Pm. Monti et al., DEVELOPMENT OF A BEHAVIOR ANALYTICALLY DERIVED ALCOHOL-SPECIFIC ROLE-PLAY ASSESSMENT INSTRUMENT, Journal of studies on alcohol, 54(6), 1993, pp. 710-721
Social learning theory postulates that chronic alcohol abusers may hav
e deficits in ability to cope with stressful situations, and these def
icits may be associated with relapse after treatment. Attempts to stud
y the hypothesized deficits have been hampered by methodological probl
ems. Therefore, a behavior analytic procedure was used to develop 10 c
ategories of situations based on over 600 drinking situations elicited
from alcoholics. Role plays were developed for each of these categori
es, and samples of alcoholics in treatment were asked to respond as if
they were trying not to drink. Videotaped responses were behaviorally
rated by trained judges for skill and anxiety, and subjects completed
self-report ratings of urge to drink, anxiety, difficulty and skill a
fter each role play. Good interrater reliabilities and internal consis
tency were found across three samples of alcoholics, with virtually no
gender differences. Previous and current investigations show the vali
dity and utility of this instrument. The Alcohol Specific Role Play Te
st therefore shows promise as a means of assessing alcoholics' reactio
ns to high-risk situations.