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Alcohol abuse.

Timothy J O'Farrell1, William Fals-Stewart

  • 1Harvard Families and Addiction Program, Harvard Medical School Department of Psychiatry at the VA Boston Healthcare System, VAMC-116B1, 940 Belmont St., Brockton, Massachusetts 02301, USA. timothy_ofarrell@hms.harvard.edu

Journal of Marital and Family Therapy
|March 6, 2003
PubMed
Summary
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Marital and family therapy (MFT) helps families cope and motivates treatment entry for alcoholics. Behavioral couples therapy (BCT) significantly improves abstinence and relationships once treatment begins.

Area of Science:

  • Addiction treatment research
  • Family systems psychology
  • Behavioral health interventions

Background:

  • Alcoholism significantly impacts individuals and families.
  • Traditional individual therapy may have limitations.
  • The role of family dynamics in addiction recovery is increasingly recognized.

Purpose of the Study:

  • To evaluate the effectiveness of marital and family therapy (MFT) in alcoholism treatment.
  • To compare MFT approaches with individual treatment.
  • To identify specific MFT interventions that promote treatment entry and improve outcomes.

Main Methods:

  • Systematic review of 38 controlled studies on MFT in alcoholism treatment.
  • Analysis of interventions for motivating treatment entry and improving outcomes post-treatment.

Related Experiment Videos

  • Comparison of behavioral couples therapy (BCT) with individual therapy.

    • Main Results:

    • MFT effectively helps families cope and motivates treatment entry when the alcoholic is unwilling to seek help.
    • Al-Anon facilitation and Community Reinforcement and Family Training show promise for treatment entry.
    • Behavioral couples therapy (BCT) is more effective than individual treatment for increasing abstinence and improving relationship functioning.
    • BCT also reduces social costs, domestic violence, and children's emotional problems.

    Conclusions:

    • MFT is a valuable approach in alcoholism treatment, particularly for engaging reluctant individuals.
    • Behavioral couples therapy (BCT) demonstrates superior outcomes in improving abstinence and relationship health.
    • Further research is needed on MFT for diverse populations and its integration into clinical practice.