Assessment of Addictive Behaviors

by Donovan, Dennis M.; Marlatt, G. Alan

• ISBN13: 9780898621440
• ISBN10: 0898621445
• Edition: 1st
• Format: Hardcover
• Copyright: 1988-06-17
• Publisher: The Guilford Press

Summary

Only a decade ago, addictive behavior was defined as chemical dependence on alcohol or opiates. As each addictive drug was seen as unique, the professional and scientific disciplines investigating them worked in relative isolation. Moreover, while physiological, psychological, behavioral, and social factors were recognized as important in the etiology of addiction, these domains were not integrated into a unified model.
Now, a more ``generic'' view of addictions is emerging. As analyzed in ASSESSMENT OF ADDICTIVE BEHAVIORS, similar processes occur across a wide range of behaviors, such as drinking, smoking, eating, and drug use. With this broadened view, research has shifted from the evaluation of treatment interventions to more process-oriented studies of the multiple factors contributing to the maintenance of, and relapse to, addictive behaviors. As research is becoming increasingly integrated across disciplines, addiction now may be defined as an interactive product of learning in a setting involving physiological events as they are interpreted, labeled, and given meaning by the individual.

Author Biography

Dennis M. Donovan PhD. , Alcohol and Drug Abuse Institute ,University of Washington , Seattle.

Table of Contents

I. INTRODUCTORY OVERVIEW
Assessment of Addictive Behaviors: Implications of an Emerging Biopsychosocial Model	3	(48)
Dennis M. Donovan
Introduction	3	(2)
Commonalities across Addictive Behaviors	5	(6)
An Emergent Model of Addictive Behaviors	11	(2)
Implications of a Biopsychosocial Model of Addiction for Assessment	13	(2)
Issues in the Assessment Process: Systems, Levels, Phases, and Stages	15	(23)
Summary and Conclusion	38	(1)
Acknowledgments	39	(1)
References	39	(12)
II. DRINKING BEHAVIOR AND ALCOHOL DEPENDENCE
Behavioral Assessment	51	(33)
Rudy E. Vuchinich
Jalie A. Tucker
Lynn M. Harllee
Introduction	51	(2)
Clinical Applications	53	(3)
Problem Definition	56	(13)
Relevance of Assessment to Treatment Goal Setting and Treatment Interventions	69	(2)
Monitoring Progress, Including Follow-Up	71	(1)
Future Issues and Illustrative Cases	72	(7)
Acknowledgments	79	(1)
References	79	(5)
Assessment of Expectancies	84	(28)
Helen M. Annis
Christine S. Davis
Introduction	84	(6)
Clinical Applications	90	(11)
Clinical Examples	101	(7)
Summary and Conclusion	108	(1)
Acknowledgment	109	(1)
References	109	(3)
Physiological Assessment	112	(27)
Gillian Leigh
Harvey A. Skinner
Introduction	112	(1)
Ideal Markers of Alcohol Consumption	113	(2)
Different Approaches for Assessing Alcohol Use	115	(1)
Clinical Applications	116	(5)
Problems in Using a Single Laboratory Test	121	(7)
Case Studies	128	(3)
Conclusion	131	(1)
Acknowledgment	132	(1)
References	132	(7)
III. SMOKING BEHAVIOR
Behavioral Assessment	139	(50)
Saul Shiffman
Introduction	139	(1)
Initial Assessments	140	(8)
Background Factors Amenable to Intervention	148	(5)
An Assessment Model for Relapse Prevention	153	(6)
Assessment of Coping	159	(15)
Assessment in Nicotine Pharmacotherapy	174	(2)
Timing and Sequence of Assessments	176	(2)
Case History	178	(3)
Conclusion	181	(2)
References	183	(6)
Cognitive Assessment	189	(25)
John S. Baer
Edward Lichtenstein
Introduction	189	(2)
Expectancy Value Models	191	(3)
Locus of Control	194	(1)
Rationalizations and Thought Management	195	(1)
Attributions	196	(1)
Self-Efficacy in Smoking Treatment Programs	197	(9)
Clinical Example	206	(3)
Conclusion	209	(1)
Acknowledgments	210	(1)
References	210	(4)
Objective Measures	214	(25)
Lynn T. Kozlowski
Seymore Herling
Introduction	214	(2)
Review of Biochemical Indicators	216	(6)
Clinical Applications	222	(6)
Defining the Problem	228	(1)
Monitoring Progress and Follow-Up Assessment	229	(1)
Case Example	229	(1)
Conclusion	230	(1)
Acknowledgments	231	(1)
References	231	(8)
IV. EATING BEHAVIORS AND DISORDERS
Behavioral and Cognitive-Behavioral Assessment	239	(35)
D. Balfour Jeffrey
Brenda Dawson
Gregory L. Wilson
Introduction	239	(1)
Etiologies of Obesity and a Behavioral Perspective on the Assessment of Obesity	240	(1)
Assessments of Adult Obesity	241	(13)
Assessments of Childhood Obesity	254	(9)
Assessments of Anorexia Nervosa and Bulimia Nervosa	263	(6)
Conclusion	269	(1)
Acknowledgment	269	(1)
References	270	(4)
Cognitive Assessment	274	(22)
Janet Polivy
C. Peter Herman
David M. Garner
Introduction and Background	275	(5)
Clinical Applications	280	(11)
A Clinical Case Example	291	(1)
References	292	(4)
Physiological Factors	296	(29)
Stephen C. Woods
Deborah J. Brief
Introduction	296	(1)
Control of Food Intake	296	(2)
Obesity	298	(2)
Behavioral Characteristics of Bulimia and Anorexia Nervosa	300	(2)
Physiological Characteristics of Bulimia and Anorexia Nervosa	302	(6)
Relationship between Eating Disorders and Addictive Behaviors	308	(7)
Case Study of Bulimia	315	(3)
Acknowledgement	318	(1)
References	318	(7)
V. OTHER DRUGS OF ABUSE
Cannabis Abuse	325	(39)
Roger A. Roffman
William H. George
Introduction	325	(1)
Background Issues	326	(4)
Behavioral Assessment: Issues and Procedures	330	(12)
Cognitive Assessment: Issues and Procedures	342	(7)
Physiological Assessment: Issues and Procedures	349	(6)
Case History	355	(3)
Concluding Comments	358	(1)
Appendix. Diagnostic Criteria	359	(1)
References	360	(4)
Cocaine Abuse	364	(26)
Arnold M. Washton
Nannette S. Stone
Edward C. Hendrickson
Introduction and Background	364	(5)
Assessment Procedures	369	(14)
Case Examples	383	(4)
Final Comment	387	(2)
References	389	(1)
Heroin Addiction	390	(31)
Edward J. Callahan
Ella H. Pecsok
Introduction and Background	390	(2)
Personality Assessment	392	(1)
Direct Observation after the Use of Heroin	393	(2)
Self-Observation	395	(3)
Physiological and Biochemical Measures of Heroin Use	398	(7)
Treatment Outcome	405	(7)
Discussion and Conclusion	412	(3)
References	415	(6)
VI. ASSESSMENT IN THE EVALUATION OF TREATMENT PROCESS AND OUTCOME
Assessment of Treatment Outcome	421	(33)
Stephen A. Maisto
Gerard J. Connors
Introduction	421	(1)
Treatment Outcome Evaluation	422	(2)
Models of the Addictive Behaviors and Implications for Treatment Outcome Evaluation	424	(4)
A Note on Multivariate Models of the Addictive Behaviors	428	(1)
Models of Treatment Outcome and Its Assessment	429	(2)
Methodological Points in Conducting Treatment Outcome Evaluation	431	(18)
General Summary and Conclusions	449	(1)
References	450	(4)
Survival Analysis and Assessment of Relapse Rates	454
Susan Curry
G. Alan Marlatt
Arthur V. Peterson, Jr.
Jon Lutton
Introduction	454
Fundamentals of Survival Analysis	457