Piane G
Public and Community Health Programs, Northern Illinois University, Dekalb 60115, USA.
J Psychoactive Drugs. 2000 Jul-Sep;32(3):311-9. doi: 10.1080/02791072.2000.10400455.
The use and effectiveness of contingency contracting and systematic desensitization with heroin addicts being treated in methadone maintenance programs are discussed. Both behavior therapies can be practically implemented in methadone maintenance programs to supplement methadone pharmacotherapy. Contingency contracting has been effectively employed to reduce illicit drug use and to manage patients in the clinic. Systematic desensitization has less effect on actual heroin usage yet effectively reduces the fear of withdrawal and general anxiety, while improving self-image, assertiveness, and adjustment in the community. A clinic protocol that incorporates all three therapies-methadone maintenance, contingency contracting, and systematic desensitization-is proposed.
本文讨论了应急契约疗法和系统脱敏疗法在美沙酮维持治疗项目中对海洛因成瘾者的应用及效果。这两种行为疗法均可在美沙酮维持治疗项目中切实实施，以补充美沙酮药物治疗。应急契约疗法已被有效地用于减少非法药物使用及管理门诊患者。系统脱敏疗法对实际海洛因使用的影响较小，但能有效减轻对戒断的恐惧和总体焦虑，同时改善自我形象、增强自信并促进社区适应。本文提出了一个整合了美沙酮维持治疗、应急契约疗法和系统脱敏疗法这三种疗法的门诊治疗方案。
