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Introduction to Addictive Behaviors, First Edition
by Dennis L. Thombs, PhD, FAAHB, Department of Social and Behavioral Sciences, UnivISBN13:
9780898623369
ISBN10:
0898623367
Format:
Trade Book
Pub. Date:
1/10/1994
Publisher(s):
The Guilford Press
List Price: $32.00
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Summary
This unique book is written specifically for the entry-level counselor preparing for work in the addictions treatment field or the master's-level mental health professional who has little or no training in the treatment of alcohol and drug dependence. An ideal training text, Introduction to Addictive Behaviors reviews and critiques the major contemporary perspectives on alcoholism and other addictions. Emphasizing behavioral science theory rather than the biology or pharmacology of alcohol and drug dependence, the volume explores those theories most important to the front-line substance abuse counselor and mental health clinician: the disease model, psychoanalytic formulations, and theories based on conditioning, social learning, family systems, and sociology. In the treatment field today, there is an enormous gap between clinical practice on the one side and theory and research on the other. Introduction to Addictive Behaviors integrates theory and research with clinical practice to help entry-level practitioners more effectively treat clients with drug and alcohol problems. Clearly illustrating the importance of theory in clinical practice, each chapter features examples that demonstrate how concepts are applied to the helping process. Moreover, each section includes review questions to help clarify and reinforce major points, making the book ideal for classroom use. Introduction to Addictive Behaviors is essential reading for courses in psychology, counseling, social work, nursing, and health science that deal with alcohol and drug dependence. It is invaluable for master's-level counselors, social workers, health educators, nurses, occupational therapists, and other mental healthprofessionals preparing for entry-level work who have limited graduate training in alcoholism and other drug dependencies.
Author Biography
Dennis L. Thombs, PhD, is Associate Professor in the Department of Adult, Counseling, Health, and Vocational Education at Kent State University
Table of Contents
| The Multiple Conceptions of Addictive Behavior and Clinical Practice Today | p. 1 |
| Conceptions of Addiction in U.S. History | p. 1 |
| Addiction as Immoral Conduct | p. 4 |
| Addiction as a Disease | p. 6 |
| Addiction as Maladaptive Behavior | p. 8 |
| The Need for Theory | p. 9 |
| What Exactly Is a Theory? | p. 10 |
| Formal Attributes of a Good Theory | p. 11 |
| Substantive Attributes of Theories on Addictive Behavior | p. 12 |
| Theory, Research, and Contemporary Clinical Practice | p. 14 |
| Barriers to Change in the Treatment Community | p. 16 |
| Practical Issues Ignored by Researchers | p. 18 |
| Recent Efforts to Bridge the Gap: Technology Transfer | p. 19 |
| Competently Administered Prevention and Treatment Programs Are Effective | p. 21 |
| Purpose of the Book | p. 23 |
| Review Questions | p. 24 |
| References | p. 25 |
| The Disease Models | p. 29 |
| Different Disease Conceptions | p. 30 |
| Tolerance and Withdrawal | p. 31 |
| Addiction as a Primary Disease | p. 32 |
| Genetic Origins of Addiction: The Susceptibility Model | p. 34 |
| Effects of Drugs on Brain Structure and Function: The Exposure Model | p. 54 |
| Loss of Control | p. 61 |
| Addiction as a Progressive Disease | p. 64 |
| Addiction as a Chronic Disease | p. 68 |
| Denial | p. 69 |
| Strengths of the Disease Models | p. 70 |
| Weaknesses of the Disease Models | p. 71 |
| Review Questions | p. 72 |
| References | p. 73 |
| Psychoanalytic Formulations | p. 81 |
| Freud | p. 81 |
| Psychoanalysis: A Type of Psychotherapy | p. 81 |
| Personality Structure | p. 84 |
| Anxiety, Defense Mechanisms, and the Unconscious | p. 86 |
| Psychosexual Development | p. 89 |
| Insights into Compulsive Substance Use | p. 92 |
| Contemporary Treatment of Addiction | p. 99 |
| The Importance of Psychoanalytic Concepts in Substance Abuse Counseling | p. 102 |
| General Criticisms of Psychoanalysis | p. 103 |
| Criticism of the Psychoanalytic View of Addiction | p. 104 |
| Review Questions | p. 105 |
| References | p. 106 |
| Conditioning Models and Approaches to Contingency Management | p. 109 |
| Conditioned Behavior | p. 110 |
| Initiation of Alcohol and Drug Use | p. 114 |
| Addiction | p. 115 |
| Relationship between Addiction and Physical Dependence | p. 115 |
| Cessation and Relapse | p. 116 |
| Blood Alcohol Discrimination | p. 117 |
| Behavioral Tolerance | p. 119 |
| Principles of Contingency Management | p. 124 |
| Applications of Contingency Contracting | p. 125 |
| Effectiveness of Contingency Management Approaches | p. 140 |
| Review Questions | p. 140 |
| References | p. 141 |
| Cognitive Models | p. 144 |
| Basic Social Cognitive Concepts | p. 144 |
| Modeling and Substance Use | p. 148 |
| Self-Efficacy and Treatment Outcomes | p. 150 |
| Role of Outcome Expectancy in Alcohol and Drug Use | p. 153 |
| Alcohol and Stress: Cognition as a Mediating Process | p. 163 |
| Stress Response Dampening | p. 166 |
| Tiffany's Model of Drug Urges and Cravings | p. 167 |
| Relapse | p. 169 |
| Project MATCH: A Test of Cognitive Therapy | p. 177 |
| Summary | p. 177 |
| Review Questions | p. 178 |
| References | p. 180 |
| The Family System | p. 184 |
| Clinically Generated Concepts | p. 184 |
| Bowen's Family Systems Theory | p. 196 |
| Codependency | p. 203 |
| Children in Alcoholic Families: Clinical Accounts | p. 206 |
| Role Behavior | p. 208 |
| The Process of Family Therapy | p. 213 |
| Findings from the Research Literature | p. 216 |
| Summary | p. 229 |
| Review Questions | p. 230 |
| References | p. 231 |
| Social and Cultural Foundations | p. 236 |
| Resistance to Considering the Social Origins of Alcoholism | p. 236 |
| Time and Place as Social Determinants of Illicit Drug Use | p. 237 |
| The Influence of Culture on Diagnostic Determinations | p. 239 |
| Sociological Functions of Substance Abuse | p. 241 |
| Social Facilitation | p. 242 |
| "Time Out" from Social Obligations | p. 244 |
| Promoting Group Solidarity/Establishing Social Boundaries | p. 246 |
| Drug Subcultures: Repudiation of Middle-Class Values | p. 251 |
| Implications for Counseling | p. 261 |
| Limitations | p. 264 |
| Review Questions | p. 265 |
| References | p. 266 |
| Conditions That Facilitate and Inhibit Change in Addictive Behavior | p. 270 |
| Addictive Behavior Models and Client Motivation | p. 271 |
| Stages of Change in Addictive Behavior | p. 273 |
| Coercion | p. 278 |
| Confrontative Treatment | p. 281 |
| Motivation Enhancement | p. 282 |
| Harm Reduction Approaches | p. 283 |
| The Impact of Managed Care | p. 284 |
| Review Questions | p. 286 |
| References | p. 286 |
| Author Index | p. 290 |
| Subject Index | p. 297 |
| Table of Contents provided by Syndetics. All Rights Reserved. |
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