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Behavioral Treatment of Drunk-driving Recidivists: Short-term and Long-term Effects

Published online by Cambridge University Press:  16 June 2009

Gerard J. Connors
Affiliation:
University of Texas Medical School at Houston, Providence (RI) Veterans Administration Medical Center Newton (New Jersey), Memorial Hospital
Stephen A. Maisto
Affiliation:
University of Texas Medical School at Houston, Providence (RI) Veterans Administration Medical Center Newton (New Jersey), Memorial Hospital
Seth M. Ersner-Hershfield
Affiliation:
University of Texas Medical School at Houston, Providence (RI) Veterans Administration Medical Center Newton (New Jersey), Memorial Hospital

Extract

This study was designed to investigate the relative effects of two behavioral group treatments on short-term (knowledge and attitude change) and long-term (recidivism) variables among persons with multiple arrests for driving under the influence of alcohol (DUI). Subjects were randomly assigned to a behavioral treatment that was highly-individualized and focused on principles of self-control or to a general behavioral treatment (which focused on alcohol education, relaxation training, and guided reevaluation of situations typically associated with DUI arrests). Results showed that subjects in both groups reported, over treatment, a more frequent use of portable breath test devices for assessing blood alcohol levels and perceived an increased probability of being arrested if they drank and drove. In addition, subjects in the individualized behavioral groups reported that they subsequently spent more time thinking about avoiding DUI. However, the two treatment groups did not differ in their rates of DUI arrest recidivism (which averaged 11.7% per year over the three-year follow-up period). One third of the subjects were rearrested for DUI during the 36-month follow-up period, although there were indications that rearrests may have been delayed as a function of the treatment interventions. Taken together, the data suggest that these drunk-driving recidivists may be responsive to the treatment interventions described herein. Additional research is needed to specify the relative impact of the behavioral techniques utilized in the treatment programs and to identify strategies for maintaining treatment gains over longer periods of time.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1986

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References

Bell, R. A., Warheit, G. J., Bell, R. A. and Sanders, G. (1978). An analytic comparison of persons arrested for driving while intoxicated and alcohol detoxification patients. Alcoholism: Clinical and Experimental Research 2, 241248.Google ScholarPubMed
Brown, R. A. (1980). Conventional education and controlled drinking education courses with convicted drunken drivers. Behavior Therapy 11, 632642.CrossRefGoogle Scholar
Carsyne, D. A., Reynolds, R. D., O'Leary, M. D. and Walker, R. D. (1982). Differential drinking patterns, personality characteristics, and field articulation of court-referred and non-court-referred male alcoholics in treatment. International Journal of the Addictions 17, 249257.Google Scholar
Donovan, D. M. and Marlatt, G. A. (1982). Personality subtypes among driving-while-intoxicated offenders: Relationship to drinking behavior and driving risk. Journal of Consulting and Clinical Psychology 50, 241249.CrossRefGoogle ScholarPubMed
Ersner-Hershfield, S. M., Connors, G. J. and Maisto, S. A. (1981). Clinical and experimental utility of refundable deposits. Behaviour Research and Therapy 19, 455457.CrossRefGoogle ScholarPubMed
Fine, E. W. and Scoles, P. (1976). Secondary prevention of alcoholism using a population of offenders arrested for driving while intoxicated. Annals of the New York Academy of Sciences 273, 637645.CrossRefGoogle ScholarPubMed
Havard, J. D. (1975). The drinking driver and the law: Legal countermeasures in the prevention of alcohol-related road traffic accidents. In Research Advances in Alcohol and Drug Problems, Vol. 2, Gibbins, R. J., Israel, Y., Kalant, H., Popham, R. E., Schmidt, W. and Smart, R. G. (Eds.), New York: John Wiley.Google Scholar
Hayslip, B., Kapusinski, D., Darbes, A. and Zeh, R. (1976). Evaluation of driving-while-intoxicated programmes: Some methodological considerations. Journal of Studies on Alcohol 37, 17421746.CrossRefGoogle ScholarPubMed
Israelstam, S. and Lambert, S. (Eds.) (1975). Alcohol, Drugs, and Traffic Safety: Proceedings of the 6th International Conference on Alcohol, Drugs, and Traffic Safety,Toronto: Addiction Research Foundation.Google Scholar
Kirk, R. E. (1968). Experimental Design: Procedures for the Behavioural Sciences, Belmont, CA: Brooks/Cole.Google Scholar
Mahoney, M. J. and Thoresen, C. E. (1974). Self-Control: Power to the Person, Monterey, CA: Brooks/Cole.Google Scholar
Maisto, S. A., Henry, R. R., Sobell, M. B. and Sobell, L. C. (1978). Implications of acquired changes in tolerance for the treatment of alcohol problems. Addictive Behaviors 3, 5155.CrossRefGoogle ScholarPubMed
Maisto, S. A., Sobell, L. C., Zelhart, P. F., Connors, G. J. and Cooper, T. (1979). Driving records of persons convicted of driving under the influence of alcohol. Journal of Studies on Alcohol 40, 7077.CrossRefGoogle ScholarPubMed
Miller, W. R. and Hester, R. K. (1980). Treating the problem drinker: Modern approaches. In The Addictive Behaviors: Treatment of Alcoholism, Drug Abuse, Smoking and Obesity, Miller, W. R. (Ed.), New York: Pergamon Press.Google Scholar
Nichols, J. L., Weinstein, E. B., Ellingstad, V. S. and Struckman-Johnston, D. L. (1978). The specific deterrent effect of ASAP education and rehabilitation programs. Journal of Safety Research 10, 177187.Google Scholar
Scoles, P. and Fine, E. W. (1977). Short-term effects of an educational program for drinking drivers. Journal of Studies on Alcohol 38, 633637.CrossRefGoogle ScholarPubMed
Selzer, M. L. and Barton, E. (1977). The drunken driver: A psychological study. Drug and Alcohol Dependence 2, 239253.CrossRefGoogle Scholar
Siegel, S. (1956). Nonparametric Statistics for the Behavioral Sciences. New York: McGraw-Hill.Google Scholar
Sobell, M. B. and Sobell, L. C. (1981). Functional analysis of alcohol problems. In Medical Psychology: Contributions to Behavioral Medicine, Prokop, C. K. and Bradley, L. C. (Eds.), New York: Academic Press.Google Scholar
Thoresen, C. E. and Mahoney, M. J. (1974). Behavioral Self-Control. New York: Holt, Rinehart and Winston.Google Scholar
Whitehead, P. C. (1975). DWI programs: Doing what's in or dodging what's indicated? Journal of Safety Research 7, 127134.Google Scholar
Yoder, R. D. and Moore, R. A. (1973). Characteristics of convicted drunken drivers. Quarterly Journal of Studies on Alcohol 34, 927936.CrossRefGoogle ScholarPubMed
Zelhart, P. F. and Schurr, B. C. (1977). People who drive while impaired: A review of research on the drinking-driver problem. In Alcoholism: Physiological and Psychological Bases, Estes, N. and Heineman, E. (Eds.), St. Louis: Mosby.Google Scholar
Zylman, R. (1975). Drinking-driving and fatal crashes: A new perspective. Journal of Alcohol and Drug Education 21, 110.Google Scholar
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