To use or to refuse cocaine--the deciding factors
| Autor: | Kelly Schmidt, McLellan At, S Johnson, Jacques P. Barber, Lester Luborsky, James R. McKay, Delinda Mercer |
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| Rok vydání: | 1995 |
| Předmět: |
Adult
Male medicine.medical_specialty Substance-Related Disorders Wish MEDLINE Comorbidity Personality Assessment Cocaine Risk Factors medicine Humans Narrative Psychiatry Internal-External Control Depressive Disorder Motivation General Neuroscience Public Health Environmental and Occupational Health Middle Aged medicine.disease Anxiety Disorders Psychiatry and Mental health Female Personality Assessment Inventory Psychology |
| Zdroj: | Journal of substance abuse. 7(3) |
| ISSN: | 0899-3289 |
| Popis: | Two types of narratives were obtained from 35 cocaine-addicted patients: narratives about using cocaine and narratives about not using cocaine. The most prevalent factors in using cocaine were (a) having enough money, (b) wish to end physical/emotional pain, and (c) wish/decision to use. The factors in narratives about not using cocaine were (a) patient arranged conditions to be nonstimulating for using cocaine, (b) recognition of bad consequences, and (c) wish/decision not to use. It is clear in both the cocaine-using episodes and not-using episodes that the patient's wish/decision is important. The conditions for using cocaine tended to be more external, whereas those for not using tended to be more internal. Similar conditions were found by a questionnaire method. A major treatment implication of these findings is that the focus of therapy can be directed to planning strategies to minimize influence of the external factors and to rehearse strategies to prepare for situations involving cues that influence use of cocaine. |
| Databáze: | OpenAIRE |
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