Relationships between client/counselor congruence and treatment outcome among narcotic addicts.

Relationships between client/counselor congruence and treatment outcome among narcotic addicts.
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麻醉成瘾者中客户/咨询师一致性与治疗结果之间的关系。

DOI:
10.1016/0010-440x(88)90037-5
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发表时间:
1988
影响因子:
7.3
通讯作者:
Stephenson,P
Stephenson,P
中科院分区:
医学2区
文献类型:
--
作者:
Nurco,DN;Shaffer,JW;Hanlon,TE;Kinlock,TW;Duszynski,KR;Stephenson,P

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Questionnaire data on 897 narcotic addict clients admitted to 25 drug treatment clinics in six states were used to test the hypothesis that the greater the degree of congruence (agreement) between clients and counselors on how they view the client's problems and the most effective ways to deal with them, the more successful the treatment outcome. Results indicated that relationships between client-counselor congruence, as measured by three major content domains of the questionnaire, and treatment outcome, assessed by counselor ratings of client progress at 6-month follow-up varied among ethnic/sex groups of addicts. Blacks and Hispanics, and particularly black females, generally showed the greatest association between congruence and outcome, and whites, particularly white males, the least. Although these congruence/outcome relationships were slight, the need for tailoring treatment according to ethnic/sex classification of addicts is suggested. Issues relating to the predictive utility of congruence as a measure of treatment outcome are discussed.