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To keep the alcoholic in out-patient treatment. : A differentiated approach through treatment contracts

Öjehagen, Agneta LU and Berglund, Mats LU (1986) In Acta psychiatrica Scandinavica 73(1). p.68-75
Abstract
Eighty-two alcoholics were offered a 2-year out-patient programme characterized by stressing the patients' own decisions both in joining the programme and in the choice of objectives and methods, by repeated feedbacks through treatment evaluations, and by relapse prevention. The 58 patients who accepted were more often married than the others. All but eight completed the programme. The most important treatment components were ranked by the patients. Individual counselling was ranked highest, followed by evaluations of contract with therapist, disulfiram and biofeedback by means of gamma-GT. Patients with alcohol dependence more often preferred instrumental components, such as disulfiram and gamma-GT, while the others more often preferred... (More)
Eighty-two alcoholics were offered a 2-year out-patient programme characterized by stressing the patients' own decisions both in joining the programme and in the choice of objectives and methods, by repeated feedbacks through treatment evaluations, and by relapse prevention. The 58 patients who accepted were more often married than the others. All but eight completed the programme. The most important treatment components were ranked by the patients. Individual counselling was ranked highest, followed by evaluations of contract with therapist, disulfiram and biofeedback by means of gamma-GT. Patients with alcohol dependence more often preferred instrumental components, such as disulfiram and gamma-GT, while the others more often preferred psychological components, such as individual counselling and contract evaluations. Preference of psychological components was not found to be related to degree of personality disturbances. It is suggested that to effectively keep the patients in treatment in the present programme depends on the combination of patients' active engagement, continuous feedback and individualized treatment objectives. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adult, Aged, Alcoholism, Biofeedback, Psychology, Combined Modality Therapy, Counseling, Disulfiram, Female, Goals, Humans, Male, Marriage, Middle Aged, Patient Compliance, Patient Dropouts, Journal Article, Research Support, Non-U.S. Gov't
in
Acta psychiatrica Scandinavica
volume
73
issue
1
pages
8 pages
publisher
Wiley-Blackwell
external identifiers
  • scopus:0022636630
ISSN
0001-690X
DOI
10.1111/j.1600-0447.1986.tb02669.x
language
English
LU publication?
yes
id
3b968be3-7407-4c86-89e9-9f3510558744
date added to LUP
2017-01-01 15:53:03
date last changed
2017-08-27 06:33:01
@article{3b968be3-7407-4c86-89e9-9f3510558744,
  abstract     = {Eighty-two alcoholics were offered a 2-year out-patient programme characterized by stressing the patients' own decisions both in joining the programme and in the choice of objectives and methods, by repeated feedbacks through treatment evaluations, and by relapse prevention. The 58 patients who accepted were more often married than the others. All but eight completed the programme. The most important treatment components were ranked by the patients. Individual counselling was ranked highest, followed by evaluations of contract with therapist, disulfiram and biofeedback by means of gamma-GT. Patients with alcohol dependence more often preferred instrumental components, such as disulfiram and gamma-GT, while the others more often preferred psychological components, such as individual counselling and contract evaluations. Preference of psychological components was not found to be related to degree of personality disturbances. It is suggested that to effectively keep the patients in treatment in the present programme depends on the combination of patients' active engagement, continuous feedback and individualized treatment objectives.},
  author       = {Öjehagen, Agneta and Berglund, Mats},
  issn         = {0001-690X},
  keyword      = {Adult,Aged,Alcoholism,Biofeedback, Psychology,Combined Modality Therapy,Counseling,Disulfiram,Female,Goals,Humans,Male,Marriage,Middle Aged,Patient Compliance,Patient Dropouts,Journal Article,Research Support, Non-U.S. Gov't},
  language     = {eng},
  number       = {1},
  pages        = {68--75},
  publisher    = {Wiley-Blackwell},
  series       = {Acta psychiatrica Scandinavica},
  title        = {To keep the alcoholic in out-patient treatment. : A differentiated approach through treatment contracts},
  url          = {http://dx.doi.org/10.1111/j.1600-0447.1986.tb02669.x},
  volume       = {73},
  year         = {1986},
}