A. Hogue et al., TREATMENT ADHERENCE AND DIFFERENTIATION IN INDIVIDUAL VERSUS FAMILY-THERAPY FOR ADOLESCENT SUBSTANCE-ABUSE, Journal of counseling psychology, 45(1), 1998, pp. 104-114
Treatment adherence and differentiation in dynamic cognitive-behaviora
l therapy and multidimensional family therapy for adolescent substance
abuse were evaluated with a treatment adherence process measure. Full
-length videotapes of 90 treatment sessions (36 clients) were reviewed
by nonparticipant raters. Adherence scales for each treatment generat
ed through factor analysis of observational ratings demonstrated sound
interrater reliability and internal consistency. Therapists in each c
ondition used techniques unique to their own model and avoided those u
nique to the competing model. Individual therapists emphasized behavio
ral and substance-use interventions, whereas family therapists focused
on interactional and affective interventions. Challenges in conductin
g adherence research that compares individual and family treatments ar
e addressed, as are implications of these results for advancing treatm
ent development for adolescent drug users.