<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0870-8231</journal-id>
<journal-title><![CDATA[Análise Psicológica]]></journal-title>
<abbrev-journal-title><![CDATA[Aná. Psicológica]]></abbrev-journal-title>
<issn>0870-8231</issn>
<publisher>
<publisher-name><![CDATA[ISPA-Instituto Universitário]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0870-82312008000100005</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Denegação do alcoolismo nos subtipos I e II de Cloninger]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pombo]]></surname>
<given-names><![CDATA[Samuel]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reizinho]]></surname>
<given-names><![CDATA[Rute]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ismail]]></surname>
<given-names><![CDATA[Fátima]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cardoso]]></surname>
<given-names><![CDATA[J. M. Neves]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
</contrib-group>
<aff id="A01">
<institution><![CDATA[,Hospital de Santa Maria Serviço de Psiquiatria Núcleo de Estudos e Tratamento do Etilo-Risco (NETER)]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>01</month>
<year>2008</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>01</month>
<year>2008</year>
</pub-date>
<volume>26</volume>
<numero>1</numero>
<fpage>59</fpage>
<lpage>69</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0870-82312008000100005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0870-82312008000100005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0870-82312008000100005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[A denegação da alcoolização define a recusa dos bebedores dependentes em assumir o uso patológico do álcool, além de minimizar a relação entre os consumos do álcool e os seus problemas psicológicos, orgânicos e sociais associados. A escala de avaliação da denegação (Denial Rating Scale) confere ao terapeuta um instrumento de observação quantificação da denegação do problema clínico do álcool. O presente estudo tem como objectivo, traduzir e validar para a língua portuguesa a escala de avaliação da denegação (Denial Rating Scale) e avaliar o nível de denegação da doença alcoólica tendo em conta os sub-tipos I e II de Cloninger. No processo de confiabilidade inter-avaliadores e de validação da DRS obteve-se coeficientes estatísticos adequados, permitindo a utilização do instrumento num setting especializado para o tratamento da dependência alcoólica. Os pacientes Tipo II de Cloninger apresentaram menores níveis de denegação do alcoolismo, quando comparados com os pacientes Tipo I.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Alcoholization Denial defines the notion of the drinker refusal to acknowledge his pathological alcohol use or minimizing the relation between alcohol consumption and his psychological, organic and social problems. The Denial Rating Scale provides the therapist a toole to observe and quantify the clinical problem of denial. The aim of this study is to translate and validate the Denial Rating Scale to the portuguese language and to assess its relationship with Cloninger&#8217;s Type I and II. Interrater reliability and validity process showed adequated statistical coefficients, allowing the use of the instrument in a specialized alcoholism setting. Cloninger&#8217;s type II patients showed lower levels of alcoholism denial, when compared with type I.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Alcoolismo]]></kwd>
<kwd lng="pt"><![CDATA[denegação]]></kwd>
<kwd lng="pt"><![CDATA[sub-tipos]]></kwd>
<kwd lng="en"><![CDATA[Alcoholism]]></kwd>
<kwd lng="en"><![CDATA[denial]]></kwd>
<kwd lng="en"><![CDATA[subtypes]]></kwd>
</kwd-group>
</article-meta>
</front><body><![CDATA[ <p><b>Denega&ccedil;&atilde;o do alcoolismo nos subtipos I e II de Cloninger </b></p>     <p>&nbsp;</p>        <p align="right">Samuel Pombo (<a href="#1">*</a><a name="top1"></a>) </p>     <p align="right">Rute Reizinho (<a href="#1">*</a><a name="top1"></a>) </p>     <p align="right">F&aacute;tima Ismail (<a href="#2">**</a><a name="top2"></a>)  </p>     <p align="right">J. M. Neves Cardoso (<a href="#2">**</a><a name="top2"></a>)  </p>      <p>&nbsp;</p>      <p align="center">RESUMO </p>     <p>A denega&ccedil;&atilde;o da alcooliza&ccedil;&atilde;o define a recusa dos    bebedores dependentes em assumir o uso patol&oacute;gico do &aacute;lcool, al&eacute;m    de minimizar a rela&ccedil;&atilde;o entre os consumos do &aacute;lcool e os    seus problemas psicol&oacute;gicos, org&acirc;nicos e sociais associados.</p>     <p>A escala de avalia&ccedil;&atilde;o da denega&ccedil;&atilde;o (Denial Rating    Scale) confere ao terapeuta um instrumento de observa&ccedil;&atilde;o quantifica&ccedil;&atilde;o    da denega&ccedil;&atilde;o do problema cl&iacute;nico do &aacute;lcool. </p>     ]]></body>
<body><![CDATA[<p>O presente estudo tem como objectivo, traduzir e validar para a l&iacute;ngua    portuguesa a escala de avalia&ccedil;&atilde;o da denega&ccedil;&atilde;o (Denial    Rating Scale) e avaliar o n&iacute;vel de denega&ccedil;&atilde;o da doen&ccedil;a    alco&oacute;lica tendo em conta os sub-tipos I e II de Cloninger.</p>     <p>No processo de confiabilidade inter-avaliadores e de valida&ccedil;&atilde;o    da DRS obteve-se coeficientes estat&iacute;sticos adequados, permitindo a utiliza&ccedil;&atilde;o    do instrumento num <i>setting </i>especializado para o tratamento da depend&ecirc;ncia    alco&oacute;lica. </p>     <p>Os pacientes Tipo II de Cloninger apresentaram menores n&iacute;veis de denega&ccedil;&atilde;o    do alcoolismo, quando comparados com os pacientes Tipo I. </p>     <p><I>Palavras-chave</I>: Alcoolismo, denega&ccedil;&atilde;o, sub-tipos.</p>     <p>&nbsp;</p>     <p align="center">ABSTRACT</p>     <p>Alcoholization Denial defines the notion of the drinker refusal to acknowledge    his pathological alcohol use or minimizing the relation between alcohol consumption    and his psychological, organic and social problems.</p>     <p> The Denial Rating Scale provides the therapist a toole to observe and quantify    the clinical problem of denial.</p>     <p>The aim of this study is to translate and validate the Denial Rating Scale    to the portuguese language and to assess its relationship with Cloninger&rsquo;s    Type I and II. </p>     <p>Interrater reliability and validity process showed adequated statistical coefficients,    allowing the use of the instrument in a specialized alcoholism setting. </p>     ]]></body>
<body><![CDATA[<p>Cloninger&rsquo;s type II patients showed lower levels of alcoholism denial,    when compared with type I. </p>     <p><I>Key words</I>: Alcoholism, denial, subtypes. </p>     <p>&nbsp;</p>       <p>Texto completo dispon&iacute;vel apenas em PDF.</p>        <p>Full text only available in PDF format.</p>     <p>&nbsp;</p>     <p>&nbsp;</p>             <p align="center">REFER&Ecirc;NCIAS BIBLIOGR&Aacute;FICAS </p>      <!-- ref --><p>Allan C. A. (1991). Acknoweledging alcohol problems. The use of a visual analogue  scale to measure denial. <I>The Journal of Nervous and Mental Disease, 179</I>, 620-625. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000031&pid=S0870-8231200800010000500001&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><p>Barbosa, A., Pombo, S., Ismail, F., &amp; Cardoso, J. M. (2004).  <I>Alexithymia and alcohol dependence</I>. Poster presented at ESBRA (European  Society for Biomedical Research on Alcoholism) Nordmann Award Symposium organized  in Lisbon, Portugal, May 28-29. </p>      ]]></body>
<body><![CDATA[<p>Cardoso, J. M., Barbosa, A., Ismail, F., &amp; Pombo, S. (2006). Neter  alcoholic typology (NAT). <I>Alcohol &amp; Alcoholism, 41</I>, 133-139. </p>      <p>Cohen, J. (1960). A coefficient of agreement for nominal scales. <I>Educational  and Psychological Measurement, 20</I>, 37-46. </p>      <p>Cloninger, C. R., Bohman, M., &amp; Sigvardsson, S. (1981). Inheritance  alcohol abuse: Cross fostering analysis of adopted men. <I>Archives of General  Psychiatry, 38</I>, 861-868. </p>      <p>Dvorak, A., Pombo, S., Ismail, F., Barbosa, A., Cardoso, J. M., Figueira,  M. L., Walter, H., &amp; Lesch, O. M. (2006). Tipologias da depend&ecirc;ncia  do &aacute;lcool e o seu significado para a terap&ecirc;utica m&eacute;dica.  <I>Acta Psiqui&aacute;trica Portuguesa, 52</I>, 1693-1705. </p>      <p>Goldsmith, R. J., &amp; Green, B. L. (1988). A rating scale for measuring  denial. The Journal of <I>Nervous and Mental Disease, 176</I>, 614-620. </p>      <p>Newsome, R. D., &amp; Ditzler, T. (1993). Assessing alcoholic denial.  Further examination of the Denial Rating Scale. <I>The Journal of Nervous  and Mental Disease, 181</I>, 689-694. </p>      <p>Pombo, S., Ismail, F., Cardoso, J. M., &amp; Barbosa, A. (2004).  <I>Alcoholic psychopathology profile: A comparative study on ambulatory setting</I>.  Poster presented at ESBRA (European Society for Biomedical Research on Alcoholism)  Nordmann award symposium organized in Lisbon, Portugal, May 28-29. </p>      <p>Pombo, S., Reizinho, R., Ismail, F., Barbosa, A., Figueira, M. L., Neves Cardoso,    J. M., &amp; Lesch, O. M. (2007a). NETER alcoholic 5 subtypes: Validity with    Lesch 4 evolutionary subtypes. <I>International Journal of Psychiatry in Clinical    Practice</I>, 1-10. To link to this article: DOI: 10.1080/13651500701493953;    URL:<a href="http://www.informaworld.com/smpp/content%7Edb=all?content=10.1080/13651500701493953" target="_blank">    http://dx.doi.org/10.1080/13651500701493953</a>. </p>      <p>Pombo, S. (2007b). Alcoholic patients&rsquo; overlap among different typological  classification schemes. <I>Alcohol and Alcoholism abstracts from 11th Congress of  the European Society for Biomedical Research on Alcoholism </I>(ESBRA), Vol. 42  (sup. 1), p. i12. </p>      <p>Prochaska, J. O., &amp; DiClemente, C. C. (1992). Search of how people change:  Applications to addictive behaviors. <I>American Psychologist, 47</I>, 1102-1113. </p>      ]]></body>
<body><![CDATA[<p>Rinn, W., Desai, N., Rosenblatt, H., &amp; Gastfriend, D. R. (2002). Addiction  denial and cognitive dysfunction: A preliminary investigation. <I>Journal of  Neuropsychiatry and Clinical Neuroscience, 14</I>, 52-57. </p>      <p>Shaffer, H., &amp; Simoneau, G. (2001). Reducing resistance and denial  by exercising ambivalence during the treatment of addiction. <I>Journal of  Substance Abuse Treatment, 20</I>, 99-105. </p>      <p>Tarter, R. G., Alterman J. I., &amp; Edwards, K. L. (1984). Alcoholic denial:  A biopsychological interpretation. <I>Journal of Studies on Alcohol, 45</I>, 214-218. </p>      <p>von Knorring, A. L., Bohman, M., von Knorring, L., &amp; Oreland, L. (1985).  Platelet MAO activity as a biological marker in subgroups of alcoholism. <I>Acta  Psychiatrica Scandinavica, 72</I>, 51-58. </p>      <p>Ward, L. C., &amp; Rothaus, P. (1991). The measurement of denial and  rationalization in male alcoholics. <I>Journal of Clinical Psychology, 47</I>, 465-468. </p>      <p>Wing, D. M. (1994). The alcoholism denial assessment tool (ADAT): A study of  interrater reliability. <I>Clinical Nursing Research, 3</I>, 228-242. </p>      <p>Wing, D. M. (1995). Transcending alcoholic denial. <I>Journal of Nursing  Scholarship, 27</I>, 121-126. </p>    <p>Wing, D. M. (1996). A concept analysis of  alcoholic denial and cultural accounts. <I>Advances in Nursing Science, 19</I>, 54-63. </p>            <p>Wiseman, E. J., Souder, E., &amp; O&rsquo;Sullivan, P. (1996). Relation of    denial of alcohol problems to neurocognitive impairment and depression. <I>Psychiatry    Services, 47</I>, 306-308. </p>      <p>&nbsp;</p>      ]]></body>
<body><![CDATA[<p>(<a href="#top1">*</a><a name="1"></a>) Psic&oacute;logo Cl&iacute;nico, N&uacute;cleo    de Estudos e Tratamento do Etilo-Risco (NETER) do Servi&ccedil;o de Psiquiatria    do Hospital de Santa Maria. E-mail: <a href="mailto:samuelpombo@gmail.com">samuelpombo@gmail.com</a>  </p>     <p>(<a href="#top2">**</a><a name="2"></a>) Psiquiatra, N&uacute;cleo de Estudos    e Tratamento do Etilo-Risco (NETER) do Servi&ccedil;o de Psiquiatria do Hospital    de Santa Maria. </p>      ]]></body><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Allan]]></surname>
<given-names><![CDATA[C. A.]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Acknoweledging alcohol problems: The use of a visual analogue scale to measure denial]]></article-title>
<source><![CDATA[The Journal of Nervous and Mental Disease]]></source>
<year>1991</year>
<volume>179</volume>
<page-range>620-625</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
