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Sodetal attitudes toward alcoholism are characterized by several types of denial, with disastrous personal and sodal consequences. Refusal to admit the extent of alcoholism as a major national health problem leads to a public policy which allocates relatively few resources to research, prevention, treatment, or rehabilitation. On an individual basis, the combination of sodally approved drinking and the stigma assigned to the chronic alcoholic results in individuals blinding themselves to the existence of the problem in family, friend, and self until it has reached such an advanced or obvious degree that denial is no longer possible. There is the third kind of denial, exemplified by therapeutic de­ spair, which proclaims thatgaps in knowledge of the cause of alco­ holism are so great and failures to treat alcoholics successfully so dra­ matic that there is no assurance that efforts will lead to a positive outcome. This denial is perhaps the most troublesome because it re­ flects an attitude of therapeutic helplessness. It discourages families from seeking help, and it reinfOlces the tendency of physidans and other human-services workers to overlook the presence of alcoholism as they treat its physical, sodal, and economic consequences. Denial frequently surrounds those who treat alcoholics with an aura of hope­ lessness, which itself is a negative therapeutic force.








Content:
Front Matter....Pages i-xix
Front Matter....Pages 1-1
Principles of Alcoholism Psychotherapy....Pages 3-18
Working with the Preferred Defense Structure of the Recovering Alcoholic....Pages 19-29
Critical Issues in Alcoholism Therapy....Pages 31-43
Front Matter....Pages 45-45
Psychiatric Office Treatment of Alcoholism....Pages 47-62
Group Psychotherapy in the Treatment of Alcoholism....Pages 63-76
Psychodrama and the Treatment of Alcoholism....Pages 77-97
Behavioral-Modification Methods as Adjuncts to Psychotherapy....Pages 99-117
Family Therapy of Alcoholism....Pages 119-136
Treatment of the Significant Other....Pages 137-162
The Folk Psychotherapy of Alcoholics Anonymous....Pages 163-180
Front Matter....Pages 181-181
The Psychotherapy of Alcoholic Women....Pages 183-203
Treatment of Socioeconomically Deprived Alcoholics....Pages 205-218
Psychotherapy of Adolescent Alcohol Abusers....Pages 219-235
Psychosocial Treatment of Elderly Alcoholics....Pages 237-251
Front Matter....Pages 253-253
Evaluation of Patient Progress....Pages 255-277
Back Matter....Pages 279-288



Content:
Front Matter....Pages i-xix
Front Matter....Pages 1-1
Principles of Alcoholism Psychotherapy....Pages 3-18
Working with the Preferred Defense Structure of the Recovering Alcoholic....Pages 19-29
Critical Issues in Alcoholism Therapy....Pages 31-43
Front Matter....Pages 45-45
Psychiatric Office Treatment of Alcoholism....Pages 47-62
Group Psychotherapy in the Treatment of Alcoholism....Pages 63-76
Psychodrama and the Treatment of Alcoholism....Pages 77-97
Behavioral-Modification Methods as Adjuncts to Psychotherapy....Pages 99-117
Family Therapy of Alcoholism....Pages 119-136
Treatment of the Significant Other....Pages 137-162
The Folk Psychotherapy of Alcoholics Anonymous....Pages 163-180
Front Matter....Pages 181-181
The Psychotherapy of Alcoholic Women....Pages 183-203
Treatment of Socioeconomically Deprived Alcoholics....Pages 205-218
Psychotherapy of Adolescent Alcohol Abusers....Pages 219-235
Psychosocial Treatment of Elderly Alcoholics....Pages 237-251
Front Matter....Pages 253-253
Evaluation of Patient Progress....Pages 255-277
Back Matter....Pages 279-288
....
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