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PSYA4 - Psychological intervention for addiction

Psychological interventions
by

Clare Schulze

on 25 May 2016

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Transcript of PSYA4 - Psychological intervention for addiction

Psychological Interventions
Psychological Interventions
Behavioural techniques
Aversion therapy
Cue Exposure
Contingency contracting
Self management techniques
Reinforcement
Techniques with cognitive element
CBT
Motivational enhancement/interviewing
Aversion Therapy
Based on which model/explanation?
Aversion Therapy

(UCS) Antabuse Drug Vomiting (UCR)

(CS) Alcohol
+ (UCS) Antabuse Drug Vomiting (UCR)

(CS) Alcohol Vomiting (UCR)
Evaluation of Aversion Therapy
Aversion Therapy
Uses learning/behavioural explanations to get rid of addictions or unwanted behaviours.
Aversion therapy can be used with alcoholics.
Alcohol is paired with antabuse drug (a drug which causes nausea and vomiting).
Over time the alcoholic associates alcohol with being sick and does not want to drink alcohol anymore.
Other drinks such as soft drinks are given without the drug so that the person is not conditioned to feel sick to all drinks.
Smith (1988)
In a nutshell......
Form of Classical conditioning
Association of unpleasant response with addictive substance.
Antabuse: pairing of emetic with alcohol.
Rapid smoking: rapid inhalation every 6
seconds.
Relatively new
Tries to help people with addiction behaviours to develop the motivation to change their habits
Positive and negative effects are weighed up
therapist tries to get the client to argue his or her own case for changing their habits
Little research done





Burke et al (2003) - meta analysis, found MI led to 56% REDUCTION IN ALCOHOL CONSUMPTION IN THE PEOPLE WHO HAD BEEN OFFERED THIS TREATMENT
Cognitive Behavioural Therapy
Identify environmental cues associated with the addiction and develop resistance to them.
Avoid cues where possible
Controlled exposure - presenting cues with coping strategies
Can help alcoholics when used alongside another treatment.
Effects may not be permanent
Association between alcohol and vomiting may fade over time if the person drinks alcohol without taking the Antabuse drug.
Ethical issues
Distressing, patient lacks control
High drop out rate!
Research support for CBT
Ladouceur et al (2001)
Randomly allocated 66 pathological gamblers either to cognitive therapy group or to a waiting list control group
Those who completed the treatment - 86% no longer fulfilled the DSM criteria for pathological gambling
Been here before.....
Sylvain et al also supports this....how?
How can this be applied to gambling?
Which theory?
Patient’s unwanted addiction is paired with a drug that makes them sick or electric shocks.
To
evaluate
the effectiveness of
each intervention
To
create
a balanced argument to support one intervention
Aversion therapy and Antabuse
Homework
Full transcript