This article presents the development of a new 82-item rating scale of
therapist adherence and competence for supportive-expressive (SE) dynamic
psychotherapy for the treatment of cocaine dependence. Sixty- four items
are rated for adherence, appropriateness, and quality of prescribed
interventions. As part of the pilot/training phase of the National
Institute on Drug Abuse Collaborative Cocaine Treatment Study, two
independent expert judges rated 32 audiotapes of SE therapy sessions with
cocaine-dependent patients, 10 tapes of cognitive therapy (CT) sessions,
and 10 tapes of individual drug counseling (IDC) sessions. Reliability was
acceptable for adherence but poor for quality and appropriateness. SE
therapists used more expressive (interpretative) techniques than did either
CT therapists or IDC counselors, and they used more supportive techniques
than did IDC counselors
