Skip to main content

Outcomes of Family-Involved Alcoholism Treatment

  • Chapter
Recent Developments in Alcoholism

Part of the book series: Recent Developments in Alcoholism ((RDIA,volume 7))

Abstract

This chapter reviews current studies of the effectiveness of family-involved alcoholism treatment. Three theoretical perspectives on family-involved treatment are reviewed: disease model perspectives, behavioral perspectives, and family systems perspectives. Studies evaluating the effectiveness of treatment derived from each viewpoint are described. It is concluded that despite the widespread popularity of family-involved alcoholism treatment, there is a paucity of well-controlled research in this area, that all of the reported research has evaluated marital rather than family therapy, and that there are notable discrepancies between the popularity of clinical practices and the empirical bases of practice.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Lewis ML: Alcoholism and family casework. Soc Casewk 35: 8–14, 1937.

    Google Scholar 

  2. Jackson, JK: The adjustment of the family to the crisis of alcoholism. Q J Stud Alcohol 15: 562–586, 1954.

    PubMed  CAS  Google Scholar 

  3. Davis DI, Berenson D, Steinglass P, Davis S: The adaptive consequences of drinking. Psychiatry 37: 209–215, 1974.

    PubMed  CAS  Google Scholar 

  4. Gliedman LH, Nash HT, Webb WL: Group psychotherapy of male alcoholics and their wives. Dis Nerv Syst 17: 90–93, 1956.

    PubMed  CAS  Google Scholar 

  5. Steinglass P: Experimenting with family treatment approaches to alcoholism, 1950–1975: A review. Fam Proc 15: 97–123, 1976.

    Article  CAS  Google Scholar 

  6. Cermak T: Diagnosing and Treating Co-dependence. Minneapolis, Johnson Institute Books, 1986.

    Google Scholar 

  7. Laundergan JC, Williams T: Hazelden: Evaluation of a residential family program. Alc Hlth Res Wrld 3: 13–16, 1979.

    CAS  Google Scholar 

  8. McCrady BS, Hay W: Coping with problem drinking in the family, in Orford J (ed): Coping with Disorder in the Family. London, Croom Helm, 1987.

    Google Scholar 

  9. Steinglass P: The alcoholic family at home. Patterns of interaction in dry, wet, and transitional stages of alcoholism. Arch Gen Psychiatry 38: 578–584, 1981.

    Article  PubMed  CAS  Google Scholar 

  10. Steinglass P: The alcoholic family in the interaction laboratory. J Nerv Ment Dis 167: 428–436, 1979.

    Article  PubMed  CAS  Google Scholar 

  11. Wolin SJ, Bennett LA, Noonan DL: Family rituals and the recurrence of alcoholism over generations. Am J Psychiatry 136: 589–593, 1979.

    PubMed  CAS  Google Scholar 

  12. Emrick C, Hanson J: In McCrady BS, Noel NE, Nirenberg TD (eds): Future Directions in Alcohol Abuse Treatment Research, NIAAA Research Monograph 15. Washington, DC, US Government Printing Office, 1985.

    Google Scholar 

  13. Laundergan JC, Shroeder MR, Barnett PJ: Family program client changes: A follow-up. Alcohol Clin Exp Res 4: 221, 1980.

    Google Scholar 

  14. Gorman JM, Rooney JF: The influence of Al-Anon on the coping behavior of wives of alcoholics. J Stud Alcohol 40: 1030–1037, 1979.

    Google Scholar 

  15. Cheek RE, Franks CM, Laucius J, Burtle V: Behavior-modification training for wives of alcoholics. Q J Stud Alcohol 32: 456–461, 1971.

    PubMed  CAS  Google Scholar 

  16. Thomas EJ, Santa CA: Unilateral family therapy for alcohol abuse: A working conception. Am J Fam Ther 10: 49–58, 1982.

    Article  Google Scholar 

  17. Azrin NH, Sisson RW, Meyers R, Godley M: Alcoholism treatment by disulfiram and community reinforcement therapy. J Behav Ther Exp Psychiatry 13: 105–112, 1982.

    Article  PubMed  CAS  Google Scholar 

  18. Azrin NH: Improvements in the community-reinforcement approach to alcoholism. Behav Res Ther 14: 339–348, 1976.

    Article  PubMed  CAS  Google Scholar 

  19. Keane TM, Foy DW, Nunn B, Rychtarik RG: Spouse contracting to increase Antabuse compliance in alcoholic veterans. J Clin Psych 40: 340–344, 1984.

    Article  CAS  Google Scholar 

  20. McCrady BS: Conjoint behavioral treatment of an alcoholic and his spouse: The case of Mr. and Mrs. D., in Hay W, Nathan PE (eds): Clinical Case Studies in the Behavioral Treatment of Alcoholism. New York, Plenum Press, 1982.

    Google Scholar 

  21. Noel NE, McCrady BS: Behavioral treatment of an alcohol abuser with the spouse present: Two case studies, in Kaufman E (ed): Family Case Studies in the Treatment of Alcoholism: The Power to Change. New York, Gardner Press, 1984.

    Google Scholar 

  22. McCrady BS: Alcoholism, in Barlow DH (ed): Clinical Handbook of Psychological Disorders: A Step-by-Step Treatment Manual New York, Guilford Press, 1985.

    Google Scholar 

  23. O’Farrell TJ, Cutter HSG: Behavioral marital therapy couples groups for male alcoholics and their wives. J Subst Abuse Treat 1: 191–204, 1984.

    Article  PubMed  Google Scholar 

  24. O’Farrell TJ, Cutter HSG: Behavioral marital therapy for male alcoholics: Clinical procedures from a treatment outcome study in progress. Am J Fam Ther 12: 33–46, 1984.

    Article  Google Scholar 

  25. O’Farrell TJ, Cutter HSG, Floyd FJ: Evaluating behavioral marital therapy for male alcoholics: Effects on marital adjustment and communication from before to after treatment. Behav Ther 16: 147–167, 1985.

    Article  Google Scholar 

  26. McCrady, BS, Noel NE, Abrams DB, Stout RL, Nelson HF, Hay WM: Comparative effectiveness of three types of spouse involvement in outpatient behavioral alcoholism treatment. J Stud Alcohol 47: 459–467, 1986.

    PubMed  CAS  Google Scholar 

  27. McCrady BS, Stout RL, Noel NE, Abrams DB, Nelson HF: Comparative effectiveness of three types of spouse involved behavioral alcoholism treatment: Outcomes 18 months after treatment. Manuscript under review, 1988.

    Google Scholar 

  28. Stout RL, McCrady BS, Longabaugh R, Noel NE, Beattie MC: Marital therapy helps to maintain the effectiveness of alcohol treatment: Replication of an outcome crossover effect. Manuscript under review, 1988.

    Google Scholar 

  29. McCrady BS, Paolino TJ, Jr., Longabaugh RL, Rossi J: Effects of joint hospital admission and couples treatment for hospitalized alcoholics: A pilot study. Addict Behav 4: 155–165, 1979.

    Article  PubMed  CAS  Google Scholar 

  30. McCrady BS, Moreau J, Paolino TJ, Jr., Longabaugh RL: Joint hospitalization and couples therapy for alcoholism: A four-year follow-up. J Stud Alcohol 43: 1244–1250, 1982.

    PubMed  CAS  Google Scholar 

  31. Steinglass P: An experimental treatment program for alcoholic couples. J Stud Alcohol 40: 159–182, 1979.

    PubMed  CAS  Google Scholar 

  32. Zweben A, Pearlman S: Evaluating the effectiveness of conjoint treatment of alcohol-complicated marriages: Clinical and methodological issues. J Mar Fam Ther 9: 61–72, 1983.

    Article  Google Scholar 

  33. Berger A: Family involvement and alcoholics’ completion of a multiphase treatment program. J Stud Alcohol 42: 517–520, 1981.

    PubMed  CAS  Google Scholar 

  34. Steinglass P, Tislenko L, Reiss D: Stability/instability in the alcoholic marriage: The interrelationships between course of alcoholism, family process, and marital outcome. Fam Proc 24: 365–376, 1985.

    Article  CAS  Google Scholar 

  35. Vannicelli M, Gingerich S, Ryback R: Family problems related to the treatment and outcome of alcoholic patients. Br J Addict 78: 193–204, 1983.

    PubMed  CAS  Google Scholar 

  36. Paolino TJ, Jr., McCrady BS: The Alcoholic Marriage: Alternative Perspectives. New York, Grune and Stratton, 1977.

    Google Scholar 

  37. Moos RH, Finney JW, Gamble W: The process of recovery from alcoholism. II. Comparing spouses of alcoholic patients and matched community controls. J Stud Alcohol 43: 888–909, 1982.

    PubMed  CAS  Google Scholar 

  38. Moos RH, Billings AG: Children of alcoholics during the recovery process: Alcoholic and matched control families. Addict Behav 7: 155–164, 1982.

    Article  PubMed  CAS  Google Scholar 

  39. Moos RH, Moos BS: The process of recovery from alcoholism. III. Comparing functioning in families of alcoholics and matched control families. J Stud Alcohol 45: 111–118, 1984.

    PubMed  CAS  Google Scholar 

  40. Zweben A: A study of the circumstances or processes linking alcohol use and marital instability. J Stud Alcohol, in press.

    Google Scholar 

  41. Roberts MCF, Floyd FJ, O’Farrell TJ, Cutter HSG: Marital interactions and the duration of alcoholic husbands’ sobriety. Am J Drug Alc Abuse 11: 303–313, 1985.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Springer Science+Business Media New York

About this chapter

Cite this chapter

McCrady, B.S. (1989). Outcomes of Family-Involved Alcoholism Treatment. In: Galanter, M. (eds) Recent Developments in Alcoholism. Recent Developments in Alcoholism, vol 7. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-1678-5_9

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-1678-5_9

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-1680-8

  • Online ISBN: 978-1-4899-1678-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics