Download Cognitive therapy for addiction: motivation and change by Frank Ryan PDF

By Frank Ryan

An cutting edge new method of habit therapy that pairs cognitive behavioural treatment with cognitive neuroscience, to without delay goal the center mechanisms of addiction.

• deals a spotlight on dependancy that's missing in current cognitive remedy accounts
• makes use of a variety of techniques, together with mindfulness, 12-step facilitation, cognitive bias amendment, motivational enhancement and goal-setting and, to wrestle universal street blocks at the highway to habit recovery
• makes use of neuroscientific findings to give an explanation for how dedication turns into compromised-and the way it should be successfully used in the scientific area

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Additional info for Cognitive therapy for addiction: motivation and change

Example text

The characterization of addiction as a disorder of appetitive motivation combined with deficiencies in cognitive control is the defining feature of this text. 3 Core Motivational Processes in Addiction Is Addiction About Avoiding Pain or Seeking Reward? Diverse psychological therapies, spanning the spectrum of psychodynamic to cognitive behavioural, have tended to account for addiction as a manifestation of either psychic disturbance or maladaptive coping strategy, as pointed out in Chapter 1. This has a direct effect on how motivation is understood in the context of addiction: if the goal of addiction is to alleviate emotional negativity or to compensate for perceived personal shortcomings, mitigation in this regard should lead to a good outcome.

It explicates how to recognize and manage the psychological mechanisms in addiction, such as lack of insight, that can undermine the therapeutic alliance and sap the resolve of both patient and therapist. CHANGE also aims to provide a route map for therapeutic intervention that should guide both therapist and client through a predictable sequence of stages referred to as the Four Ms. By acknowledging evidence of subtle but pervasive cognitive deficits in areas such as inhibition and error monitoring (see Chapter 3), the therapist is provided with clear justification for devoting time in session and assigning tasks between sessions that focus on problem-solving strategies and skills.

This contributes to the endurance of addiction: drugs with abuse potential are often hidden or difficult to find but compulsive drug seeking continues despite this. The conditioned reinforcers preserve the behaviour that, sooner or later, yields the primary reward. By way of illustration, consider Stephen, a client with a 25-year history of injecting heroin use who was recently referred to me. In the course of the initial consultation it emerged that his motivation in attending was that it would facilitate his quest from a psychiatrist colleague for a prescription of diamorphine, an opiate that he could inject.

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