problem drinking.     

Irrelevance of mitigating circumstances in retaliatory behavior at high levels of excitation

Subjects were aggressively instigated by a provoker. They then performed either a nonstrenuous or a strenuous task in order to be placed in either a moderate or an extreme state of sympathetic arousal. Following the task, they either learned or did not learn about mitigating circumstances behind the provoker's behavior. This information was received prior to the provision of an opportunity to retaliate. Under conditions of moderate arousal, mitigating circumstances were found to reduce retaliation. In contrast, these circumstances failed to exert any appreciable effect on retaliation under conditions of extreme arousal. In addition, the induction of extreme arousal was observed to increase retaliatory behavior. The findings were considered to support a model of hostility and aggression that postulates a specific interdependency of cognitive and excitatory processes.