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Assessing the Alcoholic’s Disposition to Drink

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Alcohol Intoxication and Withdrawal—IIIb

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 85B))

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Abstract

Reliable and valid techniques for assessing the alcoholics disposition to drink would allow researchers to address many issues of clinical significance. This paper reviews some basic issues in behavioral assessment techniques, proposes several criteria for a reasonably general technique for assessing disposition to drink, and presents evidence relevant to the validity of one behavioral measure of disposition to drink. A study is presented which focuses on distinguishing good from poor treatment outcome subjects on the basis of their response patterns for alcohol during a simulated drinking binge. Alcoholic subjects were assigned to one of two treatment outcome groups based on treatment success evaluated at follow-up two months after hospital discharge. An analysis of the alcoholica response patterns for alcohol during a simulated drinking binge revealed that good outcome subjects showed decreases in disposition to drink as their blood alcohol levels (BAL) rose, while poor outcome subjects showed increases in disposition to drink as their BAL increased. These results indicate that individual differences in behavioral response to alcoholization and withdrawal can index the alcoholic’s potential for readdiction and relapse subsequent to hospital treatment and illustrate the role which behavioral assessment techniques can play in developing and refining models of human alcohol abuse.

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References

  • Allen, R.P., Wagman, A.M.I., and Funderburk, F.R. Slow wave sleep changes: Alcohol tolerance and treatment implications. In M.M. Gross (Ed.) Alcohol Intoxication and Withdrawal III. New York, Plenum Press, 1977.

    Google Scholar 

  • Allman, L.R., Taylor, H.A., and Nathan, P.E. Group drinking during stress: Effects on drinking behavior, affect, and psychopathology. American Journal of Psychiatry, 1972, 129:669–678.

    Google Scholar 

  • Bigelow, G., Griffiths, R., and Liebson, I. Experimental models for the modification of human drug self administration: Methodological developments in the study of ethanol self-administration by alcoholics. Federation Proceedings, 1975, 34: 1785–1792.

    Google Scholar 

  • Bigelow, G., and Liebson, I. Cost factors controlling alcoholic drinking. The Psychological Record, 1972, 22:305–314.

    Google Scholar 

  • Bigelow, G., Liebson, I., and Griffiths, R. Alcoholic drinking: Suppression by a brief time-out procedure. Behavior Research and Therapy, 1974, 12:107–115.

    Article  Google Scholar 

  • Catania, A.C. Concurrent performances: Reinforcement interaction and response independence. Journal of the Experimental Analysis of Behavior, 1963, 6:253–263.

    Article  Google Scholar 

  • Caudill, B.D., and Marlatt, G.A. Modeling influences in social drinking: An experimental analogue. Journal of Consulting and Clinical Psychology, 1975, 43: 405–415.

    Article  Google Scholar 

  • Cohen, M., Bigelow, G., Hargett, A., Allen, R., and Halsted, C. The uses of contingency management procedures for the treatment of alcoholism in a work setting. Paper presented to the 30th International Congress on Alcoholism and Drug Dependence. Amsterdam, September, 1972.

    Google Scholar 

  • Cohen, M., Liebson, I.A., and Faillace, L.A. The role of reinforcement contingencies in chronic alcoholism: An experimental analysis of one case. Behavior Research and Therapy, 1971, 9:375–379.

    Article  Google Scholar 

  • Cohen, M., Liebson, I.A., and Faillace, L.A. A technique for establishing controlled drinking in chronic alcoholics. Diseases of the Nervous System, 1972, 33:46–48.

    Google Scholar 

  • Cohen, M., Liebson, I.A., and Faillace, L.A. Controlled drinking by chronic alcoholics over extended periods of free access. Psychological Reports, 1973, 32:1107–1110.

    Article  Google Scholar 

  • Cohen, M., Liebson, I.A., Faillace, L.A., and Allen, R.P. Moderate drinking by chronic alcoholics: A schedule dependent phenomenon. Journal of Nervous and Mental Disease, 1971, 153: 434–444.

    Article  Google Scholar 

  • Cohen, M., Liebson, I.A., Faillace, L.A., and Speers, W. Alcoholism: Controlled drinking and incentives for abstinence. Psychological Reports, 1971, 28:575–580.

    Article  Google Scholar 

  • Downs, D.A., Woods, J.H., and Llewellyn, M.E. The behavioral pharmacology of addiction: Some conceptual and methodological foci. In H.D. Cappell and A.E. LeBlanc (Eds.), Biological and Behavioral Approaches to Drus Dependence. Ontario, Canada: Addiction Research Foundation, 1975.

    Google Scholar 

  • Funderburk, F.R., and Allen, R.P. Disposition to drink in chronic alcoholics as a function of maintenance level of alcohol consumption. Paper presented April, 1975, Eastern Psychological Association, New York, N.Y. (a).

    Google Scholar 

  • Funderburk, F.R., and Allen, R.P. A simple progressive ratio procedure for assessing disposition to drink in chronic alcoholics. Paper presented May, 1975, Midwestern Association for Behavior Analysis. Chicago, Ill. (b).

    Google Scholar 

  • Funderburk, F.R., and Allen, R.P. To drink or not to drink: Alcohol-induced stimulus states in alcoholic relapse. Paper presented December, 1976, Association for Advancement of Behavior Therapy, New York, N.Y.

    Google Scholar 

  • Funderburk, F.R., and Allen, R.P. Disposition to drink in relation to natural events in alcoholism. Journal of Studies on Alcohol, 1977, in press.

    Google Scholar 

  • Funderburk, F.R., Schultz, E.E., and Allen, R.P. Determinants of disposition to drink in social drinkers: Social context and prior alcohol consumption. Paper presented May, 1976, Midwestern Association for Behavior Analysis, Chicago, Ill.

    Google Scholar 

  • Goldfried, M.R., and Kent, R.N. Traditional versus behavioral personality assessment: A comparison of methodological and theoretical assumptions. Psychological Bulletin, 1972, 77:409–420.

    Article  Google Scholar 

  • Goldman, M., Taylor, H., Carruth, M., and Nathan, P. Effects of group decision-making on group drinking by alcoholics. Quarterly Journal of Studies on Alcohol, 1973, 34:807–822.

    Google Scholar 

  • Higgins, R.Li, and Marlatt, G.A. Effects of anxiety arousal on the consumption of alcohol by alcoholics and social drinkers. Journal of Consulting and Clinical Psychology, 1973, 41:426–433.

    Article  Google Scholar 

  • Hodos, W. Progressive ratio as a measure of reward strength. Science, 1961, 134:943–944.

    Article  Google Scholar 

  • Imber, S., Schultz, E., Funderburk, F., Allen, R., and Flamer, R. The fate of the untreated alcoholic: Toward a natural history of the disorder. Journal of Nervous and Mental Disease, 1976, 162:238–247.

    Article  Google Scholar 

  • Kerlinger, F.N., and Pedhazur, E.J. Multiple Regression in Behavioral Research. New York: Holt, Rinehart, and Winston, 1973.

    Google Scholar 

  • Liebson, I.A., Cohen, M., Faillace, L.A., and Ward, R.F. The token economy as a research method in alcoholism. The Psychiatric Quarterly, 1971, 45:574–581.

    Article  Google Scholar 

  • Ludwig, A.M., and Stark, L.H. Alcohol craving: Subjective and situational aspects. Quarterly Journal of Studies on Alcohol, 1974, 15:899–905.

    Google Scholar 

  • Ludwig, A.M., and Wikler, A. “Craving” and relapse to drink. Quarterly Journal of Studies on Alcohol, 1974, 35:108–130.

    Google Scholar 

  • Marlatt, G.A., Demming, B.M., and Reid, J.B. Loss of control drinking in alcoholics: An experimental analogue. Journal of Abnormal Psychology, 1973, 81:233–241.

    Article  Google Scholar 

  • Mello, N. Behavioral studies of alcoholism. In B. Kissin and H. Begleiter (Eds.), The Biology of Alcoholism. New York: Plenum Press, 1972.

    Google Scholar 

  • Mello, N.K. A semantic aspect of alcoholism. In H.D. Cappell and A.E. LeBlanc (Eds.), Biological and Behavioral Approaches to Drug Dependence. Ontario, Canada: Addiction Research Foundation, 1975.

    Google Scholar 

  • Mello, N.K., McNamee, H.B., and Mendelson, J.H. Drinking patterns of chronic alcoholics: Gambling and motivation for alcohol. In J.O. Cole (Ed.), Clinical Research in Alcoholism. Psychiatric Research Report No. 24, American Psychiatric Association, Washington, D.C., 1968, pp. 83–118.

    Google Scholar 

  • Mello, N.K. and Mendelson, J.H. Operant analysis of drinking patterns of chronic alcoholics. Nature, 1965, 206:43–46.

    Article  Google Scholar 

  • Miller, P.M. Behavioral assessment in alcoholism research and treatment: Current techniques. The International Journal of the Addictions, 1973, 8:831–837.

    Google Scholar 

  • Miller, P.M. A behavioral intervention program for chronic public drunkenness offenders. Archives of General Psychiatry, 1975, 32:915–918.

    Article  Google Scholar 

  • Miller, P.M., and Hersen, M. Quantitative changes in alcohol consumption as a function of electrical aversive conditioning. Journal of Clinical Psychology, 1972, 28:590–593.

    Article  Google Scholar 

  • Miller, P.M., Hersen, M., Eisler, R.M., and Elkin, T.E. A retrospective analysis of alcohol consumption on laboratory tasks as related to therapeutic outcome. Behavior Research and Therapy, 1974, 12:73–76.

    Article  Google Scholar 

  • Miller, P.M., Hersen, M., Eisler, R.M., Epstein, L.H., and Wooten, L.S. Relationship of alcohol cues to the drinking behavior of alcoholics and social drinkers: An analogue study. The Psychological Record, 1974, 24:61–66.

    Google Scholar 

  • Nathan, P., and O’Brien, J. An experimental analysis of the drinking behavior of alcoholics and non-alcoholics during prolonged experimental drinking: A necessary precursor of behavior therapy? Behavior Therapy, 1971, 2:455–476.

    Article  Google Scholar 

  • Nathan, P., Titler, N., Lowenstein, L., Solomon, P., and Rossi, A. Behavioral analysis of chronic alcoholism. Archives of General Psychiatry, 1970, 22:419–430.

    Article  Google Scholar 

  • Schaefer, H.H., Sobell, M.B., and Mills, K.C. Baseline drinking behaviors in alcoholics and social drinkers kinds of drinks and sip magnitude. Behavior Research and Therapy, 1971, 9:23–27.

    Article  Google Scholar 

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© 1977 Plenum Press, New York

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Funderburk, F.R., Allen, R.P. (1977). Assessing the Alcoholic’s Disposition to Drink. In: Gross, M.M. (eds) Alcohol Intoxication and Withdrawal—IIIb. Advances in Experimental Medicine and Biology, vol 85B. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-9038-5_38

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  • DOI: https://doi.org/10.1007/978-1-4615-9038-5_38

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4615-9040-8

  • Online ISBN: 978-1-4615-9038-5

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