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Showing papers in "Journal of Substance Abuse Treatment in 1990"



Journal ArticleDOI
TL;DR: A description of the situational and psychological variables that characterize chemically dependent women is offered as well as attributes these women lack that are necessary for effective parenting.

111 citations


Journal ArticleDOI
TL;DR: In this article, the authors surveyed 11 methadone maintenance treatment programs in the Baltimore, Maryland, area to examine cocaine use among their 2414 clients and the methods employed to cope with that use.

105 citations


Journal ArticleDOI
TL;DR: Among 40 opioid addicts treated as outpatients with sublingual buprenorphine (2-8 mg daily) for a month, depressive symptoms significantly decreased in the 19 who were depressed at intake to treatment.

104 citations


Journal ArticleDOI
TL;DR: A model for education and preliminary treatment of female victims of physical and sexual violence during the inpatient phase of chemical dependency treatment is described.

97 citations


Journal ArticleDOI
TL;DR: Clinical issues that arose in a program for intranasal ("sniffer") heroin users who were at high risk of injecting drugs, including mistrust of authorities, denial of problems associated with non-injected drug use, and ambivalence about injecting were the major issues.

55 citations


Journal ArticleDOI
TL;DR: It is argued that the concept of cognitive style is useful for understanding the relationship of neuropsychological functioning to personality dynamics, and that this approach can be especially productive in understanding the addictions.

42 citations


Journal ArticleDOI
TL;DR: A pilot study of a methadone maintenance-type treatment for patients with both chronic pain and substance abuse, evaluating the ability to attract and hold patients, the methodology for assessing change, and the potential problems and pitfalls.

38 citations


Journal ArticleDOI
TL;DR: Data is presented on a sample of crack-cocaine-dependent patients who were treated on an inpatient detoxification unit, supporting the contention that childhood development in a dysfunctional family constitutes a specific etiological factor in the development of crack cocaine dependence.

38 citations


Journal ArticleDOI
TL;DR: Sources of variability of case management services identified in the mental health field are reviewed and the implications for the development of casemanagement in addictions programs are discussed.

34 citations


Journal ArticleDOI
TL;DR: The modified or Milwaukee Selective Severity Assessment (MSSA) measures 10 symptoms of the alcohol withdrawal syndrome, providing clinicians with a quantitative indication of the syndrome's severity, and accurately identify patients requiring pharmacologic intervention.

Journal ArticleDOI
TL;DR: The procedure at least temporarily reduced drug abuse among the former group, but lack of uniformity in applying contingencies may have weakened the effect.

Journal ArticleDOI
TL;DR: The evidence reviewed suggests that CES is a promising line of inquiry for continued efforts to develop nonchemical ways to detoxify opiate-dependent individuals.


Journal ArticleDOI
TL;DR: Two recent attempts to achieve a level of sophistication in computer-assisted drug prevention that seeks to prevent heroin relapse among currently abstinent prisoners and controlled drinking in alcohol abusers are reported on.

Journal ArticleDOI
TL;DR: Findings revealed that persons who have been underserved by the mental health and substance abuse fields can be engaged in treatment and will respond favorably to it and should encourage other clinicians to develop innovative services that meet the needs of dually disordered adults.

Journal ArticleDOI
TL;DR: A pilot feasibility study of chemical aversion therapy in the treatment of cocaine dependence as part of a multimodal treatment program was conducted at the Schick Shadel Hospital of Santa Barbara.


Journal ArticleDOI
TL;DR: The MMPI profiles of 268 clients presenting for residential treatment of cocaine addiction were examined and clinically significant elevations on the Pd and Ma scales of this instrument were revealed, as well as the implications for relapse prevention planning.

Journal ArticleDOI
TL;DR: While few differences were found based on city or clinic size, staffing patterns varied as a function of regional location as well as the sources of a clinic's funding.

Journal ArticleDOI
TL;DR: The findings were suggestive of an important role for buspirone HCl in the detoxification of the alcohol-dependent patient using a pharmacologic agent other than traditional medications such as benzodiazepines, phenobarbital, beta blockers, magnesium sulphate, or clonidine.

Journal ArticleDOI
TL;DR: The findings of this study suggest that a multimodal alcoholism treatment program utilizing aversion conditioning is at least as acceptable to patients as counseling centered programs and can be expected to yield favorable abstinence rates.

Journal ArticleDOI
TL;DR: The epidemiologic, clinical, diagnostic, and prognostic features of the two eating disorders are described; theories of etiology and approaches to treatment are examined, and special considerations that pertain when co-morbidity with substance abuse is indeed present are discussed.

Journal ArticleDOI
TL;DR: The authors present arguments for mandatory use under specific circumstances ofatory testing for drugs in America in terms of applicability as well as protection of the person being tested.

Journal ArticleDOI
TL;DR: Phenobarbital in tapering doses adequately suppressed withdrawal symptoms and shortened hospitalization in methadone maintenance patients who were polysubstance abusers and were admitted specifically for detoxification from alprazolam dependence.

Journal ArticleDOI
TL;DR: The legal significance of the blackout is examined in enough depth to allow for further discussion and exploration.

Journal ArticleDOI
TL;DR: Clinical and biological features, both cross-sectorial and longitudinal, were reviewed, proposed theories of etiology are examined, and theoretical and practical considerations for the substance abuse specialist who encounters a chemically dependent patient with a concurrent eating disorder are described.

Journal ArticleDOI
TL;DR: Recovering alcoholics with a more powerful other health orientation tended to maintain membership longer with Alcoholics Anonymous, would seek help sooner, would begin heavy drinking at a later age, and would attempt formal treatment more often.

Journal ArticleDOI
TL;DR: Inpatient treatment resulting in abstinence was associated with positive, meaningful, and significant changes in need pattern that were internally consistent, and an equivalent amount of time on methadone maintenance outpatient treatment produced no improvement in psychological functioning, except that these patients evidenced increased dependency needs.