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J Psychother Pract Res. 1997 Winter; 6(1): 12–24.
PMCID: PMC3330446
Measuring adherence and competence of dynamic therapists in the treatment of cocaine dependence
Jacques P. Barber, Ph.D., Ilana Krakauer, B.A., Naomi Calvo, B.A., Peter C. Badgio, Ph.D., and Jeffrey Faude, Ph.D.
Department of Psychiatry, University of Pennsylvania Medical School, Philadelphia 19104-2648, USA. barberj@landru.cpr.upenn.edu.
Abstract
This article presents the development of a new 82-item rating scale of therapist adherence and competence for supportive-expressive (SE) dynamic psychotherapy for the treatment of cocaine dependence. Sixty- four items are rated for adherence, appropriateness, and quality of prescribed interventions. As part of the pilot/training phase of the National Institute on Drug Abuse Collaborative Cocaine Treatment Study, two independent expert judges rated 32 audiotapes of SE therapy sessions with cocaine-dependent patients, 10 tapes of cognitive therapy (CT) sessions, and 10 tapes of individual drug counseling (IDC) sessions. Reliability was acceptable for adherence but poor for quality and appropriateness. SE therapists used more expressive (interpretative) techniques than did either CT therapists or IDC counselors, and they used more supportive techniques than did IDC counselors.
Articles from The Journal of Psychotherapy Practice and Research are provided here courtesy of
American Psychiatric Publishing