Problem drinkers' goal choice and treatment outcome: A preliminary study

Booth, Peter G.; Dale, B; Ansari, Joe

doi:10.1016/0306-4603(84)90035-2

Cited by 42 publications

(44 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As noted in Lozano et al (2006), another factor that has been consistently associated with controlled drinking goals and outcomes is limited exposure to treatment services (Booth et al, 1984;Elal-Lawrence, Slade, & Dewey, 1986, 1987Finney & Moos, 1981;Hodgins et al, 1997;Ojehagen & Berglund, 1989), which seems to make sense in light of the Sobell (1995, 2011) and Rosenberg (1993) reviews demonstrating associations between lower problem severity and controlled drinking, in conjunction with research demonstrating associations between lower problem severity and natural recovery (Bischof et al, 2012). Additionally, as noted in Lozano et al…”

Section: Overview In the Addictive Disorders Literaturementioning

confidence: 90%

“…Moreover, research has demonstrated the viability of moderation treatment goals-most often for alcohol use and gambling disorders than for illicit substance use disorders-and has suggested that offering these goals might provide a more realistic, attractive option for clients, and might lead to lower attrition rates by increasing self-efficacy and motivation early in treatment (Blaszczynski, McConaghy, & Frankova, 1991;Booth, Dale, & Ansari, 1984;Ladouceur, Lachance, & Fournier, 2009;Marlatt & Donovan, 2005;. Beyond a client merely having a moderation goal in treatment, moderation-focused treatments for alcohol use and gambling disorders have been specifically developed and tested that help clients work explicitly towards moderation goals and that incorporate moderation-focused techniques (Dowling, Smith, & Thomas, 2009;Ladouceur et al, 2009;Marlatt & Witkiewitz, 2002;Saladin & Santa Ana, 2004).…”

Section: Overview In the Addictive Disorders Literaturementioning

confidence: 99%

“…(2006), despite a lack of evidence clearly supporting either abstinence or moderation as a superior drinking goal, a number of studies have demonstrated an association between drinking goal and subsequent achievement of that goal-that is, individuals with abstinence goals are more likely to achieve abstinence and those with moderation goals are more likely to achieve moderated outcomes (Maisto, Sobell, & Sobell, 1980;Booth et al, 1984;Elal-Lawrence et al, 1986, 1987. These latter findings are consistent with Sobell's (1995, 2011) conclusion that it is an illusion to suggest that treatment goals are determined by service providers; and are also consistent with social cognitive theory, which suggests that people will strive harder to attain goals when they play an active role in goal selection rather than when goals are assigned (Bandura, 1986;Sobell, Sobell, Bogardis, Leo, & Skinner, 1992a).…”

Section: Overview In the Addictive Disorders Literaturementioning

confidence: 99%

See 2 more Smart Citations

Recovery from cannabis use disorders: Abstinence versus moderation and treatment-assisted recovery versus natural recovery.

Stea

Yakovenko

Hodgins

2015

Psychology of Addictive Behaviors

View full text Add to dashboard Cite

The recovery process from cannabis use disorders has received little empirical attention. Understanding how and the ways in which individuals with cannabis use disorders recover may help to improve formal treatments and facilitate recovery for those who wish to not seek treatment. The present study was undertaken with two primary objectives in mind. The first primary objective was to provide an exploratory portrait of the recovery process from cannabis use disorders from the perspective of individuals who have recovered. The second primary objective was to explore and systematically describe the similarities and differences between abstinence-and moderation-oriented recoveries, as well as the similarities and differences between treatment-assisted and natural recoveries. The methodology was largely borrowed from the natural recovery literature insofar as recovery was first inferred via the remission of diagnostic symptoms, and then explored predominantly via several interview domains (e.g., reasons for resolution, actions taken to recover, maintenance factors, barriers to treatment seeking).Several interesting and important findings emerged at the level of the total sample (N = 119), as well as at the level of group comparisons between the different recovery pathways. Notably, the findings lend further support to the effectiveness of cognitive, motivational, and behavioural strategies as helpful actions and maintenance factors

show abstract

Section: Overview In the Addictive Disorders Literaturementioning

confidence: 90%

Section: Overview In the Addictive Disorders Literaturementioning

confidence: 99%

Section: Overview In the Addictive Disorders Literaturementioning

confidence: 99%

See 1 more Smart Citation

Recovery from cannabis use disorders: Abstinence versus moderation and treatment-assisted recovery versus natural recovery.

Stea

Yakovenko

Hodgins

2015

Psychology of Addictive Behaviors

View full text Add to dashboard Cite

show abstract

“…At the same time, there is growing evidence that the client's preferences in this matter are also important and that many clients will naturally choose the goal that best fits their circumstances (Pachman, Foy & van Erd, 1978;Booth et al, 1984Booth et al, , 1992Hodgins et al 1997;Adamson & Sellman, 2001). Ultimately, goal choice is a clinical decision to be negotiated between client and clinician and depending on the unique set of characteristics, beliefs and preferences of the individual client.…”

Section: Among Problem Drinkers Seeking Treatmentmentioning

confidence: 99%

Controlled drinking, harm reduction and their roles in the response to alcohol-related problems

Heather¹

2006

Addiction Research & Theory

View full text Add to dashboard Cite

This paper first distinguishes three meanings of the term "harm reduction" in the literature on alcohol problems: a European sense in which a change in drinking is not necessarily required; an American sense which includes the controlled drinking goal of treatment; and a government policy sense in which it is seen as an alternative to whole population alcohol policies. The paper then goes on to consider the roles of the controlled drinking goal and the harm reduction philosophy in the response to three groups of people with alcohol problems or increased risk of such problems: the nontreatment-seeking population of hazardous and harmful drinkers; the population of socio-economically disadvantaged street drinkers; and the regular population of treatment-seeking problems drinkers. It is concluded, inter alia, that the equation of harm reduction and the controlled drinking goal in the American sense of harm reduction is confusing and may have had a detrimental effect of the practice of controlled drinking treatment. 3The aims of this paper are twofold: (i) to try to clarify various meanings in the literature of the term "harm reduction", particularly in relation to alcohol problems and the controlled drinking (CD) goal of treatment; and (ii) to elaborate a position on the roles of harm reduction and the CD goal in the treatment of alcohol problems and, more generally, in the response to alcohol-related harm. MEANINGS OF HARM REDUCTIONIt is often said that "harm reduction" can easily become a meaningless term -similar to motherhood, apple pie and other things that no-one could possibly object to.Anyone working in the field of alcohol problems, either in treatment or prevention, could legitimately claim to be aiming at a reduction of the harm caused by alcohol.We clearly need a more precise definition of the term if it is to be of any use for scientific, policy or even clinical purposes. The European sense of harm reductionSome years ago colleagues and I offered a definition of harm reduction as follows:"An attempt to ameliorate the adverse health, social or economic consequences of mood-altering substances without necessarily requiring a reduction in the consumption of these substances" (Heather et al., 1993, p.vi).Thus, we argued, harm reduction was distinguished from other more conventional approaches to drug-related harm by its emphasis on decreasing problems resulting from consumption rather than on decreasing consumption itself. The paradigm case of harm reduction in this sense is the needle exchange and syringe programme which 4 attempts to reduce the probability of acquiring or transmitting HIV by changing the way the drug is consumed without necessarily aiming for any reduction in the quantity of drug use. This is the typical sense in which harm reduction is used, or at least was until recently used, in Europe where the harm reduction movement originated (O'Hare et al., 1992).Applied to the area of alcohol problems, some examples of harm reduction par excellence are the thiamine enrichment of beer (...

show abstract

“…Both abstinence and controlled drinking goal choices are catered for in the underlying model of dependence and, not surprisingly given the severity of problems reported by most treatment candidates, abstinence is the most frequent goal choice (Booth, Dale & Ansari, 1984). Patients are made aware from admission of the long term perspectives of aftercare clinic attendance, domicilary visiting (Booth & Dale, 1985), monitoring and collateral involvement.…”

Section: Introductionmentioning

confidence: 99%