Self-resolution of alcohol problems as a process of investing and re-investing in self

Resolution of alcohol problems without formal treatment or participation in support groups was studied using a grounded theory approach. Thirteen former problem drinkers and their close associates were interviewed, and verbatim transcripts were analyzed using grounded theory methods. The core of self-resolving alcohol problems involves investing and/or reinvesting in self to gain or regain the essence of who or what one wants to be. Self-resolvers tend to independently change for their own benefit rather than the benefit of others, and personal resources may promote or delay the process. The effort required to self-resolve drinking problems varies, and close associates tend to be minority investors in the process. Input from health-care providers regarding the health-related hazards of drinking are largely ignored because threats to who or what one wants to be are perceived as more significant. As such, clinical interventions should emphasize personally relevant threats to self versus focusing solely on the physical consequences of alcohol abuse.