By Frank Ryan

ISBN-10: 0470669950

ISBN-13: 9780470669952

ISBN-10: 0470669969

ISBN-13: 9780470669969

ISBN-10: 111831655X

ISBN-13: 9781118316559

An cutting edge new method of dependancy therapy that pairs cognitive behavioural treatment with cognitive neuroscience, to without delay goal the middle mechanisms of addiction.

• deals a spotlight on dependancy that's missing in latest cognitive treatment accounts
• makes use of quite a few ways, together with mindfulness, 12-step facilitation, cognitive bias amendment, motivational enhancement and goal-setting and, to wrestle universal highway blocks at the street to dependancy recovery
• makes use of neuroscientific findings to give an explanation for how dedication turns into compromised-and the way it might be successfully used in the scientific enviornment

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Extra resources for Cognitive therapy for addiction: motivation and change

Sample text

What is the common currency across such diverse terrain as Twelve-Step facilitation, motivational enhancement, CBT, behaviour and social network therapy, pharmacotherapy and structured advice sessions from a medical practitioner? Litt et al. (2003) considered non-specific treatment effects, suggesting, for example, that suitably motivated treatment seekers were in a position to capitalize on the opportunities for learning afforded by any structured treatment. Orford (2008a, p. 707) considered broader contextual factors to be plausible candidates: Such a model emphasises factors such as client commitment, therapist allegiance and the client–therapist alliance, and views personal change as being embedded within a complex, multi-component treatment system, itself nested within a broader life system that contains an array of inter-related factors promoting or constraining positive change.

This appetitive aspect, enacted by acquisitive behaviour, is entirely Existing Cognitive Behavioural Accounts 31 consistent with the robust outcomes observed when addicted individuals are offered alternative rewards to drugs on a contingent basis. Stimulating reward circuitry thus seems to be a cognitive or behavioural antidote to addiction. Conversely, it is also consistent with the underwhelming results often obtained when cognitive therapy is applied to addiction. Third, cognitive therapy for addiction discounts the neurocognitive basis of addiction: the facilitated, anticipatory processing of predictive cues in the face of impaired inhibitory mechanisms and compromised cognitive control.

From a remedial perspective, the challenge remains one of augmenting cognitive control. , analogous to money representing the rewards it can deliver to us) that drug cues can acquire. These triggers, the familiar people, places and things that predict drug availability, serve as discriminative stimuli capable of eliciting compulsive habitual behaviour. This contributes to the endurance of addiction: drugs with abuse potential are often hidden or difficult to find but compulsive drug seeking continues despite this.

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Cognitive therapy for addiction: motivation and change by Frank Ryan


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