76702
document
Abstinence or controlled drinking in clinical practice : indications at initial assessment . Previous research has suggested two leading hypotheses concerning which excessive drinkers can re-establish control : one based upon level of dependence , the other upon the client 's personal persuasion . Using initial assessment data from 46 clients of a clinical psychology alcohol problems service ( 30 men , 16 women ) , an attempt was made to operationalize the concepts of dependence and personal persuasion using a variety of indicators of each . Although SADQ scores and Rand definite alcoholism were in general agreement , there were a number of borderline instances and cases of disagreement , and neither was in good agreement with estimates of problem duration , nor with reports of recent or earlier attainment of abstinence or control . Indicators of personal persuasion were more consistent . Those with dependence indicators for abstinence tended to prefer abstinence as a goal , but there were many departures from this pattern particularly for women . It is concluded that in clinical practice it will be very difficult to make a clear cut recommendation about treatment goal at initial assessment except in a few cases .
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Intervention_Educational
Abstinence
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Intervention_Educational
controlled drinking
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Intervention_Educational
abstinence
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Intervention_Educational
control
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Outcome_Mental
SADQ scores
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Outcome_Mental
Rand definite alcoholism
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Outcome_Mental
personal persuasion
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Outcome_Mental
indicators for abstinence
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Participant_Condition
Abstinence or controlled drinking
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Participant_Condition
excessive drinkers
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Participant_Sample-size
46
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Participant_Sample-size
30
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Participant_Sex
men
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Participant_Sample-size
16
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Participant_Sex
women