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& Del Boca, FK (1992) Self-reports by alcohol and drug abuse inpatients: factors affecting reliability and validity British Journal of Addiction, 87, 1013 1024 Brown, SA, Christiansen, BA & Goldman, MS (1987) The Alcohol Expectancy Questionnaire: an instrument for the assessment of adolescent and adult alcohol expectancies Journal of Studies in Alcohol, 48, 483 491 Connors, GJ (1995) Screening for alcohol problems In JP Allen & M Columbus (Eds), Assessing Alcohol Problems: A Guide for Clinicians and Researchers (pp 17 29) National Institute on Alcohol Abuse and Alcoholism Treatment Handbook Series, 4 Bethesda, MD: US Department of Health and Human Services, Public Health Service, National Institutes of Health, National Institute on Alcohol Abuse and Alcoholism Crowe, RR, Kramer, JR, Hesselbrock, V, Manos, G & Bucholz, KK (1997).

The utility of the Brief MAST and the CAGE in identifying alcohol problems: results from national high-risk and community samples Archives of Family Medicine, 6(5), 477 483 Davidson, KM & Ritson, EB (1993) The relationship between alcohol dependence and depression Alcohol & Alcoholism, 28(2), 147 155 Davidson, R (1987) Assessment of the alcohol dependence syndrome: a review of self-report screening questionnaires British Journal of Clinical Psychology, 26, 243 255 Donovan, DM (1995) Assessments to aid in the treatment planning process In JP Allen & M Columbus (Eds), Assessing Alcohol Problems:A Guide for Clinicians and Researchers (pp 75 122) National Institute on Alcohol Abuse and Alcoholism Treatment Handbook Series, 4 Department of Health and Human Services, Public Health Service, National Institutes of Health, National Institute on Alcohol Abuse and Alcoholism Donovan, DM & Rosengren, DB (1999) Motivation for behavior change and treatment among substance abusers.

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provide an operational environment that is amenable to the establishment of a predictable veri cation testing regimen as part of the certi cation process. Architectures that involve layers of interrupts with different levels of priority should be avoided since the execution of the software program becomes indeterministic thus making veri cation testing and regression testing following changes and problem xes to often be inconclusive. Even more seriously, the nature of indeterministic software is its ability to hide embedded problems during the development and certi cation phase of the program only to have them suddenly appear well after the system enters service when a much longer software operational exposure time has occurred. Another architectural design issue to be aware of concerns the use of multiple control channels executing the same control logic program for the purpose of providing control redundancy. In the event of a failure in one control channel, the remaining channel (or channels) can maintain continued safe control of the process. Problems can arise, however, when the control channels are not synchronized in time. In this case even minute differences in clock frequency can result in two (or more) channels becoming a full clock cycle out of step and, as a result, the redundancy management logic whose job it is to monitor differences between channels can erroneously de-select a healthy channel. While some of the above commentary is only secondarily related to the feedback control issue it is considered to be of suf cient importance to be brought to the attention of the prospective control systems engineer.

In JA Tucker, DM Donovan & GA Marlatt (Eds), Changing Addictive Behavior: Bridging Clinical and Public Health Strategies New York: Guilford First, MG, Spitzer, RL, Gibbon, M & Williams, JBW (1995) Structured Clinical Interview for SDM-IV Patient Version New York: Biometrics Department, New York State Psychiatric Institute Friedman, AS & Utada, A (1989) A method for diagnosing and planning the treatment of adolescent drug abusers: the Adolescent Drug Abuse Diagnosis (ADAD) instrument Journal of Drug Education, 19, 285 312 Heather, N (1996) The public health and brief interventions for excessive alcohol consumption: the British experience Addictive Behaviors, 21, 857 863 Horn, JL, Wanberg, KW & Foster, FM (1987) Guide to the Alcohol Use Inventory Minneapolis, MN: National Computer Systems Institute of Medicine (1990) Broadening the Base of Treatment for Alcohol Problems Washington, DC: National Academy Press.

re ect upon when working with a patient toward the possibility of involvement in AA. These trends indicate that the more severe an individual s drinking or other identi ed problem, and the less that person has available in the way of interpersonal supports for abstinence in the natural environment (particularly for an outpatient), the more likely the individual is to join AA. These trends notwithstanding, health care practitioners would do well to hold to the position that any given patient may or may not be a suitable candidate for AA or other mutual aid group.

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