Controlled Drinking and the Treatment of Alcoholism

William R. Miller, PhD; A. Lane Leckman, MD; Martha Tinkcom, MS
JAMA. 1987;257(23):3228-3229. doi:10.1001/jama.1987.03390230064019.
Text Size: A A A
Published online

To the Editor.—  We wish to correct a misleading inference drawn from our data by Dr Maltzman1 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, Costello2 concluded that the average success rate (abstinent plus improved cases) after alcoholism treatment is 26%. A similar picture emerged from Vaillant's3


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.