Chapter 18 Flashcards
what are the 3 core functional domains of addiction
incentive salience, negative emotions, executive function
incentive salience
motivation for rewards
executive function
self-regulation skills
negative emotions
feelings of sadness
major approaches for treating substance abuse
group support, buddy system, 12 steps
first step of AA
powerless over alcohol
Effectiveness of AA
sustained high levels of commitment to abstinence, appears to significantly mediate the positive relationship
building rapport
asking questions and reacting
building motivation
pros/cons of substance abuse
looking forward/ looking back
looking to the future, asking about future substance goals
normative feedback
sharing results from criteria/screening and asking what they think
transition (to change)
importance and confidence
change plan
help make a change
contingency motivation
has produced consistent reduction in use
MATCH study
individualized medicine
MATCH showed 3 year alcohol abstinence rates below
40%
3 general categories for maintenance for pharmacotherapy
agonist, antagonist, punishment theapy
disulfiram for alcohol use prevention works by
preventing the liver from breaking down alcohol after use
naltrexone for alcohol use prevention works by
binding the endorphin receptors in the body, and blocks the effects and feelings of alcohol
opioid relapse is treated with
methadone maintenance
largest to smallest effects of mindfulness on addictive behaviors
reducing stress, cravings, and addictive behaviors
