NCJ Number
179119
Journal
Contemporary Hypnosis Volume: 16 Issue: 2 Dated: 1999 Pages: 95-102
Date Published
1999
Length
8 pages
Annotation
This paper discusses a single-session intervention for treating addiction to crack cocaine, as an example of the use of an Ericksonian approach combined with traditional methods of hypnosis.
Abstract
High relapse rates hamper the treatment of cocaine addiction. The relapse problem is particularly severe with crack cocaine, because it is smoked and thus has a rapid but relatively brief effect on the brain. These factors create a cycle of craving and dependence. In addition, the multiple environmental cues associated with the craving set up powerful conditions for relapse. The cornerstone of the single-session intervention described here is the concept of utilization, the use of the client's current symptoms. Two processes crucial to this treatment technique are orienting the client to the future and developing an orientation toward success. The therapist's ability to see and hear with the addict's eyes and ears is central to the art of using this technique. Thus, the therapist uses the world of the addict to the advantage of the therapeutic endeavor, rather than to deny or vilify the reality of the withdrawal and drug use patterns. The main component of the single-session intervention is the overt management of the withdrawal symptoms in their gross state. The case of a male addict who came to a community-based drug prevention program exemplifies the use of this approach. This addict had experienced several unsuccessful treatment attempts that used a variety of treatment techniques. An interview about a year after the intervention revealed that this individual had used self-hypnosis, including projection into the future, to access successful problemsolving skills. 33 references (Author abstract modified)