Addiction (Aversion Therapy) Flashcards

1
Q

What is the principle of classical conditioning in addiction treatment?

A

An addict learns to associate the substance they are addicted to with an unpleasant stimulus leading to an unpleasant response rather than pleasure.

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2
Q

How does classical conditioning aim to stop addiction?

A

By making the addict no longer derive pleasure from the substance or behavior.

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3
Q

Which addictions can classical conditioning be used for?

A

It could theoretically be used for any addiction but it is mainly used for alcohol and sometimes smoking.

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4
Q

Has classical conditioning been used for other purposes such as curing homosexuality?

A

Yes

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5
Q

What is Antabuse used for?

A

Antabuse is used as an aversive stimulus in the treatment of alcohol addiction.

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6
Q

How does Antabuse work?

A

Antabuse affects how the body metabolizes alcohol causing a disulfiram reaction that leads to unpleasant symptoms (e.g.

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7
Q

How quickly do the unpleasant symptoms occur after taking Antabuse?

A

The symptoms can occur within 10 minutes and can last for several hours

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8
Q

What is the goal of Antabuse treatment?

A

The goal is to help the person associate alcohol with unpleasant reactions leading them to avoid the behavior and triggers.

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9
Q

How is Antabuse administered?

A

Antabuse is usually given in a dose of 200mg daily but can be increased. It can also be administered through implants.

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10
Q

Are there ethical issues with using Antabuse?

A

Yes, there are ethical issues

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11
Q

What is rapid smoking?

A

Rapid smoking is a method where a smoker associates smoking with an unpleasant feeling by puffing a cigarette every 6 seconds until they feel sick.

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12
Q

Is additional medication required for rapid smoking?

A

No the smoking itself becomes the unpleasant stimulus in rapid smoking therapy.

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13
Q

When was rapid smoking popular and is it still used?

A

Rapid smoking was popular in the 1970s but is no longer commonly used today.

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14
Q

What did Niederhofer and Staffen (2003) find about Antabuse?

A

They found that patients on Antabuse had significantly greater abstinence duration compared to placebo users.

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15
Q

What did Jorgensen et al. (2011) find about Antabuse?

A

They found that those treated with Antabuse had fewer drinking days and longer periods until relapse.

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16
Q

What is an issue with using aversion therapy?

A

Addicts cannot be legally forced to undergo aversion therapy raising concerns about free will.

17
Q

How could aversion therapy benefit the economy?

A

It may be better for the economy by reducing the costs of smoking and drinking-related illnesses.

18
Q

What did Devlin (2008) find about spending on Antabuse?

A

Devlin found a dramatic increase in spending on Antabuse and other alcohol treatment drugs.

19
Q

What did Alcohol Concern report about spending on Antabuse?

A

They reported that spending on Antabuse was a small amount compared to the money spent on treating alcoholism on the NHS.

20
Q

What was the outcome of the commercial smoking cessation program at Schick Shadel Hospital?

A

The program showed promising results with 52% of smokers remaining abstinent from cigarettes one year after the program.

21
Q

How does the Schick Shadel Hospital smoking cessation program work?

A

It involves pairing electric shocks with each step of the smoking process such as lighting a cigarette and puffing.

22
Q

What are the results of the Schick Shadel Hospital smoking cessation program?

A

52% of smokers achieved total abstinence from cigarettes one year after the program.

23
Q

Can rapid smoking be effective as the sole treatment for smoking?

A

No, rapid smoking is not that effective as the sole treatment

24
Q

What is a limitation of Antabuse in stressful situations?

A

People may stop taking Antabuse during stressful situations increasing their susceptibility to relapse.

25
Q

What did O’Farrell and Bayog (1986) develop in relation to Antabuse?

A

They developed the Antabuse Contract procedures where spouses help ensure addicts take Antabuse daily.

26
Q

What did O’Farrell et al. (1998) find about Antabuse contracts? |

A

They found that outcomes for alcoholics were much improved when Antabuse contracts were implemented.

27
Q

Why is research into rapid smoking limited today? |

A

Rapid smoking is no longer a popular treatment so research is outdated or unavailable.

28
Q

What did Hajek and Stead (2004) conclude about rapid smoking? |

A

They argued that rapid smoking is an unproven method of addiction treatment.

29
Q

What did McRobbie (2007) find in their study of rapid smoking? |

A

They found that rapid smoking led to a decrease in smoking urges in the short term but the effect was not sustained in the long term.

30
Q

How does the social environment affect smoking cessation? |

A

Studies showed that smokers returning to a non-smoking home had higher success rates suggesting that the social environment plays a big role in treatment success.

31
Q

What is a limitation of studies on rapid smoking and aversion therapy? |

A

Many studies use small or biased samples which limits their generalizability and reliability.

32
Q

What are potential side effects of taking Antabuse? |

A

Side effects include nausea vomiting

33
Q

What is a concern about the side effects of rapid smoking? |

A

Rapid smoking can be very unpleasant and may cause long-term health problems.

34
Q

What is the NHS cost of smoking-related illnesses?

A

The NHS spends between £3-£6 billion annually on smoking-related illnesses.

35
Q

What are the social benefits of reduced alcohol and smoking rates?

A

Reduced alcoholism can lead to fewer family issues and other social benefits.

36
Q

What is a limitation of aversion therapy for addiction?

A

Aversion therapy does not address the root causes of addiction such as psychological or social factors.