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Table 2 Distribution of counselor views of responsibility and agreement with objections

From: Views about responsibility for alcohol addiction and negative evaluations of naltrexone

 

Strongly disagree

Disagree

Neither agree nor disagree

Agree

Strongly agree

Responsibility for onset

     

Persons with alcoholism are responsible for the onset of their dependency.

2.6%

24.8%

22.2%

35.0%

15.4%

Persons with alcoholism could have avoided their dependence.

5.1%

20.5%

29.1%

30.8%

14.5%

Responsibility for recovery

     

Persons with alcoholism are personally responsible for their recovery.

1.7%

6.8%

6.0%

53.0%

32.5%

Persons with alcoholism are personally responsible for creating a solution.

3.4%

14.5%

23.9%

40.2%

17.9%

Objection

     

Paul will be unlikely to comply with taking the medication.

1.7%

25.7%

35.9%

25.6%

11.1%

The medication’s side effects (which include nausea, headache, dizziness, anxiety and a small risk of withdrawal symptoms) are not worth its benefits.

8.5%

37.6%

19.7%

23.9%

10.3%

There’s a risk that Paul will use opioids that interfere with the medication and cause serious side effects.

12.0%

21.4%

22.2%

25.6%

18.8%

Naltrexone will treat the symptoms of Paul’s alcoholism, but it will not improve the underlying causes of his alcohol abuse.

2.5%

12.0%

26.5%

46.2%

12.8%

Overcoming alcoholism without the use of medication will strengthen Paul’s resolve and willpower.

1.7%

3.4%

18.0%

39.3%

37.6%

The medication will diminish Paul’s motivation to help himself and participate in the 12-step program.

6.8%

27.3%

19.7%

36.8%

9.4%