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Interpersonal problem solving in alcoholics.

B W Patterson1, O A Parsons, K W Schaeffer

  • 1University of Oklahoma Health Sciences Center, Oklahoma City.

The Journal of Nervous and Mental Disease
|December 1, 1988
PubMed
Summary
This summary is machine-generated.

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Male alcoholics show deficits in executing interpersonal problem-solving skills, not in their capacity for these skills. Their ability to conceptualize the best response predicts treatment success, highlighting a key area for therapeutic intervention.

Area of Science:

  • Psychology
  • Neuroscience
  • Addiction Studies

Background:

  • Alcoholism is often associated with deficits in interpersonal functioning.
  • Understanding the nature of these deficits is crucial for effective treatment.

Purpose of the Study:

  • To investigate interpersonal problem-solving skills in male alcoholics compared to controls.
  • To explore the relationship between problem-solving skills and treatment outcomes in alcoholics.
  • To examine differences in problem-solving based on family history of alcoholism.

Main Methods:

  • Verbal role-playing test (Adaptive Skills Battery - ASB) and neuropsychological tests were administered.
  • Participants included male alcoholics in a treatment program and male nonalcoholic controls.
  • Study 2 compared alcoholics with and without a family history of alcoholism.

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Main Results:

  • Alcoholics demonstrated lower typical interpersonal problem-solving scores than controls, but not when asked for their best response.
  • Interpersonal problem-solving deficits appear related to skill execution rather than capacity.
  • Alcoholics with a positive family history had lower ASB scores.
  • "Best" response conceptualization correlated with better treatment behavior and outcomes, unlike "typical" responses.

Conclusions:

  • Alcoholics' interpersonal deficits stem from impaired execution of skills, not a lack of underlying ability.
  • The capacity to envision optimal interpersonal responses predicts therapeutic progress in alcohol treatment.
  • Family history of alcoholism may be linked to poorer interpersonal problem-solving skills.