Out-Patient Treatment of Alcoholism

Name: Out-Patient Treatment of Alcoholism | A Study of Outcome and Its Determinants
Brand: University of Toronto Press
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A Study of Outcome and Its Determinants

Donald L. Gerard Gerhart Saenger(Autor*in)

University of Toronto Press

1. Auflage

Erschienen am 15. Dezember 1966

268 Seiten

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Inhalt

Cover
Contents
Foreword
Preface
I. The Design of the Study
1. Introduction
2. Some Recent Institutional History
3. Evaluation Research in Alcoholism
4. Overview
(a) Pilot Study
(b) Main Study
(c) Data Analysis
II. The Research Setting: Alcoholism Clinics
1. Introduction
Clinic A
Clinic B
Clinic C
Clinic D
Clinic E
Clinic F
Clinic G
Clinic H
2. Some Generalizations about Alcoholism Clinics
3. Some Generalizations about Collaborative Evaluation Research
(a) Sponsorship and Participation
(b) Change and Growth
(c) Research versus Treatment
(d) Personalities
4. Some General Recommendations
III. Characteristics of Clinic Patients at Intake
1. Introduction
2. The Alcoholism of the Patients
(a) Dependence on Alcohol
(i) Belief of patients
(ii) Obesrved Behavior of patients
(iii) History of Drinking
(iv) Conscious motives for drinking
(b) Noticeable Mental Disturbances
(c) Interference with Mental or Bodily Health
3. Identifying Social Characteristics
(a) Social Stability
(b) Occupational Status
(c) Educational Level
(d) Race
(e) Nativity
(f) Religious Denomination
(g) Sex and Age
(h) Marital Status
4. Social Functioning
(a) Personal Relationships
(b) Relationship to Work
IV. The Nature of Clinic Treatment
1. Some Methodological Considerations
2. The Treatment Situation
(a) Extent of Contact
(b) Treatment of Collaterals
(c) Who Saw the Patients?
(d) Group Therapy
(e) Drug Therapy
3. Factors Influencing Extent of Clinic Contact
(a) Involvement of Collaterals
(b) Who Saw the Patients?
(c) Group Therapy
(d) Drug Therapy
4. Social Characteristics of Patients as Factors Influencing Extent of Clinic Contacts and the Treatment Situation
(a) Extent of Contact
(b) Professional Services Utilized
(c) Group Therapy
(d) Drug Therapy
5. Summary
V. Change and the Problem of Improvement
1. Methodological Issues
(a) The One-Year Interval between Intake and Follow-Up
(b) The Problem of Validity
(c) Loss of Patients between Intake and Follow-Up
2. Change in Various Areas of the Patients' Behavior
(a) Drinking
(b) Health
(c) Social Stability
(d) Interpersonal Relationships
(e) Work Adjustment
(f) Change as an Interrelated Phenomenon
(g) Over-all Adjustment
3. Summary
VI. Predictors of Improvement
1. Introduction
2. Patient Characteristics as Predictors of Outcome
(a) Age
(b) Sex and Race
(c) Educational Status
(d) Occupational Status
(e) Social Stability at Intake
3. Treatment Variables as Predictors of Outcome
(a) Extent of Treatment
(b) Type of Contact
(i) Group therapy
(ii) The professional context of treatment
(iii) Drug therapy
(c) The Clinic as a Determinant of Outcome
(d) The Controlled Drinkers
(e) The Matched "Success" and "Failure" Samples
4. Summary
VII. Qualitative Analysis of Cases
1. Introduction
2. General Considerations
3. Concordant and Deviant Cases
4. Controlled Drinkers
5. Grouped Presentations
(a) The Abstinent Patients
(b) The Controlled Drinkers
(c) The Unmodified or Deteriorated Drinkers
VIII. Summary and Discussion
1. The Major Findings
(a) The Sample
(b) The Patients at Intake
(c) Participation in Treatment
(d) The Patients at Follow-Up
(e) Predictors of Improvement
(f) Case Analyses
2. Discussion: Inferences and Implications
Appendix: Research Instruments and Manuals for Personnel of Alcoholism Services Participating in the NYUN-AAAP Follow-Up Study
References

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