Suchttherapie 2002; 3(1): 13-17
DOI: 10.1055/s-2002-23524
Schwerpunktthema
© Georg Thieme Verlag Stuttgart · New York

Psychotherapie bei Kokainabhängigkeit

Psychotherapy for Cocaine DependenceDelinda E. Mercer1 , George Woody2
  • 1Zentrum für Interdisziplinäre Suchtforschung der Universität Hamburg UKE
  • 2„freiraum hamburg e. V.”
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Publikationsverlauf

Publikationsdatum:
02. April 2002 (online)

Zusammenfassung

Psychotherapeutische Ansätze in der Suchtbehandlung sind weit verbreitet, aber bisher wenig wissenschaftlich evaluiert worden. Es werden zunächst therapeutische Settings und Ansätze als auch Qualitäten der Therapeuten beschrieben, die sich in der Psychotherapie bewährt haben. Anschließend werden drei verhaltenstherapeutische Modelle für Kokainabhängigkeit dargestellt: individuelle Drogenberatung, kognitive Verhaltenstherapie, gemeindenahes Verstärkermodell. Zuletzt werden die vier Interventionen der NIDA-Kokain-Therapiestudie evaluiert, die alle zu einer Reduzierung des Konsums und Verbesserungen in anderen Bereichen führten.

Abstract

Psychotherapeutic interventions are frequently used in addiction treatment, however they have been seldomly evaluated. This paper presents therapeutic settings and techniques as well as qualities of therapists, that have shown to be effective. It further describes three behavioral models for cocaine dependence: individual drug counseling, cognitive-behavioral therapy, community reinforcement approach. Then the four interventions in the NIDA-cocaine-treatment study are evaluated, which all led to a reduction of cocaine use and improvements in other areas.

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George Woody MD

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