Introduction to Addictive Behaviors, First Edition

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  • Edition: 1st
  • Format: Hardcover
  • Copyright: 1994-01-10
  • Publisher: The Guilford Press
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Supplemental Materials

What is included with this book?


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 Todayp. 1
Conceptions of Addiction in U.S. Historyp. 1
Addiction as Immoral Conductp. 4
Addiction as a Diseasep. 6
Addiction as Maladaptive Behaviorp. 8
The Need for Theoryp. 9
What Exactly Is a Theory?p. 10
Formal Attributes of a Good Theoryp. 11
Substantive Attributes of Theories on Addictive Behaviorp. 12
Theory, Research, and Contemporary Clinical Practicep. 14
Barriers to Change in the Treatment Communityp. 16
Practical Issues Ignored by Researchersp. 18
Recent Efforts to Bridge the Gap: Technology Transferp. 19
Competently Administered Prevention and Treatment Programs Are Effectivep. 21
Purpose of the Bookp. 23
Review Questionsp. 24
Referencesp. 25
The Disease Modelsp. 29
Different Disease Conceptionsp. 30
Tolerance and Withdrawalp. 31
Addiction as a Primary Diseasep. 32
Genetic Origins of Addiction: The Susceptibility Modelp. 34
Effects of Drugs on Brain Structure and Function: The Exposure Modelp. 54
Loss of Controlp. 61
Addiction as a Progressive Diseasep. 64
Addiction as a Chronic Diseasep. 68
Denialp. 69
Strengths of the Disease Modelsp. 70
Weaknesses of the Disease Modelsp. 71
Review Questionsp. 72
Referencesp. 73
Psychoanalytic Formulationsp. 81
Freudp. 81
Psychoanalysis: A Type of Psychotherapyp. 81
Personality Structurep. 84
Anxiety, Defense Mechanisms, and the Unconsciousp. 86
Psychosexual Developmentp. 89
Insights into Compulsive Substance Usep. 92
Contemporary Treatment of Addictionp. 99
The Importance of Psychoanalytic Concepts in Substance Abuse Counselingp. 102
General Criticisms of Psychoanalysisp. 103
Criticism of the Psychoanalytic View of Addictionp. 104
Review Questionsp. 105
Referencesp. 106
Conditioning Models and Approaches to Contingency Managementp. 109
Conditioned Behaviorp. 110
Initiation of Alcohol and Drug Usep. 114
Addictionp. 115
Relationship between Addiction and Physical Dependencep. 115
Cessation and Relapsep. 116
Blood Alcohol Discriminationp. 117
Behavioral Tolerancep. 119
Principles of Contingency Managementp. 124
Applications of Contingency Contractingp. 125
Effectiveness of Contingency Management Approachesp. 140
Review Questionsp. 140
Referencesp. 141
Cognitive Modelsp. 144
Basic Social Cognitive Conceptsp. 144
Modeling and Substance Usep. 148
Self-Efficacy and Treatment Outcomesp. 150
Role of Outcome Expectancy in Alcohol and Drug Usep. 153
Alcohol and Stress: Cognition as a Mediating Processp. 163
Stress Response Dampeningp. 166
Tiffany's Model of Drug Urges and Cravingsp. 167
Relapsep. 169
Project MATCH: A Test of Cognitive Therapyp. 177
Summaryp. 177
Review Questionsp. 178
Referencesp. 180
The Family Systemp. 184
Clinically Generated Conceptsp. 184
Bowen's Family Systems Theoryp. 196
Codependencyp. 203
Children in Alcoholic Families: Clinical Accountsp. 206
Role Behaviorp. 208
The Process of Family Therapyp. 213
Findings from the Research Literaturep. 216
Summaryp. 229
Review Questionsp. 230
Referencesp. 231
Social and Cultural Foundationsp. 236
Resistance to Considering the Social Origins of Alcoholismp. 236
Time and Place as Social Determinants of Illicit Drug Usep. 237
The Influence of Culture on Diagnostic Determinationsp. 239
Sociological Functions of Substance Abusep. 241
Social Facilitationp. 242
"Time Out" from Social Obligationsp. 244
Promoting Group Solidarity/Establishing Social Boundariesp. 246
Drug Subcultures: Repudiation of Middle-Class Valuesp. 251
Implications for Counselingp. 261
Limitationsp. 264
Review Questionsp. 265
Referencesp. 266
Conditions That Facilitate and Inhibit Change in Addictive Behaviorp. 270
Addictive Behavior Models and Client Motivationp. 271
Stages of Change in Addictive Behaviorp. 273
Coercionp. 278
Confrontative Treatmentp. 281
Motivation Enhancementp. 282
Harm Reduction Approachesp. 283
The Impact of Managed Carep. 284
Review Questionsp. 286
Referencesp. 286
Author Indexp. 290
Subject Indexp. 297
Table of Contents provided by Syndetics. All Rights Reserved.

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