Alcoholism; Mechanism and Management

Hayman, Max

doi:10.1097/00000441-196707000-00044

Cited by 5 publications

(3 citation statements)

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“…If covertly resentful, he tends to forget appointments and to take medication improperly (Howard et al, 1970), and his unverbali/ed hostility and resentment, all the more difficult to deal with for being sub rosa, may swell to the point at which he has no alternative but to leave treatment. This seems to be a particularly common personality pattern among alcoholics, in whom the identification, expression, and control (or overcontrol) of aggressive or hostile wishes in an especially striking clinical feature (Blahe, 1968;Hayman, 1966).…”

Section: Aggressive and Passive-aggressive Behaviormentioning

confidence: 99%

Dropping out of treatment: A critical review.

Baekeland

Lundwall²

1975

Psychological Bulletin

1,012

554

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After a discussion of methodological issues of the past 20 years, literature on dropping out of treatment was critically reviewed in six areas: hospital treatment of general psychiatric and tubercular patients, outpatient treatment of internal medical conditions, alcoholism, heroin addiction, general psychiatric outpatient psychotherapy, and double-blind drug studies. Fifteen factors were found to predict dropping out in 100%, 83%-88%, and 60%-75% of the relevant studies: (a) social isolation and/or unaffiliation, therapist attitudes and behavior, discrepancies between patient and therapist treatment expectations; (b) passive-aggressive behavior, family attitudes and behavior, motivation, behavioral and/or perceptual dependence, psychological mindedness and/ or -denial, symptom levels and symptom relief, socioeconomic status, sociopathic features, alcoholism and/or drug dependence; (c) age, sex, and social stability.One of the most vexing problems facing the physician, whether he is a surgeon, internist, or psychiatrist, is that far too many of those entrusted to his care, both inpatients and outpatients, drop out of treatment before they have completed it to his satisfaction. Although the question of the dropout has most often engaged the attention of psychiatrists, it also crops up from time to time in papers by internists, for whom there is no reason to believe that it is any less serious a problem. Where studied, the dropout problem has usually been in the context of treating chronic conditions that require prolonged treatment. The extent of this problem can be inferred ^rom the fact that in general psychiatric clinics, 20%-57% of the patients fail to return after the first visit (Blenkner,

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Section: Aggressive and Passive-aggressive Behaviormentioning

confidence: 99%

Dropping out of treatment: A critical review.

Baekeland

Lundwall²

1975

Psychological Bulletin

1,012

554

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“…J and Jacobsen E 1948). There are t w o theories of the disulfiramalcohol reaction (Hayman 1966). The first holds that disulfiram inhibits the oxidation of acetaldehyde, a metabolite of alcohol, accumulation of which produces the symptoms of the reaction.…”

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confidence: 99%

An Experience with Disulfiram in the management of Alcohol Dependence Syndrome

Murthy¹,

Praveenlal²

1988

Indian Journal of Psychological Medicine

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“…The study does not indicate, however, whether they utilized A.A. and psychotherapy concurrently or whether they referred the patients instead of treating them. In another statment, 5 Hayman seemed to imply that A.A. was second choice rather than a desirable and useful adjunct to therapy: "In general, wherever no etiologic therapy is available . .…”

mentioning

confidence: 99%

How a Therapist Can Use Alcoholics Anonymous

Curlee

1974

Annals of the New York Academy of Sciences

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Alcoholism; Mechanism and Management

Cited by 5 publications

References 0 publications

Dropping out of treatment: A critical review.

Dropping out of treatment: A critical review.

An Experience with Disulfiram in the management of Alcohol Dependence Syndrome

How a Therapist Can Use Alcoholics Anonymous

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