Family Denial as a Prognostic Factor in Opiate Addict Treatment Outcome

Kosten, Thomas R.; Jalali, Behnaz; Hogan, Izola; Kleber, Herbert D.

doi:10.1097/00005053-198310000-00004

Cited by 17 publications

(13 citation statements)

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“…The 'Broken Family Relationships' theme resonates with the existing literature about the effects of substance abuse. The affected individual and his or her family suffer family disruption (Kaufman & Kaufman, 1979;Velleman, 1992), family violence (Kaufman, Kantor & Strauss, 1989) loss of employment, financial instability (Liddle, Dakof & Gayle, 1995), marital break down (Kosten et al, 1983) and physical and psychological abuse (Kaufman et al, 1989). Individuals with serious substance abuse disorders often commit drug-related crimes and experience accidents (Brake, 1994;Coleman & Strauss, 1983;Lipsitt & Vandenboss, 1992).…”

Section: Discussionmentioning

confidence: 99%

Multiple Family Group Therapy in a Drug and Alcohol Rehabilitation Centre: Residents' Experiences

Schäfer

2008

ANZ J of Family Therapy

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This study documents how residents experience Multiple Family Group (MFG) treatment in an 18‐week residential therapeutic program for people with a severe substance disorder. Individual in‐depth interviews with nine residents and three ex‐residents of European descent were undertaken, and analysed using a descriptive thematic analysis. Results indicate that, prior to taking part in the program, their relationships with their families were seriously damaged and their situations often appeared complex and hopeless. After attending the MFGs all of the participants of this study experienced a number of positive changes in their relationships with their family members and partners. All interviewees said that they had gained more awareness about their interactions, better communications skills and were able to integrate these skills into their relationships with their families and partners.

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Section: Discussionmentioning

confidence: 99%

Multiple Family Group Therapy in a Drug and Alcohol Rehabilitation Centre: Residents' Experiences

Schäfer

2008

ANZ J of Family Therapy

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“…Both retrospective and longitudinal studies have documented that high levels of social support are related to better treatment outcomes (Billings & Moos, 1982;Captain, 1989;Fagan & Mauss, 1986;Grey, Osborn, & Reznikoff, 1986;Joe & Simpson, 1983;MacDonald, 1987;Moberg, Krause, & Klien, 1982;Moos, Bromet, Tsu, & Moos, 1978;Rhoads, 1983;Rosenberg, 1983;Rychtarik, Carstensen, Alford, Schlundt, & Scoot, 1988). As a result, several treatment programs have directed their efforts toward helping addicts restructure their social relationships, and success of these efforts has been documented (Daley, 1989;Galanter, 1987;Kosten, Jalali, Hogan, & Kleber, 1983 1984). Research has emphasized the importance of participating in selfhelp groups (e.g., AA, NA) for building supportive relationships in the recovery process and ending destructive relationships (Galanter, Casteneda, & Salamon, 1987;McLatchie & Lomp, 1988;Sheeren, 1987;Thurstin, Alfano, & Nerviano, 1987;Williams, Stout, & Erickson, 1986).…”

Section: Environmental Predictorsmentioning

confidence: 99%

Innovative Approaches to Predicting and Preventing Addiction Relapse

Ramanathan¹,

Reischl

1999

Employee Assistance Quarterly

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“…Other data can only weakly suggest that family treatment is efficacious (e.g., Anton et al, 1981;Kosten, Jalali, Hogan, & Kleber, 1983;McLellan et al, 1993). For example, Kosten et al (1983) found that participants receiving multiple family therapy in addition to standard care remained drug free longer than those receiving standard care alone (e.g., naltrexone and individual counseling). These results, however, are tempered by the lack of random assignment: clients self-selected into the family treatment.…”

Section: Efficacy Of Family Therapy For Adult Drug Abusementioning

confidence: 99%

“…In sum, then, the limited body of work concerning the efficacy of family treatment of adult drug abuse has not been able to sustain the promise of the early results found by Stanton and Todd. Certain studies did not find the expected treatment effects (Bernal et al, 1995;Kang et al, 1991;Romijn et al, 1991), and others were flawed by methodological limitations (e.g., Anton et al, 1981;Kosten et al, 1983). Finally, the adult area is marked by the absence of creative family interventions evident in the fields of adolescent drug abuse (e.g., the multicomponent interventions) and adult alcoholism (e.g., marital therapy) treatment research.…”

Section: Next Previousmentioning

confidence: 99%

Efficacy of Family Therapy for Drug Abuse: Promising but Not Definitive

Liddle

Dakof

1995

J Marital Family Therapy

171

134

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Drug abuse is an enormous public health problem with consequences not only for individuals using drugs but also for families, communities, and society. Moreover, research evidence and clinical experience agree that drug abuse is one of the more dificult problems to treat. Despite considerable research on the connection between family factors and drug use, and the existence of family therapy models for drug abuse, comparatively few controlled eficacy studies have been conducted. This article presents a critical review of controlled treatment outcome research in the area of family therapy for drug abuse in both adults and adolescents. A number of studies from different clinical research groups demonstrate that different versions of family intervention can engage and retain drug users and their families in treatment, signijicantly reduce drug use and other related problem behaviors, and enhance particular domains ofprosocialfunctioning. Moreover, a smaller number of comparative eficacy studies have shown family therapy to be more effective than nonfamily therapies. Family therapy of adolescent drug abuse is more developed at present than family therapy of adult drug abuse. Although the results of the reviewed studies are promising, a blanket confirmation of family therapy's eficacy for drug abuse cannot be made at this time because of the relatively small number of studies and the noted methodological limitations of the studies published to date. Nonetheless, substantial progress in this clinical research area has occurred, and i f research and funding support continue or can expand, significant breakthroughs in the treatment of drug abuse with family-based treatments are possible.

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Family Denial as a Prognostic Factor in Opiate Addict Treatment Outcome

Cited by 17 publications

References 0 publications

Multiple Family Group Therapy in a Drug and Alcohol Rehabilitation Centre: Residents' Experiences

Multiple Family Group Therapy in a Drug and Alcohol Rehabilitation Centre: Residents' Experiences

Innovative Approaches to Predicting and Preventing Addiction Relapse

Efficacy of Family Therapy for Drug Abuse: Promising but Not Definitive

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