Enforced Cognition: Compliance with CourtOrdered Versus Voluntary Disulfiram Therapy Brandon Martin,

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Enforced CognitionCompliance with Court-Ordered
Versus Voluntary Disulfiram Therapy Brandon
Martin, BA, Lori Clapp, RN, Diana Bialkowski, RN,
Thomas Beresford, MDDenver Veterans Affairs
Medical Center (DVAMC), Denver, COUniversity of
Colorado Health Sciences Center, Denver, CO
Background
Background

Chronic alcoholism has been shown to
effect cognition in the following ways

impairment in perceptual-motor skills

Past research has not specifically nor
effectively controlled for the effect of a

visual-spatial functions
court mandate when used to enhance

learning/memory
compliance to monitored disulfiram

abstraction and problem solving
therapy.

Severe cognitive deficits may result
from chronic alcoholism as well

Central
Pontine Myelinolysis

Wernickle
-
Korsakoff
syndrome
Percent of Patients in
Treatment Per Study Week
120
100
80

Voluntary
60
Court Order
40
20
0
0
2
4
6
8
10
12
Weeks