Article
A study of visualization and addiction treatment

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Abstract

Using a quasiexperimental design, in an intensive outpatient chemical dependency treatment program, this research compared a psychoeducational addiction treatment group with an intervention that combined progressive relaxation and visualization in a group setting. The progressive relaxation and visualization treatment consisted of six hour-long sessions that replaced psychoeducation treatment groups over the space of a 3-week period. The visualization group and the psychoeducation treatment groups were compared via pretest and posttest instruments to examine the impact of treatments on levels of emotional arousal, self-efficacy, and coping resources. The State-Trait Anxiety Inventory (STAI), the Situational Confidence Questionnaire (SCQ), and the Coping Resources Inventory (CRI) were used as part of the standardized measures. A total of 76 participants were involved in this study, which was conducted over an 8-month period. (As they entered treatment, participants were assigned to groups in a fashion that would maintain equivalency of group size.) Statistical tests determined that the nonrandomly assigned treatment groups were not significantly different from each other at the outset of the treatment interventions. t-tests and multivariate analysis of variance and covariance (MANOVA/MANCOVA) were used to examine the results of the study. The t-tests revealed that there were significant pretest/posttest differences (p < .05) for both groups on almost all the dependent measures. MANCOVA, using pretest levels of the dependent measures as the covariate, did not reveal significant differences between the two groups (i.e., both groups showed equal levels of improvement on the posttest measures). Also, there were outcome differences for individuals who achieved greater degrees of relaxation and increased involvement in visualization sessions. In conclusion, both psycoeducation and visualization treatments were equally effective in producing positive effects. Although there is little empirical research that evaluates the effectiveness of psychoeducation treatment provided by chemical dependency treatment programs, these findings support that psychoeducation treatment is producing positive treatment effects. Further research is needed to assess the incremental benefit of using visualization as an adjunct to psychoeducation treatment.

Keywords

visualization
progressive relaxation
psychoeducation
chemical dependency

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This article is based on the PhD dissertation in counseling psychology conducted by the author under the supervision of James P. Smith, Portia Hunt, and Stiles Seay at Temple University, Philadelphia, PA. In addition to these individuals, the author would like to thank the following individuals for their helpful comments in the preparation of this article: Yvonne Demsky, Margaret Miller, and an anonymous reviewer.

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