Stephen J.LurieMD, PhD, Senior EditorIndividualAuthor
In his Clinical Crossroads article about a patient who is addicted to
cocaine, Dr Hyman1 states: "For such a patient,
exploratory or insight-oriented therapies should be avoided. There is substantial
risk that such therapies will only provide additional rationales for his addiction."
Hyman offers no reference to support this statement and, indeed, I am not
aware of any evidence that would support this conclusion. By contrast, my
colleagues and I have some experience treating addictions with insight therapy.2,3 I also know that I could personally
never reach the conclusions about this particular patient from the very limited
history offered in this case presentation.
Goldberg A. Therapy for Cocaine Addiction. JAMA. 2002;287(8):988. doi:10.1001/jama.287.8.983