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Recent developments in alcoholism:behavioral treatment

D M Donovan1, G A Marlatt

  • 1Addictions Treatment Center, Veterans Affairs Medical Center, Seattle, Washington.

Recent Developments in Alcoholism : an Official Publication of the American Medical Society on Alcoholism, the Research Society on Alcoholism, and the National Council on Alcoholism
|January 1, 1993
PubMed
Summary
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Behavioral science has advanced alcohol dependence treatment by integrating cognitive-behavioral models and a biopsychosocial approach. Key changes include harm reduction, stepped-care, and relapse prevention strategies for better outcomes.

Area of Science:

  • Behavioral science
  • Psychology
  • Addiction research

Background:

  • Behavioral approaches are crucial for understanding alcohol dependence etiology and treatment.
  • The past decade has seen significant evolution in this field.

Purpose of the Study:

  • To provide an overview of recent advancements in behavioral approaches to alcohol dependence.
  • To highlight theoretical and clinical practice changes over the last ten years.

Main Methods:

  • Review of theoretical shifts towards mediational cognitive-behavioral and integrative multivariate models.
  • Analysis of changes in clinical practice, including assessment and intervention strategies.

Main Results:

  • Theoretical advancements include developmental models based on the natural history of alcohol problems.

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  • Clinical practice now emphasizes secondary prevention, brief interventions, harm reduction, and stepped-care treatment.
  • Increased focus on relapse prevention and integration of behavioral principles into self-help programs.

    • Conclusions:

    • Behavioral science has evolved significantly, offering more nuanced models for alcohol dependence.
    • Clinical practice has adapted to incorporate a broader range of interventions and a focus on long-term maintenance and relapse prevention.