Ball S A
Yale University School of Medicine, USA.
Addict Behav. 1998 Nov-Dec;23(6):883-91. doi: 10.1016/s0306-4603(98)00067-7.
The presence of an untreated personality disorder may be associated with worse compliance and outcome in substance abuse treatment. Therapeutic attention to the symptoms of personality disorder may reduce the severity of substance abuse and other Axis I symptoms which potentially contribute to relapse. A 24-week manual-guided individual cognitive-behavioral therapy approach has been developed that integrates relapse prevention with targeted intervention for early maladaptive schemas (enduring negative beliefs about oneself, others, and events) and coping styles. This Dual Focus Schema Therapy is being compared to 12-Step Drug Counseling for opioid-dependent individuals with personality disorders in an ongoing study funded by the National Institute on Drug Abuse. This article reviews Young's (1994) schema-focused theory and approach and summarizes the treatment manual, which integrates relapse prevention for substance abuse.
未治疗的人格障碍的存在可能与物质滥用治疗中较差的依从性和治疗结果相关。对人格障碍症状的治疗关注可能会减轻物质滥用的严重程度以及其他可能导致复发的轴I症状。一种为期24周的手册指导的个体认知行为治疗方法已经开发出来，该方法将预防复发与针对早期适应不良图式（对自己、他人和事件的持久负面信念）和应对方式的靶向干预相结合。在由美国国立药物滥用研究所资助的一项正在进行的研究中，这种双重焦点图式疗法正在与针对患有人格障碍的阿片类药物依赖个体的12步药物咨询进行比较。本文回顾了扬（1994年）的以图式为焦点的理论和方法，并总结了整合物质滥用复发预防的治疗手册。
