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Acceptability for Psychotherapy in Institutionalized Narcotic Addicts

Acceptability for Psychotherapy in Institutionalized Narcotic Addicts Abstract At this hospital drug addiction is assumed to be a psychiatric problem. It is commonly held by psychiatrists that drug addicts are exceedingly difficult to treat. Fenichel,1 among others, lists the addictions along with the perversions as the least susceptible of all nonpsychotic disorders to psychoanalytic therapy. Also, Dollard and Miller,2 approaching the problem from the frame of reference of learning theory, suggest that the use of drugs is effective in reducing drives, thus leaving the patient less motivation for therapy. At the present time only a small percentage of patients admitted to the U. S. Public Health Service Hospital at Lexington, Ky., can be provided psychotherapy. Therefore, if addict patients differ in acceptability for psychotherapy, a selection problem may exist, and it would appear desirable to select for psychotherapy those patients who are more acceptable for such therapeutic techniques. The purposes of the study were (a) to References 1. This study was executed as a preliminary project to develop information and criteria to facilitate future evaluation of therapeutic programs of this hospital. 2. A copy of the questionnaire can be obtained by writing the Medical Officer in Charge, U. S. P. H. S. Hospital, Lexington, Ky. 3. Hill, Harris E.: Unpublished self-rating questionnaire. Information concerning this psychometric instrument can be obtained from Dr. Hill, Senior Research Psychologist, NIMH Addiction Research Center, U. S. P. H. S. Hospital, Lexington, Ky. 4. A list of questions used in the therapeutic evaluation can be obtained on request from the Medical Officer in Charge, U. S. P. H. S. Hospital, Lexington, Ky. 5. Fenichel, O.: The Psychoanalytic Theory of Neurosis , New York, W. W. Norton & Company, Inc., 1945. 6. Dollard, J., and Miller, N.: Personality and Psychotherapy , New York, McGraw-Hill Book Company, Inc., 1950. 7. Hathaway, S. R., and McKinley, J. C.: Minnesota Multiphasic Personality Inventory Manual , New York, The Psychological Corporation, 1943. 8. Thurstone, L. L.: Thurstone Temperment Schedule Manual , Chicago, Science Research Associates, 1949. 9. Wesley, E. L.: Perseverative Behavior in a Concept-Formation Task As a Function of Manifest Anxiety and Rigidity , J. Abnorm. & Social Psychol. 48:129-134, 1953. 10. Brodman, K.; Erdmann, A. J., Jr.; Lorge, I., and Wolff, H. G.: The Cornell Medical Index: An Adjunct to Medical Interview , J. A. M. A. 140:530-534, 1949. 11. Wechsler, D.: The Measure of Adult Intelligence , Baltimore, Williams & Wilkins Company, 1944. 12. Langmuir, C. R.: Oral Directions Test Manual , New York, The Psychological Corporation, 1946. 13. Beck, S. J.: Rorschach's Test , Ed. 2, New York, Grune & Stratton, Inc., 1950. 14. Machover, K.: Personality Projection in the Drawing of the Human Figure , Springfield, Ill., Charles C Thomas, Publisher, 1948. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Neurology & Psychiatry American Medical Association

Acceptability for Psychotherapy in Institutionalized Narcotic Addicts

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Publisher
American Medical Association
Copyright
Copyright © 1955 American Medical Association. All Rights Reserved.
ISSN
0096-6886
DOI
10.1001/archneurpsyc.1955.02330160006002
Publisher site
See Article on Publisher Site

Abstract

Abstract At this hospital drug addiction is assumed to be a psychiatric problem. It is commonly held by psychiatrists that drug addicts are exceedingly difficult to treat. Fenichel,1 among others, lists the addictions along with the perversions as the least susceptible of all nonpsychotic disorders to psychoanalytic therapy. Also, Dollard and Miller,2 approaching the problem from the frame of reference of learning theory, suggest that the use of drugs is effective in reducing drives, thus leaving the patient less motivation for therapy. At the present time only a small percentage of patients admitted to the U. S. Public Health Service Hospital at Lexington, Ky., can be provided psychotherapy. Therefore, if addict patients differ in acceptability for psychotherapy, a selection problem may exist, and it would appear desirable to select for psychotherapy those patients who are more acceptable for such therapeutic techniques. The purposes of the study were (a) to References 1. This study was executed as a preliminary project to develop information and criteria to facilitate future evaluation of therapeutic programs of this hospital. 2. A copy of the questionnaire can be obtained by writing the Medical Officer in Charge, U. S. P. H. S. Hospital, Lexington, Ky. 3. Hill, Harris E.: Unpublished self-rating questionnaire. Information concerning this psychometric instrument can be obtained from Dr. Hill, Senior Research Psychologist, NIMH Addiction Research Center, U. S. P. H. S. Hospital, Lexington, Ky. 4. A list of questions used in the therapeutic evaluation can be obtained on request from the Medical Officer in Charge, U. S. P. H. S. Hospital, Lexington, Ky. 5. Fenichel, O.: The Psychoanalytic Theory of Neurosis , New York, W. W. Norton & Company, Inc., 1945. 6. Dollard, J., and Miller, N.: Personality and Psychotherapy , New York, McGraw-Hill Book Company, Inc., 1950. 7. Hathaway, S. R., and McKinley, J. C.: Minnesota Multiphasic Personality Inventory Manual , New York, The Psychological Corporation, 1943. 8. Thurstone, L. L.: Thurstone Temperment Schedule Manual , Chicago, Science Research Associates, 1949. 9. Wesley, E. L.: Perseverative Behavior in a Concept-Formation Task As a Function of Manifest Anxiety and Rigidity , J. Abnorm. & Social Psychol. 48:129-134, 1953. 10. Brodman, K.; Erdmann, A. J., Jr.; Lorge, I., and Wolff, H. G.: The Cornell Medical Index: An Adjunct to Medical Interview , J. A. M. A. 140:530-534, 1949. 11. Wechsler, D.: The Measure of Adult Intelligence , Baltimore, Williams & Wilkins Company, 1944. 12. Langmuir, C. R.: Oral Directions Test Manual , New York, The Psychological Corporation, 1946. 13. Beck, S. J.: Rorschach's Test , Ed. 2, New York, Grune & Stratton, Inc., 1950. 14. Machover, K.: Personality Projection in the Drawing of the Human Figure , Springfield, Ill., Charles C Thomas, Publisher, 1948.

Journal

A.M.A. Archives of Neurology & PsychiatryAmerican Medical Association

Published: Oct 1, 1955

References