Joint hospitalization and couples therapy for alcoholism; a four-year follow-up.
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Biomedical subjects
Publications and source records attributed to T J Paolino.
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Correlations between patients' and spouses' reports of drinking were modest when relatively precise measures of drinking were used but stronger when more global measures were used.
This paper is a brief American literature review reporting on (1) the percentage of alcoholics who marry, (2) the percentage who separate or divorce, and (3) the temporal relationship between date of marriage and onset of alcoholism. All studies discussed control for age and compare results to a general population. The authors show that early studies suggested that alcoholics were an unsocialized and homeless group of people who were not likely to marry whereas later research showed that alcoholics are just as likely as persons in the general population to marry but are at least four times more likely to separate or divorce. Multiple variables account for the high rate of marital disruption. The literature is conflicting regarding whether people tend to marry before or after the onset of alcoholism. Future research must delineate relevant psychological and sociocultural variables in addition to the alcoholism itself.
Joint hospital admission of a married alcoholic and his/her spouse can facilitate treatment of the problem drinker. A case report illustrates the advantages of this approach in giving the staff an opportunity to observe and provide the couple with feedback about their patterns of interaction and to provide specific therapeutic interventions during the joint admission.
The spouses of hospitalized alcoholics scored within the normal range on Lanyon's Psychological Screening Inventory; on two of three scales their scores were not significantly different from those of a normative sample.
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