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Network therapy for addiction: a model for office practice

¹Department of Psychiatry, New York University School of Medicine, NY 10016.

The American Journal of Psychiatry

|January 1, 1993

Summary

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Network therapy enhances addiction treatment by integrating psychodynamic and behavioral approaches with patient support networks. This method improves treatment engagement and commitment for better abstinence outcomes.

Area of Science:

Psychiatry
Psychology
Addiction Medicine

Background:

Individual therapy often shows limited effectiveness for alcohol and drug dependence.
A cognitive-behavioral model of addiction highlights conditioned withdrawal's role in relapse.

Observation:

Network therapy engages patients with a support network of family and peers.
Therapists manage the network to foster cohesiveness, support, and compliance.
Social cohesiveness is key to patient engagement and commitment.

Findings:

Network therapy integrates psychodynamic and behavioral techniques.
It augments individual psychotherapy to prevent relapse from affective and environmental cues.
The approach is applicable to ambulatory detoxification, medication administration, relapse prevention, and contingency contracting.

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Implications:

Network therapy offers a promising approach to improve addiction treatment success.
Engaging social networks can enhance patient commitment and treatment adherence.
This model provides a framework for sustained abstinence and recovery.