Introduction to Addictive Behaviors, Third Edition

by Thombs, Dennis L.

• ISBN13: 9781593852788
• ISBN10: 1593852789
• Edition: 3rd
• Format: Hardcover
• Copyright: 2006-03-14
• Publisher: The Guilford Press

Summary

This widely adopted text offers a balanced review of major contemporary perspectives on substance abuse and addiction, including disease models; psychoanalytic, conditioning, cognitive, and family systems formulations; and social and cultural foundations. Written in a lucid, accessible style, the volume emphasizes applications to the helping process and facilitates learning with case examples, review questions, and end-of-chapter summaries.

Author Biography

Dennis L. Thombs, PhD, FAAHB, is Associate Professor in the Department of Health Education and Behavior at the University of Florida. The focus of his scholarship is addictive behavior, with special interests in the epistemology of addiction and in alcohol and drug use during the period of emerging adulthood. Dr. Thombs’s research has been supported by the National Institute on Alcohol Abuse and Alcoholism. He is a Fellow in the American Academy of Health Behavior.

Table of Contents

CHAPTER 1 The Multiple Conceptions of Addictive Behavior and Professional Practice Today	1	(17)
Conceptions of Addiction in U.S. History	1	(3)
Addiction as Immoral Conduct	4	(2)
Addiction as Disease	6	(2)
Addiction as Maladaptive Behavior	8	(1)
The Need for Theory	9	(1)
What Exactly Is a Theory?	10	(1)
Attributes of a Good Theory	11	(1)
The Dissemination of Evidence-Based Practice	12	(2)
Effective Prevention and Treatment Programs	14	(2)
Purpose of the Book	16	(1)
Review Questions	17	(1)
CHAPTER 2 The Disease Models	18	(36)
Different Disease Conceptions	19	(1)
Tolerance and Withdrawal	20	(1)
Addiction as a Primary Disease	21	(2)
Genetic Origins of Addiction: The Susceptibility Model	23	(14)
Effects of Drugs on Brain Structure and Function: The Exposure Model	37	(5)
Loss of Control	42	(2)
Addiction as a Progressive Disease	44	(4)
Addiction as a Chronic Disease	48	(1)
Denial	49	(1)
Strengths of the Disease Models	50	(1)
Weaknesses of the Disease Models	51	(1)
Review Questions	52	(2)
CHAPTER 3 Public Health and Prevention Approaches	54	(47)
What Is Public Health?	54	(6)
Healthy People 2010: The National Health Priorities on Tobacco, Alcohol, and Drug Use	60	(1)
Public Health Surveillance of Substance Abuse	60	(7)
Age of Onset and the Gateway Hypothesis	67	(4)
Types of Prevention Programs and Strategies	71	(13)
Community Coalition Building	84	(2)
Results from Community Intervention Trials	86	(9)
The Participatory Research Approach	95	(1)
The Community Mobilization Approach	96	(2)
Current U.S. Drug Control Policy and the Prospects of a Public Health Approach	98	(1)
Review Questions	99	(2)
CHAPTER 4 Toward an Understanding of Comorbidity	101	(19)
The Epidemiology of Comorbidity in the United States	102	(7)
Explanatory Models	109	(6)
Integrated Treatment for Dual Diagnosis	115	(3)
Summary	118	(1)
Review Questions	118	(2)
CHAPTER 5 Psychoanalytic Formulations	120	(15)
Psychoanalysis: A Type of Psychotherapy	120	(3)
Personality Structure	123	(2)
Anxiety, Defense Mechanisms, and the Unconscious	125	(2)
Insights into Compulsive Substance Use	127	(5)
Stages of Recovery from Addiction	132	(1)
Psychoanalytic Concepts in Clinical Practice Today	132	(2)
Review Questions	134	(1)
CHAPTER 6 Conditioning Models and Approaches to Contingency Management	135	(24)
Conditioned Behavior	136	(4)
Initiation of Alcohol and Drug Abuse	140	(1)
Addiction	141	(1)
Relationship between Addiction and Physical Dependence	141	(1)
Cessation and Relapse	142	(1)
Principles of Contingency Management	143	(2)
Applications of Contingency Management	145	(11)
Effectiveness of Contingency Management Approaches	156	(1)
Review Questions	157	(2)
CHAPTER 7 Cognitive Models	159	(30)
Basic Social-Cognitive Concepts	159	(3)
Modeling and Substance Use	162	(2)
Self-Efficacy and Treatment Outcomes	164	(3)
Role of Outcome Expectancy in Alcohol and Drug Use	167	(9)
Alcohol and Stress: Cognition as a Mediating Process	176	(4)
Tiffany's Model of Drug Urges and Cravings	180	(1)
Relapse	181	(5)
Project MATCH: A Test of Cognitive Therapy	186	(1)
Summary	186	(1)
Review Questions	187	(2)
CHAPTER 8 The Family System	189	(41)
Clinically Generated Concepts	189	(11)
Bowen's Family Systems Theory	200	(7)
Codependency	207	(3)
Children in Alcoholic Families: Clinical Accounts	210	(3)
Role Behavior	213	(4)
Findings from the Research Literature	217	(10)
Summary	227	(1)
Review Questions	228	(2)
CHAPTER 9 Social and Cultural Foundations	230	(23)
The Influence of Culture on Diagnostic Determinations	230	(2)
Sociological Functions of Substance Abuse	232	(1)
Social Facilitation	233	(2)
"Time Out" from Social Obligations	235	(2)
Promoting Group Solidarity/Establishing Social Boundaries	237	(4)
Drug Subcultures: Repudiation of Middle-Class Values	241	(9)
Implications for Counseling	250	(1)
Limitations	251	(1)
Review Questions	252	(1)
CHAPTER 10 Conditions That Facilitate and Inhibit Change in Addictive Behavior	253	(14)
Stages of Change in Addictive Behavior	254	(4)
Coercion	258	(3)
Confrontative Treatment	261	(1)
Motivation Enhancement	262	(1)
Harm Reduction Approaches	263	(2)
The Impact of Managed Care	265	(1)
Review Questions	266	(1)
References	267	(33)
Author Index	300	(10)
Subject Index	310