Two contrasting alcoholism treatment programs: a comparison of outcomes

Participants in two 60-day alcoholism treatment programs with contrasting treatment philosophies and rationale were followed-up 1 year after discharge from the hospital. Widely different results were obtained with distinctly different alcoholic veteran populations. Response to treatment was highly favorable for less symptomatic alcoholics when direct emphasis was place upon the alcoholism per se and complete abstinence. Less favorable responses were achieved with overt neurotic alcoholics when treatment was designed to resolve underlying personality disturbances. Self-reports of marked depression, anxiety, and prior treatment for alcoholism were three pretreatment variables found significantly related to unsuccessful drinking outcome. The implication of these findings is that treatment outcome is largely dependent upon both the characteristics of the population treated and the treatment approach.