Alcohol breath tests: Criterion times for avoiding contamination by “mouth alcohol”

Using either a gas chromatography or an infrared absorption technique, series of blood alcohol concentrations (BACs) determined by breath tests were obtained from human subjects immediately subsequent to their having only oral contact with beverages ranging in ethyl alcohol concentration from 4% to 95% +. Times for total dissipation of mouth alcohol residuals to a level of practical nonsignificance ranged from 10 to 19 min. Dissipation rates were an inverse and approximately exponential function of the ethyl alcohol concentration of the beverage and were greatly shortened by rinsing the mouth with warm (34°C) water prior to testing. The results are discussed in terms of their relevance to the methodology of a number of research studies employing BAC breath-testing equipment.     

Reliability of alcohol abusers' self-reports of drinking behavior.

The test-retest reliability of alcohol abusers' self-reports of their daily drinking and daily drinking, alcohol-related incarcerations and their drinking problem history were highly reliable (r = +0.79 to +0.98). Limits on the generalizability of these finclings are discussed. ing dispositions for the 360-day period preceding admission to treatment. Results indicated that. over a 6-week test-retest interval, outpatient male alcohol abusers' self-reports of their daily drinking, alcohol-related incarcerations and their drinking problem history were highly reliable (r = +0.79 to +0.98). Limits on the generalizability of these finclings are discussed.     

Are Disease and Other Conceptions of Alcohol Abuse Related to Beliefs About Outcome and Recovery?1

Visitors to a science center (N= 189) responded to a questionnaire measuring their agreement with different conceptions of alcohol abuse (disease, sin, habit, and addiction conceptions) and their beliefs regarding treatment for alcohol abusers. Respondents who agreed with a disease concept thought alcohol abuse was a more serious problem, were more skeptical of statements about recovery, and were more likely to feel that treatment was necessary to achieve change, compared to those who disagreed with or were neutral toward the disease concept. Agreement with the sin, habit, and addiction conceptions was not related to beliefs about treatment and outcome. The utility of promoting various conceptualizations of alcohol abuse is discussed.     

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.     

Differences in baseline drinking behavior between alcoholics and normal drinkers

Drink preference, sip magnitude, amount of time taken to consume drinks and amount of time between sips were measured for 23 normal drinkers and 26 hospital admitted alcoholics while they consumed up to 16 oz. of 86-proof liquor or its equivalent in an experimental bar-and-lounge environment. The alcoholics as denned in this study ordered more drinks, preferred straight drinks, took larger sips and drank faster, but took a longer time between sips than did the normal drinkers. The utility of baseline drinking measures and the external validity of the results are discussed.     

The Epidemiology of Homicide followed by Suicide: A Systematic and Quantitative Review

This systematic review of population based studies of homicide followed by suicide was conducted to examine the associations between rates of homicide‐suicide, rates of other homicides and rates of suicide. The review analysed 64 samples, including the case of an outlier (Greenland) that were reported in 49 studies. There was a significant association between the rates of homicide‐suicide and those of other homicides in studies from the U.S.A. Outside the U.S.A. there was no clear association between homicide‐suicide and other homicide but there was modest but significant association between rates of suicide and homicide‐suicide. Homicide‐suicide appears to be closer in epidemiological terms to homicide than suicide in regions with high rates of homicide and measures to reduce homicide in these regions may also reduce homicide‐suicide.