Flashcards
Types of intervention
Cards in this deck (9)
- 1Biological interventions -drug treatments: heroin addiction and methadonedose slowly increase to decrease TOLERANCE. feelings of euphoria. mimicking effects but less addictive. taken till addiction stops.
- 2Biological interventions- drug treatments in gambling addictionno drug approved UK. research suggests beneficial affect. Serotonin dysfunction ( George and Murali 2005). Hollander et al. (2000) treated gamblers with SSRIs increasing levels of serotonin. showed sig improvements comparison to control group. NALTREXONE, dopamine receptor antagonist reducing rewarding reinforcement behaviours, reducing urge to gamble
- 3Evaluation biological interventions- methadoneaddicts reliant on methadone, substituting one addiction for another. its use is controversial UK Statistics Authority methadone responsible for 300 deaths UK 2007.
methadone consumption unsupervised created black market, methadone sold for £2 - 4evaluation biological interventions - drug treatments and gamblingHollander et al. 2000 n=10 v small & short (16 weeks).
larger & longer Blanco et al. (2002, 32 gamblers 6 months failed demonstrate SSRIs over placebo.
Naltrexone effectiveness- sig decrease gambling thoughts and behaviours after 6 weeks ( Kim & Grant 2001) - 5Psychological intervention- reinforcementreduce addictive behaviour give rewards not engaging in questionable behaviour
Sindelar et a. (2007) monetary rewards methadone treatment. PPs randomly allocated reward or no reward condition in addition to their regular treatment.
PPs reward condition drew prizes/monetary value tested negative drugs. drug use dropped sig PPs reward condition 60% higher comparison to control condition. - 6Psychological interventions - CBTaddictive behaviours maintained person's thoughts on behaviours
main goal, help people change way think about addiction
learn new ways to cope more effectively.
e.g gambling addiction belief individual can control and predict outcomes key part in maintenance of behaviour. CBT attempts correct error thinking, reducing urge to gamble. - 7evaluation psychological intervention- reinforcement not addressing underlying problemproblem lead to addiction not dealt with. specific addictive behaviour reduced might develop new addiction.
new addictions tend to be subtle. - 8psychological intervention- research support CBTLadouceur et al. 2001. randomly allocated 66 gamblers either cognitive therapy (CT) or waiting list (control group).
completed treatment- 86% no longer fit DSM criteria.
after treatment gamblers better perception of control and self-efficacy, improvements maintained over a year.
Sylvain et al (1997) evaluated effectiveness CBT sample male pathological gamblers. treatment, CT, social skills training and relapse prevention. sig improvements gains maintained 1 year follow up. - 9Evaluation- The NIDA study US National Institute on Drug Abuse (NIDA) Collaborative Cocaine Treatment StudyCrits-Christoph et al. 2003 487 patients randomly assigned 4 groups
group drug counselling (GDC) alone- stages recovery, group problem solving.
Cognitive behavioural therapy/ GDC- recognise distorted thinking of drug use + GDC
Supportive- expressive psychotherapy/GDC- addiction affects relationships, improve interpersonal relationships + GDC
individual drug counselling / GDC - avoid drug triggers & adopt more positive behaviours + GDC
all treatments decreased days of drug use in previous months from a mean of 10 days at start to three days a year later
invetervention coming individual drug counselling and GDC worked best.
6 month mark 39% people IDC+GDC used cocainein previous month compared 57% CBT +GDC and 49% SEP+GDC and 52% GDC alone.
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- Flashcards on Types of intervention, created by 28249 on 13/04/2015.
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