Training in cognitive, supportive-expressive, and drug counseling therapies for cocaine dependence
Autor: | Aaron T. Beck, David M. Mark, Jesse Chittams, George E. Woody, Lester Luborsky, Lisa M. Najavits, Delinda Mercer, Paul Crits-Christoph, Arlene Frank, Jacques P. Barber, Lisa Simon Onken, Lynne Siqueland, Bruce S. Liese, Michael E. Thase |
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Rok vydání: | 1998 |
Předmět: |
Drug
media_common.quotation_subject Over training medicine.medical_treatment education Multilevel model Significant learning Cognition medicine.disease Cocaine dependence Psychiatry and Mental health Clinical Psychology Cognitive therapy medicine Psychology Competence (human resources) media_common Clinical psychology |
Zdroj: | Journal of Consulting and Clinical Psychology. 66:484-492 |
ISSN: | 1939-2117 0022-006X |
DOI: | 10.1037/0022-006x.66.3.484 |
Popis: | This study assessed the effects of training on the performance of 65 therapists in delivering manualguided therapies to 202 cocaine-dependent patients. Changes in ratings of therapists' adherence and competence was assessed in 3 treatment modalities: supportive-expressive dynamic therapy (SB), cognitive therapy (CT), and individual drug counseling. Effects of manual-guided training on the therapeutic alliance were also assessed. Training effects were examined through a hierarchical linear modeling approach that examined changes both within cases and across training cases. A large effect across cases was detected for training in CT. Supportive-expressive therapists and individual drug counselors demonstrated statistically significant learning trends over sessions but not over training cases. Training in SE and CT did not have a negative impact on the therapeutic alliance, although alliance scores for trainees in drug counseling initially decreased but then rebounded to initial levels. |
Databáze: | OpenAIRE |
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