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The alcohol paradox: a psychological model

G Rosenbaum1

  • 1Joint Doctoral Program in Clinical Psychology, San Diego State University, CA 92120-4913, USA.

Journal of Clinical Psychology
|March 1, 1995
PubMed
Summary
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Chronic alcoholics continue excessive drinking due to neuropsychological impairments and fears of failure. This two-factor theory explains persistent alcohol-related behaviors in brain dysfunction syndromes.

Area of Science:

  • Neuroscience
  • Psychology
  • Addiction Research

Background:

  • Chronic alcoholism often involves persistent excessive drinking despite severe negative consequences.
  • Understanding the underlying mechanisms of this paradoxical behavior is crucial for effective treatment.

Purpose of the Study:

  • To present a two-factor theory explaining the continuation of excessive drinking in chronic alcoholics.
  • To introduce a quantitative model for understanding perseverative alcohol-related behaviors.

Main Methods:

  • Theoretical formulation of a two-factor model.
  • Description of neuropsychological impairments and acquired aversions.
  • Presentation of a schematic quantitative model.

Main Results:

Related Experiment Videos

  • Alcohol-related behaviors increase in stereotypy due to primary neuropsychological impairments.
  • Secondary fears of catastrophic failure lead to aversions to adaptive situations.
  • The model provides a framework for explaining perseverative behavior in brain syndromes.

Conclusions:

  • The two-factor theory offers a comprehensive explanation for persistent alcoholism.
  • The proposed model can aid psychologists in understanding and treating perseverative behaviors associated with brain dysfunction.