Maintaining change after conjoint behavioral alcohol treatment for men: outcomes at 6 months

Abstract

Results favored the two behavioral conditions and did not suggest additional benefit from combining AA with behavioral couples therapy, but those who did attend AA showed a positive impact.

Drinking to regulate negative romantic relationship interactions: The moderating role of self-esteem

“…Consistent with this idea, Marlatt (1996) identified negative interpersonal interactions (e.g., spouse) as one type of stressor that precipitates the onset of drinking in abstinent problem drinkers. In addition, Alcohol Behavioral Couples Therapy focuses on the key role that negative romantic relationship functioning plays in alcohol consumption (Epstein & McCrady, 1998;McCrady, Epstein, & Hirsch, 1999). In fact, Behavioral Couples Therapy has been found to produce a significant reduction in alcohol consumption compared with individual-based treatment (Fals-Stewart, O'Farrell, & Birchler, 1997) and it also improves marital functioning (Epstein & McCrady, 1998).…”

Involving significant others in the care of opioid-dependent patients receiving methadone

“…Work in patients with alcohol problems has been particularly encouraging. Studies have shown that spouse involvement in treatment is an effective intervention for enhancing adherence to disulfiram, for reducing total alcohol consumption, for improving partner relationships, and for maintaining treatment gains over time (McCrady, Epstein, & Hirsch, 1999;McCrady, Epstein & Kahler, 2004;McCrady, Stout, Noel, Abrams, & Nelson, 1991;O'Farrell, Choqu ette, & Cutter, 1998 ;O'Farrel l, Cutter, Choquette, Floyd , & Bayog , 199 2;O'Farrell, Van H utton, & Murphy, 1999). More recently, studies that have extended this work to illicit-drug-using individuals have shown that patients treated with BCT exhibit less drug use and better overall treatment adherence than those prescribed individual-based therapies (Fals-Stewart, Birchler, & O'Farrell, 1996;Fals-Stewart et al, 2000;Winters, FalsStewart, O'Farrell, Birchler, & Kelley, 2002).…”

Four major challenges facing peace education in regions of intractable conflict.

“…Two fields are much concerned with this issue: the medical (e.g., Mccrady, Epstein, & Hirsch, 2002) and the therapeutic fields (e.g., McGuire, 2003). Different models of diffusion and social adoption of medical and technological innovations have been suggested (e.g., Kempe, Kleinberg, & Tardos, 2003), including word-of-mouth and the two-step flow of communication.…”