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Related Experiment Video

Updated: May 8, 2026

A Prediction Error-driven Retrieval Procedure for Destabilizing and Rewriting Maladaptive Reward Memories in Hazardous Drinkers

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Calling for help? Considering function and meaning when patients drunk-dial psychotherapists.

Kelly Serafini¹, Donna Lapaglia, Matthew Steinfeld

¹Yale University School of Medicine, Department of Psychiatry, New Haven, Connecticut, United States.

Substance Abuse : Research and Treatment

|September 12, 2013

Summary

Clients in substance use treatment sometimes drunk-dial their clinicians. This study highlights the lack of research on this behavior and calls for more investigation to guide clinical practice in technologically evolving therapy settings.

Keywords:

alcohol use boundary violations clinical process drunk-dialing substance use therapeutic frame

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Area of Science:

Psychology
Clinical Psychology
Addiction Research

Background:

Drunk-dialing, contacting someone while intoxicated, is recognized in popular and academic contexts.
Clients in substance use treatment have been observed drunk-dialing their clinicians.
There is a significant gap in research regarding client drunk-dialing of clinicians, hindering evidence-based clinical decision-making.

Purpose of the Study:

To address the absence of research on clients drunk-dialing clinicians.
To explore the phenomenon of drunk-dialing within the context of substance use treatment.
To provide a foundation for understanding and managing this behavior in modern psychotherapy.

Main Methods:

Review of existing literature on drunk-dialing.
Analysis of clinical observations regarding client-clinician drunk-dialing.
Identification of research gaps and future research directions.

Main Results:

The phenomenon of clients drunk-dialing clinicians is noted but under-researched.
Existing literature on drunk-dialing primarily focuses on interpersonal relationships, not clinical contexts.
The increasing technologization of psychotherapy necessitates research into client technology use.

Conclusions:

Further research is crucial to understand the motivations and implications of clients drunk-dialing clinicians.
Clinical guidelines are needed to address this behavior, especially within substance use treatment.
Understanding technology use in therapy is essential for effective clinical practice.