PSYCHOTHERAPY DEVELOPMENT FOR COCAINE AND OPIOID ABUSE

我们建议组织一个心理治疗研究中心， 开发、评价和改进药物滥用心理疗法。 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）。 该中心将促进发展有前途的药物滥用的进程 治疗从仅仅是“好主意”到 它们能够传播到临床领域， 经验验证的治疗方法。 这个过程需要研究， 连续的、要求逐步提高的阶段。 第一阶段包括试点 测试、手册编写和培训计划制定;第二阶段 包括对照疗效试验和有效的 治疗的组成部分; III期包括多中心研究， 评估有效治疗的普遍性。 拟议中心的研究将围绕这一顺序组织起来。 该项目包括一个核心设施和6个独立的研究组成部分。 核心 工作人员将提供科学监督、行政和技术 协助个别中心项目，并提供咨询 和技术转让服务的研究人员和临床医生在其他 网站. 三个第一阶段项目将开发新的方法： 药物滥用者创伤后应激障碍的治疗，期望- 基于应对技能培训的儿童虐待和关系 心理治疗美沙酮维持母亲的育儿小组治疗。 三个第二阶段项目将评估更成熟的 方法：CRA改善纳洛酮治疗，复发预防和 为青少年滥用药物者提供的动态干预小组治疗，以及 一项关于可卡因滥用治疗中的重点应对技能组成部分的研究。

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.