Kaminsky David, Rosca Paula, Budowski Danny, Korin Yaakov, Yakhnich Liat
Department for the Treatment of Substance Abuse, Israel Ministry of Health.
Harefuah. 2008 Aug-Sep;147(8-9):679-83, 751.
Approximately 10% of opiate drug addicts on methadone maintenance treatment (MMT) continue using heroin and additional street drugs simultaneously. They constitute the most difficult to treat population in MMT centers as they present extremely difficult and negative behaviors as well as medical problems. Medical hypnosis is a proven effective medical intervention to alleviate pain, lessen anxieties, as well as being partially effective in treating nicotine addiction. One of its advantages is the ability to bypass the critical conscious drug addict's reluctance to the treatment process.
This article aims to describe a group hypnosis treatment of drug addicts and to present a clinical description of its outcomes and effectiveness in lessening simultaneous use of heroin and other street drugs among addicts on an MMT program.
The article describes the group hypnosis therapy for 10 methadone patients who continued street drug use, in two 5 patient groups consisting of 10 weekly sessions. Urine drug tests were checked at 3 points of time, before intervention, half a year after termination of hypnosis, and two years after. Follow-up also consisted of a semi-structured interview immediately after treatment termination to evaluate changes in emotional and functional status.
One patient did not complete treatment due to a major operation, the remaining 9 (90%) completed treatment. All patients (100%) completely stopped use of any street drugs and results remained stable for 6 months after end of treatment. Two years after end of intervention, 7 out of the 9 (78%) remained clean of use of heroin, but 2 (22%) returned to partial use; 6 (67%) of the patients returned to partial use of benzodiazepines, none (0%) showed permanent use of marijuana or cocaine.
As this article is a clinical description of an intervention on a small selected group of patients, the initial and partial results point to the possible potential of group hypnosis in the reduction of street drug use. Additional controlled research is needed in order to check the effectiveness of such an intervention on this specific group of patients.
在接受美沙酮维持治疗（MMT）的阿片类药物成瘾者中，约10%的人仍同时使用海洛因和其他街头毒品。他们是MMT中心最难治疗的群体，因为他们表现出极其困难和消极的行为以及医疗问题。医学催眠是一种经证实有效的医学干预手段，可缓解疼痛、减轻焦虑，并且在治疗尼古丁成瘾方面也有部分效果。其优点之一是能够绕过成瘾者对治疗过程的关键抵触情绪。
本文旨在描述对吸毒成瘾者进行的团体催眠治疗，并介绍其在减少MMT项目中吸毒成瘾者同时使用海洛因和其他街头毒品方面的结果及有效性的临床描述。
本文描述了对10名继续使用街头毒品的美沙酮患者进行的团体催眠治疗，分为两个由5名患者组成的小组，共进行10次每周一次的治疗。在干预前、催眠结束半年后和两年后这三个时间点进行尿液药物检测。随访还包括在治疗结束后立即进行的半结构化访谈，以评估情绪和功能状态的变化。
1名患者因重大手术未完成治疗，其余9名（90%）完成治疗。所有患者（100%）完全停止使用任何街头毒品，且治疗结束后6个月结果保持稳定。干预结束两年后，9名患者中有7名（78%）不再使用海洛因，但有2名（22%）恢复了部分使用；6名（67%）患者恢复了部分使用苯二氮䓬类药物，无人（0%）长期使用大麻或可卡因。
由于本文是对一小部分选定患者进行干预的临床描述，初步和部分结果表明团体催眠在减少街头毒品使用方面可能具有潜力。需要进行更多对照研究，以检验这种干预对这一特定患者群体的有效性。
