Moral and empirical issues related to mandatory treatment are identified and discussed. A review of the literature reveals that research studies to date provide no sound empirical evidence to indicate that legal coercion is more effective than voluntarism for the court—referred patient. Critical variables for future study are identified and alternatives to legal coercion are proposed.
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References
1.
AhranC. H.OquiluieR. D.PastingtonS. T.1967“Clinical Indicators of Motivation in Alcoholic Patients.”Quarterly Journal of Studies on Alcoholism, 28:486–92.
2.
BaekelundF.LundwallL.ShariahanT. S.1973“Patient Attrition in the Outpatient Treatment of Alcoholism.”Journal of Nervous and Mental Disorders, 157:99–107.
3.
BaekelundF.LundwallL.1975“Dropping Out of Treatment: A Critical Review.”Psychological Bulletin, 82(s): 738–83.
4.
BaekelundF.LundwallL.1977“Engaging the Alcoholic in Treatment and Keeping Him There.” Pp. 161–96 In KissinB.BegleiterH. (eds.), The Biology of Alcoholism Vol. 5 Treatment and Rehabilitation of the Chronic Alcoholic. New York: Plenum Press.
5.
BlaneH. T.MyersW. R.1963“Behavioral Dependence and Length of Stay in Psychotherapy Among Alcoholics.”Quarterly Journal of Studies on Alcohol, 24:503–10.
6.
BurtonG.KaplanH. M.1968“Marriage Counseling with Alcoholics and Their Spouses—II The Correlater of Excessive Drinking Behavior with Family Pathology and Social Deterioration.”British Journal of Addiction, 63:161–70.
7.
CatanzaroR. J.1968Alcoholism: The Total Treatment Approach. Springfield, Illinois: C. C. Thomas.
8.
ConradP.SchneiderJ. W.1980Deviance and Medicalization. St. Louis: C. V. Mosby.
9.
CorderB. F.CorderR. F.LardlawN. D.1972“An Intensive Treatment Program for Alcoholics and Their Wives.”Quarterly Journal of Studies on Alcohol, 33:1144–46.
10.
CowlnJ. A.1954“A Six-Year Follow-Up of Series of Committed Alcoholics.”Quarterly Journal of Studies on Alcohol, 15:412–23.
11.
DavisF. M.DitmanK. S.1963“The Effect of Court Referral and Disulfiram on Motivation of Alcoholism: A Preliminary Report.”Quarterly Journal of Studies on Alcohol, 2:276–79.
12.
DitmanK. S.1961“Evaluation of Drugs in the Treatment of Alcoholics.”Quarterly Journal of Studies on Alcohol Supplement, 1:107–16.
13.
DitmanK. S.CrawfordG. G.1966“The use of Court Probation in the Management of the Alcoholic Addict.”American Journal of Psychiatry, 122:757–62.
14.
FaganR. W.MaussA.1978“Padding the Revolving Door: An Initial Assessment of the Uniform Alcoholism and Intoxication Treatment Act in Practice.”Social Problems, 26:232–246.
15.
ForizoL.1958“Motivation of the Alcoholic for Recovery.”Quarterly Journal of Studies on Alcohol, 9:133–52.
16.
GallantD. M.1971“Evaluation of Compulsory Treatment of the Alcoholic Municipal Court Offender.” pp. 806–23 in Recent Advances in Studies of Alcoholism. MelloN. K.MendelsonJ. H., (eds.). Washington, D.C.: United States Government Printing Office.
17.
GallantD. M.BishopM. P.FaulknerM. U.SimpsonL.CooperA.LathropD.1968a“A Comparative Evaluation of Compulsory (Group Therapy and/or Antabuse) and Voluntary Treatment of the Chronic Alcoholic Municipal Court Offender.”Psychosomatics, 9:306–10.
18.
GallantD. M.BishopM. P.MouledouxA.FaulknerM. A.BresolaraA.SwansonW. A.1973“The Revolving Door Alcoholic: An Impasse in the Treatment of the Chronic Alcoholic.”Archives of General Psychiatry, 28:633–35.
19.
GallantD. M.BishopM. P.StoyB.FaulknerM. A.PaternostroL.1969“The Value of a “First Contact” Group Intake Session in an Alcoholism Outpatient Clinic: Statistical Confirmation.”Psychosomatics, 7:349–52.
20.
GallantD. M.FaulknerM.StoyD.BishopM. D.LangdonD.1968b“Enforced Clinic Treatment of Paroled Criminal Alcoholics.”Quarterly Journal of Studies on Alcohol, 25:77–83.
21.
GillM. M.NewmanR.RedlichF. C.1954The Initial Interview in Psychiatric Practice. New York: International Universities Press.
22.
GillisL. S.KeetM.1969“Prognostic Factors and Treatment Results in Hospitalized Alcoholics.”Quarterly Journal of Studies on Alcohol, 30:426–37.
23.
GoldfriedM. R.1969“Prediction of Improvement in an Alcoholism Outpatient Clinic.”Quarterly Journal of Studies on Alcohol, 30:129–39.
24.
HawkinsR.TiedemannG.1975The Creation of Deviance: Interpersonal and Organizational Determinants. Columbus, Ohio: Charles E.
25.
HaynesS. N. Menell1973“Contingency Management in a Municipally-Administered Antabuse Program for Alcoholics.”Journal of Behavior Therapy and Experimental Psychiatry, 4:31–32.
26.
Hoehn-SaricR.FrankJ. D.ImberS. D.NashE. H.StoneA. R.BattleC. C.1964“Systematic Preparation of Patients for Psychotherapy: I Effects on Therapy Behavior and Outcome.”Journal of Psychiatric Research, 2:267–81.
27.
HoltW. E.1967“The Concept of Motivation for Treatment,”American Journal of Psychiatry, 123:1388–94.
28.
HuttM. L.1967“The Recent Court Decisions on Alcoholism.”President's Commission on Law Enforcement and the Administration of Justice: Task Force Report: Drunkenness. Washington, D.C.: United States Government Printing Office.
29.
JacksonJ. K.FaganR. J.BurrR. C.1958“The Seattle Police Department Rehabilitation Project for Chronic Offender.”Federal Probation, XXII:36–41.
30.
KernerO. J. B.1956“Initiating Psychotherapy with Alcoholic Patients.”Quarterly Journal of Studies on Alcohol, 17:479–84.
31.
KissinB.PlatzA.SuW. H.1970“Social and Psychological Factors in the Treatment of Chronic Alcoholism.”Journal of Psychiatric Research, 8:13–27.
32.
KissinB.PlatzA.SuW. H.1971“Selective Factors in Treatment Choice and Outcome in Alcoholics.” pp. 306–23 in Recent Advances in Studies of Alcoholism. MelloN. K.MendelsonJ. H. (eds.), Washington, D.C.: United States Government Printing Office.
33.
KittrieN.1971The Right to be Different: Deviance and Enforced Therapy. Baltimore: The John Hopkins Press.
34.
KoganL. S.1957“The Short-Term Case in a Family Agency. Part II Results of Study.”Social Casework, 38:296–302.
35.
KoumansA. J.MillerJ. J.MillerC. F.1967“Use of Telephone Calls to Increase Motivation for Treatment in Alcoholics.”Psychological Reports, 21:327–28.
36.
KurtzN. R.RegierM.1975“The Uniform Alcoholism and Intoxication Treatment Act: The Compromising Process of Social Policy Formulation.”Journal of Studies on Alcohol, 36:1421–41.
37.
MaierR. A.FoxV.1958“Forced Therapy of Probated Alcoholics.”Medical Times/NY, 86:1051–54.
38.
MargolisM.KrystalH.SiegelS.1964“Psychotherapy with Alcoholic Offenders.”Quarterly Journal of Studies on Alcohol, 25:85–99.
39.
MillsR. B.HetrickE. S.1963“Treating the Unmotivated Alcoholic.”Crime and Delinquency, 9:46–59.
40.
MindlinD. F.1960“Evaluation of Therapy for Alcoholics in a Workhouse Setting.”Quarterly Journal of Studies on Alcohol, 21:90–112.
41.
MooreR. A.BuchananT. K.1966“State Hospitals and Alcoholism and Nationwide Survey of Treatment Techniques and Results.”Quarterly Journal of Studies on Alcohol, 27: 459–68.
42.
MyersonD. J.MackayJ.WallensA.NeibergN.1961“A Report of a Rehabilitation Program for Alcoholic Women Prisoners.”Quarterly Journal of Studies on Alcohol Supplement, 1:151–57.
43.
OrneM. T.WenderP. H.1968“Anticipatory Socialization for Psychotherapy: Method and Rationale.”American Journal of Psychiatry, 124:1202–12.
44.
PanepentoW. C.HigginsM. J.1969“Keeping Alcoholics in Treatment: Effective Follow-Through Procedures.”Quarterly Journal of Studies on Alcohol, 30:414–19.
45.
ParsonsT.1951The Social System. Glencoe, Ill.: The Free Press.
46.
PattisonE. M.1979“The Selection of Treatment Modalities for the Alcoholic Patient.” pp. 125–228 in The Diagnoses and Treatment of Alcoholism. MendelsohnJ. H.MelloN. K. (eds.). New York: McGraw-Hill.
47.
PembertonD. A.1967“A Comparison of the Outcome of Treatment in Female and Male Alcoholics.”British Journal of Psychiatry, 113:367–73.
48.
PrattA. D.1975“A Mandatory Treatment Program for Skid-Row Alcoholics: Its Implications for the Uniform Alcoholism and Intoxication Treatment Act.”Journal of Studies on Alcohol, 36:166–70.
49.
RosenbergC. M.1974“Drug Maintenance in the Outpatient Treatment of Chronic Alcoholism.”American Journal of Psychiatry, 30:373–77.
50.
RosenbergC. M.LiftikJ.1976“Use of Coercion in the Outpatient Treatment of Alcoholism.”Journal of Studies on Alcohol, 37:58–62.
51.
RossiJ. J.FilsteadW. J.1976“Treating the Treatment Issues: Some General Observations about the Treatment of Alcoholism.” pp. 193–228 in Alcohol and Alcohol Problems. FilsteadW. J.RossiJ. J.KellerM. (eds.), Cambridge, Mass.: Ballinger.
52.
RyanW.1971Blaming the Victim. New York: Random House.
53.
SchuermanA.PearmanE.GlassL.1961“A Study of 54 Compulsory Referrals to a Community Alcoholism Rehabilitation Clinic.”California Alcoholism Review and Treatment Digest, 4:13–15.
54.
SeayJ. E. L.1973“Involuntary Commitment of Alcoholics.”University of Florida Law Review, 26:118–30.
55.
SelzerM. L.HollowayW. H.1957“A Follow-Up of Alcoholics Committed to a State Hospital.”Quarterly Journal of Studies on Alcohol, 18:98–120.
56.
SmartR. G.1974“Employed Alcoholics Treated Voluntarily and Under Constructive Coercion.”Quarterly Journal of Studies on Alcohol, 35:196–209.
57.
SmithC. G.1967“Marital Influences on Treatment Outcome in Alcoholism.”Journal of Irish Medical Association, 60:433–4.
58.
SodenE. W.1966“Constructive Coercion and Group Counseling in the Rehabilitation of Alcoholics.”Federal Probation, 30:56–60.
59.
SterneM. W.PittmanD. J.1965“Concept of Motivation: Sources of Institutional and Professional Blockage in the Treatment of Alcoholics.”Quarterly Journal of Studies on Alcohol, 26:41–57.
60.
VoglerR. E.ComptonJ. V.WeissbachT. A.1966“The Referral Problem in the Field of Alcohol Abuse.”Journal of Community Psychology, 15:357–61.
61.
WardD. A.1980“The Use of Legal Coercion in the Treatment of Alcoholism: A Methodological Review.” pp. 263–275 in Alcoholism: Introduction to Theory and Treatment. WardD. A. (ed.), Dubuque, Iowa: Kendall/Hunt.
62.
WedelH. L.1965“Involving Alcoholics in Treatment.”Quarterly Journal of Studies on Alcohol, 26:468–79.
63.
WexbergL. E.1953“Outpatient Treatment in the District of Columbia.”Quarterly Journal of Studies on Alcohol, 14:514–25.
64.
ZoxM.MasseyR.BiggsC. F.1961“Demographic Characteristics of Alcoholic Outpatients and Tendency to Remain in Treatment.”Quarterly Journal of Studies on Alcohol, 22:98–105.