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Titolo:
AN ENHANCED POSITIVE REINFORCEMENT MODEL FOR THE SEVERELY IMPAIRED COCAINE ABUSER
Autore:
FOOTE J; SELIGMAN M; MAGURA S; HANDELSMAN L; ROSENBLUM A; LOVEJOY M; ARRINGTON K; STIMMEL B;
Indirizzi:
SMITHERS ALCOHOLISM TREATMENT & TRAINING CTR,17 E 60TH ST,8TH FLOOR NEW YORK NY 10019 CUNY MT SINAI SCH MED NEW YORK NY 10029 MT SINAI NARCOT REHABIL CTR NEW YORK NY 00000 NATL DEV & RES INST INC NEW YORK NY 00000
Titolo Testata:
Journal of substance abuse treatment
fascicolo: 6, volume: 11, anno: 1994,
pagine: 525 - 539
SICI:
0740-5472(1994)11:6<525:AEPRMF>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
METHADONE-MAINTENANCE PATIENTS; FOLLOW-UP; THERAPEUTIC COMMUNITIES; PSYCHIATRIC-DIAGNOSIS; OPIATE ADDICTS; DRUG-ABUSE; PSYCHOTHERAPY; RETENTION; PREDICTORS; ABSTINENCE;
Keywords:
ENHANCED POSITIVE REINFORCEMENT; COGNITIVE BEHAVIORAL; COCAINE DEPENDENCE; METHADONE; RETENTION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Physical, Chemical & Earth Sciences
Citazioni:
67
Recensione:
Indirizzi per estratti:
Citazione:
J. Foote et al., "AN ENHANCED POSITIVE REINFORCEMENT MODEL FOR THE SEVERELY IMPAIRED COCAINE ABUSER", Journal of substance abuse treatment, 11(6), 1994, pp. 525-539

Abstract

This article describes a cognitive-behavioral treatment approach thathas been extensively modified to work with inner-city methadone-maintained cocaine users. Modifications were deemed essential to address the problems of engagement and retention in treatment that are typicallyencountered with this population. While this approach relies on such basic tenets of treatment as relapse prevention, cognitive restructuring, and psychoeducation, an understanding of the particular psychological vulnerabilities of this population has been incorporated into the model. The modified approach utilizes positive reinforcement extensively. This includes use of concrete reinforcers to facilitate initial engagement, and use of interpersonal reinforcers (therapist positive regard, attention, and respect) to increase program retention and sustainposttreatment change. Preliminary results indicate that 63% of patients can complete this intensive 6-month program, with considerable reductions in cocaine use and significant change in drug injection behavior.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/07/20 alle ore 21:29:55