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This paper aims to explore the potential utility of Identity Structure Analysis (ISA) in single-case and group-level outcome and process evaluations.

A study was conducted to evaluate mentalization-based therapy by using ISA and its linked framework software, Ipseus. Ten patients with borderline personality disorder and substance use disorder were involved in the study. ISA/Ipseus was administered prior to and at the completion of the treatment. Five-year follow-up data, comprising behavioural indicators, were also collected and compared to ISA/Ipseus results.

Improvements occurred in the evaluation of stressful, demanding and emotionally burdening situations. Evaluations on concerned others also improved, together with progress in self-reflection. Changes in the evaluation of recovery-related themes were less salient. On a case level, changes in the self-states and role models were consistent with the results of the five-year-follow up data. An initial crisis state seems suggestive of progress, while initial defensive positions with high positive self-regard, of stagnation.

ISA/Ipseus, integrating the benefits of qualitative and quantitative approaches in evaluation, is a potential method to explore the complexity of identity changes during therapy.

Since the Jellinekian Foundation of modern alcohol studies 75 years ago, no one has yet systematically studied the role of his ethnographic studies, his university attendance and engagement in psychoanalytic work leading to the birth of his first book (published in 1917), which applied an ethnographic approach. The purpose of this paper is to uncover and show the ethnographic, experimental psychological and psychoanalytic roots in Jellinek’s different models of alcohol problems, from the conventional medical one, though the Alcoholics Anonymous-inspired concept, to the species of alcoholism theory.

Using the data from their research in the archives of Budapest, Berlin, Leipzig and Grenoble, the authors examine Jellinek’s scientific output in alcohol studies. They focus on data related to Jellinek’s activity in statistics, ethnography including field work and the business model of psychoanalysis.

Drawing from various traditions of science, Jellinek acquired considerable sources of knowledge with the help of his friends and teachers during his formative years, which later led him to renew and transform his models of alcohol problems. New data on Jellinek’s personal history, a by-product of the archival research, is also presented.

The Jellinekian heritage, including his cross-fertilisation approach, represents a vast reserve for addiction science.

This paper not only adds to the understanding of the history of addiction, but might also lead to a rearranging of our knowledge about the founder of the field.