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C O G N I T I V E T H E R A P Y O F S U B S T A N C E A B U S E -•̂ .̂ '̂ ySi:'yf̂ '̂ ''->->*' 'r. ^'i-'Mt .#''a^K"'-M>' • M ^ i € • ̂ ^. M'^::. A A R O N T . B E C K • ^ • r f - F R E D D . W R I G H T C O R Y F . N E W H A N B R U C E S . L I E S E C O G N I T I V E T H E R A P Y O F S U B S T A N C E A B U S E C o g... |
w l e d g m e n t s w w e would like to offer our thanks to our highly esteemed colleagues in the field of substance abuse treatment and research, Drs. Dan Baker, Lino Covi, Tom Horvath, Jerome Piatt, Hal Urschel, David Wilson, and Emmett Velten, for their extremely help ful insights and suggestions on earlier version... |
the social costs of illicit drug abuse, it is estimated that more than 2 5 % of property crimes and 1 5 % of violent crimes are related to illicit drug use by the criminal. Financial losses related to these crimes have been estimated at $1.7 billion per year. Homicides are also strongly linked to activities surrounding... |
In fact, an important component of cognitive therapy involves the case conceptualization (Persons, 1989), defined as the evaluation and integration of historical information, psychiatric diag nosis, cognitive profile, and other aspects of functioning (see Chap ter 5, this volume, for a detailed description of the cas... |
mous and other disease-model programs) view total abstinence as the only acceptable goal of treatment. Proponents of these models view addiction as an all-or-nothing phenomenon, with any use seen as pathological and abstinence considered a state of "recovering" (rather than "recovered"). Alternatively, proponents of co... |
barbiturates, benzodiaz epines, and alcohol may be preferred because of their relaxing effect and, perhaps, their presumed relief of inhibitions. Hallucinogens are attractive to some to relieve boredom and "expand consciousness." Most people addicted to cocaine have also abused other drugs and/or alcohol (N. S. Miller... |
a system of psychotherapy that attempts to reduce excessive emotional reactions and self-defeating behavior by modifying the faulty or erroneous thinking and maladap tive beliefs that underlie these reactions (Beck, 1976; Beck, Rush, Shaw, & Emery, 1979). The approach to a particular patient is derived from a thorough... |
patient will act on the craving (Carroll, Rounsaville, & Keller, 1991). Urges are governed by the anticipated consequences, for example, reward for doing something or pain for not doing it. The urge may be accompanied by a positive feeling when it is driven by a positive expectation or a negative feeling when it is dri... |
the patient's life ranging from low frustration tolerance to marital problems. "Will Power" In the context of drug using, "will power" refers to a deliberate conscious decision (plus sufficient drive and technical self- help know-how to enforce it) to halt or delay the implementation of Cognitive Model of Addiction 37 ... |
cognitive perspective, the way people interpret specific situations influences their feelings, motiva tions, and actions. Their interpretations, in turn, are shaped in many instances by the relevant beliefs that become activated in these situ ations. A social situation, for example, m a y activate an idiosyncratic be... |
drug dealer, or receiving a weekly pay check. Internal circumstances (or cues) include various emotional states such as depression, anxiety, or boredom, which can trigger drug- using beliefs and, consequently, craving for the drug. As shown in Figure 3.5, drug use may be regarded as represent ing the final common pat... |
con viction) the reasons for not using, drug users have difficulty in recall ing or attaching the same significance to these reasons once they are in the throes of a specific drug-using episode. Since all their atten tion is focused on the mechanics of obtaining the drug, the reasons for using at that time become ve... |
of Medicine, 1990b). From the very start, such patients will be sizing up their therapists to determine if they can be trusted and if they know what they are doing (Perez, 1992). A perceived negative experience with the therapist can lead such patients to choose never to return for further sessions. For those patients ... |
the patient's thoughts, followed by sincere involvement by way of questioning and direct, honest, humble feedback, will be a boon to the establishing of rapport. As patients attempt to engage in the process of treatment, thera pists can help facilitate the establishment of rapport by giving posi tive verbal reinforce... |
may be personally involved. This includes situations in which you intend to kill your self or someone else, or where you are causing harm to a child. Another such situation would be where you have the AIDS virus, but you're not telling your sexual partners or making any attempts to protect them from infection. Please ... |
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