Spiritual self-schema therapy, drug abuse, and HIV.
This case report describes the use of Spiritual Self-Schema (3-S) therapy in the treatment of an HIV-positive inner-city drug user maintained on methadone and referred for additional treatment due to unremitting cocaine use. 3-S therapy is a manual-guided intervention based on cognitive self-schema theory. Its goal is to help the patient create, elaborate, and make accessible a cognitive schema--the "spiritual" self-schema-that is incompatible with drug use and other HIV risk behaviors. 3-S therapy facilitates a cognitive shift from the habitual activation of the "addict" self-schema, with its drug-related cognitions, scripts and action plans, to the "spiritual" self-schema, with its associated repertoire of harm reduction beliefs and behaviors.
Marcotte
David
D
Yale University School of Medicine, Department of Psychiatry, Division of Substance Abuse, New Haven, Connecticut 06519, USA.
Avants
S Kelly
SK
Margolin
Arthur
A
D000328:Adult; D015658:HIV Infections / Q000150:complications / Q000523:psychology* / Q000628:therapy; D006801:Humans; D008297:Male; D019455:Self Psychology; D026443:Spiritual Therapies / Q000523:psychology; D019966:Substance-Related Disorders / Q000150:complications / Q000523:psychology / Q000534:rehabilitation*; D016896:Treatment Outcome