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Individualized Behavior Therapy for Alcoholics - Republished Article.

Mark B Sobell, Linda C Sobell1

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This study shows behavior therapy helps alcoholics achieve better outcomes. Experimental alcoholics receiving behavioral treatment improved significantly more than those receiving conventional care.

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Area of Science:

  • Psychology
  • Behavioral Science
  • Addiction Medicine

Background:

  • Alcoholism is often viewed as an uncontrollable disorder.
  • Traditional treatments may be limited by unvalidated assumptions.
  • Behavioral therapy offers a potential alternative approach.

Purpose of the Study:

  • To evaluate a behavior therapy for alcoholism.
  • To compare outcomes for nondrinking and controlled drinking goals.
  • To assess the effectiveness of behavioral treatment versus conventional care.

Main Methods:

  • Seventy male alcoholics were assigned to nondrinking or controlled drinking goals.
  • Participants received either 17 behavioral therapy sessions or conventional treatment.
  • Behavioral therapy focused on identifying triggers and training alternative responses.

Main Results:

  • Experimental subjects showed significantly better functioning post-discharge than controls.
  • Both nondrinking and controlled drinking goals showed positive results with behavioral therapy.
  • Successful participants demonstrated an ability to generalize learned behaviors.

Conclusions:

  • Behavioral therapy is effective for treating alcoholism.
  • Controlled drinking may be a viable goal for some individuals.
  • Learned behavioral principles can be applied to new situations, indicating rule learning.