Brief report: Abstinence and abusive drinking among affiliates of alcoholics anonymous: Are these the only alternatives?

Ogborne, Alan C.; Bornet, Andrew

doi:10.1016/0306-4603(82)90046-6

Cited by 23 publications

(3 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To the members of twelve step oganizations it was an anathema for professionals to encourage alcoholics to attempt to control their drinking rather than "turn their will and their lives over to the care of God as they understand God." Some professionals have counterattacked by arguing that AA’s emphasis on lack of control over substance abuse sets up a self-fulfilling prophecy that may encourage relapse ( Ogbourne & Bornet, 1982).…”

Section: The Limits Of Integration Helping Valuesmentioning

confidence: 99%

Psychotherapy and the twelve step approach for substance abusers: The limits of integration.

Humphreys¹

1993

Psychotherapy: Theory, Research, Practice, Training

View full text Add to dashboard Cite

show abstract

Section: The Limits Of Integration Helping Valuesmentioning

confidence: 99%

Psychotherapy and the twelve step approach for substance abusers: The limits of integration.

Humphreys¹

1993

Psychotherapy: Theory, Research, Practice, Training

View full text Add to dashboard Cite

show abstract

“…Unfortunately, if alcoholics internalize the positive expectations, they are also likely to internalize the negative ones: "insofar as treatment personnel do not appear to distinguish between these unfortunate bedfellows, it seems reasonable to conclude that their clients do not either" (Rollnick & Heather, 1982, p. 248). Similarly, Ogborne and Bornet (1982) suggest that Alcoholics Anonymous fosters beliefs which may have untoward effects for some participants, and summarize data suggesting that exposure to the program may increase both the chances of sobriety and the chances of serious relapse. Rollnick and Heather (1982) conjecture that it may be possible to retain abstinence goals while avoiding the creation of harmful expectations or personal attributions for failure.…”

Section: Bemismentioning

confidence: 99%

“Abstinence” and “nonabstinence” models for the treatment of bulimia

Bemis

1985

Int. J. Eat. Disord.

View full text Add to dashboard Cite

One of the most controversial dimensions along which developing therapeutic approaches for bulimia can be differentiated is their allegiance to an “abstinence” or “nonabstinence” model. Through analogy to traditional treatment programs for chemical dependency, many self‐help and professional programs for bulimia hold that the complete elimination of binge‐vomiting behavior is a prerequisite for therapeutic work, and require abstinence from the inception of treatment. In contrast, the nonabstinence model suggests that a more gradual reduction in the frequency of episodes may be preferable in that it provides more opportunities for relapse prevention training and avoids reinforcing dichotomous thinking styles. The present paper reviews the theoretical and clinical arguments that have been advanced by each side, including the case for classifying bulimia as a substance abuse disorder. A strategy for investigating the relative efficacy of the two approaches is proposed. It is suggested that particular attention be paid to such variables as differential attrition, the effect of each modality on the accuracy of self‐report, the need for continuing or supplementary therapy, the occurrence of treatment “casualties,” interactions between client characteristics and mode of therapy, and long‐term results. In the interim before such data are available, a reasonable clinical recommendation may be the implementation of a “compromise” approach designed to maximize the advantages claimed by each model while minimizing possible risks.

show abstract

“…Going to “90 meetings in 90 days” is commonly prescribed to newcomers, based on the fellowship’s shared wisdom and anecdotal observations that attendance is fundamentally important, although such frequency of attendance may not easily be attainable in all parts of the world. Early research supported a positive relationship between AA meeting attendance and drinking outcomes, most notably abstinence (Ferris-Kurtz, 1981; Thurstin, Alfano & Nerviano, 1987), although some studies failed to find such relationships, or reported mixed results (McLatchie & Lomp, 1988; Miller, Leckman, Delaney & Tinkcom, 1992; Ogborne & Bornet, 1982). …”

Section: Introductionmentioning

confidence: 99%

Spiritual Awakening Predicts Improved Drinking Outcomes in a Polish Treatment Sample

Strobbe

Cranford

Wojnar

et al. 2013

Journal of Addictions Nursing

View full text Add to dashboard Cite

Purpose This study examined concurrent and longitudinal associations between two dimensions of affiliation in Alcoholics Anonymous (AA)—attendance and spiritual awakening—and drinking outcomes among adult patients who were in treatment for alcohol dependence in Warsaw, Poland. In a study conducted at four addiction treatment centers, male and female patients (n = 118) with a DSM-IV diagnosis of alcohol dependence were assessed at baseline (Time 1 or T1), one month (T2), and 6 to 12 months post-baseline (T3) for AA meeting attendance, various aspects of AA affiliation, and alcohol use. AA meeting attendance and alcohol consumption were measured using the Timeline Followback (TLFB) interview. Self-report of having had a spiritual awakening was measured using a modified version of the Alcoholics Anonymous Involvement (AAI) scale. Results There were no cross-sectional or longitudinal associations between AA meeting attendance and improved drinking outcomes. In contrast, self-report of a spiritual awakening between T2 and T3 was significantly associated with abstinence (OR = 2.4, p < .05) and the absence of any heavy drinking (OR = 3.0, p < .05) at T3, even when demographic and clinical characteristics were statistically controlled. Conclusions Self-reports of spiritual awakening predicted improved drinking outcomes in a Polish treatment sample.

show abstract

Brief report: Abstinence and abusive drinking among affiliates of alcoholics anonymous: Are these the only alternatives?

Cited by 23 publications

References 10 publications

Psychotherapy and the twelve step approach for substance abusers: The limits of integration.

Psychotherapy and the twelve step approach for substance abusers: The limits of integration.

“Abstinence” and “nonabstinence” models for the treatment of bulimia

Spiritual Awakening Predicts Improved Drinking Outcomes in a Polish Treatment Sample

Contact Info

Product

Resources

About