Description : There is no shortage of books on behavioral research, on behavioral research on alcoholism, or on behavioral research on alcoholism treatment. Most of the authors of chapters in this book have been involved in the writing of these books. The books and their authors have played an important role in the dramatic increase in the influence of behavioral approaches to one of our society's most troubling human problems. There are not many books, though, which detail the longitudinal course of the behavioral therapies, none doing so for behavior therapy with al coholics and problem drinkers. That this book now appears, then, is a first, made more valuable by the fact that the chapter's authors are both research ers and clinicians, willing and able to combine respect for empirical data with clinical sensitivity and compassion, concern, and commitment for their patients. The chapters in this book reveal important commonalities and telling divergencies in technique, strategy, and treatment tactics. Despite a common perspective on etiology and treatment, the authors of the chapters in this book diverge in criteria for deciding on treatment goal, choice of initial intervention target, the specifics of techniques used, and follow-up proce dures. Common to all, though, is an openness to innovation, a pragmatic appreciation of approaches that work, and a sincere respect for the patient and his or her fundamental desire for a healthy, happier, and more produc tive life.
Description : In 1977, the current editors contributed a review article on behavioral group therapy to a volume of Hersen, Miller, and Eisler's Progress in Behavior Modi fication series (1977). At that time we noted that, despite the advantages to both clinicians and clients of conducting behavioral treatments in groups, clinical developments and research in this area were still at a relatively rudimen tary level. The majority of studies in the behavioral group therapy literature we reviewed reported the direct transfer of an individual behavior therapy pro cedure, such as systematic desensitization, to a group of clients with homoge neous problems, such as snake phobia or test anxiety. Groups were used in many studies merely to generate sufficient numbers of subjects to allow various types of interventions to be compared, rather than to examine group process variables per se. Only a limited amount of attention had been given to whether these group interaction variables (such as group discussion, sharing ideas and feelings, and mutual feedback and reinforcement) might enhance individually oriented procedures applied in a group. The 8 years since this original chapter was written have seen a significant growth in both the breadth and depth of clinical research and work in the behavioral group therapy field. This growth was documented in part in a three volume series on behavioral group therapy by the current editors (Upper & Ross, 1979, 1980, 1981).
Description : The abuse of alcohol presents a major health problem throughout the world. Until recently both clinical and research efforts have been geared toward treatment and rehabilitation of alcoholism. With the growing num ber of problem drinkers entering treatment, the need for a better under standing of the prevention of alcohol abuse has become increasingly evi dent. Although still in its infancy, the field of alcoholism prevention is growing at a rapid rate. Increasing numbers of behavioral scientists through out the world are conducting or planning prevention projects. Policy plan ners, school administrators, military agencies, community groups, state and local alcoholism agencies, and industries are initiating alcohol abuse preven tion programs with fervor. Legislators at all levels of government are also developing a keen interest in legislation aimed at reducing the extent of problem drinking. This book represents one of the first systematic attempts to compile a comprehensive text on the prevention of alcohol abuse. Many of the con tributors to Prevention 0/ Alcohol Abuse have international reputations that strengthen their understanding of the complex nature of prevention. By providing a critical review of the current knowledge about prevention, the text will serve to stimulate and lay the groundwork for further prevention efforts. We thank all of the chapter authors for their excellent contributions. It is through their efforts that the field will thrive. Our appreciation also is expressed to Leonard Pace, formerly of Plenum Press, for his encourage ment and helpful comments in the development of the text.
Description : Now in a revised and expanded second edition, this book presents a straightforward, multi-session coping skills training program that has been proven effective in helping alcohol-dependent individuals. The volume provides everything needed to implement the program, including a clear theoretical and empirical rationale, step-by-step session guidelines, helpful clinical pointers, and over 40 reproducible client handouts, assessment instruments, and therapist forms. Sessions focus on developing key interpersonal and intrapersonal skills to help participants learn positive strategies for coping with the everyday demands of life and resisting the urge to drink. Updated throughout to reflect current ideas and research findings on addictive behavior change, the protocols in the second edition have been reorganized and streamlined for greater applicability in today's managed care settings. Two entirely new chapters provide guidelines for conducting cue exposure treatment and addressing dual diagnosis issues, with particular attention to tobacco dependence. Of special value for practitioners, the new 8.5" x 11" format makes it easier than ever to reproduce and use the practical materials in the book.
Description : Despite the occasional outcries to the contrary, the field of behavior therapy is still growing, and the asymptote has not been reached yet. The umbrella of behavior therapy continues to enlarge and still is able to encompass new theories, new con cepts, new research, new data, and new clinical techniques. Although the number of new behavioral journals now has stabilized, we still see a proliferation of books on the subject. In the past few years, however, we have seen considerable specialization within behavior therapy. No longer is it possible to be a generalist and remain fully abreast of all the relevant developments. Thus, we see behavior therapists who deal with adults, those who deal with children, those whose specialty is hospital psychiatry, and those who see themselves as practitioners of behavioral medicine. Even within a subarea such as behavioral medicine, specialization runs supreme to the extent that there are experts in the specific addictions, adult medical problems, and child medical problems. Given the extent of specialization, there are numerous ways "to skin" the pro verbial "cat." We therefore have chosen to look at the contemporary work in behavior therapy that is being carried out with adults, in part, of course, because of our long-standing interest in this area as teachers, researchers, and clinicians. In so doing, we have chosen to highlight the clinical aspects of the endeavor but not at the expense of the rich research heritage for each of the specific adult disorders.
Description : It is particularly gratifying to prepare a second edition of a book, because there is the necessary impli cation that the first edition was well received. Moreover, now an opportunity is provided to correct the problems or limitations that existed in the first edition as well as to address recent developments in the field. Thus, we are grateful to our friends, colleagues, and students, as well as to the reviewers who have expressed their approval of the first edition and who have given us valuable input on how the revision could best be structured. Perhaps the first thing that the reader will notice about the second edition is that it is more extensive than the first. The volume currently has 41 chapters, in contrast to the 31 chapters that comprised the earlier version. Chapters 3, 9, 29, and 30 of the first edition either have been dropped or were combined, whereas 14 new chapters have been added. In effect, we are gratified in being able to reflect the continued growth of behavior therapy in the 1980s. Behavior therapists have addressed an ever-increasing number of disorders and behavioral dysfunctions in an increasing range of populations. The most notable advances are taking place in such areas as cognitive approaches, geriatrics, and behavioral medicine, and also in the treatment of childhood disorders.
Description : A major national goal is to improve the health of the populace while advancing our opportunities to pursue happiness. Simulta neously, there are both increasing health costs and increasing demands that more be accomplished with less financial support. The number of deaths attributable to the consumption of alcohol in the US is about 100,000 per year, and the annual cost of this addiction is over $100 billion. Improved treatment methods can both reduce these costs and improve health by preventing the continued exposure of abusers to the toxic effects of alcohol. This third volume of Drug and Alcohol Abuse Reviews focuses on the strategies currently thought best for the treatment of alcohol and tobacco abuse. A variety of approaches to treating alcohol abuse employ those psychosocial factors that are known to influence alcohol use in youth and adults. Pharmacotherapy has also been evaluated at the National Institute of Alcohol Abuse and Alcoholism by leaders in alcohol treatment research. One key review investigates forming a developmental framework for the treatment of adolescent alcohol abusers, a major challenge. Although the main emphasis is on the treatment of alcoholism, a major cofactor for many drug users is nicotine (tobacco) addiction, whose treatment is also reviewed. And the roles of learning and outpatient services are shown to affect treatment significantly. Thus, the problems confronted and solutions used in alcohol abuse treatment have here been analyzed in concise reviews that provide evidence for today's best hypoth eses and conclusions.
Description : With the recent increase in the scope of drug and alcohol problems has come an awareness of the need for solutions. In this context, federal support for research on drug problems increased tremendously during the last 10 to 15 years with the establishment of the National Institute on Drug Abuse (NIDA) and the National Institute on Alcohol Abuse and Alcoholism (NIAAA). Funding from these and other sources has led to a substantial increase in the quantity and quality ofpublished work related to substance abuse. As data accumulate, it is becoming more apparent that substance abuse problems are extremely complex and are influenced by a variety ofbiological psychological, and environmental variables. Un fortunately it has proved difficult to go beyond this conclusion to a de scription of how these multiple factors work tagether to influence the development of, and recovery from, drug and alcohol dependence. The purpose of this book is to try to meet that objective by including, in one volume, Iiterature reviews and theoretical analyses from a wide variety of drug researchers. We chose the authors in an attempt to assure that each of the various Ievels of analysis appropriate to the substance abuse problems would be included. In each case, the author was asked to consider how the variables in is or her particular domain might con tribute to the appearance of individual differences in both alcohol and drug problems.