Souza y Machorro M

Language: Spanish
References: 140
Page: 166-179
PDF size: 138.72 Kb.

ABSTRACT

The antiaddictive therapeutics is effective against the pathology of drug abuse, whose multiple origin and multimodal impact requires simultaneously of several resources, because no treatment is effective by itself. The obvious variation found among programs reflects approach, different contents and effectiveness. The classification and the use of a special nosology for the patient from its sociodemografic characteristics, psychopathology, type variability, pattern of consumption, syndromatic severity, etc., represent a professional scheme that is not necessarily assumed by those who offer therapeutics services, underestimating therefore the study of the natural history of the disease and level of preventive attention like rehabilitating predictors. The therapeutic success depends on the maneuvers of the post-treatment and this one is subject to different promotional factors of adhesion (motivation, degree of involvement in the handling and performance in dynamics between the institution, type of management, the patient and the family). When the problem is seen like chronic alteration, the length of the treatment and its continuation (five years) is the most beneficial element whose modification demands ambulatory therapy, medication and continued follow-up, with psychotherapeutic foundation. Such actions guive a frame to empathic work, orientation, adjustment and of informative support, closely related to the detection and fighting of the vehement yearning for consumption. The elimination of the relapse, the reinforcing of the permanence and the taking of conscience, as well as of the active participation of the affected ones, diminish the difficulties of management of chronic processes, under protection of the current valid nosology, that urges a humanitarian quality attention of for the affected ones.

REFERENCES

1. Alterman AI, McKay JR, Mulvaney FD, Cnaan A, Cacciola JS, Tourian KA, Rutherford MJ, Merikle EP. Baseline prediction of 7-month cocaine abstinence for cocaine dependence patients. Drug Alcohol Depend 2000; 59: 215-21.

2. Alterman AI, McKay JR, Mulvaney FD, McLellan AT. Prediction of attrition from day hospital treatment in lower socioeconomic cocaine dependent men. Drug Alcohol Depend 1996; 40: 227-33.

3. Babor TF. Alcohol and drug use history, patterns and problems. In: Rounsaville BJ, Tims FM, Horton A. (Eds.). Diagnostic Sourcebook on drug abuse research and treatment. Rockville, MD: NIDA; 1993.

4. Barry KL. Consensus panel. Brief interventions and brief therapies for substance abuse. Treatment Improvement Protocol (TIP) Series 34. Rockville, MD: Public Health Service, Substance Abuse and Mental Health Services Administration. DHHS Publication (SMA). Center for Substance Abuse Treatment; 1999, p. 99-3353.

5. Booth BM, Blow FC, Cook CA. Persistence of impaired functioning and psychosocial distress after medical hospitalization for men with co-ocurring psychiatric and substance abuse disorders. J Gen Intern Med 2001; 16: 57-65.

6. Carroll KM, Rounsaville BJ, Nich C. Treatment of cocaine and alcohol dependence with psychotherapy and disulfiram. New York, EUA: Oxford Univ Press; 2001.

7. Carroll KM, Rounsaville BJ. Implications of recent research on psychotherapy for drug abuse. In Edwards G, Strang J, Jaffe JH (Eds.). Drugs, alcohol, and tobacco: Making the science and policy connections. New York, EUA: Oxford Univ Press; 1993.

8. Carroll KM. Manual guided psychosocial treatment: A new virtual requirement for pharmacotherapy trials? Arch Gen Psychiatry 2002; 23: 43-51.

9. Copeland A, Sorenson JL. Differences between methamphetamine users and cocaine users in treatment. Drug Alcohol Depend 2001; 62: 91-5.

10. Currie SR, Hodgins DC, Crabtree A, Jacobi J, Armstrong S. Outcome form integrated pain management treatment for recovering substance abusers. J Pain 2003; 4(2): 91-100.

11. Childress AR, McLellan AT, O’Brien CP. Assessment and extinction of conditioned withdrawal-like responses in an integrated treatment for opiate dependence. In: Harris LS (Ed.). Problems of Drug Dependence; 1984.

12. Davis JR, Glaros AG. Relapse prevention and smoking cessation. Addict Behav 1986; 11: 105-14.

13. Hodgins DC, El Guebaly N. More data on the addiction severity Index: reliability and validity with the mentally ill substance abuser. J Nerv Ment Dis 1992; 180: 197-201.

14. Hoffmann N, Halikas J, Mee-Lee D. ASAM-Patient placement criteria for the treatment of psychoactive substance use disorders. Washington, DC: American Society of Addiction Medicine; 1991.

15. McCrady BS, Stout R, Noel N. Effectiveness of three types of spouse-involved behavioral alcoholism treatment. Br J Addict 1991; 86: 1415-24.

16. McLellan AT, Alterman AI; Metzger DS. Similarity of outcome predictors across opiate, cocaine, and alcohol treatments: Role of treatment services. J Consult Clin Psychol 1994; 62: 1141-58.

17. Toomey TC, Seville JL, Mann JD, Abashian SW. Relationship of sexual and physical abuse to pain description, coping, psychological distress, and health care utilization in a chronic pain sample. Clin J Pain 1996; 11: 307-15.

18. McCrady BS, Epstein EE. Marital therapy in the treatment of alcohol problems. In Jacobson NS, Gurman AS (Eds.). Clinical Handbook of Couples Therapy. New York, EUA: Guilford; 1995, p. 369-93.

19. Souza y MM. Alcoholismo: Conceptos básicos. México: Editorial El Manual Moderno; 1988.

20. Anton RF, Hogan I, Jalali B. Multiple family therapy and naltrexone in the treatment of opiate dependence. Drug Alcohol Depend 1981; 8: 157-68.

21. O’Farrell TJ, Choquette KA, Cutter HSG. Behavioral marital therapy with and without additional couples relapse prevention sessions for alcoholics and their wives. J Stud Alcohol 1993; 54: 652-66.

22. Guisa CVM, Díaz Barriga SL, Souza y MM. A propósito de la relación entre adicciones y delincuencia. 2a. Época. Psiquiatría 2003; 19(1): 14-27.

23. Souza y MM, Rochin GG. Violencia sexual: revictimización, recidivismo y pautas para su manejo. 2a. Época. Psiquiatría 1999; 15(2): 28-33.

24. Martínez MJ, Souza y MM. Violencia sexual y psicotrópicos. Aspectos psicodinámicos. 2a. Época. Psiquiatría 2002; 18(1): 44-56.

25. Souza y MM. “Adicción” al sexo, compulsión y controversia. Ginecología y Obstetricia de México 2002; 70: 477-90.

26. Gastfriend DR, McLellan AT. Treatment matching. Theoretic basis and practical implications medical clinics of North America 1997; 81(4): 945-67.

27. Souza y MM. Diagnóstico y Tratamiento de los Síndromes Adictivos. México: Editorial Ciencia y Cultura Latinoamérica; 2000.

28. Souza y MM. “Una mirada reflexiva a la terapéutica de las adicciones. Dirección General Adjunta de Normatividad. México: Centros de Integración Juvenil, A. C.; 2004.

29. Hansen CF. Drug dependence-treatment takes time. Sygeplejersken 1997; 97(27): 6-10.

30. Ball J, Ross A. The effectiveness of methadone maintenance treatment. New York, EUA: Springer-Verlag; 1991.

31. McLellan AT, Grissom GR, Brill P. Private substance abuse treatments: Are some programs more effective than others? J Subst Abuse Treat 1993; 10: 243-54.

32. Project MATCH Research Group: Matching Alcoholism Treatments to Client Heterogeneity: Project MATCH post treatment drinking outcomes. J Stud Alcohol 1997; 58: 7-29.

33. Bowman K. Jellinek E. Alcohol addiction and its treatment. QJ Stud Alcohol 1941; 2: 99-176.

34. Center for substance abuse treatment: The role and current status of patient placement criteria in the treatment of substance use disorders. Treatment Improvement Protocol (TIP) Series 13. Rockville, MD: Substance Abuse and Mental Health Services Administration; 1995.

35. Hser Y. A referral system that matches drug users to treatment programs: Existing research and relevant issues. J Drug Issues 1995; 25: 209-24.

36. Chappel JN, Lewis D. Medical education in substance abuse. In: Lewinson JH, Ruiz P, Millman RB, Langrog JG. Substance abuse a comprehensive textbook. 2nd. Chapter 72. Baltimore, Maryland: Ed. William and Wilkins; 1992.

37. Souza y MM. La deficiencia formativa del personal de salud y la terapéutica de las adicciones. Rev Mex Prev Readapt Soc 2000; 8: 99-106.

38. Tagle OI, Mercado CG, Martínez AJ, Martínez MJ, Souza y MM. Por qué profesionalizar la terapéutica de las adicciones. 2a. Época. Psiquiatría 2000; 16(3): 110-16.

39. Diario Oficial. Proyecto de Norma Oficial Mexicana NOM-168-SSA1-1998, del Expediente Clínico. Lunes 7 de Diciembre de 1998.

40. Labs SM. The career teaching program: alcohol and drug abuse education for health professionals. J Med Educ 1981; 56(3): 202-4.

41. American Psychiatric Association, APA. Special essentials (requirements) for graduate education in psychiatry. Washington, D.C.: Residency Review Committee; 1989.

42. American Psychiatric Association, APA. Position statement of substance abuse. Am J Psychiatry. 1981; 138(6): 874-5.

43. American Medical Association, AMA. Council on Mental Health and Committee on Alcoholism and Drug Dependency. Medical school education on abuse on alcoholism and other psychoactive drugs. JAMA 1972; 219(13): 1746-9.

44. Galanter M, Bean-Bayoug M. A study of physicians certified in alcohol and drug dependency (editorial). Alcoholism 1989; 13(1): 1-2.

45. Davies ACA, Correr F, Czechowicz D. Substance abuse units taught by four specialties in medical school and residency programs. J Med Educ 1988; 63(19): 739-46.

46. American College of Physicians, ACP. Health and Public Policy committee. Chemical dependence. Ann Int Med 1985; 102: 405-8.

47. Kamerow DB, Pincus HA. Alcohol abuse, other drug abuse and mental disorders in medical practice. JAMA 1986; 225: 4-7.

48. Souza y MM. Investigación y Enseñanza en Adicciones en la Ciudad de México. 2a.Época. Psiquiatría 1998; 14(3): 100-6.

49. American Medical Students Association, AMSA. Appendix II. Alcoholism education in American medical schools. Ann NY Acad Sci 1971; 178: 135-8.

50. Lewis DC, Niven RG, Czechowicz D. A review of medical education in alcohol and other drugs. JAMA 1987; 257(21): 2945-8.

51. Bowen OR, Sammons JH. The alcohol abusing patient: A challenge to the profession. JAMA 1988; 260: 2267-70.

52. Hayashida M, Alterman A, McLellan A. Comparative effectiveness and costs of inpatient and outpatient detoxification of patients with mild-to-moderate alcohol withdrawal syndrome. N Engl J Med 1989; 320: 358-65.

53. Annis H. Is inpatient rehabilitation of the alcoholic cost effective? Adv Alcohol Subst Abuse 1986; 5: 175-90.

54. Miller WR, Hester RK. The effectiveness of alcoholism treatment: What research reveals. In: Miller WR, Heather N (Eds.). Treating Addictive Behaviors: Processes of Change. New York: Plenum Press; 1986, p. 121-74.

55. Edwards G, Taylor C. A test of the matching hypothesis: Alcohol dependence, intensity of treatment, and 12-month outcome. Addiction 1994; 89: 553-61.

56. McLellan AT, Arndt IO, Metzger DS. The effects of psychosocial services in substance abuse treatment. JAMA 1993; 269: 1953-9.

57. Carroll KM, Power MD, Bryant KJ, Rounsaville BJ. One year follow-up status of treatment-seeking cocaine abusers psychopathology and dependent severity as predictors of outcome. J Nerv Ment Dis 1993; 181: 71-9.

58. Institute of Medicine. Broadening the base of treatment for alcohol problems: A report of a study by a committee of the Institute of Medicine, Division of Mental Health and Behavioral Medicine. Washington, DC: National Academy Press; 1990.

59. Project MATCH Research Group: Project MATCH (Matching Alcoholism Treatment to Client Heterogeneity): Rationale and methods for a multicite clinical trial matching patients to alcoholism treatment. Alcohol Clin Exp Res 1993; 17: 1130-45.

60. Carroll KM, Nuro K. Treatment manuals and treatment compliance. In: Carroll KM (Ed.). Facilitating Compliance in Alcohol Treatment. NIAAA Project MATCH Monograph Series. Rockville, MD: NIAAA; 1999.

61. Cooney NL, Kadden RM, Litt MD. Matching alcoholics to coping skills or interactional therapies: Two-year follow-up results. J Consult Clin Psychol 1001; 59: 598-601.

62. McLellan AT, O’Brien CP. Matching substance abuse patients to appropriate treatments: A conceptual and methodological approach. Drug Alcohol Depend 1980; 5: 189-95.

63. Miller WR, Zweben A, DiClemente CC. Motivational enhancement therapy manual: A clinical research guide for therapists treating individuals with alcohol abuse and dependence. Volume 2. NIAAA Project MATCH Monograph Series. Rockville, MD: DHHS Publication No. (ADM) 92-1894. NIAAA; 1992.

64. Schneider Institute for Health Policy. Substance abuse: The nation’s number one health problem. Waltham, MA: Schneider Institute for Health Policy; 2001.

65. Rockett IRH, Putnam SL, Jia H, Smith GS. Assessing substance abuse treatment need: A statewide hospital emergency department study. Ann Emerg Med 2003; 41: 802-13.

66. Chase CH. Patient placement criteria for the treatment of substance-related disorders. EUA: American Society of Addiction Medicine; 1996, p. 205.

67. Simpson DD. Treatment of drug abuse. Follow-up outcomes and length of time spent. Arch Gen Psychiatry 1981; 38: 875-80.

68. McCrady BS. Alcoholics anonymous and behavior therapy: Can habits be treated as diseases? Can diseases be treated as habits? J Consult Clin Psychol 1994; 62: 1159-66.

69. Leavell HR. Introducción a la 1a. Edición. En: Freeman H, Lerine S, Reeder L (Eds.). Premntice-Hall Englewoods Cliffs, 2a. Ed. NJ: Handbook of Medical Sociology; 1972.

70. Green CA, Polen MR, Dickinson MD, Lynch FL, Bennett MD. Gender differences in predictions of initiation, retention and completion in a HMO-based substance abuse treatment program. J Subst Abuse Treat 2002; 23: 285-95.

71. Timko C, Moos RH, Finney JW, Connell EG. Gender differences in help-utilization and the 8-year course of alcohol abuse. Addiction 2002; 97: 887-9.

72. Azrin NH. Improvements in the community-reinforcement approach to alcoholism. Behav Res Ther 1976; 14: 339-48.

73. Prochaska JO, DiClemente CC. Transtheoretical therapy: Toward a more integrative model of change. Psychother Theory Res Pract 1986;19: 276-88.

74. Prochaska JO, DiClemente CC, Norcross JC. In search of how people change: Applications to addictive behaviors. Am Psychologist 1992; 47: 1102-14.

75. Carroll KM. Relapse prevention as a psychosocial treatment approach: A review of controlled clinical trials. Exp Clin Psychopharmacol 1996; 4: 46-54.

76. Portenoy RK. Opiate therapy for chronic nonmalignant pain. Pain Research and Management 1996; 1: 17-28.

77. Portenoy RK, Payne R. Acute and chronic pain. In Lowinson JH, Ruiz P, Millman EB (Eds.). Substance abuse: A comprehensive Textbook, Baltimore, MD: William and Wilkins; 1992, p. 691-721.

78. National Center for Chronic Disease Prevention and Health Promotion. Behavioral Risk Factor Surveillance System. October 18, 2001.

79. Weisner C, Ray RG, Mertens JR, Satre DD, Moore CH. Short-term alcohol and drug treatment outcomes predict long-term outcome. Drug alcohol and Dependence 2003; 71: 281-94.

80. Anglin MD, Hser YI, Booth MW. Sex differences in addict careers. 4. Treatment. Am J Drug Alcohol Abuse 1987; 13: 253-80.

81. McLellan A, Luborsky L, Cacciola J. New data from the addiction severity index—reliability and validity in three centers. J Nerv Mental Dis 1985; 173: 412-23.

82. Saunders JB, Aasland OG, Babor TF. Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on early detection of persons with harmful alcohol consumption. Addiction 1993; 88: 791-804.

83. Souza y MM, Mestas AJ, Turull TF, Cárdenas AJ. Historia Clínica Psiquiátrica Codificada para Alcoholismo, HCPCA. Una aportación al manejo asistencial del alcoholismo. Salud Pública de México. 1985; 17(4): 291-307.

84. Souza y MM, Quijano BEM, Díaz BSL, Guisa CVM, Lorenzo AS, Gaucín RR. Historia clínica psiquiátrica codificada para adicciones. HCPCA. 2a. Época. Psiquiatría 1998; 14(1): 9-25.

85. Souza y MM. Consideraciones y fundamentos para una terapéutica profesional de las adicciones. Rev Mex Neuroci 2003; 4(5): 326-30.

86. Souza y MM. Por una psiquiatría de las adicciones. Rev Mex Neuroci 2003; 4(4): 206-8.

87. Sattar SP, Petty F, Burke WJ. Diagnosis and treatment of alcohol dependence in older alcoholics. Clinics in Geriatric Medicine 2003; 19(4): 1-17.

88. Oficina de las Naciones Unidas Contra la Droga y el Delito. PNUFID. Tratamiento contemporáneo del abuso de drogas: análisis de las pruebas científicas. ONU: NY; 2003.

89. Fudala PJ, Berkow LC, Fralich JL. Use of naloxone in the assessment of opiate dependence. Life Sci 1991; 49: 1809-14.

90. Miller NS, Ninonuevo FG, Klamen DL, Hoffman NG, Smith DE. Integration of treatment and postreatment variables in predicting results of abstinence-based outpatient treatment after one year. J Psychoactive Drugs 1997; 29(3): 239-48.

91. Hser Y, Joshi V, Anglin MD, Fletcher B. Predicting post treatment cocaine abstinence for first-time admissions and treatment repeaters. Am J Public Health 1999; 89(5): 666-71.

92. Friedman PD, Lemmon SC, Anderson BJ. Predictors of follow-up health status in the Drug Abuse Treatment Outcome Study (DATOS). Drug Alcohol Dependence 2003; 243-51.

93. Alderman C. Open house detox. Nurs Stand 2002; 17(4): 16-7.

94. De Leon G, Jainchill N. Circunstance, motivation, readiness and suitability as correlates of treatment tenure. J Psychoactive Drugs 1988; 18: 203-8.

95. Miller WR, Benefield RG, Tonigan JS. Enhancing motivation for change in problem drinking: A controlled comparison of two therapist styles. J Consult Clin Psychol 1993; 61: 455-61.

96. Miller WR, Rollnick S. Motivational interviewing: Preparing people to change addictive Behavior. NY: Guilford; 1991.

97. Miller WR. Motivation for treatment: A review with special emphasis on alcoholism. Psychol Bull 1985; 98: 84-107.

98. Simpson DD, Joe GW. Motivation as a predictor of early dropout from drug abuse treatment. Psychotherapy 1993; 30: 357-68.

99. Woody GE, McLellan AT, Luborsky L. Severity of psychiatric symptoms as a predictor of benefits from psychotherapy: The veterans administration-penn study. Am J Psychiatry 1984; 141: 1172-7.

100. Oficina de las Naciones Unidas Contra la Droga y el Delito. PNUFID. Por qué invertir en el tratamiento del abuso de drogas: documento debate para la formulación de políticas. Oficina de las Naciones Unidas Contra la droga y el Delito. NY: ONU; 2003.

101. Olivares HM, Tagle OI, Mercado CG, Souza y MM. Psicodinamia y psicoterapia del paciente adicto. 2a. Época. Psiquiatría 2003; 19(1): 28-38.

102. National Center for Chronic Disease Prevention and Health Promotion. Behavioral Risk Factor Surveillance System. October 18, 2001.

103. Waltz J, Addis ME, Koerner K. Testing the integrity of a psychotherapy protocol: Assessment of adherence and competence. J Consult Clin Psychol 1993; 61: 620-30.

104. Al Qatari M, Bouchenafa O, Littleton J. Mechanism of action of acamprosate. Part II. Ethanol dependence modifies effects of acamprosate on NMDA receptor binding in membranes from rat cerebral cortex. Alcohol Clin Exp Res 1988; 22(4): 810-14.

105. Holter SM, Landgraf R, Zieglgansberger W, Spanagel R. Time course of acamprosate action on operant ethanol self-administration after ethanol deprivation. Alcohol Clin Exp Res 1997; 21(5): 862-8.

106. Kosten TR. The pharmacotherapy of relapse prevention using anticonvulsants. Am J Addict Summer 1998; 7(3): 205-9.

107. Kratzer U, Schmidt WJ. The anticraving drug acamprosate inhibits the conditioned place aversion induced by naloxone-precipitated morphine withdrawal in rats. Neurosci Lett 1998; 252(1): 53-6.

108. Spanagel R, Zieglgansberger W. Anticraving compounds for ethanol: new pharmacological tools to study addictive processes. Trends Pharmacol Sci 1997; 18(2): 54-9.

109. Diana M, Pistis M, Muntoni A, Gessa G. Mesolimbic dopaminergic reduction outlasts ethanol withdrawal syndrome: evidence of protracted abstinence. Neuroscience 1996; 71(2): 411-15.

110. Ciraulo AM, Alperet N, Franko KJ. Naltrexone for the treatment of alcoholism. Am Fam Physician 1997; 56(3): 803-6.

111. Naassila M, Hammoumi S, Legrand E, Durbin P, Daoust M. Mechanism of action of acamprosate. Part I. Characterization of spermidine-sensitive acamprosate binding site in rat brain. Alcohol Clin Exp Res 1998; 22(4): 802-9.

112. Spanagel R, Holter SM, Allingham K, Landgraf R, Zieglgansberger W. Acamprosate and alcohol: I. Effects on alcohol intake following alcohol deprivation in the rat. Eur J Pharmacol 1996; 305(1-3): 39-44.

113. Holter SM, Danyesz W, Spanagel R. Evidence for alcohol anti-craving properties of memantine. Eur J Pharmacol 1996; 314(3): 1-2.

114. Mann K. The pharmacological treatment of alcohol dependence: needs and possibilities. Alcohol Suppl 1996; 1: 55-8.

115. Chow L, Sellers M, Tomkins M. Effect of naltrexone and its derivatives, nalmefene and naltrindole, on conditioned anticipatory behavior and saccharin intake in rats. Behav Pharmacol 1997; 8(8): 725-35.

116. Agabio R, Colombo G, Loche A, Lobian C, Pani M, Reali R, Gessa G. Gamma-hydroxybutyric acid reducing effect on ethanol intake: evidence in favour of a substitution mechanism. Alcohol 1998; 33(5): 465-74.

117. Gatch B, Lal H. Pharmacological treatment of alcoholism. Prog Neuropsycho-pharmacol Biol Psychiatry 1998; 22(6): 917-44.

118. De Vry J. 5-HT1A receptor agonists: recent developments and controversial issues. Psychopharmacology Berl 1995; 121(1): 1-26.

119. Blundell JE, Lawton CL, Hill AJ. Mechanisms of appetite control and their abnormalities in obese patients. Horm Res 1993; 39(Suppl. 3): 72-6.

120. Myers RD. New drugs for the treatment of experimental alcoholism. Alcohol 1994; 11(6): 439-51.

121. Di Chiara G, Acquas E, Tanda G. Ethanol as a neurochemical surrogate of conventional reinforcers: the dopamine-opioid link. Alcohol 1996; 13(1): 13-7.

122. Marlatt A, Barret K. Relapse prevention. In: Galanter M, Kleber H. Textbook of substance abuse treatment. Chapter 20: 285-287. Washington, EUA: American Psychiatric Press; 1994.

123. Mandell W. Substance abuse treatment and management techniques. Department of Mental Health, Johns Hopkins University, School of Hygiene and Public Health. Nov. 1991.

124. Velasco FR. Alcoholismo: Visión integral. 2a. Reimp. México: Editorial Trillas; 1997.

125. Singleton EG, Gorelick DA. Mechanisms of alcohol craving and their clinical implications. Recent Dev Alcohol 1998; 14: 177-95.

126. Strang P. Palliative medicine. A new research field with specific demands. Lakartidningen 1999; 96(1-2): 26-9.

127. Kaplan H, Sadock B. Synopsis of Psychiatry. 7th. Ed. Williams-Wilkins; 1994.

128. De Santiago JA. Tratamiento y rehabilitación de drogas. Simposium Internacional “Programas con buenos resultados para reducir el abuso de drogas”. Plan Nacional sobre drogas en Castilla y León, España-Centros de Integración Juvenil, A. C. Noviembre 17-19, México, 1999.

129. FINCA. Fideicomiso para los Institutos de los Niños de la Calle y las Adicciones. Programa de Prevención y Control de Adicciones en la Ciudad de México. México: Secretaría de Desarrollo Social. Gobierno del Distrito Federal; 1998, p. 8-12.

130. Schmidt LG, Dufeu P, Kuhn S, Rommelspacher H. Relapse prevention in alcoholics with an anticraving drug treatment: first results of the Berlin Study. Pharmacopsychiatry 1994; 27(Suppl. 1): 21-3.

131. WHO. World Health Organization: Programme on substance abuse. Geneva: Approaches to treatment of substance abuse; 1993, p. 27-31.

132. Chick J, Erickson CK. Consensus Conference on Alcohol Dependence and the Role of Pharmacotherapy in its Treatment. Alcohol Clin Exp Res 1996; 20(2): 391-402.

133. Blundell JE, Lawton CL, Hill AJ. Mechanisms of appetite control and their abnormalities in obese patients. Horm Res 1993; 39(Suppl 3): 72-6.

134. Woody GE, Luborsky L, McLellan AT. Psychotherapy for opiate addicts: Does it help? Arch Gen Psychiatry 1983; 40: 639-45.

135. Onken LS, Blaine JD. Psychotherapy and counseling research in drug abuse treatment: Questions, problems, and solutions. In: Onken LS, Blaine JD (Eds.). Psychotherapy and Counseling in the Treatment of Drug Abuse. NIDA Research Monograph Series No. 104. Rockville, MD: NIDA; 1990, p. 1-8.

136. O’Malley SS, Jaffe AJ, Chang G. Six month follow-up of naltrexone and psychotherapy for alcohol dependence. Arch Gen Psychiatry 1996; 53: 217-24.

137. Kazdin AE. Methods of psychotherapy research. In: Bongar B, Beutler LE (Eds.). Comprehensive Textbook of Psychotherapy: Theory and Practice. NY: Oxford Univ Press; 1995.

138. Luborsky L, DeRubeis RJ. The use of psychotherapy treatment manuals: A small revolution in psychotherapy research style. Clin Psychol Rev 1984; 4: 5-154.

139. Moras K. The use of treatment manuals to train psychotherapists: Observations and recommendations. Psychotherapy 1993; 30: 581-6.

140. Organización Mundial de la Salud. OMS. Décima Revisión Internacional de la Clasificación de Enfermedades. Capítulo Quinto. Desórdenes Mentales, Conductuales y del Desarrollo. Ginebra, Suiza: OMS; 1993.