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Addiction: Theories, Conceptualisations and Current Practice

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Abstract

This chapter will summarise developments over recent decades in the way in which alcohol and drug problems are conceptualised and managed. The issue of human rights as they apply to substance users will also be discussed and linked to how the perception and description of substance users can impact both policy, the law and also practice. The chapter will use this summary as a context for the argument for the use of Solution Focused Brief Therapy and Harm Reduction as a modality. There is also an overview of addiction theory and treatment as it stands today and this is provided to add context and understanding to the current state of play within addiction.

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Notes

  1. 1.

    AA is a global organisation of self-help groups with the aim of helping its members achieve and maintain sobriety.

References

  • Alcoholics Anonymous. (2001). A.A. The story of how many thousands of men and women have recovered from alcoholism (4th ed.). New York: Alcoholics Anonymous World Services, Inc. Retrieved from https://www.aa.org/pages/en_US/alcoholics-anonymous

  • Alexander, B. K. (2001). The myth of drug-induced addiction. A paper delivered to the Canadian Senate. Retrieved from https://sencanada.ca/content/sen/committee/371/ille/presentation/alexender-e.htm

  • Babor, T. F., de la Fuente, J. R., Saunders, J., & Grant, M. (1992). The alcohol use disorders identification test: Guidelines for use in primary health care (WHO publication no. 92.4). Switzerland: World Health Organization.

    Google Scholar 

  • Best, D., Rome, A., Hanning, K., White, W., Gossop, M., Taylor, A., & Perkins, A. (2010). Research for recovery: A review of the drugs evidence base. Edinburgh: Scottish Government. Retrieved from http://www.scotland.gov.uk/Resource/Doc/321958/0103435.pdf

  • Burman, S. (1994). The disease concept of alcoholism: Its impact on women’s treatment. Journal of Substance Abuse Treatment, 11(2), 121–126.

    Article  PubMed  Google Scholar 

  • Butler, S. (2010). Benign anarchy: Alcoholics Anonymous in Ireland. Dublin: Irish Academic Press.

    Google Scholar 

  • Butler, S., & Mayock, P. (2016). Learning to live with ‘big fat words’? An exploration of the dominant concepts applied to problem drug and alcohol use. In T. Kolind, B. Thom, & G. Hunt (Eds.), The Sage handbook of drug and alcohol studies (pp. 383–393). London: Sage.

    Google Scholar 

  • Carroll, M. E., Lac, S. T., & Nygaard, S. L. (1989). A concurrently available nondrug reinforcer prevents the acquisition or decreases the maintenance of cocaine-reinforced behavior. Psychopharmacology (Berl), 97, 23–29.

    Article  Google Scholar 

  • Christie N., & Braun, K. (1969). Alcohol problems: The conceptual framework. In Proceedings of the 28th International Congress on Alcohol and Alcoholism (Vol. 2). Rutgers: Hillhouse.

    Google Scholar 

  • Cloud, W., & Granfield, R. (2004). A life course perspective on exiting addiction: The relevance of recovery capital in treatment. NAD Publication (Nordic Council for Alcohol and Drug Research), 44, 185–202.

    Google Scholar 

  • Crocq, M. A. (2007). Historical and cultural aspects of man’s relationship with addictive drugs. Dialogues in Clinical Neuroscience, 9(4), 355–361.

    PubMed  PubMed Central  Google Scholar 

  • De Leon, G. (2010). Is the therapeutic community an evidence-based treatment? What the evidence says. Therapeutic Communities, 31, 104–128.

    Google Scholar 

  • De Leon, G. (2015). Therapeutic communities. In M. Galanter, H. D. Kleber, & K. T. Brady (Eds.), The American psychiatric textbook of substance abuse treatment (5th ed., pp. 511–530). Washington, DC: American Psychiatric Publishing Inc.

    Google Scholar 

  • Denzin, N. K. (1987). The alcoholic self. Newbury Park: Sage.

    Google Scholar 

  • Escohotado, A. (1999). A brief history of drugs: From the stone age to the stoned age (K. A. Symington, Trans.). Rochester: Park Street Press.

    Google Scholar 

  • Finney, J. W., & Monahan, S. C. (1996). The cost-effectiveness of treatment for alcoholism: A second approximation. Journal of Studies on Alcohol, 57, 229–243.

    Article  PubMed  Google Scholar 

  • Forness, S. R., Kavale, K. A., Blum, I., & Lloyd, J. W. (1997). Mega-analysis of meta-analyses: What works in special education and related services. TEACHING Exceptional Children, 29(6), 4–9.

    Article  Google Scholar 

  • Granfield, R., & Cloud, W. (1999). Coming clean: Overcoming addiction without treatment. New York: New York University Press.

    Google Scholar 

  • Griffith, J. D., Rowan-Szal, G. A., Roark, R. R., & Simpson, D. D. (2000). Contingency management in outpatient methadone treatment: A meta-analysis. Drug and Alcohol Dependence, 58, 55–66.

    Article  PubMed  Google Scholar 

  • Hari, J. (2015). Chasing the scream: The first and last days of the war on drugs. London: Bloomsbury.

    Google Scholar 

  • Hart, C. (2013). High price: A neuroscientist’s journey of self-discovery that challenges everything you know about drugs and society. New York: Harper Perennial.

    Google Scholar 

  • Hart, C. L., & Ksir, C. (2011). Drugs, society, & human behavior. New York: McGraw-Hill.

    Google Scholar 

  • Higgins, S. T., Delaney, D. D., Budney, A. J., Bickel, W. K., Hughes, J. R., Foerg, F., & Fenwick, J. W. (1991). A behavioral approach to achieving initial cocaine abstinence. American Journal of Psychiatry, 148(9), 1218–1224.

    Article  PubMed  Google Scholar 

  • Higgins, S. T., Budney, A. J., Bickel, W. K., Hughes, J. R., Foerg, F., & Badger, G. (1993). Achieving cocaine abstinence with a behavioral approach. American Journal of Psychiatry, 150(5), 763–769.

    Article  PubMed  Google Scholar 

  • Holder, H., Longabaugh, R., Miller, W. R., & Rubonis, A. V. (1991). The cost effectiveness of treatment for alcoholism: A first approximation. Journal of Studies on Alcohol, 52, 517–540.

    Article  PubMed  Google Scholar 

  • Hope, C. (2009, February 7). Ecstasy ‘no more dangerous than horse riding’. The Telegraph. Retrieved from http://www.telegraph.co.uk/news/uknews/law-and-order/4537874/Ecstasy-no-more-dangerous-than-horse-riding.html

  • Hunt, G. M., & Azrin, N. H. (1973). A community-reinforcement approach to alcoholism. Behaviour Research and Therapy, 11, 91–104.

    Article  PubMed  Google Scholar 

  • Jackson, D. (1952). The relationship of the referring physician to the psychiatrist. California Medicine, 76(6), 391–394.

    PubMed  PubMed Central  Google Scholar 

  • Jellinek, E. M. (1960). The disease concept of alcoholism. New Brunswick: Hillhouse Press.

    Book  Google Scholar 

  • Lender, M. E. (1979). Jellinek’s typology of alcoholism: Some historical antecedents. Journal of Studies on Alcohol, 10(5), 361–375.

    Article  Google Scholar 

  • Lewis, J. A., Dana, R. Q., & Blevins, G. A. (2010). Substance abuse counseling (4th ed.). Boston: Cenage Learning.

    Google Scholar 

  • Lussier, J. P., Heil, S. H., Mongeon, J. A., Badger, G. J., & Higgins, S. T. (2006). A meta-analysis of voucher-based reinforcement therapy for substance use disorders. Addiction, 101(2), 192–203.

    Article  PubMed  Google Scholar 

  • McCrady, B. S. (1994). Alcoholics anonymous and behaviour therapy: Can habits be treated as diseases? Can diseases be treated as habits? Journal of Consulting and Clinical Psychology, 82, 1159–1166.

    Article  Google Scholar 

  • McHugh, R. K., Hearon, B. A., & Otto, M. W. (2010). Cognitive-behavioral therapy for substance use disorders. The Psychiatric Clinics of North America, 33(3), 511–525.

    Article  PubMed  PubMed Central  Google Scholar 

  • Miller, P. M. (2013). Principles of addiction: Comprehensive addiction behaviours and disorders (Vol. 1). San Diego: Academic Press.

    Google Scholar 

  • Miller, W. R., & Rollnick, S. (2002). Motivational interviewing – Preparing people for change. New York: Guilford Press.

    Google Scholar 

  • Miller, W. R., & Rollnick, S. (2009). Ten things that motivational interviewing is not. Behavioral and Cognitive Psychotherapy, 37, 129–140.

    Article  Google Scholar 

  • Miller, W. R., Brown, J. M., Simpson, T. L., Handmaker, N. S., Bien, T. H., Luckie, L. F., et al. (1995). What works? A methodological analysis of the alcohol treatment outcome literature. In R. K. Hester & W. R. Miller (Eds.), Handbook of alcoholism treatment approaches: Effective alternatives (2nd ed.). Boston: Allyn and Bacon.

    Google Scholar 

  • Nadar, M. A., & Woolverton, W. L. (1991). Effects of increasing the magnitude of an alternative reinforce on drug choice in a discrete-trials choice procedure. Psychopharmacology (Berl), 105(2), 169–174.

    Article  Google Scholar 

  • Nadar, M. A., & Woolverton, W. L. (1992). Choice between cocaine and food by rhesus monkeys: Effects of conditions of food availability. Behavioural Pharmacology, 3(6), 635–638.

    Google Scholar 

  • National Institute for Health and Clinical Excellence. (2007). Drug misuse: Psychosocial interventions. London: NICE. Retrieved from www.nice.org.uk/CG051

  • Nutt, D. J. (2009). Equasy: An overlooked addiction with implications for the current debate on drug harms. Journal of Psychopharmacaology, 23(1), 3–5.

    Article  Google Scholar 

  • Nutt, D. J., King, L. A., & Phillips, L. D. (2010). Drug harms in the UK: A multicriteria decision analysis. The Lancet, 376(9752), 1558–1565.

    Article  Google Scholar 

  • Peele, S. (1992). Alcoholism, politics, and bureaucracy: The consensus against controlled drinking therapy in America. Addictive Behaviors, 17, 49–62.

    Article  PubMed  Google Scholar 

  • Peele, S. (2004). The surprising truth about addiction. Psychology Today, 43–46. Retrieved from http://www.peele.net/lib/surprising.html

  • Prendergast, M., Podus, D., Finney, J., Greenwell, L., & Roll, J. (2006). Contingency management for treatment of substance use disorders: A meta analysis. Addictio, 101(11), 1546–1560.

    Article  Google Scholar 

  • Prochaska, J. O., & DiClemente, C. C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51, 390–395.

    Article  PubMed  Google Scholar 

  • Rasmussen, S. (2000). Addiction treatment: Theory and practice. Thousand Oaks: Sage.

    Google Scholar 

  • Reinarman, C., & Levine, G. H. (2004). Crack in the rearview mirror: Deconstructing drug war mythology. Social Justice, 31, 1–2.

    Google Scholar 

  • Robins, L. N., Helzer, J. E., Hesselbrock, M., & Wish, E. (2010). Vietnam Veterans three years after Vietnam: How our study changed our view of heroin. The American Journal on Addiction, 19(3), 203–211.

    Article  Google Scholar 

  • Sacks, S., & Sacks, J. Y. (2010). Research on the effectiveness of the modified therapeutic community for persons with co-occurring substance use and mental disorders. Therapeutic Communities, 31, 176–211.

    Google Scholar 

  • Slater, L. (2004). Opening Skinner box: Great psychological experiments of the twentieth century. New York: W.W. Norton & Company.

    Google Scholar 

  • Szasz, T. S. (1961). The myth of mental illness: Foundations of a theory of personal conduct. New York: Harper & Row.

    Google Scholar 

  • United States Sentencing Commission (USSC). (2011). Report to the Congress: Mandatory minimum penalties in the Federal Criminal Justice System. Retrieved from https://www.ussc.gov/research/congressional-reports/2011-report-congress-mandatory-minimum-penalties-federal-criminal-justice-system

  • United States Sentencing Commission (USSC). (2014). Guidelines manual. Retrieved from https://www.ussc.gov/guidelines/guidelines-archive/2014-federal-sentencing-guidelines-manual

  • Wallace, B. C. (2014). Crack, policy, and advocacy: A case analysis illustrating the need to monitor emergent public health-related policy and engage in persistent evidence-based advocacy. International Journal for Equity in Health, 3, 139–160.

    Google Scholar 

  • West, R. (2005). Time for a change: Putting the transtheoretical (stages of change) model to rest. Addiction, 100, 1036–1039.

    Article  PubMed  Google Scholar 

  • White, W., & Cloud, W. (2008). Recovery capital: A primer for addictions professionals. Counselor, 9(5), 22–27.

    Google Scholar 

  • Wills, F., & Sanders, D. (1997). Cognitive therapy: Transforming the image. London: Sage.

    Google Scholar 

  • Zinberg, N. E. (1981). Social interactions, drug use, and drug research. In J. H. Lowinson & P. Ruiz (Eds.), Substance abuse: Clinical problems and perspectives (pp. 1–108). Baltimore: Williams and Wilkins.

    Google Scholar 

  • Zinberg, N. E. (1984). Drug, set, and setting: The basis for controlled intoxicant use. New Haven: Yale University Press.

    Google Scholar 

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Foy, S. (2017). Addiction: Theories, Conceptualisations and Current Practice. In: Solution Focused Harm Reduction. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-72335-8_4

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