Reducing Addiction Flashcards
(29 cards)
What is one way to reduce and addiction?
Drug therapy
what is does drug therapy in terms of nicotine use?
-nicotine replacement therapy agonist substitute
-provide it from a less harmful source e.g patches
Explain drug therapy in terms of nicotine.
-stimulate the nicotine receptros and activate the brain reward pathway through the release of dopamine
-stimulates receptors in the nucleus accumbens gives same pleasureable feeling
-reduces withdrawal symptoms and stops the cravings
What does nicotine replacement therapy also do?
-desentisise the nicotine receptors in the brain
-gives small dosage of nictine this will fill some not all
-reduced the numbers which reduces cravings gradually the dosage they need will go away
What do they use fro drug therapy in gamblers?
opiod antagonist usually used for heroin addiction
what is the aim of the drug therapy of gamblers?
reduce the pleasurable feeling would associate with gambling
Explain how drug therapy works in terms of gamblers addiction?
-naltrexone
-enhance the release of neurotransmitters such as GABA in the mesolimbic pathway
-increased GABA activity reduces dopamine in the nucleus accumbens
-reduce urge to gamble
What are the evaluations for drug therapy?
-RTS STEAD ET AL
-MOTIVATION/COMMITMENT
-NEGATIVE SIDE EFFECTS
Explain the research to support by stead et al.
-effectiveness of NRT
-reviewed 150 high quality studies compared NRT with a Placebo
-any from of NRT sig more effective in helping smokers quit that a placebo
-supports reduce withdrawl and desensitising
Explain the motivation and commitment.
-only have to use a patch or chew gum to reduce symptoms
-unlike CBT requires more effort and motivation attend long period of time and completely homework
Explain the limitation of negative side effects.
-use NRT or opiod antagonist
-common side effects are sleep disturbance, stomach problems
-unlike CBT which is non ivasive and works by indeitfiying and challenging irrational thoughts
-relapse
What are the two types of behavoural interventions?
Aversion therapy
covert sensitisation
What is the aim of aversion therapy?
change a pleasurable association with addictive behaviour to a unpleasant association
Explain aversion therapy in terms of nicotine?
-repid smoking
-sit alone and take a puff every 6 secnos
-feel nausia which will associate wiht the smoking
-repeated until they develop aversion to smoking
Explain aversion in terms of gamblers?
-use electric shocks that dont cause permanent damage
-avert people from gambling by giving pain
-write down gambling related phrasses then they non relted shown two second electric shock
What is covert sensitisation ?
-client relax
-therapist reads a script for the cleint to imagine a aversive situation
-imagine smoking a cig and then followed by a unppleasant consequence
-faeces
-talk abt elemnts like the scene and the smell
-end turn addict releif
What are the evaluations for covert sensitisation?
-NON INVASIVE
-ETHICAL
-MOTIVATION AND COMMITMENT
Explain the evaluation of non invasive.
-for example if individual is pregnant covert sensitivsation unikelty harm foetus
-unlike aversion therapy stress pain andnausia during pregnancy which can have emotional and physical effects on the foetus
Explain the evaluation of ethical?
-aversion therapy not ethical
-using instances like rapid smoking or an electric shock this can cause psychological and physical harm
-physically sick
-covert sensitivsation approriate as it is a vitro experiencereduces physical psycholgical harm
Explain the evaluation of motivation and commitment.
both however require motivation and commitment
-commit by going long periodt also
-work with therapist to unlearn the addictive behaviour
-
What is the final way to treat and individual with an addiction?
CBT
Explain identification.
functional analysis
-as client identify high risk situation that make them engage in addictive behavior
-what they think before during ad after
-identifiy cog bias to challenge the faulty thinking
Explain cognitive.
cognitive restructuring
change the irrational maladaptive thoughts to rational adaptive thought
empirical disputing
What is behavioral strategy.
skills training
-taught social skills which help to cope with the addictive behavior
-teaching to refuse without embarrassment role play
-avoidance strategies