Psychological treatment

Authors

  • L.J. Martín Psicólogo. Dirección General de Atención a las Drogodependencias. Gobierno de Canarias.

DOI:

https://doi.org/10.20882/adicciones.549

Keywords:

treatment, psychotherapies, social skills, group psychotherapy, alcoholism, family

Abstract

The treatment of alcoholism has an important psychosocial component, whose essential nucleus is constituted by the psychological treatments. The psychological approach must, in the first place, take into consideration the motivation of the patient, and motivational approaches structured as brief motivational interventions, motivational interviews and improved motivational therapies are reviewed from this perspective. Treatment has also been developed from the cognitive-behavioural models, focused on improvement in confrontation abilities, on promoting social abilities and on the prevention of relapses. In addition, interventions have been designed from classical conditioning models, based on exposure to stimuli. Group therapy appears as one of the available treatments, with the existence of models of professional intervention in our country that go beyond self-help groups. Lastly, there is a special emphasis on the importance of the family in the treatment of alcoholism and the Community Reinforcement Model (CRM) is presented as an integrator approach.

References

(1) DICLEMENTE, C.C., BELLINO, L.E. Y NEVINS, T.M. Motivation for Change an Alcoholism Treatment. Alcohol Research & Health. 23(2),

(2) PROCHASKA, J.O.; DICLEMENTE, C.C.; AND NORCROSS, J.C. In search of how people change: Applications to addictive behaviors. American Psychologist 47(9), 1992.

(3) MARLATT, G.A.; AND GORDON, J.R., EDS. Relapse Prevention: Maintenance Strategies in the Treatment of Addictive Behaviors. New York: Guilford Press, 1985.

(4) DELEON, G.; MELNICK, G.; AND KRESSEL, D. Motivation and readiness for therapeutic community treatment among cocaine and other drug abusers. American Journal of Drug & Alcohol Abuse 23, 1997.

(5) MILLER, W.R., AND ROLLNICK, S. Motivational Interviewing: Preparing People to Change Addictive Behavior. New York: Guilford Press, 1991.

(6) LIEPMAN, M.R. Using family influence to motivate alcoholics to enter treatment: The Johnson Institute Intervention Approach. In: O’Farrell, T.J., ed. Treating Alcohol Problems: Marital and Family Interventions. New York:

Guilford Press, 1993.

(7) MILLER, W. R.; BENEFIELD, R. G.; AND TONIGAN, J.S. Enhancing motivation for change in problem drinking: A controlled comparison of

two therapist styles. Journal of Consulting and Clinical Psychology 61(3) 1993.

(8) DECI, E. L., AND RYAN, R. M. Intrinsic Motivation and Self-Determination in Human Behavior. New York: Plenum Press, 1985.

(9) HIGGINS, S.T., AND BUDNEY, A.J. Treatment of cocaine dependence through the principles of behavior analysis and behavioral pharmacology.

In: Onken, L.S.; Blaine, J.D.; and Boren, J.J., eds. Behavioral Treatments for Drug Abuse and Dependence. NIDA Research Monograph No. 137. Rockville, MD: National Institute on Drug Abuse, 1993.

(10) HEATHER, N. Interpreting the evidence on brief interventions for excessive drinkers: The need for caution. Alcohol and Alcoholism 30(3),

(11) SPIVAK, K.; SANCHEZ-CRAIG, M.; AND DAVILA, R. Assisting problem drinkers to change on their own: Effect of specific and non-specific advice. Addiction 89(9), 1994.

(12) LONGABAUGH, R. & MORGENSTERN, J.. Cognitive-Behavioral Coping-Skills Therapy fpr Alcohol Dependence. Alcohol Research & Health, 1999.

(13) BANDURA, A. Social Foundations of Thought and Action. Englewood Cliffs, NJ: Prentice Hall, 1986.

(14) ABRAMS, D.B., AND NIAURA, R.S. Social learning theory. In: Blanke, H.T., and Leonard, K.E., eds. Psychological Theories of Drinking and Alcoholism. New York: Guilford Press, 1987.

(15) BROWN, J.M., AND MILLER, W.R. Impact of motivational interviewing on participation in residential alcoholism treatment. Psychology of Addictive Behaviors 7, 1993.

(16) SMART Recovery News and Views. Vol. 1, 1995.

(17) MONTI, P.M.; ROHSENOW, D.J. Coping-Skills Training and cue-Exposure Therapy in the Treatment of Alcoholism. Alcohol Research &

Health. 23(2), 1999.

(18) NIAURA, R.S.; ROSENHOW, D.J.; BINKOFF, J.A.; MONTI, P.M.; ABRAMS, D.A.; AND PEDRAZA, M. The relevance of cue reactivity

to understanding alcohol and smoking relapse. Journal of Abnormal Psychology 97, 1988.

(19) Rotunda R, O’Farrell T (1997), Marital and family therapy of alcohol use disorders: bridging the gap between research and practice. Professional Psychology: Research and Practice 28(3):246-252.

(20) Steinglass P (1994), Family Therapy: alcohol. In: Textbook of Substance Abuse, Galanter M, Kleber HD, eds. Washington, D.C.: Psychiatric Press, pp 315-329.

(21) O’FARRELL, T.J. Behavioral Couples Therapy for Alcoholism and Drug Abuse Psychiatric Times, Vol. XVI (4) 1999.

(22) MONRAS, M. & GUAL, A. Attrition in Group Therapy with alcoholics: a Survival Analysis. Drug and Alcohl Review, 19, 2000.

(23) Monras M, Freixa N, Ortega L, Lligoña A, Mondon S, Gual A. Eficacia de la terapia de grupo para alcohólicos. Resultados de un ensayo clinico controlado. Medicina Clínica 2000: 116; 126-131.

(24) Lligoña A, Costa S, Gual A, Monrás M. ‘Efficacité de la therapie de groupe chez le patient alcoolodépendant’ Alcoologie et addictologie 2000: 22(4): 401-407.

(25) MEYERS, R.J., AND MILLER, W.R., EDS. A Community Reinforcement Approach to Addiction Treatment. Cambridge, UK: Cambridge University Press, 1999.

(26) Project Match Research Group (1997) Matching Alcoholism Treatments to Client Heterogeneity: Project MATCH posttreatment

drinking outcomes. Journal of Studies on Alcohol 58 (1) pp 7-29.

Published

2002-12-15

Issue

Section

Editorial