Wright F D, Beck A T, Newman C F, Liese B S
University of Pennsylvania School of Medicine, Philadelphia.
NIDA Res Monogr. 1993;137:123-46.
In this chapter, the authors assert that drug-related beliefs are an important factor in drug abuse and its treatment. Three types of acute drug-related beliefs have been described that contribute to urges, cravings, and ultimate use of drugs: anticipatory beliefs, relief-oriented beliefs, and permissive beliefs, and various ways have been described to assess more general, long-term beliefs pertinent to drug use. The role of the cognitive therapist is to assess, examine, and test these beliefs with the patient in order to ultimately develop more adaptive beliefs. The active application of skills and homework that tap into the patient's adaptive beliefs helps the patient to become and remain drug-free.
在本章中,作者断言与药物相关的信念是药物滥用及其治疗中的一个重要因素。已描述了三种导致冲动、渴望及最终药物使用的急性药物相关信念:预期信念、缓解导向信念和许可信念,还描述了评估与药物使用相关的更普遍、长期信念的各种方法。认知治疗师的作用是与患者一起评估、审视和测试这些信念,以便最终形成更具适应性的信念。积极运用能挖掘患者适应性信念的技巧和家庭作业,有助于患者戒毒并保持戒毒状态。