[Introduction of cognitive-behavioral therapy for alcoholic inpatients at Kurihama National Hospital].
A new inpatient treatment program for alcoholism based on cognitive-behavioral therapy was introduced at Kurihama National Hospital in March 2000. We have classified the dysfunctional cognitions frequently exhibited by alcoholics into eight categories. The therapy is premised on the notion that the presence of one or more of the dysfunctional cognitions can trigger worsening of an alcoholic's drinking problem. We have devised a cognitive model in which the patients themselves examine their dysfunctional cognitions and recover from the vicious cycle of alcoholism. Cognitive-behavioral therapy is conducted at Kurihama National Hospital based on these hypotheses. The cognitive-behavioral therapy employed at Kurihama National Hospital is administered in group therapy in an inpatient treatment setting. Since the treatment is provided on an inpatient basis, dropouts from the program as a result of the patient starting to drink again can be prevented. Furthermore, since group therapy are used, cognitions of alcohol are examined not just in the context of the relationship between patient and therapist, but also in the context of the relationships among patients. It thus becomes easier to examine dysfunctional cognitions from a multifaceted perspective. It will be easier for patients to examine their future drinking behavior concretely through the introduction of cognitive-behavioral therapy, and improvements in outcome should be achieved. However, the relationship between change in cognitions and prognosis needs to be studied in the future.
Sawayama
Toru
T
Department of Psychiatry, Kitasato University School of Medicine.
Yoneda
Junichi
J
Shirakawa
Norihito
N
Urano
Yoko
Y
Ito
Keiko
K
Higuchi
Susumu
S
Miyaoka
Hitoshi
H
Shirakura
Katsuyuki
K
D000428:Alcohol Drinking; D000437:Alcoholism / Q000523:psychology / Q000534:rehabilitation*; D003071:Cognition; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D006760:Hospitalization; D006779:Hospitals, Public; D006801:Humans; D007297:Inpatients; D007398:Interpersonal Relations; D007564:Japan; D011615:Psychotherapy, Group / Q000379:methods; D012657:Self-Help Groups