Drinking behavior, from abstinence to alcoholism, has been explored from a wide range of intellectual positions, academic disciplines, and ideological stances. The Adult Children of Alcoholics (ACOAs) movement is probably the most rapidly expanding enterprise in the alcoholism arena. Social movement theory seeks to describe, explain, and…

The role of the spouse in both the etiology and the maintenance of alcoholism has been focussed on by theoreticians of various persuasions, including psychoanalytic, behavioral, sociological and family systems. These models, focussing on individual and interactional components of alcoholism, have generated a variety of treatment interventions…

This article describes a practical approach to treating addictive families, designed to help them repair the damage, create more satisfying lives, and prevent long-lasting deleterious effects, commonly associated with "co-dependency" and "children of addicts." This approach is grounded in a developmental model of family recovery which was devised…

Although the Tension Reduction Hypothesis (TRH) of alcoholism has been the most popular explanation for alcohol abuse to date, the research addressing this model has provided tenuous support at best. In light of this contradictory support, a coping model of alcohol consumption is proposed. This model is based on the low self-image of…

The problem of adolescent drug/alcohol abuse seems to have once again intensified during the 1980s. When the school is the only constant in an adolescent's life and when those same teenagers bring drugs and alcohol-related problems to school, the school has an obligation to implement change. The first step is identification of the problem. Beyond…

Current conceptions of Adult Children of Alcoholics (ACOAs) are unable to account for recent research which suggests many of the characteristics used to describe ACOAs are not valid. These conceptions also fail to explain the documented heterogeneity among ACOAs with regard to life and therapeutic outcomes. In this paper, an alternative model of…

An expanded model of treatment evaluation is presented, and connections to stress and coping theory are examined. Examples are taken from a research program on the long-term outcomes of alcoholism and depression. Implications for assessment and diagnosis, program design and improvement, and stress and coping theory are explored. (SLD)

The case study described here was conducted as a doctoral research project at Northern Arizona University. The study documents the success of the Shuswop Indian Band of Alkali Lake, British Columbia (Canada), in their 15-year battle with alcoholism, once the people themselves decided on recovery. The study looks back at the 95 percent recovery…

A collection of papers by educators and health and social services practitioners comprises this reader on human services in rural areas. Part one, "An Overview of Contextual Differences between Urban and Rural Human Service Practice," also includes a paper on how to maintain confidentiality in a rural environment. The "Services to Youth" papers…

Academic perspectives are reviewed for consultation in substance abuse within four general issues: consultation paradigms, research consultation and psychology, sources for consultation, and academic issues. The mental health/crisis intervention model is the most common consultation paradigm. Most consultation research in the substance abuse area…