IS REFLECTIVE LISTENING ALL THAT’S NEEDED?

Just two alcohol treatment studies have tested Carl Rogers’ classic account of the “necessary and sufficient conditions” for effective therapy. Each stripped out motivational interviewing’s directive elements, leaving only ‘Rogerian’ empathic and reflective listening. Did the clients do just as well? If the iconoclastic Rogers who “doubted every authority including his own” had lived to find out, he might have felt his doubts only partly justified.

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PEMBICARA DALAM TERAPI BERBICARA

Studi kunci tentang dampak praktisi dalam terapi psikososial untuk ketergantungan alkohol. Terstruktur di sekitar catatan klasik Carl Rogers tentang "kondisi yang diperlukan dan memadai" untuk terapi yang efektif. Menyoroti studi alkohol mani yang memvalidasi empati, pengertian, dan kehangatan, dan mengeksplorasi tiga masalah utama:
- Apakah 'papan suara' Rogerian mendengarkan benar-benar semua yang dibutuhkan?
- Apakah menjadi tulus berarti melanggar mandat Rogerian lainnya?
- Jika terapis berpengaruh, mengapa lebih banyak penelitian tidak mencatat efeknya?

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THE COMMON CORE OF EFFECTIVE THERAPIES

Starting point in last week’s exploration of psychosocial therapies was 2018’s “impressively wise overview” of research on ‘common factors’ they share from a task force with the authority of the American Psychological Association. It was the third such project, the first of which in 1999 represented a turning point in a movement which dates back at least to 1936 and Saul Rosenzweig’s brief seminal paper, elaborated 25 years later by Jerome Frank into one of the most influential books on psychosocial therapy. Explore with us these landmarks and how they...

THE TALKING ROUTE TO RECOVERY

Every treatment involves human interaction, but this cell is about therapies in which interaction is the intended active ingredient – ‘psychosocial’ therapies, the mainstay of alcohol dependence treatment. Starts with the American Psychological Association’s (APA) “impressively wise overview” of the features shared by effective therapies and highlights the £1.5 million UK trial of a new therapy; why were the researchers’ expectations confounded? Then asks whether therapy can make things worse, argues that guidance has been misled into advocating packaged...

The Alcohol Health Alliance UK (AHA) is supporting the Commission on Alcohol Harm: An Inquiry into the Effects of Alcohol on Society.

The Commission was established to examine the current evidence on alcohol harm, recent trends in alcohol harm and the changes needed to reduce the harm caused by alcohol. 

The Commission examined the need for a new comprehensive alcohol strategy for England, which takes account of the strategies in place in Scotland, Wales and Northern Ireland, and considers UK-wide priorities in areas where policy is not devolved. 

The publication is structured around the...

TREATMENT SYSTEMS TRANSCEND INDIVIDUAL SERVICES

Online course on alcohol treatment research moves out to the level of whole treatment systems, highlighting the simple US innovation which routed detoxification recyclers into longer term remission, freeing up expensive resources. See if your vision of a ‘good’ service corresponds with that of an expert group. One criterion might be responding appropriately to mental illness; explore with us whether Britain is making progress on organising care at the substantial overlap between problem drinking and mental illness.

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THE TREATMENT ORGANISATION IS THE HEALING CONTEXT

We said that of the treatment of problem drinking in general, and it remains the case for specifically medical treatments. Cell D3 focuses on that context at the level of the treatment or healthcare organisation, drawing on seminal and key research to ask:
- Do higher quality primary care practices do better alcohol treatment, or is this an unrelated niche activity?
- Evidence-based innovation: always a good thing, or an outcome-eroding burden?
- Is alcohol treatment helped or hindered when medical care is part of the package? Research shows...

According to the WHO, harmful alcohol use is one of the leading risk factors for the global burden of disease.

In response to concerning trends, governments around the world have intervened in the market for alcohol by levying specific taxes.  

In 2008, the government of Botswana imposed a 30% tax levy on all alcohol products to deal with problematic drinking in the country. The levy was initially set at 70% but was reduced to 30%.

Research into the effectiveness of these measures typically focusses on alcohol sales and self-reported levels of consumption. However, an area less understood...

Pada 12 Juli, dalam upaya untuk mengurangi volume pasien trauma sehingga rumah sakit memiliki lebih banyak tempat tidur terbuka untuk merawat pasien COVID-19, Presiden Cyril Ramaphosa memperkenalkan kembali larangan alkohol.

Afrika Selatan awalnya memperkenalkan larangan semua penjualan alkohol pada 27 Maret. Namun, ketika pembatasan penguncian ditinjau, larangan itu dicabut.

Namun, menurut Presiden Cyril Ramaphosa, sejak penjualan dan distribusi alkohol diperkenalkan kembali pada bulan Juni, rumah sakit telah mengalami lonjakan penerimaan di bangsal trauma dan darurat mereka.

Pemerintah...