This article presents a conception of spouse enabling of partner alcoh
ol abuse, a review of its dysfunctions, and an approach to assessment
and modification to reduce spouse enabling behavior. Based on experien
ce with its use in unilateral family therapy with many spouses of trea
tment-refusing alcohol abusers, procedural guidelines, treatment metho
ds, two case examples from a crossover experimental dyad, and clinical
results for the two cases in the dyad are described. Also presented a
re practice issues, characteristics of spouse enabling as they relate
to disenabling intervention, and areas of possible application of the
disenabling program.