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- W1721147107 abstract "Back to table of contents Previous article Next article No AccessNetwork therapy for addiction: a model for office practicePublished Online:1 Apr 2006https://doi.org/10.1176/ajp.150.1.28AboutSectionsView articleAbstractPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail View articleAbstractIndividual therapists in office practice are often considered to have limited effectiveness in treating alcohol and drug dependence. In this article the author describes network therapy, an approach developed to assure greater success in such treatment. It uses psychodynamic and behavioral therapy while engaging the patient in a support network composed of family members and peers. A cognitive-behavioral model of addiction, based on the role of conditioned withdrawal in relapse, is described. Related techniques for securing abstinence are then reviewed; they augment individual psychotherapy to help patients avoid relapse caused by the affective and environmental cues that precipitate drug seeking. The role of social cohesiveness as a vehicle for engaging patients in treatment is outlined next, along with a related technique for enhancing an addicted patient's commitment to the therapy. This is done by using the patient's family and peers as a therapeutic network to join the patient at intervals in therapy sessions. The network is managed by the therapist to provide cohesiveness and support, undermine denial, and promote compliance with treatment. The author presents applications of the network technique designed to sustain abstinence and describes means of stabilizing members' involvement. Applications of network therapy to ambulatory detoxification, disulfiram and naltrexone administration, relapse prevention, and contingency contracting are reviewed. 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FiguresReferencesCited byDetailsCited byCombined pharmacological and psychosocial interventions for alcohol use disorder8 March 2023 | Cochrane Database of Systematic Reviews, Vol. 2023, No. 3Social and sociocultural factors associated with addictionThe Spectrum of Alcohol UseMedical Clinics of North America, Vol. 106, No. 1Network Therapy4 November 2020Couple and Family Therapy in Treatment of Alcoholism and Drug Abuse4 November 2020Psychodynamic Psychiatry, Vol. 45, No. 4Journal of Substance Abuse Treatment, Vol. 70Opioid use and dropout in patients receiving oral naltrexone with or without single administration of injection naltrexoneDrug and Alcohol Dependence, Vol. 147The Psychiatric Bulletin, Vol. 38, No. 3Journal of Substance Abuse Treatment, Vol. 44, No. 1European Eating Disorders Review, Vol. 19, No. 3Annales Médico-psychologiques, revue psychiatrique, Vol. 167, No. 7Families in Society: The Journal of Contemporary Social Services, Vol. 88, No. 1The developmental context for adolescent substance abuse interventionBehavioral Therapy to Augment Oral Naltrexone for Opioid Dependence: A Ceiling on Effectiveness?7 July 2009 | The American Journal of Drug and Alcohol Abuse, Vol. 32, No. 4American Journal on Addictions, Vol. 15, No. 2Psychology and Psychotherapy: Theory, Research and Practice, Vol. 79, No. 3Family interventions in the treatment of alcohol and drug problems29 May 2009 | Drug and Alcohol Review, Vol. 24, No. 4Journal of Substance Abuse Treatment, Vol. 26, No. 4Psychology of Sport and Exercise, Vol. 4, No. 3Victimization and Substance Abuse among Women: Contributing Factors, Interventions, and Implications1 December 2002 | Review of General Psychology, Vol. 6, No. 4The role of functional social support in treatment retention and outcomes among outpatient adult substance abusers5 March 2002 | Addiction, Vol. 97, No. 3Involvement of Support Networks in TreatmentJournal of Substance Abuse Treatment, Vol. 23, No. 4Psychiatric Clinics of North America, Vol. 23, No. 4Journal of Substance Abuse Treatment, Vol. 19, No. 2Journal of Substance Abuse Treatment, Vol. 19, No. 2Psychiatric Clinics of North America, Vol. 22, No. 2Journal of Substance Abuse Treatment, Vol. 16, No. 2Male Partners of Substance-Abusing Women in Treatment: An Exploratory Study25 October 1999 | The American Journal of Drug and Alcohol Abuse, Vol. 25, No. 4Progress in Neuro-Psychopharmacology and Biological Psychiatry, Vol. 22, No. 6The American Journal on Addictions, Vol. 7, No. 1The American Journal on Addictions, Vol. 7, No. 1Children and Youth Services Review, Vol. 18, No. 3Child and Adolescent Psychiatric Clinics of North America, Vol. 5, No. 1Journal of Substance Abuse, Vol. 7, No. 2 Volume 150Issue 1 January 1993Pages 28-36 Metrics PDF download History Published online 1 April 2006 Published in print 1 January 1993" @default.
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