Cognitive-Behavioral Coping Skills Therapy Manual: A Clinical Research Guide forTherapists Treating Individuals with Alcohol Abuse and Dependence. Project MATCH Monograph Series. Volume 3

摘要

Volume 3 of a three-volume manual for therapists is provided to permitreplication of the treatment procedure employed in Project Match, a multisite clinical trial of patient-treatment matching sponsored by the National Institute on Alcohol Abuse and Alcoholism. The volume describes Cognitive-Behavioral Coping Skills Therapy (CBT), one of three treatment approaches studied in Project Match. CBT is based on the principles of social learning theory and views drinking behavior as functionally related to major problems in the person's life. Emphasis is placed on overcoming skill deficits and increasing the person's ability to cope with high-risk situations that commonly precipitate relapse including both interpersonal difficulties and intrapersonal discomfort, such as anger or depression. The program consists of 12 sessions with the goal of training the individual to use active behavioral or cognitive coping methods to deal with problems, rather than relying on alcohol as a maladaptive coping strategy. The skills also provide a means of obtaining social support critical to the maintenance of sobriety. The manual for this modality begins with an overview of CBT and a description of the general principles to be applied. Specific guidelines are provided on how to structure the core and elective sessions.