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Crits-Christoph, P. Gibbons, M.B. Gallop, R. Ring-Kurtz, S. Barber, J.P. Worley, M. Present, J. Hearon, B. (2008). Supportive-Expressive Psychodynamic Therapy for Cocaine Dependence: A Closer Look. Psychoanal. Psychol., 25(3):483-498.

(2008). Psychoanalytic Psychology, 25(3):483-498

Supportive-Expressive Psychodynamic Therapy for Cocaine Dependence: A Closer Look

Paul Crits-Christoph, Ph.D., Mary Beth Connolly Gibbons, Ph.D., Robert Gallop, Ph.D., Sarah Ring-Kurtz, M.S., Jacques P. Barber, Ph.D., Matthew Worley, B.A, Julie Present, B.A and Bridget Hearon, B.A

Using data from the National Institute on Drug Abuse Collaborative Cocaine Treatment Study, this article focuses on the outcomes of patients who received supportive-expressive (SE) psychodynamically oriented psychotherapy (plus group drug counseling; GDC). Short-term SE for cocaine dependent individuals, while not the most efficacious treatment examined in the study (individual drug counseling [IDC] plus GDC was), produced large improvements in cocaine use. In addition, there was evidence that SE was superior to IDC on change in family/social problems at the 12-month follow-up assessment, particularly for those patients with relatively more severe difficulties in this domain at baseline. For patients who achieved abstinence early in treatment, SE produced compa-rable drug use outcomes to IDC, with mean drug use scores numerically lower for SE at all of the follow-up assessments (9, 12, 15, and 18 months). SE patients who achieved initial abstinence decreased cocaine use from a mean 10.1 day per month at baseline to a mean of 1.3 days at 12 months.

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