In two longitudinal studies with alcohol inpatients, private and public sel
f-consciousness were assessed before and after therapy using German adaptat
ions of the Self Consciousness Scale by Fenigstein, Scheier and Buss. Dysfu
nctional and functional aspects of self-consciousness (questionnaire by Hoy
er), global symptom severity and psychological well-being were also measure
d. Results showed heightened degrees of public and dysfunctional self-consc
iousness at the beginning of treatment. While public self-consciousness did
not change during treatment, functional and dysfunctional self-consciousne
ss were both positively influenced. Therapy seems to affect the mo;le rathe
r than the frequency of self-directed attention. Consequences for attention
al theories of alcoholism and applications in therapy are discussed.