Training in cognitive, supportive-expressive, and drug counseling therapies for cocaine dependence.

@article{CritsChristoph1998TrainingIC,
  title={Training in cognitive, supportive-expressive, and drug counseling therapies for cocaine dependence.},
  author={Paul Crits-Christoph and Lynne Siqueland and Jesse L. Chittams and Jacques P. Barber and Aaron T. Beck and Arlene Frank and Bruce S Liese and Lester, Luborsky and David Mark and Delinda Mercer and Lisa Simon Onken and Lisa M Najavits and Michael E. Thase and George E Woody},
  journal={Journal of consulting and clinical psychology},
  year={1998},
  volume={66 3},
  pages={
          484-92
        }
}
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… 

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References

SHOWING 1-10 OF 51 REFERENCES
Cognitive Therapy of Substance Abuse
TLDR
An ideal treatment manual that can be utilized independently, or in conjunction with psychopharmacological or 12-step programs, [this book] will be valued by all mental health practitioners who work with substance abusers, regardless of their orientation or the extent of their previous experience with either cognitive therapy or substance abuse.
The National Institute on Drug Abuse Collaborative Cocaine Treatment Study. Rationale and methods.
TLDR
The National Institute on Drug Abuse Collaborative Cocaine Treatment Study is a large, multisite psychotherapy clinical trial for outpatients who meet the DSM-IV criteria for cocaine dependence with main aims of addressing psychiatric severity and degree of antisocial personality characteristics.
Effects of training in time-limited dynamic psychotherapy: changes in therapist behavior.
TLDR
The results question the assumption that greater control of the therapy variable is straightforwardly achieved with manuals and adherence scales and suggest that changing or dictating specific therapist behaviors to achieve technical adherence may alter other therapeutic variables in unexpected and even counterproductive ways.
Effects of training in time-limited dynamic psychotherapy: mediators of therapists' responses to training.
TLDR
Results indicate that patient difficulty may mediate certain aspects of therapists' responses to training, and this finding, if generalizable, has important implications for manualized therapy research, especially multisite trials.
Effects of therapist adherence and competence on patient outcome in brief dynamic therapy.
TLDR
Changing in depression from intake to Session 3 predicted higher ratings of adherence to expressive (interpretative) techniques during Session 3 but not their competent delivery, and relatively competent delivery of SE-specific expressive techniques predicted subsequent improvement in depression.
Training therapists to perform interpersonal psychotherapy in clinical trials.
Graduate training in psychotherapy: are therapy outcomes enhanced?
TLDR
It is concluded that a variety of outcome sources are associated with modest effect sizes favoring more trained therapists, and in many outpatient settings, therapists with more training tend to suffer fewer therapy dropouts than less trained therapists.
Supervision: its contributions to treatment efficacy.
TLDR
If supervision is to remain an integral part of training, then standardized training manuals, analogous to those in psychotherapy, need to be developed.
...
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