title: Measuring adherence and competence of dynamic therapists in the treatment of cocaine dependence.
abstract: This article presents the development of a new 82-item rating scale of therapist adherence and competence for supportive-expressive (SE) dynamic psychotherapy for the treatment of cocaine dependence. Sixty-four items are rated for adherence, appropriateness, and quality of prescribed interventions. As part of the pilot/training phase of the National Institute on Drug Abuse Collaborative Cocaine Treatment Study, two independent expert judges rated 32 audiotapes of SE therapy sessions with cocaine-dependent patients, 10 tapes of cognitive therapy (CT) sessions, and 10 tapes of individual drug counseling (IDC) sessions. Reliability was acceptable for adherence but poor for quality and appropriateness. SE therapists used more expressive (interpretative) techniques than did either CT therapists or IDC counselors, and they used more supportive techniques than did IDC counselors.
authors.affiliation: Department of Psychiatry, University of Pennsylvania Medical School, Philadelphia 19104-2648, USA. barberj@landru.cpr.upenn.edu
authors.forename: J P
authors.initials: JP
authors.lastname: Barber
authors.forename: I
authors.initials: I
authors.lastname: Krakauer
authors.forename: N
authors.initials: N
authors.lastname: Calvo
authors.forename: P C
authors.initials: PC
authors.lastname: Badgio
authors.forename: J
authors.initials: J
authors.lastname: Faude
mesh_terms: D003042:Cocaine; D006801:Humans; D015588:Observer Variation; D011361:Professional Competence; D011594:Psychometrics; D011613:Psychotherapy; D015203:Reproducibility of Results; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000628:therapy*
chemical_list: D003042:Cocaine