Cited by 174Substance Abuse Treatment and OutcomesCounseling, Therapy, and Family DynamicsPsychotherapy Techniques and Applications

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Review of Outcome Research on Marital and Family Therapy in Treatment for Alcoholism

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O’Farrell, Timothy J., Clements, Kahni·2012·Journal of Marital and Family Therapy

DOI 10.1111/j.1752-0606.2011.00242.xPMC PMC3270890

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Abstract

This review of controlled studies of marital and family therapy (MFT) in alcoholism treatment updates the earlier review by O’Farrell and Fals‐Stewart (2003). We conclude that, when the alcoholic is unwilling to seek help, MFT is effective in helping the family cope better and motivating alcoholics to enter treatment. Specifically, both Al‐Anon facilitation and referral and spouse coping skills training (based on new findings) help family members cope better, and CRAFT promotes treatment entry and was successfully transported to a community clinic in a new study. Once the alcoholic enters treatment, MFT, particularly behavioral couples therapy (BCT), is clearly more effective than individual treatment at increasing abstinence and improving relationship functioning. New BCT studies showed efficacy with women alcoholics and with gay and lesbian alcoholics, and BCT was successfully transported to a community clinic, a brief BCT version was tested, and BCT was adapted for family members other than spouses. Future studies should evaluate the following: MFT with couples where both members have a current alcohol problem and with minority patients, mechanisms of change, transportability of evidence‐based MFT approaches to clinical practice settings, and replication of MFT outcomes of reduced partner violence and improved child functioning.

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Authors: O’Farrell, T. J., & Clements, K.
Affiliations: Harvard University (US)
Corresponding author: O’Farrell, Timothy J.
Venue: Journal of Marital and Family Therapy
Publisher: Wiley
Published: 2011-08-30
Volume: 38
Issue: 1
Pages: 122-144
ISSN: 0194-472X (ISSN-L)
1752-0606
DOI: 10.1111/j.1752-0606.2011.00242.x
PMC: PMC3270890
OpenAlex: W2126751162
Cited by: 174
References: 86
Citations by year: 2026: 4 · 2025: 9 · 2024: 4 · 2023: 6 · 2022: 6 · 2021: 13 · 2020: 19 · 2019: 16 · 2018: 12 · 2017: 12 · 2016: 24 · 2015: 15 · 2014: 19 · 2013: 11 · 2012: 4
FWCI: 1.28
Type: journal article
Language: en
Open access: green
europepmc.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal of Marital and Family Therapy (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Alcohol Abuse and Alcoholism (R01AA017865)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords: marital and family therapy, alcoholism treatment, behavioral couples therapy, Al-Anon, crafts, treatment entry, abstinence, relationship functioning, women alcoholics, family coping, intimate partner violence, child functioning
MeSH terms: Adaptation, Psychological, Alcoholism, Attitude to Health, Counseling, Female, Humans, Male, Marital Therapy, Patient Compliance, Research Design, Sex Factors, Outcome Assessment, Health Care, Homosexuality, Male, Homosexuality, Female, Self Efficacy, Behavior Control, Evidence-Based Practice

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Review of Outcome Research on Marital and Family Therapy in Treatment for Alcoholism

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