Abstract

Abstract This paper presents in detail the clinical procedures from a study in progress comparing behavioral with nonbehavioral couples group therapy for male alcoholics. Methods used to recruit and prepare couples for both types of therapy are presented. The interactional couples group provided feedback on current negative interaction patterns and suggested changes in couple behavior but did not use behavioral rehearsal or specific homework assignments. The behavioral couples group used behavioral rehearsal and weekly homework assignments to help couples: 1) decrease drinking and alcohol-related interactions by making an Antabuse Contract and discussing relapse prevention; 2) plan shared recreational activities; 3) notice, acknowledge, and initiate daily caring behaviors; 4) learn communication skills of listening, expressing feelings directly, and the use of planned communication sessions; and 5) negotiate desired changes using positive specific requests, compromise, and written agreements. Methods for dealing with resistance and noncompliance in the behavioral couples group are also described. Finally, preliminary results are provided on participants' satisfaction and the extent of successful implementation of the project.

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