Thesis (D. Min.)--Perkins School of Theology, Southern Methodist University, 1977. / Abstract. Includes bibliographical references (leaves 64-66).

Project (D. Min.)--Iliff School of Theology, 2006. / Includes abstract. Includes bibliographical references (leaves 107-109).

Dissertation (Ph.D.) -- The Institute for Clinical Social Work, 2003. / A dissertation submitted to the faculty of the Institute of Clinical Social Work in partial fulfillment for the degree of Doctor of Philosophy.

Using autoethnography, performance praxis, and narrative theory, this thesis seeks to examine the discourses of the Recovery Industry in relationship to Adult Children of Alcoholics (ACoA). The Recovery Industry creates normalized identity scripts that may be problematic for some people who fall under this diagnosis/category. By using subversive performance praxis, the author hopes to rupture these dominant narratives in hope of creating new possibilities for identity narratives.

The mutual aid of Alcoholics Anonymous helps more people with alcohol-related problems than all forms of clinical treatment combined. Yet, efforts to understand AA’s action have been conducted, almost exclusively, from a clinical perspective. Thus far, the literature representing Alcoholics Anonymous from the perspective of its members is very limited. This study uses qualitative content analysis of the AA literature and a grounded theory approach to AA’s fellowship to provide an insider’s perspective of change processes associated with AA involvement. This understanding of the AA literature posits that Alcoholics Anonymous involvement results in life improvement, changes in spirituality, improved well-being, an acceptance of powerlessness over alcohol and a sense of fellowship. This understanding of AA’s fellowship posits that Alcoholics Anonymous involvement results in increased life meaning, reduced insecurity, loneliness, anxiety and shame.

It is hypothesized that group treatment may be more effective than an individual treatment format. The purpose of this study was to address several deficiencies of previous research in contrasting group and individual treatment delivery formats and to assess the differential effectiveness of these two formats. The treatment area chosen was that of early problem drinker treatment as it was relatively easy to control treatment content across treatment formats since detailed content manuals and theory have been well developed in this area. Subjects were selected from those respondents to a media advertisement who passed several screening criteria and were alternately assigned to a group or individual format. A lack of the requisite number of subjects required some specific design changes. Each treatment condition was given a structured eight-week treatment program of once per week meetings of seventy-five minutes each or a wait-list control condition. Statistical contrasts were then performed on the following variables: total drink units per week, maximum drink units per day, Profile of Mood States -a measure of current affective state, Weissman Social Adjustment Scale - a measure of social functioning level, and a general problem checklist. Data units were gathered pre-treatment, weekly during treatment for drink units, at post-treatment follow-up, and at six months following the end of treatment. The other data were gathered pre-treatment, post-treatment, and at the six-month follow-up. Results of the data manipulations indicated that the treatment intervention was associated with greater improvement on alcohol consumptions than a wait-list control group, but that group treatment was not associated with greater treatment gains than the individual format on any measures. These results are given to be tentative given several major limitations of this study which are discussed. The research was found to be relevant in the area of treatment planning, and is interpreted as providing a more theoretically meaningful contrast of the two formats than previously achieved due to greater experimental control of possibly confounding variables. A useful initial test was performed of a treatment program developed for this study which shows promise for helping problem drinkers. It is also suggested that this research provides some important conclusions for the contrast of group and individual formats in psychological interventions generally. Future directions are suggested. / Education, Faculty of / Educational and Counselling Psychology, and Special Education (ECPS), Department of / Graduate

The primary objective of this study was the development and investigation of the psychometric properties of a measurement instrument based on the integrated model of behavior roles of offspring of alcoholic parents (Schneider, 1989,1995). The Behavior Role Scale was developed utilizing Crocker and Algina's (1986) 10 step instrument development process and deals directly with the concepts of the original models of behavior roles of offspring of alcoholic parents (Black, 1981; Booz-Allen & Hamilton, 1974; Deutsch, 1983; Kritzberg, 1985; Wegscheider, 1981). The first three steps of the instrument development were completed in an earlier investigation (Schneider, 1989). In this investigation, steps 4 - 8 were completed. The following activities were undertaken: step 4, the construction of an initial pool of items; step 5, the review and revision of the items with the assistance of a panel of experts; step 6, a preliminary tryout of the items in a pilot test; step 7, a field test of the instrument with a nonclinical sample of offspring of alcoholic parents and offspring of nonalcoholic parents; and, step 8, initial investigation of the psychometric properties of the behavior role scale. This investigation contributed the following findings. The field test yielded reliability estimates of .72 for the Caretaker, .67 for the Super Achiever, .86 for the Invisible One, .89 for the Jester, .78 for the Rebel, and an overall alpha of .88. Initial validity was indicated by the emergence of a five factor model as the most interpretable factor analysis solution. The performance of the Behavior Role Scale was also investigated using six validity issues identified in the literature. Offspring of alcoholic parents, offspring of nonalcoholic parents who had experienced a significant family disruption, and offspring of nonalcoholic parents who had not experienced a significant family disruption had significantly different scores with the Super Achiever, Invisible One, and Rebel roles. The three groups did not demonstrate significant differences with the Caretaker or Jester roles. Additional significant differences were discovered with the Jester and Rebel roles among offspring of alcoholic fathers when they were compared according to their fathers' pattern of drinking. The findings of this investigation add to the research evidence which suggests that refinements need to be made to improve the clinical and psycho-educational uses of the behavior roles of offspring of alcoholic parents. Recommendations for future research include submitting the Behavior Role Scale to construct validation studies in order to further refine its ability to measure behavior roles and to be of assistance to researchers seeking to unravel the complexities of life for more than 28 million offspring of alcoholic parents. / Education, Faculty of / Educational and Counselling Psychology, and Special Education (ECPS), Department of / Graduate

The goal of this experiment was to determine whether group rational emotive therapy would prove superior to usual group therapy in improving the psychological functioning of male alcoholics in an inpatient treatment facility and to determine if memory dysfunction would impede therapeutic progress. Four areas of psychological functioning were discussed for their relevance to etiology, recidivism, and treatment evaluation; they were depression, self-conception, social anxiety, and cognitive functioning. Further, rational emotive therapy as a potentially superior treatment for alcoholism was discussed and outcome research was reviewed.

The purposes of this study were: (1) to determine which characteristics of male alcoholics are related to treatment success and length of stay in long-term treatment, and (2) to assess the efficacy of predicting outcome and length of stay on the basis of patient characteristics, The study was performed post hoc on 265 patients discharged from a 6- to 12-month residential alcoholism program on the grounds of a state hospital. After an extensive literature review, 19 predictor variables were selected which were most consistently related to outcome and length of stay in previous studies of shorter rehabilitation programs. Data for predictor variables were obtained from psychological testing, admission interview notes, anamneses, and symptom ratings, Treatment outcome at 6-month follow-up was assessed dichotomously (success - failure) and numerically (number of abstinence and social adjustment criteria met) based on questionnaire responses and second-hand information. Sample size varied across analyses, as cases were deleted for missing data. Compared to patients who failed to benefit, treatment successes were less antisocial (p < .01) and reported fewer alcoholic withdrawal symptoms (p < .05, n = 131). The results also suggest that successes were less angry than failures (this variable reached significance in the analyses which were given the most consideration, and showed consistent trends in other analyses). Patient characteristics unrelated to treatment outcome were age, socioeconomic status, social stability, number of arrests, age at onset of drinking problem, problematic drinking by patients' parents, length of longest previous period of sobriety, number of previous alcoholism treatments, previous regular A.A. attendance, overall mental health, neuroticism, depression, obsessive compulsive traits, latent schizophrenia, IQ, and defensiveness. A four-variable discriminant function produced 70.23% correct classification of outcome (r = .34, p < .01, n = 131), but the 33.3% false negative rate raises a question about using the function as an acceptance criterion. The pattern of results implies that the longterm program fosters social integration, but does not overcome the effects of severe personality disorders or physical addictions. Only IQ was related to length of stay, with more intelligent subjects remaining in treatment longer (p < .05, n = 233). Weak but statistically significant prediction of length of stay was obtained with a nine-variable regression equation (r = .34, p < .01, n = 199).

This study was designed to determine whether the Minnesota Multiphasic Personality Inventory could successfully predict the outcome of rehabilitative treatment given 84 racially mixed male alcoholics having a mean age of 42.2 years who were admitted to the Wyoming State Hospital between September 1, 1965, and September 1, 1966. The subjects were given the MMPI before receiving 16 weeks of treatment consisting of education, group and individual psychotherapy, alcoholics anonymous, routine "ward treatment," disulfiram (antibuse), special ward unit, and special program without ward. After their release from hospital, the subjects were evaluated yearly for five years by relatives, employers, and themselves concerning vocational and familial responsibilities, sobriety, AA attendance, and drinking. Multiple regression analysis, a multivariate statistical technique was utilized to analyze the data from a systematic follow-up questionnaire. At the end of five years 32 of the original 84 subjects could be located. The study concluded that the MMPI cannot be used to predict successful treatment of alcoholics at Wyoming State Hospital.