1 / 7

Moral / Temperance Model Addiction as Sin or Crime Personal Irresponsibility

MODELS OF ADDICTION: A SUMMARY. Moral / Temperance Model Addiction as Sin or Crime Personal Irresponsibility Disease Model Genetic and Biological Factors ** 12-Step Framework; Abstinence Education as Treatment Behavioral Conditioning and Reinforcement

blaine
Download Presentation

Moral / Temperance Model Addiction as Sin or Crime Personal Irresponsibility

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. MODELS OF ADDICTION: A SUMMARY • Moral / Temperance Model Addiction as Sin or Crime • Personal Irresponsibility • Disease Model Genetic and Biological Factors ** • 12-Step Framework; Abstinence • Education as Treatment • Behavioral Conditioning and Reinforcement • Cognitive-Behavioral and Drug Expectancies; REBT • Social Learning Models Cognitive Therapy; Modeling • Relapse Prevention

  2. Behavioral Models Classical conditioning vs. Operant learning Initiation of substance use Primary classes of reinforcers Behavioral tolerance

  3. Rats: heroin tolerant Received injection of heroin 15 mg/kg in familiar environment Overdose rate: 32% Rats: heroin tolerant Received injection of heroin 15 mg/kg in unfamiliar environment Overdose rate: 64% Control rats: No heroin tolerance Received injection of heroin 15 mg/kg for first time Overdose rate: 96% To some degree, drug tolerance is associated with environmental factors. Tolerance may disappear or decrease if a drug is used in an unfamiliar environment. A diagram of Siegel’s rat experiment

  4. Behavioral Models Contingency contracting (begins with A-B-C) CRA Outpt. TX for cocaine (Higgins) Token economies in residential settings Reciprocity contracting(e.g., Antabuse contract)

  5. Social-Cognitive Models SLT’s Reciprocal Determinism: B-P-E Modeling Self-efficacy(outcome & efficacy expectations) Sources of self-efficacy Relapse Prevention a. Addressing ambivalence b. Reduce drug availability - physical vs. psychological availability - identify triggers and high risk situations (e.g., conditioned cues) - avoiding wrong people, places, situations - lifestyle & relationship changes which support recovery - money/cash - drinking, other drugs - need for mood monitoring; craving monitoring

  6. Relapse Prevention (con’t) c. Coping with High Risk Situations - social skills, assertiveness training - drink refusal skills - urge surfing d. Vigilance through knowledge about thinking -> feeling -> behavior chain (REBT) - apparently irrelevant decisions (AIDS) - abstinence violation effect (AVE) - lapse vs relapse - use as a learning opportunity, not permission to use. Goal not to catastrophize the lapse or induce shame, but to prevent more use

  7. Example: Treatmentfor Cocaine Dependence A. Drug TX B. Psychological TX Community reinforcement Payment for abstinence Relapse prevention (triggers, cravings…) Lifestyle modification Self-help Groups (CA - cocaine anonymous)

More Related