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Reducing attrition from conjoint therapy with alcoholic couples.

A Zweben, S Pearlman, S Li

    Drug and Alcohol Dependence
    |June 1, 1983
    PubMed
    Summary

    Client dropout is common in alcohol treatment, especially in couples therapy. Involving spouses and using specific techniques can improve retention for socially stable clients, but may not be enough for others.

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    Area of Science:

    • Psychiatry
    • Psychology
    • Sociology

    Background:

    • Premature termination of treatment is a significant challenge in alcohol addiction services.
    • This issue is exacerbated in conjoint therapy for alcoholic couples, as clients often lack a systemic view of the problem.

    Purpose of the Study:

    • To investigate specific mechanisms for reducing client-initiated attrition in a conjoint, communication-interaction based therapy program for couples with alcohol problems.
    • To assess the effectiveness of these mechanisms in retaining clients, differentiating between socially stable and transient individuals.

    Main Methods:

    • Systematic involvement of the spouse in all treatment phases (intake, assessment, therapy).
    • Use of role induction during a pretherapy interview.
    • Formal contracting at the beginning of the therapy process.

    Main Results:

    • Preliminary findings indicate that these interventions may be effective in retaining more socially stable clients.
    • The implemented mechanisms may be insufficient to prevent unplanned terminations in more transient, less socially stable individuals.

    Conclusions:

    • Involving spouses and employing specific therapeutic techniques can enhance treatment retention for socially stable clients in conjoint alcohol therapy.
    • Transient, less socially stable individuals may require interventions addressing concrete stressors before engaging in conjoint therapy for alcohol problems.

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