The challenge of change: rethinking alcohol abuse

Nurses usually conceptualize alcohol abuse and dependence as a progressive disease that can be managed but never cured. Yet there are millions of Americans for whom this approach is not helpful. Impressive results have been reported by the alcohol research community with interventions that are guided by the assumption that many alcohol problems are learned habits that can be changed. This article reviews the clinical research in the area of brief interventions and moderation training with alcohol abusers. Nursing's vital role in advocating for and delivering such interventions is identified. Resistance to implementing alternative approaches for the treatment of alcohol problems is explored.