Skill training with alcoholics.

Abstract

This study evaluated a short-term skill-training intervention that taught male alcoholics generation of appropriate behaviors in problematic situations. Forty alcoholics engaged in inpatient treatment were divided into three groups-a skill-training group, a discussion group, and a no-additional-treatment control group. A verbal role-playing measure of responses to situations associated with drinking behavior and relapse showed significant performance improvement of the training group as compared to the control groups. A 1-year posttreatment follow-up indicated that skill training decreased the duration and severity of relapse episodes. Behavior on the situational role-playing task predicted posttreatment adjustment. While pointing out limitations of skill training as implemented, results suggest its utility as one component of a multimodal behavioral approach to relapse in problem drinking and other problem areas such as drug addiction, smoking, obesity, and crime.

Imaginary Relish and Exquisite Torture: The Elaborated Intrusion Theory of Desire.

“…For example, the prediction and avoidance of high-risk situations for behavioral lapses (Chaney, O'Leary, & Marlatt, 1978) is likely not only to reduce the risk of relapse, but of intense desire as well. A cognitive approach may well examine the accuracy of overly positive expectancies from the addictive behavior, or address secondary dysphoria about craving, among other cognitive targets (cf.…”

Motivational Interviewing and Relapse Prevention for DWI: A Pilot Study

“…The goal of RP is to teach individuals (who are engaged in the active phase of treatment) how to anticipate and cope with relapse. The effectiveness of RP has been demonstrated in several studies (Chaney, O'Leary, & Marlatt, 1978;Koski-Jannes, 1992;Ito, Donovan & Hall, 1988;Annis & Davis, 1988;Sandahl & Ronnberg, 1990;O'Farrell, 1993). Irvin and colleagues (1999) conducted a meta-analysis of 26 studies and found that RP was particularly effective for alcohol or poly-substance disorders.…”

Treatment of alcohol dependence

“…Further, there was a strong relationship in this study between improvement in social skills and reduction in alcohol consumption. Chaney et al 40 tested a model of treatment characterized as relapse prevention, which focuses on identifying and coping with situations that represent high risk for heavy drinking. They found that patients who received skills training attended aftercare more regularly and had less severe (although no less frequent) relapses than controls.…”