Career As a Marriage and Family Therapist by Institute For Career Research

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By Institute For Career Research

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B. Mueser et al. 1991, Soni et al. 1991, Krausz et al. 1996, Brunette et al. 1997, Verdoux et al. 2003, Grech et al. 2005). Ein Teil dieser negativen und widersprüchlichen Befunde könnte auf methodische Aspekte zurückgeführt werden. So wird in vielen Studien nicht zwischen den verschiedenen Substanzgruppen oder zwischen aktuellem und früheren Konsum unterschieden (Übersicht in Blanchard et al. 2000). Darüber hinaus wird seit langem vermutet, dass die DD-Patienten keine in sich homogene Gruppe darstellen (Tsuang et al.

1993). Viele Patienten schildern, dass ihre Positivsymptome, wie z. B. Wahrnehmungsveränderungen und paranoide Gedanken, nach dem Konsum von bestimmten Substanzen, wie z. B. Cannabis und Kokain, stärker werden (Dixon et al. 1991, Johns 2001). Einige Autoren berichteten, dass DD-Patienten generell mehr Positiv- und/oder weniger Negativsymptome und ein geringer ausgeprägtes Defizitsyndrom aufweisen (Allebeck et al. 1993, Soyka 1994, Serper et al. 1995, Kirkpatrick et al. 1996, Häfner et al. 2002, Buhler et al.

Die seither publizierten Einzelstudien (Bennett et al. 2001, Barrowclough et al. 2001, Haddock et al. 2003, Baker et al. 2006, Bellack et al. 2006) und die neueren Metaanalysen (Drake et al. 2004, Brunette et al. 2004, Green et al. 2007) entsprechen in ihren Kernaussagen dieser wichtigen Übersichtsarbeit von Drake und Mitarbeitern (1998). Die meisten international erprobten Programme entsprechen eklektischen Behandlungsmodellen mit Pharmakotherapie, Elementen aus der Motivationsbehandlung abhängiger Patienten, Psychoedukation, Verhaltenstherapie und ggf.

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