RECENT DEVELOPMENTS IN ALCOHOLISM VOLUME 16 RESEARCH ON ALCOHOLISM TREATMENT RECENT DEVELOPMENTS IN Edited by MARC GALANTER New York University School of Medicine New York, New York Associate Editors HENRI BEGLEITER, RICHARD DEITRICH, DONALD GALLANT, EDWARD GOTTHEIL, ALFONSO PAREDES, MARCUS ROTHSCHILD, and DAVID VAN THIEL Assistant Editor DOLLY LAGRESSA An Official Publication of the American Society of Addiction Medicine and the Research Society on Alcoholism. This series was founded by the National Council on Alcoholism. ALCOHOLISM VOLUME 16 RESEARCH ON ALCOHOLISM TREATMENT Methodology Psychosocial Treatment Selected Treatment Topics Research Priorities Section Editors JOHN P. ALLEN, RICHARD FULLER, RAYE LITTEN, MICHAEL ECKARDT, MARY MCAUL, and PETER MONTI KLUWER ACADEMIC PUBLISHERS NEW YORK,BOSTON, DORDRECHT, LONDON, MOSCOW eBookISBN: 0-306-47939-7 Print ISBN: 0-306-47258-9 ©2002 Kluwer Academic Publishers NewYork, Boston, Dordrecht, London, Moscow Print ©2003 Kluwer Academic/Plenum Publishers New York All rights reserved No part of this eBook maybe reproducedor transmitted inanyform or byanymeans,electronic, mechanical, recording, or otherwise, without written consent from the Publisher Created in the United States of America Visit Kluwer Online at: http://kluweronline.com and Kluwer's eBookstore at: http://ebooks.kluweronline.com Editorial Board Chair: Chair Emeritus and Founder: James D. Beard, Ph.D. Charles S. Lieber, M.D. Dharam P. Agarwal, Ph.D. Howard J. Edenberg, Ph.D. Robert O. Messing, M.D. Genevieve M. Ames, Ph.D. C.J. Peter Eriksson, Ph.D. Esteban Mezey, M.D. Raymond F. Anton, M.D. Rueben A. Gonzales, Ph.D. Michael F. Miles, M.D., Ph.D. Enrique Baraona, M.D. Charles R. Goodlett, Ph.D. Roger Nordmann, M.D., Ph.D. Stefan Borg, M.D., Ph.D. Donna Gruol, Ph.D. Edward P. Riley, Ph.D. L. Judson Chandler, Ph.D. Jan B. Hoek, Ph.D. Marcia Russell, Ph.D. Robert T. Cook, M.D., Ph.D. Paula L. Hoffman, Ph.D. Robert F. Saltz, Ph.D. John Crabbe, Ph.D. Harold D. Holder, Ph.D. John B. Saunders, Ph.D. NancyDay, Ph.D. Hiromasa Ishii, M.D. Steven Schenker, M.D. Phillipe A.J. De Witte, Ph.D. Harold Kalant, M.D., Ph.D. Edith V. Sullivan, Ph.D. Ivan Diamond, M.D., Ph.D. Barbara J. Mason, Ph.D. Muriel Vogel-Sprott, Ph.D. Bruce D. Dudek, Ph.D. Gary S. Wand, M.D. Research Society on Alcoholism American Society of Addiction Medicine President: President: Stephanie S. O'Malley, Ph.D. Andrea G. Barthwell, M.D. Vice President: President-elect: Victor Hesselbrock, Ph.D. Lawrence S. Brown, Jr., M.D. Secretary: Secretary: Robert A. Zucker, Ph.D. Michael M. Miller, M.D. Treasurer: Treasurer: Raymond F. Anton, M.D. Elizabeth F. Howell, M.D. Immediate Past President: Immediate Past President: Yedy Israel, Ph.D. Marc Galanter, M.D. Publications Committee Chair: Emanuel Rubin, Ph.D This page intentionally left blank Contributors John P. Allen, National Institute on Alcohol Abuse and Alcoholism, Bethesda, Maryland 20892 Raymond Anton, Center for Drug and Alcohol Programs, Alcohol Research Center, Medical University of South Carolina, Charleston, South Carolina Lori Bellino, Department of Psychology, University of Maryland, Baltimore, Maryland 21250 Sandra A. Brown, Department of Psychology, University of California San Diego, La Jolla, California 92093 Oscar Bukstein, Pittsburgh Adolescent Alcohol Research Center, Center for Education and Drug Abuse Research, University of Pittsburgh, Pittsburgh, Pennsylvania 15213 Roberto Ciccocioppo, Department of Neuropharmacology, Scripps Research Insitute, La Jolla, Calfiornia 92037 Duncan Clark, Pittsburgh Adolescent Alcohol Research Center, Center for Education and Drug Abuse Research, University of Pittsburgh, Pittsburgh, Pennsylvania 15213 Jack R. Cornelius, Pittsburgh Adolescent Alcohol Research Center, Center for Education and Drug Abuse Research, University of Pittsburgh, Pittsburgh, Pennsylvania 15213 Paul Crits-Christoph, University of Pennsylvania, Philadelphia, Pennsylvania 19104 Elizabeth J. D'Amico, RAND, Santa Monica, California Carlo C. DiClemente, Professor and Chair, Department of Psychology, University of Maryland, Baltimore, Maryland 21250 vii viii Contributors Amy Dierberger, McLean Hospital, Belmont, Massachusetts 02478 Michael Eckardt, Office of Scientific Affairs Bethesda, National Institute on Alcohol Abuse and Alcoholism, Maryland 20892 Michael F. Fleming, Department of Family Medicine, University of Wisconsin- Madison, Madison, Wisconsin 53715 Janice C. Froehlich, Indiana University School of Medicine, Indianapolis, Indiana Richard K. Fuller, Division of Clinical and Prevention Research, National Institute on Alcohol Abuse and Alcoholism, Bethesda, Maryland 20892 Marc Galanter, New York University School of Medicine, Department of Psychiatry, Division of Alcoholism and Drug Abuse, New York, New York 10016 Edith S. Lisansky Gomberg, Department of Psychiatry, University of Michigan School of Medicine, Ann Arbor, Michigan 48109 Enoch Gordis, National Institute on Alcohol Abuse and Alcoholism, Bethesda, Maryland 20892 Nancy Haug, Department of Psychology, University of Maryland, Baltimore, Maryland 21250 Charles Heyser, Department of Psychology, Franklin and Marshall College, Lancaster, Pennsylvania 17604 Brenda G. Hewitt, Keith Humphreys, Veterans Affairs Health Care System and Stanford University School of Medicine, Palo Alto, California Keith Humphreys, Veterans Affairs Health Care System and Stanford University School of Medicine, Palo Alto, California Richard D. Hurt, Nicotine Dependence Center, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905 Ronald M. Kadden, Department of Psychiatry, University of Connecticut School of Medicine, Farmington, Connecticut 06030 Simon N. Katner, Department of Neuropharmacology, Scripps Research Insitute, La Jolla, California 92037 Contributors ix Brigitte L. Kieffer, Institut de Genetique et de Biologie Moleculaire et Cellulaire, Unite Mixte de Recherche 7104, Illkirch, France George F. Koob, Department of Neuropharmacology, Scripps Research Insitute, La Jolla, California 92037 Henry R. Kranzler, Alcohol Research Center, Department of Psychiatry, University of Connecticut School of Medicine, Farmington, Connecticut 06030 Denise N. Lash, Department of Psychology and Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, New Mexico 87106 Raye Z. Litten, III, National Institute on Alcohol Abuse and Alcoholism, Division of Clinical and Prevention Research, Bethesda, Maryland 20892 Richard Longabaugh, Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island 02912 Julie Madaras, Center for the Study of Addictions, Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104 Barbara J. Mason, Department of Psychiatry and Behavioral Sciences, University of Miami School of Medicine, Miami, Florida 33136 Margaret E. Mattson, Treatment Research Branch, National Institute on Alcohol Abuse and Alcoholism, Bethesda, Maryland 20892 Mary E. McCaul, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205 Robert J. Meyers, Department of Psychology and Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, New Mexico 87106 Peter M. Monti, Center for Alcohol and Addiction Studies, Brown University School of Medicine, Providence, Rhode Island 02912 William R. Miller, Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, New Mexico 87131 Lisa M. Najavits, McLean Hospital, Harvard Medical School, Belmont, Massachusetts 02478