The focus in this webinar is the links between alcohol and cancer and the forthcoming Europe Beating Cancer Plan.

ORGANISATIONAL CLIMATE UNDERLIES INNOVATION ADOPTION

Key studies on how treatment organisations affect implementation and effectiveness of psychosocial therapies. Starts with the contention from an influential research stable that “organizational climate underlies the entire process of innovation adoption,” and highlights the study which forcefully brought that home to US researchers. Then addresses three key issues:
- Is your service even ready to *attempt* to change?
- Change driven by money versus humanitarian mission; just as good for patients?
- The stultifying effect of high staff...

MANAGING THE TALKING ROUTE TO RECOVERY

Key studies on managing and supervising psychosocial treatments for problem drinking. Starts with an essay from two leading researchers into these treatments, “bravely questioning what it’s all been for” when routine implementation has proved elusive. Highlights the study which found “leaders ... have a cascading impact on their staff in ways other than through mandate”, then addresses two key issues:
- Workshop training has limited effects - so is ‘coaching’ the right model for producing good counsellors and therapists?
- Find out then reveal to the...

IS REFLECTIVE LISTENING ALL THAT’S NEEDED?

Just two alcohol treatment studies have tested Carl Rogers’ classic account of the “necessary and sufficient conditions” for effective therapy. Each stripped out motivational interviewing’s directive elements, leaving only ‘Rogerian’ empathic and reflective listening. Did the clients do just as well? If the iconoclastic Rogers who “doubted every authority including his own” had lived to find out, he might have felt his doubts only partly justified.

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THE TALKER IN TALKING THERAPIES

Key studies on the impact of the practitioner in psychosocial therapies for alcohol dependence. Structured around Carl Rogers’ classic account of the “necessary and sufficient conditions” for effective therapy. Highlights the seminal alcohol study that validated empathy, understanding and warmth, and explores three key issues:
- Is Rogerian ‘sounding board’ listening really all that’s needed?
- Does being genuine entail contravening other Rogerian mandates?
- If therapists are influential, why don’t more studies register their effects?

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THE COMMON CORE OF EFFECTIVE THERAPIES

Starting point in last week’s exploration of psychosocial therapies was 2018’s “impressively wise overview” of research on ‘common factors’ they share from a task force with the authority of the American Psychological Association. It was the third such project, the first of which in 1999 represented a turning point in a movement which dates back at least to 1936 and Saul Rosenzweig’s brief seminal paper, elaborated 25 years later by Jerome Frank into one of the most influential books on psychosocial therapy. Explore with us these landmarks and how they...

THE TALKING ROUTE TO RECOVERY

Every treatment involves human interaction, but this cell is about therapies in which interaction is the intended active ingredient – ‘psychosocial’ therapies, the mainstay of alcohol dependence treatment. Starts with the American Psychological Association’s (APA) “impressively wise overview” of the features shared by effective therapies and highlights the £1.5 million UK trial of a new therapy; why were the researchers’ expectations confounded? Then asks whether therapy can make things worse, argues that guidance has been misled into advocating packaged...