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首页> 外文期刊>Substance use & misuse >Contemporary psychotherapy research: implications for substance misuse treatment and research.
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Contemporary psychotherapy research: implications for substance misuse treatment and research.

机译：当代心理疗法研究：对药物滥用治疗和研究的启示。

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This article provides an overview of the major findings of psychotherapy research and discusses the possible implications of these findings for substance user treatment researchers and practitioners. While the centrality of relationship for human change processes was historically understood, twentieth century research tended to see relationship and person variables as secondary to operationalized mechanisms of action recent meta-analytic investigations have uncovered the weakness of randomized controlled trials (RCT) comparison investigations that have, until recently, represented the "gold standard" for the field. There has been a resurgent interest in the "common factors" that appear to be important across many effective psychotherapies. In addition, psychiatric anthropologists have contributed important information about the problems of client noncompliance with mental health treatment that parallel quantitative investigations. Substance misuse researchers have also found that client characteristics, especially clients' readiness to engage treatment, are important to investigate. The importance of the "therapeutic alliance" and the characteristics of clients and clinicians have become central areas for study, rather than variables to be controlled or excluded. Emphasis on these factors may represent the future for research in psychotherapy and substance user treatment, especially if researchers and community practitioners can join together to overcome methodological feasibility and dissemination problems that plague effectiveness research. However, the continued attractiveness of comparative studies and treatment efficacy studies may represent longstanding epistemological assumptions and responses to economic incentives that will be difficult to challenge.
机译：本文概述了心理治疗研究的主要发现，并讨论了这些发现对药物使用者治疗研究人员和从业人员的潜在影响。虽然历史上已经了解了关系对人类变化过程的中心性，但二十世纪的研究倾向于将关系和人变量视为对作用的作用机制的次要作用。最近的荟萃分析发现了随机对照试验（RCT）比较研究的弱点。直到最近才代表该领域的“黄金标准”。人们对“共同因素”产生了浓厚的兴趣，而这些共同因素似乎在许多有效的心理治疗中都很重要。此外，精神人类学家还提供了有关客户不遵守心理健康治疗问题的重要信息，这些问题与定量调查平行。滥用药物的研究人员还发现，服务对象的特征，尤其是服务对象准备接受治疗的能力，对于调查很重要。 “治疗联盟”的重要性以及客户和临床医生的特征已经成为研究的中心领域，而不是要控制或排除的变量。对这些因素的重视可能代表着心理治疗和药物滥用者治疗的未来，特别是如果研究人员和社区从业人员可以共同克服方法学上的可行性和传播困扰有效性研究的问题的话。然而，比较研究和治疗功效研究的持续吸引力可能代表着长期的认识论假设以及对难以挑战的经济激励措施的反应。

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