Abnormal Psychology

(やまだぃちぅ) #1
Substance Use Disorders 431

9.13 • Feedback Loops in Treating Substance Use Disorders


Figure 9.13g9 3

Treatments Targeting

Neurological Factors


Motivational
enhancement therapy:
Increase motivation
to change substance-
use behaviors
CBT: Cognitive
restructuring, self-
monitoring, problem
solving, relaxation
Twelve-step facilitation

Treatments Targeting
Social Factors

Family Therapy


Group therapy and
self-help groups
Community-based and
residential treatment

Treatments Targeting
Neurological Factors
Detoxification
Medication: For with-
drawal symptoms
and/or to block the
effects of the drug

Changes neural activity

Changes thoughts,
feelings, and
behaviors

Changes social
interactions
Decreases family conflict
Increases social support

Key Concepts and Facts About Treating Substance Use Disorders



  • Treatments that focus on neurological factors include detox to
    help reduce symptoms of withdrawal that come from depen-
    dence. Medications may reduce unpleasant withdrawal symp-
    toms or block the pleasant effects of using the substance, which
    can help maintain abstinence.

  • Treatments that target psychological factors, such as motivational
    enhancement therapy, are designed to motivate people to decrease


substance use. CBT addresses antecedents, consequences, and
specifi c behaviors related to substance use. Twelve-step facilitation
provides structure and support to help patients to abstain.


  • Social factors are targeted by residential treatment and other
    types of community-based treatment (group therapy and self-
    help groups), as well as family therapy to address issues of
    communication, power, and control.

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