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Old Psychotherapies for Cocaine Dependence Revisited
Arch Gen Psychiatry. 1999;56:505-506.
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THE PUBLICATION of the results of the National Institute on Drug Abuse Collaborative Cocaine Treatment Study (CCTS),1 like the publication of and comments on some of the first pharmacologic trials in this journal more than 7 years ago,2-4 denotes a landmark in the development and evaluation of treatments for cocaine dependence. Since 1992, myriad pharmacotherapies have failed to demonstrate efficacy against the Goliath of cocaine dependence. Instead, "weak" approaches such as psychotherapy have emerged as the David of this field; note that the review by Meyer in 1992 of the state of pharmacotherapies for cocaine dependence ended with ". . . lest we forget the importance and efficacy of nonpharmacological treatments."2 Behavioral therapies, in particular contingency management approaches,5-9 have been demonstrated to be effective and sufficient treatments for most cocaine-dependent patients who receive them. While important efforts continue to identify effective pharmacotherapies, the results of this excellent study highlight several . . . [Full Text of this Article]LESS IS OFTEN MORE
TREATMENTS AND MODELS OF TREATMENT EVALUATION MAY NOT BE INTERCHANGEABLE ACROSS DRUG TYPES
TREATMENTS FOR DRUG ABUSE SHOULD TARGET DRUG ABUSE FIRST
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