The present volume contains a large variety of treatment approaches to the long-term rehabilitation of the alcoholic, ranging from the biological to the physiological to the psychological to the social. The multiplicity of proposed therapies, each of which has its strong proponents, suggests that alcoholism is either a complex medical-social disease syndrome requiring a multipronged treatment approach or a very simple illness for which we have not yet dis covered the remedy. The latter may, indeed, be true, but we cannot use what we do not know and must use what we do know. We do, however,…mehr
The present volume contains a large variety of treatment approaches to the long-term rehabilitation of the alcoholic, ranging from the biological to the physiological to the psychological to the social. The multiplicity of proposed therapies, each of which has its strong proponents, suggests that alcoholism is either a complex medical-social disease syndrome requiring a multipronged treatment approach or a very simple illness for which we have not yet dis covered the remedy. The latter may, indeed, be true, but we cannot use what we do not know and must use what we do know. We do, however, have the obligation to be responsible in our treatment, to provide the best that is known at this time, and to be discriminating in our prescription of appropriate treat ment for individual patients. If there is one conclusion we would like to offer in our preface, it is that alcoholics constitute a markedly heterogeneous popula tion with widely disparate needs, for whom, at least at our present level of knowledge, a broad spectrum of treatment modalities is necessary. If this is true, then probably most of this book has validity. With this volume on the treatment and rehabilitation of the chronic alco holic, we bring to completion our five-volume series, The Biology of Alcoholism. As the title of the present volume indicates, we have departed from our original intention to deal solely with biological aspects of the syndrome and have attempted rather to produce a more comprehensive work.Hinweis: Dieser Artikel kann nur an eine deutsche Lieferadresse ausgeliefert werden.
1 Theory and Practice in the Treatment of Alcoholism.- The Development of Alcoholism.- A Pathogenetic Classification of Alcoholics.- Implications for Therapy.- Treatment Models in Alcoholism.- The Multimodal, Multidisciplinary Approach to the Treatment of Alcoholism.- References.- 2 Medical Management of the Alcoholic Patient.- The Role of the Physician in the Treatment of Alcoholism.- Criteria for Diagnosis.- Criteria for Referral and/or Treatment.- Designing a Specific Treatment Plan.- References.- 3 Psychotherapeutic Approach.- General Considerations.- Initial Phase.- Middle Phase.- Late Phase and Termination.- Relationship Issues.- Individual Psychotherapy in Relation to Other Treatment Methods.- Summary.- References.- 4 Engaging the Alcoholic in Treatment and Keeping Him There.- Detection of the Alcoholic.- Engaging the Patient at the Referral Stage.- Keeping the Alcoholic in Treatment.- References.- 5 Toward a Social Model: An Assessment of Social Factors Which Influence Problem Drinking and Its Treatment.- Social Systems Theory and Its Role in the Social Model.- Social Etiological Factors in Drinking Behavior.- Treatment Approaches.- Conclusion.- References.- 6 Group Psychotherapy in Alcoholism.- Alcoholics Anonymous.- A Survey of Group Therapy with Alcoholics.- Conjoint and Family Groups.- Summary.- References.- 7 Family Therapy in Alcoholism.- Family Therapy as a Treatment Modality.- Family Therapy in Alcoholism.- Al-Anon Family Groups.- Discussion.- References.- 8 Behavioral Assessment and Treatment of Alcoholism.- Behavioral Theories of Alcoholism.- Behavioral Assessment Techniques.- Behavioral Treatment Approaches.- References.- 9 The Role of the Halfway House in the Rehabilitation of Alcoholics.- Halfway Houses.- Residents.- Rehabilitation.- A Theory of Rehabilitation.- Summary and Conclusions.- References.- 10 Evaluation of Treatment Methods in Chronic Alcoholism.- Treatment Goals and Outcome.- Treatment Length.- Spontaneous Improvement, or What Happens to the Untreated Alcoholic?.- Inpatient Treatment.- Outpatient Treatment.- Alcoholics Anonymous (A.A.).- Behavioristically Oriented Psychotherapy.- Drug Treatment.- Summary and Conclusions.- References.- 11 Factors in the Development of Alcoholics Anonymous (A.A.).- Introduction: Crisis for a Hungover Doctor.- The Growth and Size of A.A.- The Development of A.A. and Its Structure.- Evaluations of A.A. Effectiveness.- The Literature on A.A.- References.- 12 Role of the Recovered Alcoholic in the Treatment of Alcoholism.- Definitions.- Scope of Chapter.- Roles of the Recovered Alcoholic, Past and Present.- The Alcoholism Counselor as Member of a Treatment Team.- Thoughts on the Future of Recovered Alcoholics as Counselors.- References.- 13 Training for Professionals and Nonprofessionals in Alcoholism.- Significant Components of Training.- Examples of Programs.- Evaluation.- Guidelines for Designing a Training Program.- Conclusion.- References.- 14 Public Health Treatment Programs in Alcoholism.- Alcohol Problems in the United States.- The Rise of Organizational Interest in the Problem of Alcoholism.- Social Involvement with Problems of Alcoholism.- Changing Legal Patterns in the Public Approach to Alcoholism.- Involvement of the Federal Government in Alcoholism Problems.- Patterns of Alcohol Use and Abuse within Communities.- The Scope of Public Health Problems Involved in Alcoholism.- Community Alcoholism Treatment Services.- Using Available Agencies: The Experience of Industry.- A Model Alcoholism Treatment Program.- Prevention of Alcoholism.- Summary.- References.
1 Theory and Practice in the Treatment of Alcoholism.- The Development of Alcoholism.- A Pathogenetic Classification of Alcoholics.- Implications for Therapy.- Treatment Models in Alcoholism.- The Multimodal, Multidisciplinary Approach to the Treatment of Alcoholism.- References.- 2 Medical Management of the Alcoholic Patient.- The Role of the Physician in the Treatment of Alcoholism.- Criteria for Diagnosis.- Criteria for Referral and/or Treatment.- Designing a Specific Treatment Plan.- References.- 3 Psychotherapeutic Approach.- General Considerations.- Initial Phase.- Middle Phase.- Late Phase and Termination.- Relationship Issues.- Individual Psychotherapy in Relation to Other Treatment Methods.- Summary.- References.- 4 Engaging the Alcoholic in Treatment and Keeping Him There.- Detection of the Alcoholic.- Engaging the Patient at the Referral Stage.- Keeping the Alcoholic in Treatment.- References.- 5 Toward a Social Model: An Assessment of Social Factors Which Influence Problem Drinking and Its Treatment.- Social Systems Theory and Its Role in the Social Model.- Social Etiological Factors in Drinking Behavior.- Treatment Approaches.- Conclusion.- References.- 6 Group Psychotherapy in Alcoholism.- Alcoholics Anonymous.- A Survey of Group Therapy with Alcoholics.- Conjoint and Family Groups.- Summary.- References.- 7 Family Therapy in Alcoholism.- Family Therapy as a Treatment Modality.- Family Therapy in Alcoholism.- Al-Anon Family Groups.- Discussion.- References.- 8 Behavioral Assessment and Treatment of Alcoholism.- Behavioral Theories of Alcoholism.- Behavioral Assessment Techniques.- Behavioral Treatment Approaches.- References.- 9 The Role of the Halfway House in the Rehabilitation of Alcoholics.- Halfway Houses.- Residents.- Rehabilitation.- A Theory of Rehabilitation.- Summary and Conclusions.- References.- 10 Evaluation of Treatment Methods in Chronic Alcoholism.- Treatment Goals and Outcome.- Treatment Length.- Spontaneous Improvement, or What Happens to the Untreated Alcoholic?.- Inpatient Treatment.- Outpatient Treatment.- Alcoholics Anonymous (A.A.).- Behavioristically Oriented Psychotherapy.- Drug Treatment.- Summary and Conclusions.- References.- 11 Factors in the Development of Alcoholics Anonymous (A.A.).- Introduction: Crisis for a Hungover Doctor.- The Growth and Size of A.A.- The Development of A.A. and Its Structure.- Evaluations of A.A. Effectiveness.- The Literature on A.A.- References.- 12 Role of the Recovered Alcoholic in the Treatment of Alcoholism.- Definitions.- Scope of Chapter.- Roles of the Recovered Alcoholic, Past and Present.- The Alcoholism Counselor as Member of a Treatment Team.- Thoughts on the Future of Recovered Alcoholics as Counselors.- References.- 13 Training for Professionals and Nonprofessionals in Alcoholism.- Significant Components of Training.- Examples of Programs.- Evaluation.- Guidelines for Designing a Training Program.- Conclusion.- References.- 14 Public Health Treatment Programs in Alcoholism.- Alcohol Problems in the United States.- The Rise of Organizational Interest in the Problem of Alcoholism.- Social Involvement with Problems of Alcoholism.- Changing Legal Patterns in the Public Approach to Alcoholism.- Involvement of the Federal Government in Alcoholism Problems.- Patterns of Alcohol Use and Abuse within Communities.- The Scope of Public Health Problems Involved in Alcoholism.- Community Alcoholism Treatment Services.- Using Available Agencies: The Experience of Industry.- A Model Alcoholism Treatment Program.- Prevention of Alcoholism.- Summary.- References.
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