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Showing papers in "Journal of Substance Abuse Treatment in 1987"


Journal ArticleDOI
TL;DR: Redefining the criteria for addiction tolerance and dependence to alcohol and other drugs may be in order and a neurochemical model may provide a more definitive and uniform basis for considering addiction, tolerance, and dependence for alcohol and drugs.

72 citations


Journal ArticleDOI
TL;DR: The combined behavioral-pharmacological treatment, which made methadone treatment contingent on antabuse consumption, resulted in decreases in both alcohol consumption and arrests, with increases occurring in employment.

39 citations


Journal ArticleDOI
TL;DR: The author offers a proposal for addressing spirituality and spiritual issues using such program components as staff training sessions and weekly staff groups, patient lectures and discussion groups, family presentations, and individualized treatment plans.

35 citations


Journal ArticleDOI
TL;DR: Male admissions to six methadone maintenance programs in three cities were interviewed and the characteristics of these patients in the Addiction Severity Index (ASI) scales--medical, employment/support, alcohol, drug, legal, family/social and psychiatric--were described.

26 citations


Journal ArticleDOI
TL;DR: Clinical issues are described in opiate addicts attempting to taper off methadone maintenance, and techniques are suggested to help this patient population, and a program model is suggested that uses curricula available in the emerging literature on treatment of substance abuse.

23 citations


Journal ArticleDOI
TL;DR: It was expected and confirmed that subjects could discriminate between behavioral and biological disorders and the view that the addictive "disease" model is a symbolic substitute for the moral turpitude model which it replaced was supported.

23 citations


Journal ArticleDOI
TL;DR: A retrospective review of clinic records indicates this system for applying the principles learned from research to a clinical setting can be uniformly implemented across counselors and treatment teams.

20 citations



Journal ArticleDOI
TL;DR: A case example of what the authors believe to be typical of what happens in a family when a drug abuser who had previously been estranged from the family is diagnosed with AIDS is provided.

18 citations


Journal ArticleDOI
TL;DR: It was found that involving the families of chemically dependent adolescents in family therapy made a significant difference in reducing the number of youth who dropped out of residential treatment.

17 citations




Journal ArticleDOI
TL;DR: A psychoanalytic-developmental treatment model includes individual and group psychotherapy which enables compulsive freebase cocaine smokers to articulate explanations for their drug dependence and recommendations for aftercare treatment.

Journal ArticleDOI
TL;DR: Conclusions about the role of urine drug testing in the battle against substance abuse are drawn.

Journal ArticleDOI
TL;DR: The "New Roads" approach provides a practical tool for explaining and assessing dimensions of psychological dependence and connects common triggers for relapse and the effects that the client intends to achieve through substance use.

Journal ArticleDOI
TL;DR: It was concluded that chronic heavy drinking was the only identifiable factor responsible for the heart failure in three patients, and all three patients with clear alcoholic cardiomyopathy discontinued drinking and showed marked improvement in cardiac status.



Journal ArticleDOI
TL;DR: A blood test may be used to detect the inheritability for alcoholism and the development of pharmacodynamic tolerance to alcohol and the assessment of changes in membrane fluidity of the erythrocyte in humans.

Journal ArticleDOI
TL;DR: It is vital for "substance abuse" counselors to learn about the epidemiology, immunology, and virology of the AIDS epidemic in order to both better counsel clients and to help prevent the further spread of AIDS in the authors' society.

Journal ArticleDOI
TL;DR: Antabuse (including behavioral contracting procedures to increase compliance with this drug), along with psychotropic medication for additional psychopathology, are pharmacological interventions that often can be used to stabilize change.

Journal ArticleDOI
TL;DR: The literature which suggests that families of narcotic addicts push their addicted member toward death is examined and the "suicide-like" quality of addiction is probed both in terms of the intention to die and the countertransference possibilities.

Journal ArticleDOI
TL;DR: The subjective personal and emotional reactions of people who work with patients with AIDS is particularly interested when a patient with AIDS referred to me early in 1982, when AIDS was still known as GRID, and I was obliged to work out my own personal reactions to dealing with that patient.

Journal ArticleDOI
TL;DR: Results indicated a significant difference in the frequency with which these DUI evaluators noted whether the "client" had an alcohol problem, with zero, one and two DUI arrests yielding approximately 30%, 15%, and 50% alcohol diagnoses in the absence of DSM-III criteria supporting such a diagnosis.


Journal ArticleDOI
TL;DR: It is concluded that the most effective way to do this is by requiring the drunk driver to witness the autopsies of several drunk driving fatalities first-hand, and the overwhelming shock of this experience will intrinsically motivate him to greatly reduce his drunk driving behavior.