Individualized behavior therapy for alcoholics: a third year independent double-blind follow-up.

An independently conducted double-blind study providing third year follow-up data for 53 of 70 male alcoholics who served as subjects in an experiment evaluating “Individualized Behavior Therapy (IBT)” techniques is reported. In the original study, 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 showed 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. The independently determined follow-up data showed that during the third post-treatment year, subjects in the experimental groups generally functioned better than their respective control subjects. Comparison of the controlled drinking experimental group with its control group showed the significantly better functioning of subjects in the experimental condition on a number of drinking and other life functioning measures. Comparison of the non-drinking groups indicated only one possible difference on the drinking related measures involving a trend for subjects in the experimental condition to abstain more than those in the non-drinker control group. On other life functioning measures, however, subjects in the non-drinking experimental condition showed consistent improvement over their respective control subjects. Both of the controlled drinking groups reported more controlled drinking days than the non-drinking groups throughout the third year follow-up period.     

Comparative judgments with numerical reference points

A model of subjective magnitude comparisons is explored, which assumes that subjects compare symbolic stimulus magnitudes with respect to a reference point. The reference point may be established implicitly by the question (e.g., “Which is larger?” vs “Which is smaller?”) or be presented explicitly (e.g., “Choose the stimulus closer to X.”). The model was tested in five experiments in which subjects judged which of two comparison digits was closer to (or further from) a reference digit. Regression analyses in three experiments revealed that reaction time depended on the ratio of the distances from the comparison items to the reference point. The other two experiments provided evidence that subjects can strategically vary the processes by which they compare stimuli to a reference point. The results indicated that subjects can perform various types of “analog arithmetic” using either the linear number scale or a nonlinear scale of subjective digit magnitude.