A comparison of outcome with group/marital and standard/individual therapies with alcoholics.

Bowers, Thomas G.; al-Redha, M R

doi:10.15288/jsa.1990.51.301

Cited by 66 publications

(26 citation statements)

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“…The studies show a fairly consistent pattern of more abstinence and fewer substancerelated problems, happier relationships, and lower risk of couple separation and divorce for substance abusing patients who receive BCT than for patients who receive only more typical individual-based treatment. These results come from studies with mostly male alcoholic (Azrin, Sisson, Meyers & Godley, 1982;Bowers & Al-Rehda, 1990;Chick et al, 1992;Hedberg & Campbell, 1974;Fals-Stewart, Klosterman, Yates, O'Farrell & Birchler, 2005;McCrady, Stout, Noel, Abrams & Nelson, 1991;O'Farrell, Cutter, Choquette, Floyd & Bayog, 1992) and drug abusing (Fals-Stewart, Birchler & O'Farrell, 1996;Fals-Stewart & O'Farrell, 2003;FalsStewart, O'Farrell & Birchler, 2001a, 2001b) patients and also with female alcoholic (Fals-Stewart, Birchler & Kelley, 2006) and drug abusing patients (Winters, Fals-Stewart, O'Farrell, Birchler & Kelley, 2002).…”

Section: Primary Clinical Outcomes: Abstinence and Relationship Functmentioning

confidence: 99%

Behavioral Couples Therapy for Alcoholism and Drug Abuse

O’Farrell

Schein

2011

Journal of Family Psychotherapy

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Behavioral Couples Therapy (BCT) is designed for married or cohabiting individuals seeking help for alcoholism or drug abuse. BCT sees the substance abusing patient together with the spouse or live-in partner. Its purposes are to build support for abstinence and to improve relationship functioning. BCT promotes abstinence with a "recovery contract" that involves both members of the couple in a daily ritual to reward abstinence. BCT improves the relationship with techniques for increasing positive activities and improving communication. BCT also fits well with 12-step or other self-help groups, individual or group substance abuse counseling, and recovery medications. Research shows that BCT produces greater abstinence and better relationship functioning than typical individual-based treatment and reduces social costs, domestic violence, and emotional problems of the couple's children. Thus research evidence supports wider use of BCT. We hope this article and new print and web-based resources on how to implement BCT will lead to increased use of BCT to the benefit of substance abusing patients and their families. KeywordsBehavioral Couples Therapy; alcoholism; drug abuse OverviewThe purpose of Behavioral Couples Therapy (BCT) is to build support for abstinence and to improve relationship functioning among married or cohabiting individuals seeking help for alcoholism or drug abuse. BCT sees the substance abusing patient with the spouse or live-in partner to arrange a daily "Recovery Contract" in which the patient states his or her intent not to drink or use drugs and the spouse expresses support for the patient's efforts to stay abstinent. For patients taking a recovery-related medication (e.g., disulfiram, naltrexone), daily medication ingestion witnessed and verbally reinforced by the spouse also is part of the contract. Self-help meetings and drug urine screens are part of the contract for most patients. BCT also increases positive activities and teaches communication skills.Research shows that BCT produces greater abstinence and better relationship functioning than typical individual-based treatment and reduces social costs, domestic violence, and emotional problems of the couple's children. Despite the strong evidence base supporting BCT, it is rarely used in substance abuse treatment programs. Low use of BCT may stem from the recency of studies on BCT, many of which were published in the past 15 years. NIH Public Access Clinical Procedures for Behavrioal Couples TherapyBCT works directly to increase relationship factors conducive to abstinence. A behavioral approach assumes that family members can reward abstinence --and that alcoholic and drug abusing patients from happier, more cohesive relationships with better communication have a lower risk of relapse. The substance abusing patient and the spouse, are seen together in BCT, typically for 12-20 weekly outpatient couple sessions over a 3-6 month period. BCT can be an adjunct to individual counseling or it can be the only substance abuse counseling...

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Section: Primary Clinical Outcomes: Abstinence and Relationship Functmentioning

confidence: 99%

Behavioral Couples Therapy for Alcoholism and Drug Abuse

O’Farrell

Schein

2011

Journal of Family Psychotherapy

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“…The early interest in this approach to treatment indicated that it showed great promise (Cadogan 1973(Cadogan , 1984Brown & Yalom, 1977). This interest in couples group work in alcohol treatment enjoyed further attention in the 1990s (O'Farrell, 1993;Bowers & Al-Redha, 1990). Groups that treat couples tend to be either conjoint, that involves both partners in a group together or concurrent, where both partners are engaged in a treatment program but attend separate group therapy sessions.…”

Section: Couples Groupsmentioning

confidence: 99%

Group Work in the Context of Alcohol Treatment

Loughran

2009

Journal of Teaching in the Addictions

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“…B. Bowers u. Al-Redha, 1990;O'Farrell et al, 1998;Fals-Stewart et al, 2005), depressiven Erkrankungen (z. B.…”

Section: Familientagesklinische Multi-familientherapie Mit Essgestörtunclassified

Multi-Familientherapie in unterschiedlichen Kontexten

Asen

Scholz²

2008

Praxis der Kinderpsychologie und Kinderpsychiatrie

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Asen, Eia und Scholz, Michael Multi-Familientherapie in unterschiedlichen KontextenPraxis der Kinderpsychologie und Kinderpsychiatrie 57 (2008) Multi-Familientherapie in unterschiedlichen Kontexten Eia Asen und Michael Scholz SummaryMulti-family therapy in day care settings his article describes the practice of multi-family therapy in day care settings. Between six to eight families attend together for whole days and weeks and the principles and the methods of this approach are described and illustrated with examples of systemic work with children with severe behavioural and learning disorders, as well as with adolescents presenting with anorexia nervosa.Prax. Kinderpsychol. Kinderpsychiat. 57/2008, 362-380 Keywords Multi-family therapy -systemic therapy -behaviour disorders -anorexia nervosa ZusammenfassungDieser Beitrag beschreibt die Erfahrungen mit Multi-Familientherapie -der gleichzeitigen Behandlung mehrerer Familien in einer Gruppe in tagesklinischen Settings. Die Prinzipien und Methoden dieses Ansatzes werden erörtert und an Hand von zwei Beispielen erläutert: der familientherapeutischen Arbeit mit Kindern mit schweren Lern-und Verhaltensstörun-gen und der herapie von Jugendlichen mit Anorexia nervosa.

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A comparison of outcome with group/marital and standard/individual therapies with alcoholics.

Cited by 66 publications

References 0 publications

Behavioral Couples Therapy for Alcoholism and Drug Abuse

Behavioral Couples Therapy for Alcoholism and Drug Abuse

Group Work in the Context of Alcohol Treatment

Multi-Familientherapie in unterschiedlichen Kontexten

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