INDEX. Aversion therapy (Cont.) individualized alcoholism treatment, 183 See also Electrical aversion therapy
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1 Index Action stage bulimia and, 232 change model and, 10 movement to, 23, self-help manuals and, 332 Addictive behaviors change model and, 3-27 cognition and, 59 See also entries under specific addictions Affect, 77 Aftercare. See Alcoholism aftercare Age differences, 211 Agoraphobia, 307 Alcohol abuse and alcoholism avoidance of decision making, change and, 92, cognition and, 59 conflict and stress factors in, contemplation stage and, criteria in determination of, 384 dependence and, determination stage, judgment shortcomings, relapse prevention model for, See a(so Relapse prevention model self-help manuals and, self-regulation and, 30, 38-39, 43, social costs of, 52 World Health Organization (WHO) and,51-57 Alcohol dependence syndrome, Alcoholics Anonymous, 93 aftercare and, 438 Alcoholics Anonymous (Cant.) change model and, 103 description of, effectiveness of, relapse and, 409 spiritual aspects of, 98, 99 Alcoholism aftercare, conclusions in, definitions in, effectiveness of, factors affecting participation in, treatment and, 436 Alcoholism survival model, conceptual framework in; early hypothesis in, original study in, prospective study in, Alcoholism treatment, aftercare in, Alcoholics Anonymous, aversion therapies, broad-spectrum approaches to, client matching in, , See also Individualized alcoholism treatment conclusions in, confrontation in, controlled drinking goal and, early interventions in, See also Early alcoholism treatment 457
2 458 Alcoholism treatment (Coni.) educational strategies, evolution in, family involvement and, hallucinogens in, 130 length and setting for, marital/family therapy in, operant methods in, pharmacotherapy, psychotherapy/counseling in, psychotropics in, research in, 121, 126 self-efficacy theory and, simple intervention, varieties of, Anorexia nervosa, bulimia and, 230 cultural differences and, 229 Antabuse (disulfiram) aftercare and, 440 community reinforcement approach with, 153 effectiveness of, operant conditioning techniques with, 148 Antianxiety drugs, 128 Anticipatory regret, 77-78, 79 Antidepressants effectiveness of, individualized alcoholism treatment and, 181 Antidipsotropic drugs, Antipsychotics, 128 Anxiety alcoholism treatment and, 152 anticipatory regret and, Apnea aversion therapy, Assertiveness training alcoholism treatment with, 151 self-regulation model, 41 Attention, Attitudes, 381 Attributional failure, Autonomy, 10 Aversion therapy alcoholism treatment, effectiveness of, 97 Aversion therapy (Cont.) 183 See also Electrical aversion therapy Behavior therapy outpatient treatment, 264 residential treatment, 263 Behavioral self-control training (BSCT) early alcoholism intervention, Behaviorists, 17 Bibliotherapy early alcoholism intervention, 206, 209, 210, See also Self-help manuals Biofeedback techniques, 152 Brain. See Neuropsychological impairment Broad-spectrum treatment alcoholism treatment, Bulimia, action stage and, 232 contemplation stage and, definitions of, maintenance stage and, management of, precontemplation stage and, 231 syndrome development, Cancer, Catastrophizing, 409 Change critical conditions for, morality and, nonspecialist professionals in, prediction of, 92 situation and, specialist treatment for, 96 Change model, 3-27 action stage, 10 commonalities among, 4 contemplation stage, 9 decisional balance and, demands on, 3-4 development of, experimental models of,
3 459 Change model (COl1t.) maintenance stage and, patterns in, prediction in, process in, 7-8 relapse and, 5-6 smoking programs, 4-5, stage process interaction in, 8-9 stages in, 5 strategy in, 19 therapist/client relationship and, 6-7, transtheoretical approach, 17-18, 20, Change process cognition in, family in, Chemical aversion therapy alcoholism treatment, Choice, 80, 193 Citra ted calcium carbimide, Client choice. See Choice Client/therapist relationship. See Therapist/client relationship Cognition addictive behavior and, 59 affect and, 77 avoidance of decision making, change and, 92, contemplation stage and, decision-making assistance, early alcoholism intervention, 207 expectancy-value model and, judgment shortcomings, multiple drug use treatment, 244 self-regulation and, Cognitive Appraisal Questionnaire, Cognitive change control theory, cybernetic system and, memory and thinking in, self-regulation and, Cognitive psychology, Cognitive style, Community psychology movement, 106 Community reinforcement approach (CRA) alcoholism treatment, Community reinforcement approach (CRA) (COl1t.) 185 Compulsion change model, dependence and, Conceptual level, Confessional process, 232 Conflict. See Stress Confrontation, Conjunction fallacy, Consciousness-raising, 15, 23 Contemplation stage anticipatory regret in, 77 bulimia and, change model and, 9, 19-20,23 judgment and, 69 movement to action and, movement to determination and, thinking/reasoning and, Control theory, Controlled drinking alcoholism survival model, 394 alcoholism treatment goals and, behavioral self-control training, 185 relapse prevention model and, 411 severity of problem and, 187 Coping Behaviors Inventory, Coping skills training, 206, 210 Cost containment, 378 Counseling alcoholism treatment, confrontation strategies, Courts. See Legal system Covert sensitization, Cues controlled study of, decision-making assistance, dependence/compulsions and, 364 feedback and, inattention and, 76 Culture, 229 Cybernetic system, Decisional balance, Decision making alcohol abuse and, assistance in, 81-85
4 460 Decision making (Cont.) avoidance of, change model and, conflict and stress in, elimination-by-aspects model, judgment and, 69 optimizing model, practice implications, satisficing model, smoking and, Deductive reasoning. See Cognition; Reasoning Delay, Deliberation, Demography, 211 Dependence change models and, compulsions and, treatment strategies and, 365 Depression self-regulation and, 327 treatment for, 307 Desensitization change model and, See also Systematic desensitization Determination stage alcohol abuse and, judgment shortcomings, movement from contemplation stage, Detoxification importance of, opiate-dependency treatment and, 266 Diagnostic and Statistical Manual (DSM Ill) anorexia nervosa, bulimia, 229 Dieting bulimia and, obesity and, , 226 Differential approach alcohol dependence and, 194 client choice and, 193 cognitive style and, life problems and, neuropsychological status and, 191 Differential approach (Cont.) problem severity and, self-esteem and, 191 social stability and, 192 Disease model, 91, 105 alcoholism treatment, 123 controlled drinking goals and, 185 motivation and, 207 Disulfiram (Antabuse) aftercare and, 440 community reinforcement approach with, 153 effectiveness of, operant conditioning techniques with, 148 Drug abuse. See Multiple drug abuse; Opiate-dependency treatment Drug Avoidance Inventory, Early alcoholism treatment, bibliotherapy, 209 coping skills training in, 210 discussion of, method in, programs in, 206 results in, Eating disorders, anorexia nervosa, bulimia, obesity, self-regulation model, Educational achievement, Educational strategies, Electrical aversion therapy alcoholism treatment with, relaxation training with, 151 See also Aversion therapy Elimination-by-aspects model, Employment history, EV model. See Expectancy-value models (optimizing model) Expectancies, Expectancy-value models (optimizing model) decision making, smoking and, study examples in, Expectations, 65-66
5 461 Family, addictive behaviors and, aftercare and, 439 alcoholism treatment and, 160, emotional/behavioral problems and, See also Family therapy; Social support networks; Spouse involvement Family history, 194 Family therapy alcoholism treatment with, Feedback confrontation, 135 control theory and, 320 cybernetic system and, early alcoholism treatment, 207 failures in, overconfidence and, 71 Freedom, 80 Gender differences. See Sex differences General practitioners. See Physicians Groups. See Mutual aid groups Hallucinogens, 130 Heredity alcoholism treatment and, Hypersexuality, 92 Hypertension, Hypnosis, 144 Inattention, Individual differences cognitive change and, 324 self-regulation model and, Individualized alcoholism treatment, , client choice and, 193 cognitive style and, conceptual level for, 158 differential studies, family history and, 160 life problems and, 160, locus of control and, 159 matching hypothesis in, Individualized alcoholism treatment (Coni. ) neuropsychological impairment and, , 191 perceived choice and, predictor approach variai;1;:s, predictor studies, problem severity and, research strategies in, self-esteem and, 191 severity level and, 159 social stability and, 192 undifferentiated treatment contrasted, Inferential learning, Inventory of Drinking Situations, , Judgment, Key-level strategy, 19 Legal system drug abuse treatment programs, 266 opiate-dependency program, 271, Life experiences alcoholism treatment and, 160 individualized alcoholism treatment and, Lithium, Locus of control alcoholism treatment and, 159 cognitive style and, 189 Lung cancer, Lysergic acid diethylamide, 130 Maintenance stage bulimia and, change model and, self-help manuals and, 332 See also Relapse Marital therapy, Maximum-impact strategy, 19 Memory alcohol abuse and, self-regulation and, Metronidazole, 127 Michigan Alcoholism Screening Test (MAST), 215, 314, 345 Modeling approach,
6 462 Moderate drinking. See Controlled drinking Morality change and, overconfidence and, 71 satisficing model and, Motivation alcoholism treatment and, 160 early alcoholism treatment and, multiple drug use treatment and, , , 358 self-regulation model, smoking cessation strategies, Multiple Cue Probability Learning, Multiple drug use treatment, brief interventions in, discussion of, method in, motivation and, pretreatment drug use, 240 problem multiplicity in, results in, self-reliance and, 241 treatment progress, 242 Mutual aid groups, Alcoholics Anonymous, dynamics of, growth of groups in, hypertensive clubs, interest in, limits of, range and characteristics of, smoking cessation strategies, Nausea alcoholism treatment, Neuropsychological impairment alcoholism treatment and, individualized alcoholism treatment and, 191 Nicotine gum, Obesity change strategies in, classifications of, , 236 treatment for, 308 See also Eating disorders Obsessive-compulsive rituals, Operant conditioning techniques, Opiate-dependency treatment, assessment in, 268 discussion of, method in, philosophy and goals in, results of, subjects in, Optimizing model. See Expectancy-value models (optimizing model) Overconfidence, 71 Personality. See Cognitive style Pharmacotherapy alcoholism treatment, , , 140, 148 antidipsotropics, bulimia, drug dependency and, 276 hallucinogens, , 183 obesity and, 226 psychotropics, See also entries under names of specific drugs Physical exercise and, Physicians change process and, smoking cessation strategies, Pledge taking, Postdecisional regret, Precontemplation stage bulimia and, 231 change model and, Prediction alcoholism treatment and, 159 change and, Predictor strategy, Alcoholics Anonymous, 182 behavioral self-control training, 185 chemical aversion therapy, 183 community reinforcement approach, 185 covert sensitization, disulfiram, 181 family therapy,
7 463 Predictor strategy (Cont.) psychotherapy, 182 psychotropic medications, 181 relaxation training, 184 social skills training, 184 variables in, Problem solving, Proximity, Psychoactive Drug Use History, 242, Psychoanalysis, 96 Psychotherapy alcoholism, bulimia and, change process in, 8 focus of, integration of methods in, 3 Rationality change and, 92 expectancy-value model and, Reasoning, Refusal, 73 Regret. See Anticipatory regret; Postdecisional regret Rehabilitation goals of, 435 See also Relapse Relapse alcoholism treatment aftercare, change model and, 5-6 freedom and, 80 opiate-dependency treatment, 267, 271, rates of, 407, 435 survival model, Relapse Precipitants Inventory, Relapse prevention model, Cognitive Appraisal Questionnaire, described, Inventory of Drinking Situations and, , self-efficacy theory and, Situational Confidence Questionnaire, , 433 theoretical framework for, 408 Relaxation training alcoholism treatment with, Religion, 94, Residential treatment evaluation of, legal system and, 271 self-regulation model, Resistance, Satisficing model, Schizophrenia, Self-concept, 9-10 Self-control self-regulation model and, situation and, Self-efficacy theory change model and, 10, 11 relapse prevention model and, self-regulation model and, 31 temptation and, 16 Self-esteem, 191 Self-help manuals, evaluation of, future research directions in, interest in, research on controlled drinking and, See also Bibliotherapy Self-regulation model, alcoholism and, cognitive change and, control theory and, cybernetic system and, implications summarized, individual differences and, memory and thinking in, obstacles in, process in, research support for, residential treatment and, self-control in, unresolved issues in, Self-reliance, 241, Severity levels, 255 Sex differences aftercare and, 438 early alcoholism treatment, 211 obesity and, 225
8 464 Sex differences (COllt.) relapse and, simple intervention studies and, 377 Sexuality, 92 Shifting-levels stategy, 19 Significant others anticipatory regret and, See also Family; Social support networks; Spouse involvement Simple intervention, attitudes and, 381 economics of, 378 evaluation of, proximity, stigma and, 379 studies in, Situation early alcoholism intervention, 217 self-control situations, Situational Confidence Questionnaire, , 433 Smoking change model and, 4-5, 6, 13 decision-making perspective on, Smoking cessation strategies, change process in, integrated, 286 motivation in, mutual aid in, overview of, simple interventions in, spouse involvement in, Social learning theory, 408 Social skills training alcoholism treatment, Social stability, 192 Social support networks addictive behaviors and, aftercare and, 439 alcoholism treatment and, defined, 305 emotional/behavioral problems and, functions of, See also Family Social systems perspective, Social workers, Socioeconomic class aftercare and, 438 early alcoholism treatment, 211 Spiritual elements, Spouse involvement addictive behaviors, 308 alcoholism treatment, treatment effectiveness, 306 See also Family; Family therapy Stigma mutual-aid groups, simple intervention and, 379 Stress change models and, 100 decision making and, management techniques for, Subjective expected utility (SEU) theory smoking and, 109, study examples in, Surgery, Systematic desensitization, 152 Temperance movement, Temptation, 16 Therapist/client relationship action stage and, 10 change model and, 6-7, early alcoholism treatment, self-help manuals and, 336 self-regulation model, TOTE loop, Values optimizing model, See also Expectancy-value models Videotape self-confrontation, 135 Weight reduction programs, 308. See also Eating disorders WHO. See World Health Organization (WHO) World Health Organization (WHO), 51-57, 290, 333, 363, 378, 379,381
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