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Abstinence Versus Permissiveness in the Psychotherapy of AlcoholismA Pilot Study and Review of Some Relevant Literature
WILLIAM M. BOLMAN, MD
Arch Gen Psychiatry. 1965;12(5):456-463.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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I. Introduction
THIS STUDY is the result of persistent differences of opinion among the psychiatric staff of the Washingtonian Hospital regarding the psychotherapist's attitude towards drinking during the course of therapy. Is total abstinence necessary for successful therapy, or can patients drink and still show improvement? This difference of opinion is long-standing in the alcoholism literature. A recent example is seen in two papers in the same issue of the Quarterly Journal for Studies on Alcohol by D. L. Davies3 and R. L. Moore,13 and in the ensuing discussion among alcoholism experts in subsequent issues of that journal. Stated simply, the so-called permissive approach holds that alcoholism should be treated as a character neurosis; the therapist does not take a stand for or against the patient's drinking, but rather attempts to understand its symptomatic meaning. According to this view, as treatment progresses and
. . . [Full Text PDF of this Article]
Author Affiliations
BROOKLINE, MASS
Formerly Psychiatric Consultant, Washingtonian Hospital, Boston. Presently Career-Teacher in Child Psychiatry and Instructor in Psychiatry, Boston University School of Medicine, Boston.
Footnotes
Submitted for publication Sept 14, 1964.
Reprint requests to 159 Kent St, Brookline, Mass 02146.
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