Wallace B C
African-American Studies Department, John Jay College of Criminal Justice, City University of New York, New York 10019.
J Psychoactive Drugs. 1990 Apr-Jun;22(2):149-58. doi: 10.1080/02791072.1990.10472540.
In order to adequately address the treatment needs of crack cocaine dependent persons, a multidimensional approach to relapse prevention must be utilized. The value of a biopsychosocial model of crack addiction and the concept of phases of recovery in providing a rationale for the recommended approach to relapse prevention are emphasized. Research findings on the determinants of relapse for crack dependent patients and the psychosocial characteristics of the crack dependent individual justify the utility of certain relapse prevention strategies. Specifically, an approach to relapse is advocated that includes the provision of pharmacological adjuncts, psychoeducation on the multideterminants of relapse, and psychotherapy that attempts to remediate underlying psychological problems that are typically found in crack dependent patients.
为了充分满足对可卡因成瘾者的治疗需求，必须采用多维预防复发方法。强调了可卡因成瘾的生物心理社会模型的价值以及康复阶段的概念，为推荐的预防复发方法提供了理论依据。关于可卡因依赖患者复发决定因素的研究结果以及可卡因依赖个体的心理社会特征证明了某些预防复发策略的实用性。具体而言，提倡一种预防复发的方法，包括提供药物辅助、关于复发多决定因素的心理教育，以及试图纠正可卡因依赖患者中常见潜在心理问题的心理治疗。
