This study examined partner violence before and in the 1st and 2nd year after behavioral couples therapy (BCT) for 103 married or cohabiting women seeking alcohol dependence treatment and their male partners; it used a demographically matched nonalcoholic comparison sample. The treatment sample received M = 16.7 BCT sessions over 5-6 months.…

Psychosocial adjustment in children of alcoholics (N = 114) was examined in the year before and at three follow-ups in the 15 months after their alcoholic fathers entered alcoholism treatment, testing the hypothesis that children's adjustment problems will vary over time as a function of their fathers' heavy drinking patterns. Three unique…

This synopsis of the outcome literature on marital and family treatment (MFT) drew three conclusions. First, intervening at the marital/family level with nonalcoholic family members can motivate an initial commitment to change in the alcoholic who is unwilling to seek help. Second, MFT alone, or with individual alcoholism treatment, produces…

Psychosocial adjustment in children of alcoholics (COAs; N = 125) was examined before and at 3 follow-ups in the 15 months after their fathers entered alcoholism treatment. Before their fathers' treatment, COAs exhibited greater overall and clinical-level symptomatology than children from the demographically matched comparison sample, but they…

Couples therapy interventions can be used with alcohol abusers and alcoholics during three broadly defined states of recovery: (1) initial commitment to change; (2) change itself; and (3) long-term maintenance of change. Intervening with the alcoholic's spouse (and/or other nonalcoholic family members) can motivate and reinforce commitment to…

Understanding characteristics specific to alcoholics' marriages could help therapists to more effectively address the needs of alcoholic clients. To identify some of these characteristics, 26 married couples with an alcoholic husband (ALC) were compared with 26 maritally-conficted (MC) and 26 nonconflicted (NC) couples without alcohol problems.…

This study examined relationship aggression reporting concordance among 303 men with alcohol use disorders and their female partners enrolled in couples-based alcohol abuse treatment. Agreement for physical and psychological aggression was generally consistent with, or higher than, concordance rates reported among other populations. Men's…

Several studies have indicated that costs of alcoholism treatment are partially or completely offset by monetary benefits of reduced health and legal system costs after such treatment, although most of these studies have been conducted in the private rather than the public alcoholism treatment system. This study examined the health and legal…

The Conflict Tactics Scale questionnaire on marital violence was administered to 29 alcoholics and their wives at entry to, and 1 year after, completing a behavioral marital therapy (BMT) treatment program. In the year prior to BMT, prevalence rates of any violent act, of minor to moderate violent acts, and of severe violent acts were five to six…

Compared couples with alcoholic husbands and maritally conflicted and nonconflicted couples without alcohol problems. The alcoholic and maritally conflicted couples showed greater relationship distress than nonconflicted couples of measures of marital stability, change desired, and positive communication behaviors. Alcoholic husbands reported less…

Several theorists have advocated marital therapy in treatment programs for alcoholics. Given the promise of marital therapy for alcoholics, it is important to develop successful techniques for recruitment. One approach toward improving recruitment is to identify the characteristics of couples who are likely to accept or reject marital therapy.…

Compares behavioral with interactional couples group therapy for male alcoholics (N=36). Behavioral methods included rehearsal and weekly homework assignments, such as contracting, shared recreation, caring behaviors, communication skills, and negotiation. Both methods were effective, but preliminary results showed communication skills training…

This study examined partner violence before and after behavioral couples therapy (BCT) for 303 married or cohabiting male alcoholic patients and used a demographically matched nonalcoholic comparison sample. In the year before BCT, 60% of alcoholic patients had been violent toward their female partner, 5 times the comparison sample rate of 12%. In…

The stereotype of the "drunken bum" wife abuser has a long history in American culture. U.S. population surveys document a positive correlation between alcohol consumption levels and marital violence. In this study risk factors for marital violence among treatment seeking male alcoholics were examined. Subjects were couples (N=107) who had a newly…

After describing a social learning formulation of the male alcoholic's marriage, this paper reviews the few studies of behavioral marital therapy (BMT) for alcoholics and their wives. Although none of these studies are as rigorous as one might wish and many of them are merely case studies, a review of the literature shows that behavioral marital…