Differences in relapse precipitants and coping behaviour between alcohol relapsers and survivors.
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Adaptation, Psychological↗
Biomedical subjects
A N Oppenheim
Publications and source records attributed to A N Oppenheim.
Building a standardized alcoholism interview schedule.
The clinical Alcoholism Interview Schedule (CAIS) is being developed as a standardized instrument for initial assessment of alcoholic patients and as a research tool. Fifty questions cover key areas of clinical concern, and accompanying guidelines describe the method of administration. An initial study of inter-rater reliability has been conducted with five raters independently rating taped interviews with each of ten patients. Agreement was assessed both by percentage agreement and by weighted Kappa. Detailed results, which are presented, in general show a fairly satisfactory level of reliability except for certain identified items which include the Jellinek classification of type of alcoholism.
Adult↗
Towards a typology of relapse: a preliminary report.
This paper outlines an empirical investigation into alcoholic relapse. The model underlying this work hypothesized that relapse in alcoholics is an interaction between (1) situations seen as dangerous in precipitating relapse, (2) the behaviours available within the individuals' repertoire to cope with these situations, (3) the perceived effectiveness of these "coping" behaviours and (4) the degree of alcohol dependence. The results of a "principal components" analysis indicated that "dangerous situations" or relapse precipitants could be categorized as (1) an unpleasant affect, (2) external events and euphoric feelings, (3) social anxiety and (4) lessened cognitive vigilance. Except for "external events", these relapse precipitants seemed to be associated with certain styles of coping, with varying degrees of effectiveness. The therapeutic implications of these findings are discussed in the context of designing treatment regimes geared towards more effective coping behaviours given specific types of situations.
Alcoholism↗