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Cue Exposure: One Approach to the Extinction of Addictive Behaviours

  • Howard Rankin
  • Ray Hodgson
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 85B)

Abstract

In recent years there has been growing dissatisfaction with the traditional treatment approach to alcoholism, the goal of total abstinence based on the hypothesis that alcoholism is an irreversible disease. Jellinek (1960) stressed that the disease concept of alcoholism should be only a “working hypothesis” to be discarded if disconfirmed by empirical evidence. Evidence against the disease model is gradually accumulating and many research workers believe that we are at this very moment in the throws of a rather violent paradigm shift, (Sobell, 1976). To this end, studies have demonstrated relatively poor outcome for all sorts of different approaches while others (e.g., Edwards and Guthrie, 1967) have been unable to demonstrate that the traditional in-patient approaches are at all effective. In these circumstances we must generate alternative working hypotheses as to the nature and treatment of addictive behaviours and then make sure that these working hypotheses do not become dogma but are adequately and repeatedly tested.

Keywords

Pathological Gambling Avoidance Response Problem Drinking Addictive Behaviour Excessive Drinking 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Baum, M. Extinction of an avoidance response following response prevention; some parametric investigations. Canad. J. Psychol., 23, pp. 1–10, 1969.CrossRefGoogle Scholar
  2. Baum, M. Instrumental learning; comparative studies. In: M.P. Feldman and A. Broadhurst (Eds.) Theoretical and Experimental Bases of Behaviour Therapies. London, Wiley, 1976.Google Scholar
  3. Cappell, H. An evaluation of tension models of alcohol consumption. In: R. Gibbins (Ed.). Research Advances in Alcohol and Drug Problems, vol. 2, pp. 177–211. London, Wiley & Sons, 1975.Google Scholar
  4. Conger, J. The effects of alcohol on conflict behaviour in the Albeno rat. Quart. J. Stud. Alc, 12, pp. 1–29, 1961.Google Scholar
  5. Edwards, G. and Guthrie, S. A controlled trial of in-patient and out-patient treatment of alcohol dependency. Lancet, 1, pp. 555–559, 1967.CrossRefGoogle Scholar
  6. Fisher, R. Statistical methods for research workers. 11th Edition, pp. 99–107, London, Owen & Boyd, 1950.Google Scholar
  7. Gottheil, E., Crawford, H. and Cornelison, F. Alcoholic’s ability to resist available alcohol. Dis. of the Nerv. System, 34 (2); pp. 80–84, 1973.Google Scholar
  8. Gray, J. Elements of a two-process theory of learning. London, Academic Press, 1975.Google Scholar
  9. Hodgson, R. The treatment and classification of obsessive-compulsive disorders. Paper presented at the 4th Annual Congress of Association for the Analysis of Behaviour Modification, Quebec, Canada, 1973.Google Scholar
  10. Hodgson, R. and Rachman, S. Desynchrony in measures of fear. Behav. Res. & Ther., 12, pp. 319–326, 1974.CrossRefGoogle Scholar
  11. Hodgson, R. and Rachman, S. The effects of contamination and washing in obsessional patients. Behav. Res. & Ther., 10, pp. 111–117, 1972.CrossRefGoogle Scholar
  12. Hodgson, R., Rachman, S. and Marks, I. The treatment of obsessive compulsive neuroses: follow-up and further readings. Behav. Res. & Ther., 10, pp. 181–189, 1972.CrossRefGoogle Scholar
  13. Hodgson, R. and Rankin, H. Modification of excessive drinking by cue exposure. Behav. Res. & Ther., 14, pp. 305–307, 1976.CrossRefGoogle Scholar
  14. Hunt, G. and Azrin, N. A community-reinforcement approach to alcoholism. Behav. Res. & Ther., 11, pp. 91–104, 1973.CrossRefGoogle Scholar
  15. Jellinek, E.M. The disease concept of alcoholism. New Haven, Hillhouse Press, 1960.CrossRefGoogle Scholar
  16. Marks, I., Hodgson, R. and Rachman, S. Treatment of chronic obsessive-compulsive neuroses by in vivo exposure. Brit. J. Psychiat., 127, pp. 349–364, 1975.CrossRefGoogle Scholar
  17. Masserman, J., Jacques, M. and Nicholson, M. Alcohol as a preventive of experimental neuroses. J. Neuro-Psychiat, 3, p. 8014, 1962.Google Scholar
  18. McNamee, H., Mello, N. and Mendelson, J. Experimental analysis of drinking patterns of alcoholics; concurrent psychiatric observations. Amer. J. Psychiat., 124, pp. 1063–1069, 1968.Google Scholar
  19. Rachman, S. and Hodgson, R. Synchrony and desycnchrony in fear and avoidance. Behav. Res. & Ther., 12, pp. 311–318, 1974.CrossRefGoogle Scholar
  20. Rachman, S., Hodgson, R. and Marks, I. Treatment of chronic obsessive-compulsive neuroses. Behav. Res. & Ther., 9, pp. 237–247, 1971.CrossRefGoogle Scholar
  21. Rachman, S., Marks, I. and Hodgson, R. The treatment of obsessive-compulsive neurotics by modeling and flooding in vivo. Behav. Res. & Ther., 11, pp. 463–472, 1973.CrossRefGoogle Scholar
  22. Sobell, L. and Sobell, M. Behavioural treatment approaches to alcohol problems. In: R. Williams and W. Gentry (Eds.), Behavioural approaches to medical practice, New York, Ballinger, in press.Google Scholar
  23. Sobell, L., Sobell, M. and Christelman, W. The myth of one drink. Behav. Res. &Ther., 10, pp. 119–123, 1972.CrossRefGoogle Scholar
  24. Sobell, M. and Sobell, L. Second-year treatment outcome of alcoholics treated by individualized behaviour therapy: results. Behav. Res. & Ther., in press, 1976.Google Scholar
  25. Tarter, R. and Sugerman, A. Relationship between craving, drinking patterns and psychosocial history. Paper presented at the 3rd Biennial Conference on Alcoholism, Lausanne, Switzerland, June, 1976.Google Scholar
  26. Teasdale, J. Learning models of obsessional-compulsive disorder. In: H.R. Beech (Ed.) Obsessional States, London, Methuen, 1974.Google Scholar

Copyright information

© Plenum Press, New York 1977

Authors and Affiliations

  • Howard Rankin
    • 1
  • Ray Hodgson
    • 1
  1. 1.Addiction Research UnitInstitute of Psychiatry, University of LondonLondonEngland

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