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Effects on self-concept in two different alcoholism treatment programs

R B Selby

    The American Journal of Drug and Alcohol Abuse
    |January 1, 1981
    PubMed
    Summary
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    This study compared two alcoholism rehabilitation programs. Internal control-focused treatment improved self-concept more than dependency-focused treatment, impacting locus of control in alcoholics.

    Area of Science:

    • Psychology
    • Addiction Studies
    • Rehabilitation Science

    Background:

    • Alcoholism treatment often involves residential rehabilitation programs.
    • Understanding the impact of different treatment philosophies on patient outcomes is crucial.
    • Self-concept and locus of control are key psychological factors in addiction recovery.

    Purpose of the Study:

    • To compare the effects of two distinct residential rehabilitation programs on alcoholics' self-concept and locus of control.
    • To investigate how treatment settings emphasizing internal versus external controls influence psychological changes in male alcoholics.
    • To identify specific self-concept variables differentially affected by treatment philosophy.

    Main Methods:

    • Ninety-six male alcoholics participated in a 4-week residential rehabilitation program.

    Related Experiment Videos

  • Subjects were divided between a VR treatment center (internal controls) and a VA hospital (external controls).
  • The Tennessee Self-Concept Scale (TSCS) and Locus of Control of Drinking Behavior Scale (LCDB) were administered pre- and post-treatment.

    • Main Results:

    • Positive changes in self-concept were observed across both settings for 9 out of 17 variables.
    • Four self-concept variables showed differential changes between the two treatment settings.
    • The study identified significant setting-by-treatment interactions influencing psychological outcomes.

    Conclusions:

    • Rehabilitation programs stressing internal controls and self-responsibility may yield more favorable self-concept changes in alcoholics.
    • Treatment philosophy significantly interacts with the rehabilitation setting to influence patient psychological adjustment.
    • Further research into tailoring treatment approaches based on psychological profiles is warranted.