Children Who Hate by Fritz Redl and David Wineman

This paper describes a dynamically oriented group aftercare program for alcoholics and other substance abusers. The chronic nature of alcoholism and the need to insure that initial progress is not followed by regression point to the need for continuity of care, extending beyond the initial detoxification or initial crisis phase. The group-oriented aftercare program at Appleton Outpatient Clinic follows an intensive five-week program in either our outpatient clinic or Appleton's inpatient setting. The preparatory group and educational experiences that patients participate in prior to their entry into a long-term aftercare group are detailed. Finally, special issues that emerge in the long-term groups are discussed including (1) the group contract, (2) alcohol-related group defenses, and (3) management of the patient who drinks.