To complete this discussion:
- Describe the major differences in the application of contingency management to moderation-oriented treatment versus abstinence-based treatment.
- Consider client addiction severity, selection of goals, choice of rewards, and the implications of delay discounting in your response.
Readings
Read the following chapters from your Introduction to Addictive Behaviors text:
- Chapter
6, “Conditioning Models and Approaches to Contingency
Management,” pages 144–168.
Psychological models based on behaviorism believe that all human behavior is learned, and addictions represent learned maladaptive behavior. As you read through this chapter, think about what conditioning is and how it is connected to addiction. - Chapter
7, “Cognitive Models,” pages 169–195.
Rather than focusing exclusively on behavior, cognitive models also consider the impact of covert mental processes such as thinking, self-talk, expectancies, and beliefs. In this chapter, you will look at social learning theory (SLT) and the significance of self-efficacy and expectancies on addictive behavior and relapse prevention. - Chapter
11, “Promoting Motivation and Autonomy for Personal Change,”
pages 296–343.
In this chapter, you will focus on how addiction can be considered a disorder of motivation, and review important models of change theory and motivational enhancement strategies.
Multimedia
- Films on Demand Video
- Click Drinking: Are You in Control? to view the video.
- This video, originally presented by ABC News, looks at how Americans view alcoholism and questions the predominant view of alcoholism as a disease.
Optional Resources
The following resources can be found in the Capella library. You may find that many of these resources can help you with the assignment in this unit, as well as the activities in this unit and upcoming units.
- Heather and Dawe’s 2005
article, “Level of Impaired Control Predicts Outcome of Moderation-Oriented
Treatment for Alcohol Problems,” from Addiction,
volume 100, issue 7, pages 945–952.
This article reveals a simple questionnaire that can predict patients who would be successful in seeking treatment using a moderation-oriented treatment model. As you read this article, think about how it may be used to complete the assignment in this unit. - Polosa, Rodu, Caponnetto,
Maglia, and Raciti’s 2013 article, “A Fresh Look at Tobacco
Harm Reduction: The Case for the Electronic Cigarette,” from the Harm Reduction Journal, volume 10, issue 19 pages
1–11.
This article promotes the use of electronic cigarettes (e-cigs) as a moderation-oriented treatment for nicotine addiction. - Tiffany and Conklin’s 2000
article, “A Cognitive Processing Model of Alcohol Craving and
Compulsive Alcohol Use,” from Addiction,
volume 95, supplement 2, pages S145–S153.
This article describes how important cognitive (thinking) components affect individuals’ responses to craving and how by understanding this, helps them to avoid relapse even when craving. - Young, Connor, and Feeney’s
(2011) article, “Alcohol Expectancy Changes Over a 12-Week
Cognitive-Behavioral Therapy Program Are Predictive of Treatment Success,” from the Journal of Substance Abuse Treatment, volume 40,
issue, pages 8–25.
This article reveals that cognitive-behavioral therapy (CBT) constructs of alcohol expectancy and drinking refusal self-efficacy discriminated who responded effectively to a treatment program for alcohol dependence. As you read the article, think about how this information may help you with the assignment in this unit. - Marlatt and Donovan’s 2005 book, Relapse Prevention: Maintenance Strategies in the Treatment of Addictive Behaviors (2nd ed.). The authors conducted research on relapse prevention. If you are interested in learning more about relapse prevention, this is a recommended book to look at.
