Training in Cognitive, Supportive-Expressive, and Drug Counseling Therapies for Cocaine Dependence

This study assessed the effects of training on the performance of 65 therapists in delivering manual-guided therapies to 202 cocaine-dependent patients. Changes in ratings of therapists' adherence and competence was assessed in 3 treatment modalities: supportive-expressive dynamic therapy (SE),...

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Bibliographic Details
Published in:Journal of consulting and clinical psychology 1998-06, Vol.66 (3), p.484-492
Main Authors: Crits-Christoph, Paul, Siqueland, Lynne, Chittams, Jesse, Barber, Jacques P, Beck, Aaron T, Frank, Arlene, Liese, Bruce, Luborsky, Lester, Mark, David, Mercer, Delinda, Onken, Lisa Simon, Najavits, Lisa M, Thase, Michael E, Woody, George
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Cocaine
Cocaine-Related Disorders - rehabilitation
Cognitive Behavioral Therapy - education
Cognitive Therapy
Counseling
Counseling - education
Curriculum
Drug abusers
Drug Dependency
Female
Health staff related problems. Vocational training
Humans
Inservice Training
Male
Manuals as Topic
Medical sciences
Middle Aged
Outcome and Process Assessment (Health Care)
Professional Competence
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapy - education
Psychotherapy Training
Social psychiatry. Ethnopsychiatry
Social Support
Substance abuse treatment
Supportive Psychotherapy
Therapists
Training
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Summary:This study assessed the effects of training on the performance of 65 therapists in delivering manual-guided therapies to 202 cocaine-dependent patients. Changes in ratings of therapists' adherence and competence was assessed in 3 treatment modalities: supportive-expressive dynamic therapy (SE), 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.
ISSN:0022-006X
1939-2117
DOI:10.1037/0022-006X.66.3.484