TY - CHAP A1 - Vollmer, Heinz C. A1 - Ferstl, Roman A1 - Ellgring, Johann Heinrich T1 - Individualized behavior therapy for drug addicts N2 - No abstract available Y1 - 1992 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-33817 ER - TY - JOUR A1 - Vollmer, Heinz C. A1 - Ellgring, Johann Heinrich T1 - Die Vorhersage der vorzeitigen Therapiebeendigung bei Drogenabhängigen T1 - The prediction of premature termination in the treatment ofdrug addicts N2 - In zwei Therapieeinrichtungen zur Drogen-Entwöhnungsbehandlung wurde bei 194 Dro- , genabhängigen untersucht, inwiefern Anamnesedaten und Persönlichkeits variablen eine Vorhersage der vorzeitigen Therapiebeendigung gestatten. Lediglich eine Variable wies für Patienten beider Behandlungseinrichtungen gleichermaßen prognostische Valenz auf: Patienten mit gerichtlicher Auflage schlossen die Therapie häufiger regulär ab als Patienten ohne Auflage. Oie Art der gerichtlichen Auflage oder auch die Dauer der noch ausstehenden Strafzeit korrelierten dagegen nicht mit der Art der Therapiebeendigung. Ansonsten gab es für beide Therapieeinrichtungen und für die verschiedenen Arten der vorzeitigen Beendigung (Entlassung bzw. Abbruch) unterschiedliche, manchmal auch entgegengesetzte, prognostische Kriterien. Ein Patient, der in einer Einrichtung abbruchgefährdet ist, kann in einer anderen Einrichtung gute Chancen haben, die Behandlung regulär abzuschließen. Aus der Literatur bekannte Kriterien wie zum Beispiel Alter und Schulbildung zeigten in dieser Studie nur in Abhängigkeit von der Einrichtung prognostische Valenz und dies spezifisch für Abbruch bzw. vorzeitige Entlassung. Andere Prädiktoren wie Geschlecht, psychische Auffälligkeiten und Depression korrelierten überhaupt nicht mit vorzeitiger Therapiebeendigung. Auch Patienten, die zu Beginn der Therapie als gering motiviert einzustufen sind, haben gute Chancen, die Behandlung regulär abzuschließen. Auf der Grundlage einer Diskriminanzanalyse der FPI-Items war eine vorzeitige Entlassung besser vorhersag bar als ein Therapieabbruch. Nach den Daten dieser Studie ist zu vermuten, daß bestimmte Kombinationen von Einrichtungs-, Therapeuten- und Patienten variablen einen Einfluß auf die Art der Therapiebeendigung haben. N2 - In two inpatient treatment centres 194 drug addicts were examined in order to determine the extent to which premature termination of therapy may be predicted by pretreatment variables and personality factors. Only one variable had the same predictive value in both treatment centres: patients under a legal obligation to have treatment more frequently completed the therapy than patients who were not. The nature of the legal obligation or the duration of sentence did not on the other hand correlate with the kind of therapy termination. Otherwise the predictive values for the two treatment centres and for the various kinds of premature termination (discharge or drop out) were different and sometimes even contradictory. A patient who is in danger of terminating treatment in one centre can have good chances of cempleting it according to plan in another one. In this study, well-known criteria to be found in the literature on the subject such as age and education only had predictive value for a particular centre, and this was only in relation to drop out or premature discharge. Other predictors such as sex, psychological abnormalities and depression did not correlate at all with premature termination. Even patients with low motivation at the beginning of therapy have good chances of completing it according to plan. Discriminant analysis of the items on a personality inventory showed that premature discharge was more easily predictable than drop out. According to the data of this study, certain combinations of factors relating to the centres, therapists and patients would seem to have an influence on the kind of therapy termination. Y1 - 1988 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-42069 ER - TY - CHAP A1 - Ellgring, Johann Heinrich A1 - Vollmer, Heinz C. T1 - Veränderungen von Persönlichkeitsfaktoren in der Therapie N2 - No abstract available Y1 - 1991 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-43030 ER - TY - CHAP A1 - Ellgring, Johann Heinrich A1 - Vollmer, Heinz C. T1 - Changes of personality and depression during treatment of drug addicts N2 - In accordance with various other studies. the present longitudinal study gave no clues for specific personality variables or traits 01' drug addicts. Personality factors did not allow a valid prediction of the kind 01' th~apy termination. nor were there clear deviations from the norm. Analyzed as a group. the addicts showed only minor changes that appeared over the course of treatment. These results correspond to data reported on alcohol dependency (cf. Wanke 1987). A more differentiated picture is gained when stable and changeable components of personality and analyzed separately. Changeable components are of special relevance for treatment. From the current study these were characteristics of action regulation, that is, activation and impulse control, social interaction, and somatic reactions (sleep disorders, bodily reactions to drug deprivation). For relapse prevention, attention should be given to stable, persistent, problematic components. Persistent suicidal ideas turned out to be one such aspect. Like the differentiation between state and trait anxiety, stable and variable components could also be separated for other domains of personality when they are used to describe the course of treatment. How can personality concepts and instruments for assessment be utilized for treatment? The claim of therapists to predict the outcome of a treatment may be realized for only a delimited period of time. Especially at such critical points as shortly before relapse, a firm prediction might be possible only rarely (Wanke 1987). Lack of predictability could be a warning which, however, can be verified only afterward. According to the current results, one benefit of personality concepts could be to specify targets of change on an individual basis and thus clarify effects of therapeutic interventions. Personality concepts can help patients to better understand their problems and to recognize changes as weil as persistent areas of vulnerability. KW - Psychologie Y1 - 1992 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-50287 ER -