PSYCHOTHERAPY DEVELOPMENT FOR COCAINE AND OPIOID ABUSE

我们建议组织一个心理治疗研究中心，致力于 药物滥用心理疗法的开发、评估和改进。 组织的主题是心理治疗的发展和实证检验 基于心理治疗研究的“技术模型”(Waskow，1984)。 该中心将促进开发有前途的药物滥用的进程 从仅仅是“好主意”的治疗到 它们能够传播到临床领域，作为 经过经验验证的治疗方法。这一过程需要研究 连续的、要求逐步提高的阶段。第一阶段由试点项目组成 测试、手工编写和培训程序开发；第二阶段 由受控疗效试验和有效率研究组成 治疗的组成部分；第三阶段包括多点研究，以 评估有效治疗的普适性。 建议中心的研究将围绕这一顺序进行组织 该计划有一个核心设施和6个单独的研究组成部分。堆芯 工作人员将提供科学的监督、管理和技术 协助个别中心项目，并提供咨询服务 以及向其他机构的研究人员和临床医生提供技术转让服务 网站。三个第一阶段项目将开发新的方法：认知 吸毒者创伤后应激障碍的治疗，预期- 以应对技能为基础的可卡因滥用培训及相关研究 心理治疗、育儿团体治疗美沙酮维持的母亲。 三个二期项目将评估更多已建立的 方法：CRA改善纳曲酮治疗，预防复发和 针对青少年吸毒者的动态互动团体治疗，以及 可卡因滥用治疗中焦点应对技能成分的研究。

We propose to organize a psychotherapy research center dedicated to the development, evaluation and refinement of psychotherapies for drug abuse. The organizing theme is psychotherapy development and empirical testing based on the 'technology model' of psychotherapy research (Waskow, 1984). The Center will catalyze the process of developing promising drug abuse treatments from the point where they are merely 'good ideas' to one where they are capable of being disseminated to the clinical field as empirically validated treatments. This process requires research at sequential, progressively demanding phases. Phase I consists of pilot testing, manual writing and training program development; Phase II consists of controlled efficacy trials and studies on effective components of treatments; Phase III consists of multisite studies to evaluate generalizability of efficacious treatments. Research in the proposed Center will be organized around this sequential program with a CORE facility and 6 individual research components. Core staff will provide scientific oversight, administration and technical assistance to individual Center projects and also provide consultation and technology transfer services to investigators and clinicians at other sites. Three Phase I projects will develop new approaches: Cognitive Therapy for Post Traumatic Stress Disorder in Drug Abusers, Expectancy- based Coping Skills Training for Cocaine Abuse and a Relational Psychotherapy Parenting Group Therapy for Methadone-Maintained Mothers. Three Phase II projects will evaluate efficacy of more established approaches: CRA to improve Naltrexone Treatment, Relapse Prevention and Dynamic interactional group treatments for adolescent drug abusers, and a study of focused Coping Skills Components in cocaine abuse treatment.