Introduction to addictive behaviors / Dennis L. Thombs.

Format:

Book

Author/Creator:

Thombs, Dennis L.

Series:

Guilford substance abuse series

The Guilford substance abuse series

Language:

English

Subjects (All):

Substance abuse--Etiology.

Substance abuse.

Substance abuse--Treatment.

Physical Description:

xiv, 304 pages : illustrations ; 24 cm.

Edition:

Second edition.

Place of Publication:

New York : Guilford Press, [1999]

Summary:

This popular text reviews and critiques major contemporary perspectives on alcoholism and drug dependence, including the disease models, psychoanalytic formulations, and theories based on conditioning, social learning, family systems, and sociology. Throughout, applications to the helping process are emphasized and learning is facilitated by case examples and review questions. With all chapters extensively revised to reflect the expanding knowledge base in addictive behavior, the second edition incorporates recent advances in such areas as behavioral genetics, neuroscience, dual diagnosis, contingency management, cognitive expectancy, children of alcoholics, drug subcultures, and motivation enhancement.

Contents:

1 The Multiple Conceptions of Addictive Behavior and Clinical Practice Today 1

Conceptions of Addiction in U.S. History 1

Addiction as Immoral Conduct 4

Addiction as a Disease 6

Addiction as Maladaptive Behavior 8

The Need for Theory 9

What Exactly Is a Theory? 10

Formal Attributes of a Good Theory 11

Substantive Attributes of Theories on Addictive Behavior 12

Theory, Research, and Contemporary Clinical Practice 14

Barriers to Change in the Treatment Community 16

Practical Issues Ignored by Researchers 18

Recent Efforts to Bridge the Gap: Technology Transfer 19

Competently Administered Prevention and Treatment Programs Are Effective 21

2 The Disease Models 29

Different Disease Conceptions 30

Tolerance and Withdrawal 31

Addiction as a Primary Disease 32

Genetic Origins of Addiction: The Susceptibility Model 34

Effects of Drugs on Brain Structure and Function: The Exposure Model 54

Loss of Control 61

Addiction as a Progressive Disease 64

Addiction as a Chronic Disease 68

Denial 69

Strengths of the Disease Models 70

Weaknesses of the Disease Models 71

3 Psychoanalytic Formulations 81

Freud 81

Psychoanalysis: A Type of Psychotherapy 81

Personality Structure 84

Anxiety, Defense Mechanisms, and the Unconscious 86

Psychosexual Development 89

Insights into Compulsive Substance Use 92

Contemporary Treatment of Addiction 99

The Importance of Psychoanalytic Concepts in Substance Abuse Counseling 102

General Criticisms of Psychoanalysis 103

Criticism of the Psychoanalytic View of Addiction 104

4 Conditioning Models and Approaches to Contingency Management 109

Conditioned Behavior 110

Initiation of Alcohol and Drug Use 114

Addiction 115

Relationship between Addiction and Physical Dependence 115

Cessation and Relapse 116

Blood Alcohol Discrimination 117

Behavioral Tolerance 119

Principles of Contingency Management 124

Applications of Contingency Contracting 125

Effectiveness of Contingency Management Approaches 140

5 Cognitive Models 144

Basic Social Cognitive Concepts 144

Modeling and Substance Use 148

Self-Efficacy and Treatment Outcomes 150

Role of Outcome Expectancy in Alcohol and Drug Use 153

Alcohol and Stress: Cognition as a Mediating Process 163

Stress Response Dampening 166

Tiffany's Model of Drug Urges and Cravings 167

Relapse 169

Project MATCH: A Test of Cognitive Therapy 177

6 The Family System 184

Clinically Generated Concepts 184

Bowen's Family Systems Theory 196

Codependency 203

Children in Alcoholic Families: Clinical Accounts 206

Role Behavior 208

The Process of Family Therapy 213

Findings from the Research Literature 216

7 Social and Cultural Foundations 236

Resistance to Considering the Social Origins of Alcoholism 236

Time and Place as Social Determinants of Illicit Drug Use 237

The Influence of Culture on Diagnostic Determinations 239

Sociological Functions of Substance Abuse 241

Social Facilitation 242

"Time Out" from Social Obligations 244

Promoting Group Solidarity/Establishing Social Boundaries 246

Drug Subcultures: Repudiation of Middle-Class Values 251

Implications for Counseling 261

Limitations 264

8 Conditions That Facilitate and Inhibit Change in Addictive Behavior 270

Addictive Behavior Models and Client Motivation 271

Stages of Change in Addictive Behavior 273

Coercion 278

Confrontative Treatment 281

Motivation Enhancement 282

Harm Reduction Approaches 283

The Impact of Managed Care 284.

Notes:

Includes bibliographical references and indexes.

ISBN:

1572304111

OCLC:

41266301