Addiction - Psychological Interventions Flashcards
Types of psychological intervention?
Contingency management and CBT
What is contingency management?
Administration of a non-drug reinforcer (e.g. vouchers, points) following demonstrations of abstinence
Research on contingency management?
Sindelar et al
Sindelar et al?
Number of negative urine samples 60% higher in CM condition than control (both on methadone)
What is CBT?
Focusses on the identification and prevention of high-risk situations, challenging expectations of perceived positive effects, developing rational explanations to challenge false beliefs, and preventing seeing lapses as catastrophes
Strengths of psychological interventions?
Effective
Support
Weaknesses of psychological interventions?
Needs other therapies with it
Doesn’t address underlying problems
Effectiveness of psychological interventions?
Petry et al
Petry et al?
26% of those in CM relapsed at the end of a program compared to 61% of controls (treating alcoholism)
Support for psychological interventions?
Ladouceur et al
Ladouceur et al?
86% of 66 pathological gamblers treated with CBT no longer fulfilled the DSM criteria and had a better perception of self-control and efficacy
Who suggested psychological interventions need other therapies alongside them?
Feeney
Feeney?
Alcoholics more likely to abstain if they had drugs and CBT (38%) than just CBT (14%)
How do psychological interventions not address underlying problems?
Individual may just switch to a different behaviour