Carroll K M, Rounsaville B J, Keller D S
Department of Psychiatry, Yale University, New Haven, Connecticut 06519.
Am J Drug Alcohol Abuse. 1991 Sep;17(3):249-65. doi: 10.3109/00952999109027550.
A variety of promising pharmacotherapies, psychotherapies, and other treatments for cocaine abuse have recently been developed, many of which may facilitate the initiation of abstinence in cocaine abusers. This paper describes specific interventions and therapeutic strategies used in the treatment of cocaine abuse, adapted from Marlatt's theory of relapse prevention. These strategies extend Marlatt's primarily psychoeducational approach to address the unique difficulties presented in the treatment of cocaine abuse, which may include wide variations in patients' severity of abuse, available psychosocial resources, and coexistent psychopathology. This approach attempts to integrate relapse prevention techniques into a psychotherapeutic, rather than a purely psychoeducational approach, in order to enhance its effectiveness with cocaine abusers.
最近已开发出多种有前景的用于治疗可卡因滥用的药物疗法、心理疗法及其他治疗方法，其中许多方法可能有助于可卡因滥用者开始戒断。本文描述了从马尔拉特复发预防理论改编而来的、用于治疗可卡因滥用的特定干预措施和治疗策略。这些策略扩展了马尔拉特主要的心理教育方法，以应对可卡因滥用治疗中出现的独特困难，这些困难可能包括患者滥用严重程度的广泛差异、可用的社会心理资源以及并存的精神病理学问题。这种方法试图将复发预防技术整合到心理治疗中，而不是纯粹的心理教育方法中，以提高其对可卡因滥用者的有效性。
