A study was carried out with a sample of in-patients and out-patients
in an alcohol treatment programme examining beliefs about where respon
sibility lay for their condition and recovery from it. Brickman et al.
[1] proposed a framework for understanding these beliefs consisting o
f four 'models'. In each model responsibility for causing the problem
and for resolving it is considered either to lie with the individual o
r with other factors. The results indicated that the alcoholics' belie
fs could not readily be understood in terms of this framework. As rega
rds the cause of their condition, belief in the role of luck, personal
responsibility and acceptance of a disease model emerged as independe
nt factors. With regard to responsibility for recovery, belief in pers
onal responsibility, the value of treatment and support and the import
ance of motivation emerged as separate factors. Belief in personal res
ponsibility for causing the problem was significantly associated with
acceptance of responsibility for recovery. Adoption of a disease model
was negatively associated with belief in the importance of motivation
in recovery. Treatment satisfaction was positively correlated with be
lief in the importance of treatment and support but not other dimensio
ns. Younger patients tended to accept a lower level of personal respon
sibility for their condition. The results indicate the alcoholics tend
to adopt quite specific beliefs about their condition and that satisf
action with a particular treatment regimen is related to belief in the
value of treatment rather than any particular model concerning where
responsibility for their condition and recovery from it lies.