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Introduction to Addictive Behaviors, Second Edition,9781572304116

Introduction to Addictive Behaviors, Second Edition

by
Edition:
2nd
ISBN13:

9781572304116

ISBN10:
1572304111
Format:
Hardcover
Pub. Date:
6/11/1999
Publisher(s):
The Guilford Press
List Price: $48.00
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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.

Author Biography

Dennis L. Thombs, PhD, is Associate Professor in the Department of Adult, Counseling, Health and Vocational Education at Kent State University. Dr. Thombs has worked in the mental health field, including substance abuse treatment and prevention, for more than 15 years. The author of numerous articles in the area of health behavior, his chief research focus is adolescent and young adult alcohol abuse.

Table of Contents

1 The Multiple Conceptions of Addictive Behavior and Clinical Practice Today
1(28)
Conceptions of Addiction in U.S. History
1(3)
Addiction as Immoral Conduct
4(2)
Addiction as a Disease
6(2)
Addiction as Maladaptive Behavior
8(1)
The Need for Theory
9(1)
What Exactly Is a Theory?
10(1)
Formal Attributes of a Good Theory
11(1)
Substantive Attributes of Theories on Addictive Behavior
12(2)
Theory, Research, and Contemporary Clinical Practice
14(2)
Barriers to Change in the Treatment Community
16(2)
Practical Issues Ignored by Researchers
18(1)
Recent Efforts to Bridge the Gap: Technology Transfer
19(2)
Competently Administered Prevention and Treatment Programs Are Effective
21(2)
Purpose of the Book
23(1)
Review Questions
24(1)
References
25(4)
2 The Disease Models
29(52)
Different Disease Conceptions
30(1)
Tolerance and Withdrawal
31(1)
Addiction as a Primary Disease
32(2)
Genetic Origins of Addiction: The Susceptibility Model
34(20)
Effects of Drugs on Brain Structure and Function: The Exposure Model
54(7)
Loss of Control
61(3)
Addiction as a Progressive Disease
64(4)
Addiction as a Chronic Disease
68(1)
Denial
69(1)
Strengths of the Disease Models
70(1)
Weaknesses of the Disease Models
71(1)
Review Questions
72(1)
References
73(8)
3 Psychoanalytic Formulations
81(28)
Freud
81(1)
Psychoanalysis: A Type of Psychotherapy
81(3)
Personality Structure
84(2)
Anxiety, Defense Mechanisms, and the Unconscious
86(3)
Psychosexual Development
89(3)
Insights into Compulsive Substance Use
92(7)
Contemporary Treatment of Addiction
99(3)
The Importance of Psychoanalytic Concepts in Substance Abuse Counseling
102(1)
General Criticisms of Psychoanalysis
103(1)
Criticism of the Psychoanalytic View of Addiction
104(1)
Review Questions
105(1)
References
106(3)
4 Conditioning Models and Approaches to Contingency Management
109(35)
Conditioned Behavior
110(4)
Initiation of Alcohol and Drug Use
114(1)
Addiction
115(1)
Relationship between Addiction and Physical Dependence
115(1)
Cessation and Relapse
116(1)
Blood Alcohol Discrimination
117(2)
Behavioral Tolerance
119(5)
Principles of Contingency Management
124(1)
Applications of Contingency Contracting
125(15)
Effectiveness of Contingency Management Approaches
140(1)
Review Questions
140(1)
References
141(3)
5 Cognitive Models
144(40)
Basic Social Cognitive Concepts
144(4)
Modeling and Substance Use
148(2)
Self-Efficacy and Treatment Outcomes
150(3)
Role of Outcome Expectancy in Alcohol and Drug Use
153(10)
Alcohol and Stress: Cognition as a Mediating Process
163(3)
Stress Response Dampening
166(1)
Tiffany's Model of Drug Urges and Cravings
167(2)
Relapse
169(8)
Project MATCH: A Test of Cognitive Therapy
177(1)
Summary
177(1)
Review Questions
178(2)
References
180(4)
6 The Family System
184(52)
Clinically Generated Concepts
184(12)
Bowen's Family Systems Theory
196(7)
Codependency
203(3)
Children in Alcoholic Families: Clinical Accounts
206(2)
Role Behavior
208(5)
The Process of Family Therapy
213(3)
Findings from the Research Literature
216(13)
Summary
229(1)
Review Questions
230(1)
References
231(5)
7 Social and Cultural Foundations
236(34)
Resistance to Considering the Social Origins of Alcoholism
236(1)
Time and Place as Social Determinants of Illicit Drug Use
237(2)
The Influence of Culture on Diagnostic Determinations
239(2)
Sociological Functions of Substance Abuse
241(1)
Social Facilitation
242(2)
"Time Out" from Social Obligations
244(2)
Promoting Group Solidarity/Establishing Social Boundaries
246(5)
Drug Subcultures: Repudiation of Middle-Class Values
251(10)
Implications for Counseling
261(3)
Limitations
264(1)
Review Questions
265(1)
References
266(4)
8 Conditions That Facilitate and Inhibit Change in Addictive Behavior
270(20)
Addictive Behavior Models and Client Motivation
271(2)
Stages of Change in Addictive Behavior
273(5)
Coercion
278(3)
Confrontative Treatment
281(1)
Motivation Enhancement
282(1)
Harm Reduction Approaches
283(1)
The Impact of Managed Care
284(2)
Review Questions
286(1)
References
286(4)
Author Index 290(7)
Subject Index 297


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