GEORGE, ANITA ALEXANDER; PHD
AUBURN UNIVERSITY, 1994
PSYCHOLOGY, CLINICAL (0622)
Because most problem drinkers do not seek treatment, investigation of influences
on the help-seeking
process is warranted. Although greater psychosocial problems related to drinking
are associated with
greater help-seeking, little is known about the role of the problem drinker's
social networks in promoting
or deterring help-seeking. Also lacking is an understanding of why some problem
drinkers enter
Alcoholics Anonymous (A.A.), rather than formal treatment programs. A.A.'s appeal
may lie, in part, in its
provision of an alternative social network that provides clear information about
drinking problems and a
social (group) format to support behavior change. The present study investigated
the social networks of
problem drinkers who varied in their current help-seeking status $(n = 15$ per
group): (1) A.A.
participants, (2) outpatient alcohol treatment participants, and (3) untreated,
active problem drinkers, who
served as controls. Subjects' drinking practices, alcohol-related problems,
recent event occurrences,
and social network characteristics were assessed during structured interviews
conducted within 6
months after subjects sought help (or over a matched interval for controls).
Collaterals verified subjects'
reports of their drinking and help-seeking status. The three groups reported
similar drinking practices,
alcohol dependence levels, event occurrences, and overall social support. Help-seeking
was associated
with greater alcohol-related psychosocial problems and with less encouragement
to drink and with more
encouragement to seek help from social network members. A.A. subjects, in particular,
reported greater
exposure to conflicting messages about help-seeking from network members than
did treatment
subjects. Significant barriers to help-seeking included subjects' belief that
their problems were not
serious enough to warrant help while incentives for help-seeking included family
conflict and
encouragement to seek help. These findings suggest that a clearer understanding
of the social needs
and resources of problem drinkers in relation to help-seeking may improve client-treatment
matching and
client motivation for behavior change.
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