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JAMA
Article . 1987 . Peer-reviewed
Data sources: Crossref
JAMA
Article . 1987
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Controlled Drinking and the Treatment of Alcoholism

Authors: A. Lane Leckman; Martha Tinkcom; William R. Miller;

Controlled Drinking and the Treatment of Alcoholism

Abstract

To the Editor.— We wish to correct a misleading inference drawn from our data by Dr Maltzman 1 in his recent letter. From a prepublication manuscript, Dr Maltzman drew the figure that only 10% of our clinical sample were engaging in controlled and asymptomatic drinking at long-term follow-up. This figure is correct, but is erroneously contrasted with a recovery rate of 60% to 65% that he describes as "the industry norm for abstinence-oriented programs." This quoted figure, based on a comment made in an interview, is a gross and unsubstantiated estimate of outcomes among "those who finish treatment" and is quite at variance with empirical evidence from properly conducted clinical trials. In a review restricted to outcome studies with at least one year of follow-up data, Costello 2 concluded that the average success rate (abstinent plus improved cases) after alcoholism treatment is 26%. A similar picture emerged from Vaillant's 3

Keywords

Alcoholism, Alcohol Drinking, Research Design, Humans

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Average
Average
Average
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