The present investigation examined test-retest MMPI profile patterns for two highly similar groups of hardcore heroin addicts: 30 clients admitted to 6-mo. hospitalization in the NIMH Clinical Research Center, Fort Worth and 28 addicts confined approximately 6 wk. in an inpatient hospital setting. MMPI changes following hospitalization were characterized by decreases i n scale scores on almost every clinical scale with higher elevations on scales reflecting ego strength and personal guardedness. Elevations on Scales Pd and Ma remained relatively constant over intake and discharge conditions, while scores on Scales Hs and Hy were particularly sensitive to changes in circumsmnce. Although both conditions produced diagnostic signs of general improvement, changes in personalicy functioning appeared to be most dramatic in the shorter, more intensive treatment condition.
The relationships of psychological and demographic variables to retention in treatment of narcotic addicts were examined. Age and race were not related to retention. The IQ's of subjects retained longer seemed to be higher but the relationship did not reach statistical significance with this sample size. Legal pressure was clearly associated with longer retention as were higher scores on the Suitable for Treatment Scale. Legal pressure seemed to exert its major influence early in treatment. Treatment center variables and patient variables probably interact to determine retention.
Sixty addicts, health professionals, and counseling students were administered the Internal-External Locus of Control Test and the Multiple Affect Adjective Check List to determine if stereotypes exist between the subject groups, the nature of the stereotypes, and if educational level alters the stereotypes. The findings demonstrated gross misperception of addict clients by the health professionals and students, particularly toward psychotic and hostile dimensions. Educational level was found to improve the accuracy of the nonaddict perceptions. The study concludes with a discussion of the findings as they pertain to development of the counselor-client relationship, recidivism, and treatment of substance abuse clients.
The purpose of this paper is to examine one variable in the treatment of heroin addiction, ther therapist-client relationship. Eighty-six individuals who were discharged from the Tulane NARA Drug Abuse Program were examined on 20 social and personality variables. The variable of the counselor--patient relationship was found important in the final outcome of treatment. Clients who had a single counselor throughout the entire course of treatment did significantly better (p less than .002) than their peers who were transferred from one counselor to another, suggesting that a stable client--therapist relationship greatly enhances the chances of the patient reaching drug abstinence and being rehabilitated.
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