Pyschological approaches for the treatment of cocaine dependence : a neurobehavioral approach

FRANÇAIS :
Le modèle comportemental est une tentative d'aide et d'information aux cocaïnomanes, qui se déroule suivant une série d'étapes, sur une période d'au moins 6 mois. La stratégie adoptée respecte l'ordre des problèmes au fur et à mesure de leur émergence au cours du traitement. La thérapie individuelle est prépondérante. Cette méthode est publiée dans un manuel du NIDA.
ENGLISH :
A variety of psychological approaches have been utilized for the treatment of cocaine dependence. One of these approaches, the neurobehavioral model of cocaine dependency treatment establishes a clear timetable for cocaine recovery and focusses attention on four discreet areas of functionning. Strategies for addressing these areas of functionning include relapse prevention methods as well as individual therapy procedures, family systems materials, educational information, 12 step involvement and urine testing. The model constructs a comprehensive framework for facilitating involvement in recovery activities which promote positive behavior change. Use of this standardized treatment format allows for the evaluation of the treatment model. Current research is underway to evaluate : (1) subject factors which appear to be related to successful outcome with this treatment model; (2) a controlled clinical trial to evaluate this treatment model with cocaine users using random assignment; (3) a double-blind evaluation of desipramine versus placebo and versus no medication as an adjunct to the support provided by the model. (Extract from author's abstract)