Donovan D M, Kadden R M, DiClemente C C, Carroll K M, Longabaugh R, Zweben A, Rychtarik R
Addictions Treatment Center, Veterans Affairs Medical Center, Seattle, Washington 98108.
J Stud Alcohol Suppl. 1994 Dec;12:138-48. doi: 10.15288/jsas.1994.s12.138.
There are a large number of possible approaches to the treatment of alcohol abuse and dependence. From a practical and methodological standpoint, however, only a limited number of interventions can realistically be included in research studies of treatment matching. A key question in planning studies of matching is what treatments to include. The recent book by Beutler and Clarkin on systematic treatment selection in general psychotherapy provides a framework within which to discuss alcoholism treatment matching and the criteria applied to decisions concerning (1) modes of treatment, (2) treatment format, (3) specific therapeutic strategies and the (4) treatment setting. The methodological and practical issues raised and the decisions reached in Project MATCH are presented in each of these areas. The therapies chosen for Project MATCH, based on these criteria, are described.
治疗酒精滥用和酒精依赖有大量可行的方法。然而,从实际和方法论的角度来看,在治疗匹配的研究中,实际能够纳入的干预措施数量有限。规划匹配研究的一个关键问题是纳入哪些治疗方法。Beutler和Clarkin最近关于一般心理治疗中系统治疗选择的著作提供了一个框架,可在其中讨论酒精中毒治疗匹配以及应用于有关(1)治疗模式、(2)治疗形式、(3)具体治疗策略和(4)治疗环境决策的标准。在这些领域的每一个中都介绍了项目MATCH中提出的方法和实际问题以及做出的决策。基于这些标准为项目MATCH选择的疗法也进行了描述。