Exploring the limits and utility of operant conditioning in the treatment of drug addiction
Exploring the limits and utility of operant conditioning in the treatment of drug addiction
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DOI：
10.1007/bf03393181
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发表时间：
2004-09-01
期刊：
影响因子：
--
通讯作者：
Silverman, K
中科院分区：
文献类型：
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作者：
Silverman, K
本文描述了一项研究计划，以开发一种操作性治疗可卡因成瘾的低收入，治疗抵抗。美沙酮患者该治疗的中心特征是一种禁欲强化应急措施，患者通过提供不含可卡因的尿液样本获得货币强化。这种偶然性的成功和失败似乎是操作性条件反射的熟悉参数的有序函数。增加强化的幅度和持续时间可以提高有效性，维持应急性可以防止复发。初步开发的一个潜在的实际应用，这一技术表明，它可能是有可能的结合禁欲强化就业环境，使用工资的工作，以加强药物戒断。这项研究说明了潜在的效用和目前的局限性，一个操作性的方法来治疗药物成瘾。需要类似的研究项目来探索操作性方法的局限性，并开发可在社会上广泛用于治疗药物成瘾的实际应用。
This article describes a research program to develop an operant treatment for cocaine addiction in low-income, treatment-resistant. methadone patients. The treatment's central feature is an abstinence reinforcement contingency in which patients earn monetary reinforcement for providing cocaine-free urine samples. Success and failure of this contingency appear to be an orderly function of familiar parameters of operant conditioning. Increasing reinforcement magnitude and duration can increase effectiveness, and sustaining the contingency can prevent relapse. Initial development of a potentially practical application of this technology suggests that it may be possible to integrate abstinence reinforcement into employment settings using salary for work to reinforce drug abstinence. This research illustrates the potential utility and current limitations of an operant approach to the treatment of drug addiction. Similar research programs are needed to explore the limits of the operant approach and to develop practical applications that can be used widely in society for the treatment of drug addiction.