BEHAVIORAL COUPLES TREATMENT OFALCO

BEHAVIORAL COUPLES TREATMENT OF
ALCOHOL AND DRUG USE DISORDERS:
CURRENT STATUS AND INNOVATIONS
Elizabeth E. Epstein and Barbara S. McCrady
Rutgers—The State University of New Jersey
ABSTRACT. Research suggests that Behavioral Couples Therapy (BCT), tailored to treat alcohol
problems, produces significant reduction in alcohol consumption and improvement in marital
functioning. Having established basic clinical protocols for Alcohol Behavioral Couples Therapy
(ABCT) and provided support for their efficacy, clinical researchers around the country continue
to develop and study new applications of the basic ABCT treatment models, such as adding relapse
prevention or Alcoholics Anonymous components. Recent research supporting the heterogeneity in
the population of individuals with alcohol problems has prompted some researchers on ABCT to
consider additional adaptations of the treatment models for specific subgroups of alcoholics, and
for particular individual and couples characteristics. Adaptation of ABCT to treat new populations
such as drug abusers, female alcoholics, and problem drinkers is under investigation. The
current article provides an overview of theoretical and clinical aspects of ABCT, and research
on efficacy of the basic model and on areas of innovation and adaptation to new populations.
Directions for future research on ABCT are suggested. 1998 Elsevier Science Ltd
OVER THE past 25 years, models of Behavioral Couples Therapy (BCT) tailored to
treat alcohol problems have been developed and tested. Alcohol Behavioral Couples
Therapy (ABCT) is a collection of approaches that incorporates an intimate Significant
Other into the treatment of an alcohol problem. ABCT represents an application
of BCT to treatment of a specific disorder. Like BCT, ABCT is grounded in social
learning theory and family systems models for conceptualizing human problems, and
draws from rich empirical literatures on interactional behaviors such as communication
and problem solving skills, the connections between individual psychopathology
and interactional behavior, and the broader literature on social support. ABCT includes
elements of behavioral self-control and skills training to facilitate abstinence
and better spouse coping with drinking-related situations, and contingency management
procedures, communication, and problem-solving techniques drawn from BCT
to improve relationship functioning. ABCT treatments developed by different investi-
Correspondence should be addressed to Elizabeth Epstein, Clinical Division, Center of Alcohol
Studies, 607 Allison Rd, Smithers Hall, Busch Campus, Rutgers—The State University of New
Jersey, Piscataway, NJ 08854; E-mail: [e-mail].
689
690 E. E. Epstein and B. S. McCrady
gators vary in the degree of emphasis on these three domains (McCrady & Epstein,
1995a; O’Farrell, 1993a).
Research suggests that such treatment produces significant reduction in alcohol
consumption and improvement in marital functioning (McKay, Longabaugh, Beattie,
Maisto, & Noel, 1993; McCrady, Noel et al., 1986; McCrady, Noel, Stout, Abrams, &
Nelson, 1991; McCrady, Stout, Noel, Abrams, Fisher, & Nelson, 1991; O’Farrell, Choquette,
Cutter, Brown, & McCourt, 1993; O’Farrell, Cutter, & Floyd, 1985). Having
established clinical protocols and variations of ABCT, clinical researchers continue to
develop and study new applications of the basic ABCT treatment models. For instance,
maintenance of change through ABCT by adding relapse prevention or Alcoholics
Anonymous components is currently under investigation (McCrady, Epstein, &
Hirsch, 1996; O’Farrell et al., 1993). Recent studies of heterogeneity in the population
of individuals with alcohol problems have prompted some researchers on ABCT to
consider additional adaptations of the treatment models (Beutler et al., 1993;
McCrady & Epstein, 1995b).
Recently, ABCT has been adapted to treat drug abuse (Fals-Stewart, Birchler, &
O’Farrell, 1996), and the current article will also review work done and proposed in
this area. However, almost all of the work done over the past 25 years on BCT and

ผลลัพธ์ (อังกฤษ) 2:

BEHAVIORAL COUPLES TREATMENT OF
DRUG AND ALCOHOL USE DISORDERS:
CURRENT STATUS AND INNOVATIONS
Elizabeth E. Epstein and Barbara S. McCrady.
Rutgers-The State University of New Jersey.
ABSTRACT. Research Suggests that Behavioral Couples Therapy (BCT), tailored to Treat Alcohol.
problems, produces significant Reduction in Alcohol consumption in Marital and Improvement.
functioning. Having established Basic Clinical Protocols for Alcohol Behavioral Couples Therapy.
(ABCT) and Provided support for their efficacy, Clinical researchers Around The Country Continue.
to Develop and Study New Applications of The Basic ABCT Treatment models, Such As Adding relapse.
Prevention or Alcoholics Anonymous Components. The heterogeneity in recent Supporting Research
The Population of Individuals with Alcohol problems has prompted some researchers on ABCT to.
consider models Additional adaptations of The Treatment for Specific subgroups of Alcoholics, and.
Individual and Couples for particular characteristics. Adaptation of ABCT to Treat New populations.
Such As Drug abusers, female Alcoholics, and problem drinkers is under Investigation. The
current article provides an Overview of Theoretical and Clinical aspects of ABCT, and Research.
on efficacy and on areas of The Basic Model of Innovation and adaptation to New populations.
Directions for Future Research on ABCT are SUGGESTED. 1998 Elsevier Science Ltd
OVER THE past 25 years, models of Behavioral Couples Therapy (BCT) tailored to.
Treat Alcohol problems Have been Developed and tested. Alcohol Behavioral Couples
Therapy (ABCT) is a Collection of approaches that incorporates an intimate Significant.
Other Into The Treatment of an Alcohol problem. ABCT represents an Application
of BCT to Treatment of a Specific Disorder. Like BCT, ABCT is grounded in Social.
Learning theory and Family Systems models for conceptualizing Human problems, and.
Draws from rich empirical literatures on interactional behaviors Such As Communication.
and problem solving Skills, The Connections between Individual psychopathology.
and interactional behavior, and The broader literature on. social support. ABCT Includes
Elements of Self-Control and Behavioral Skills Training to facilitate Abstinence.
coping with Spouse Better and Drinking-Related Situations, Management and contingency.
procedures, Communication, problem-solving and Techniques drawn from BCT.
to Improve Relationship functioning. Developed by Different Treatments ABCT Investi-
Correspondence should be addressed to Elizabeth Epstein, Clinical Division, Center of Alcohol.
Studies, 607 Allison Rd, Smithers Hall, Busch Campus, Rutgers-The State University of New.
Jersey, Piscataway, NJ 08854; E-mail: [e-mail].
689
690 EE Epstein and BS McCrady
Gators Vary in The Three Degree of emphasis on these domains (McCrady & Epstein,.
1995a; O'Farrell, 1993a).
Research Suggests that produces Such Treatment significant Reduction in Alcohol
consumption and Improvement in Marital functioning (McKay, Longabaugh, Beattie,.
Maisto, & Noel, the 1,993th; McCrady, Noel et AL., 1986; McCrady, Noel, Stout, Abrams, &.
Nelson, one thousand nine hundred and ninety-one; McCrady, Stout,. Noel, Abrams, Fisher, & Nelson, the 1,991th; O'Farrell, Choquette,.
Cutter, Brown, & McCourt, 1 993; O'Farrell, Cutter, & Floyd, one thousand nine hundred and eighty-five). Having
established Clinical Protocols and variations of ABCT, Clinical Continue to researchers.
Develop New Applications of The Basic Study and Treatment ABCT models. For instance,
maintenance of ABCT Change Through Prevention by Adding relapse or Alcoholics.
Components Anonymous is currently under Investigation (McCrady, Epstein, &.
Hirsch, the 1996th; O'Farrell et AL., one thousand nine hundred ninety-three). Recent Studies of heterogeneity in The Population.
of Individuals with Alcohol problems Have prompted some researchers on ABCT to.
consider Additional adaptations of The Treatment models (Beutler et AL., 1,993;
McCrady & Epstein, 1995b).
Recently, ABCT has been adapted to Treat Drug. abuse (Fals-Stewart, Birchler, &.
O'Farrell, 1996th), and The Will also review current article Work done and proposed in.
Area this. However, almost all of the work done over the past 25 years on BCT and.

ผลลัพธ์ (อังกฤษ) 3:

BEHAVIORAL COUPLES TREATMENT OF
ALCOHOL AND DRUG USE DISORDERS:
CURRENT STATUS AND INNOVATIONS
Elizabeth E. Epstein and. Barbara S. McCrady
Rutgers - The State University of New Jersey
ABSTRACT. Research suggests that Behavioral Couples Therapy. (BCT), tailored to treat alcohol
problems produces significant, reduction in alcohol consumption and improvement in marital
functioning.Having established basic clinical protocols for Alcohol Behavioral Couples Therapy
(ABCT) and provided support for their. Efficacy clinical researchers, around the country continue
to develop and study new applications of the basic ABCT treatment. Models such as, adding relapse
prevention or Alcoholics Anonymous components. Recent research supporting the heterogeneity. In
.The population of individuals with alcohol problems has prompted some researchers on ABCT to
consider additional adaptations. Of the treatment models for specific subgroups, of alcoholics and
for particular individual and couples, characteristics. Adaptation of ABCT to treat new populations
such as drug abusers female alcoholics, and problem, drinkers is under investigation.? The
.Current article provides an overview of theoretical and clinical aspects, of ABCT and research
on efficacy of the basic. Model and on areas of innovation and adaptation to new populations.
Directions for future research on ABCT are, suggested.   1998 Elsevier Science Ltd
OVER THE past, 25 years models of Behavioral Couples Therapy (BCT) tailored to
.Treat alcohol problems have been developed and tested. Alcohol Behavioral Couples
Therapy (ABCT) is a collection of approaches. That incorporates an intimate Significant
Other into the treatment of an alcohol problem. ABCT represents an application
of. BCT to treatment of a specific disorder. Like BCT ABCT is, grounded in social
.Learning theory and family systems models for conceptualizing, human problems and
draws from rich empirical literatures. On interactional behaviors such as communication
and problem solving skills the connections, between individual psychopathology
and. Interactional behavior and the, broader literature on social support. ABCT includes
.Elements of behavioral self-control and skills training to facilitate abstinence
and better spouse coping with drinking-related. Situations and contingency, management
procedures communication, and problem-solving, techniques drawn from BCT
to improve. Relationship functioning. ABCT treatments developed by different investi -
Correspondence should be addressed to Elizabeth. Epstein.Clinical Division Center of, Alcohol
Studies 607 Rd, Allison, Hall Smithers, Campus Busch, The Rutgers - State University. Of New
Jersey Piscataway NJ,, 08854; E-mail: [e-mail].

690 689 E. E. Epstein and B. S. McCrady
Gators. Vary in the degree of emphasis on these three domains (McCrady, & Epstein
1995a; O ', Farrell 1993a).
.Research suggests that such treatment produces significant reduction in alcohol
consumption and improvement in marital. Functioning (McKay Longabaugh Beattie,,,,, &
Maisto Noel 1993; McCrady Noel et, Al, 1986; McCrady Noel Stout Abrams,,,,, &
Nelson 1991; McCrady Stout,,,,,, Noel Abrams Fisher, & Nelson 1991; O 'Farrell Choquette
Cutter Brown,,,,,, & McCourt 1993; O 'Farrell Cutter & Floyd,,,1985). Having
established clinical protocols and variations of ABCT clinical researchers, continue to
develop and study. New applications of the basic ABCT treatment models. For instance
maintenance, of change through ABCT by adding relapse. Prevention or Alcoholics
Anonymous components is currently under investigation (,, McCrady Epstein &
Hirsch 1996; O, Farrell. ' Et al, 1993).Recent studies of heterogeneity in the population
of individuals with alcohol problems have prompted some researchers. On ABCT to
consider additional adaptations of the treatment models (Beutler et al, 1993;
McCrady, & Epstein 1995b).
Recently,, ABCT has been adapted to treat drug abuse (Fals-Stewart Birchler &
O ',,,, Farrell 1996)And the current article will also review work done and proposed in
this area. However almost all, of the work done over. The past 25 years on BCT and
.