Múltiples principios de condicionamiento clásico y operante interaccionan en la adición a la heroína. Destacan la presencia de RC Compensatorias en forma de Síndrome de Abstinencia Condicionado (SAC) y distintos programas de reforzamiento en el estilo de vida, argot y efectos de la heroína. En evaluación conductual se estudian los correlatos subjetivos y psicofisiológicos del SAC; la validez externa de los autorregistros se logra mediante análisis de orina. En terapia de conducta los programas de amplio espectro se combinan con la intervención comunitaria y apoyo médico. A nivel metodológico se resalta la necesidad de usar múltiples criterios de medición, introducción del análisis multivariado y uso de diseños estadísticos, realización de seguimientos a largo plazo.
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References
1.
AmselZ.MandellW.MatthiasL.MasonC.HochermanI.«Reliability and validity of self- reported illegal activities and drug use collected from narcotic addicts».Inter. J. Addict, 11, 325–336, 1976.
2.
BallJ. C.«The reliability and validity of interview data obtained from 59 narcotic drug addicts».Am. J. Sociol., 72, 650–654, 1967.
3.
BeattyJ.The effect of contingency behavioral contracting with heroin addicts. Ph D. Dissertation, Rutgers University, 1975.
4.
BoudinH.ValentineV.IngramR.BrantleyJ.RuizM.SmithG.CatlinR.ReganE.«Contingency contracting with drug abusers in the natural environment».Inter. J. Addict, 12, 1–16, 1977.
5.
CallnerD.RossS.«The assessment and training of assertion skills with drug addicts: A preliminary study».Inter. J. Addict, 13, 227–239, 1978.
6.
CallnerD.RossS.«Behavioral treatment approach to drug abuse». EnFergusonJ. M.TaylorC. B.The comprehensive handbook of behavioral mediane, vol. 3, New York, MTP, Press Limited, 1973.
7.
CheekF.TomarchioT.StandenJ.AlbaharyR.«A behavior modification training program en self-control for addicts on methadone maintenance».Intern. J. Addict, 8, 969–996, 1973.
8.
DoleV.«La conducta adictiva».Investigación y Ciencia, 53, 68–75, 1981.
9.
GoldbergS.KelleherR.MorseW.«Second-order schedules of drug injection».Fed. Proceed., 34, 1771–1772, 1975.
10.
GrabowskiJ.O'brienCh.«Conditioning factors in opiate use». EnMelloN. K. (Ed.): Advances in substance abuse. Behavioral and Biological Research, vol. 2, Greennwich, Connecticut, Jai Press, 1981.
11.
JaffeJ.«Drogadicción y abuso de drogas». EnGoodmanA.GoodmanL. S.GilmanA. (Ed.): Las bases farmacológicas de la terapéutica. Buenos Aires, Médica Panamericana, 1982.
12.
KandelD. B.Longitudinal research on drug abuse.New York, John Wiley, 1978.
13.
KaplanJ.The hardest drug: Heroin ana public policy.Chicago, University Chicago Press, 1983.
14.
KraftT.«ocial anxiety and drug addiction».Br. J. Soc. Psychiatry, 2, 192–195, 1968.
15.
MarlattG.«A cognitive-behavioral model of relapse process». EnKrasnegorN. A. (Ed.): Behavioral analysis and treatment of substance abuse. NIDA. Research Monograph n.o25. Washington D.C.: U.S. Government Printing Office, 1979.
16.
MeyerR.MirinS.The heroin stimulus. Implications for a theory of addiction.New York, Plenum Press, 1979.
17.
O'brienCh.TestaT.O'brienT.BradyJ.WellsB.Conditioned narcotic Withdrawal in humans.Science, 195, 1000–1002, 1977.
18.
O'brienCh.GreensteinR.TernesJ.MclellanA.GrabowskiJ.«Unreinforced self-injection: Effects on rituals and outcome in heroin addicts». EnHarrisL. S. (Ed.): Problems of drug dependence, 1979. NIDA Research Monograph n.o27. Washington D.C.: U.S. Gobernment Printing Office, 1980.
19.
O'brienCh.TernesJ.GreensteinR.GrabowskiJ.WoodyG.«Aplicaciones de la farmacología conductual humana a los problemas de los adictos a las drogas: Una breve revisión». EnAlcarazV. M.ColotlaV. A.LatiesU. G. (Ed.): Drogas y Conducta, México/Trillas, 1983.
20.
O'brienCh.RaynesA. E.PatchV. D.«An operant reinforcement system to improve ward behavior in in-patient drug addicts».J. Behav. Ther. Exper. Psychiatry, 2, 239–242, 1971.
21.
SiegelS.McraeJ.«Environmental specifity of tolerance».Trend in Neurosciences, 140–143, May, 1984.
22.
SnyderS. H.«Drugs and neurotransmitter receptors in the brain».Science, 224, 22–31, 1984.
23.
SteinfeldG.«The use of covert sensitization with institucionalized narcotic addicts».Intern. J. Addict, 5, 225–232, 1970.
24.
StitzerM.BigelowG.«Contingency management in a methadone maintenance programs: Availability of reinforcers».Inter. J. Addict, 3, 737–746, 1978.
25.
StitzerM.BigelowG.MccaulM.«Behavioral approaches to drug abuse». EnHersenM.EislerR. M.MillerP. M. (Ed.): Progress in behavior modification, vol. 14. New York, Academic Press, 1983.
26.
TeasdaleJ.«Conditioned abstinence in narcotic addicts».Intern. J. Addict, 8, 273–292, 1973.
27.
Van HasseltV.HersenM.MillionesJ.«Social skills training for alcoholics and drug addicts: A review».Addictive Behavior, 3, 221–223, 1978.
28.
Van HasseltV.MillionesJ.HersenM.«Behavioral assessment of frug addiction: strategies and issues in research and treatment».Intern. J. Addict., 16, 43–68, 1981.
29.
WiklerA.«Present status of the concept of drug dependence».Psychol. Med., 1, 377–380, 1971.
30.
WiklerA.«Dynamics of drug dependence: Implications of a conditioning theory for research and treatment».Archives of General Psychiatry, 28, 611–616, 1973.
31.
WiklerA.Opioid dependence: Mechanisme and treatment.New York, Plenum Press, 1980.
32.
ZlnbergN.HardingW.StelmackS.MarblestoneR.Patterns of heroin use.Annals of the New York Academy of Sdences, 311, 10–24, 1978
