Introduction to Addictive Behaviors
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The authoritative text that has helped generations of students and practitioners build foundational knowledge about substance use disorders and other addictive behaviors is now in a revised and updated sixth edition. In one accessible volume, the text comprehensively reviews major theories of addiction and their implications for helping people recover. Keys to evidence-based prevention and treatment are highlighted throughout.
Chapters address disease models of addiction; public health and prevention approaches; dual diagnosis; psychoanalytic, behavioral, cognitive, and family systems models; sociocultural approaches; behavioral addictions, such as gambling; and motivational models. Student-friendly features include illustrative clinical vignettes, end-of-chapter summaries, and review questions. New to This Edition Important developments in research, theory, clinical intervention, and prevention.
The evolving opioid overdose epidemic, the changing legal landscape of cannabis, and the proliferation of e-cigarette use. New or expanded coverage of epigenetics, sociocultural determinants of addiction, and stigma, plus updates on harm reduction, 12-step, and psychoanalytic models. Discussions of new diagnoses in ICD-11: gaming disorder and compulsive sexual behavior disorder.
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- Guilford Publications, Inc.
- 9781462564354
- 9781462564248
- ePub
- 6
- Dennis L. Thombs; Cynthia J. Osborn; William V. Lechner
- English
- 2026-09-25
- 100
- 30
- 2
Kaflar
- Cover
- Title Page
- Copyright
- Dedication
- About the Authors
- Preface
- Contents
- Chapter 1. Conceptualization of Addictive Behavior and the Need for Informed Practice
- What Exactly Is a Theory?
- Attributes and Functions of a Good Theory
- Theory as a Road Map
- Conceptions of Addiction in U.S. History
- Then and Now: Three Broad Perspectives on the Nature of Addiction
- Chapter Summary
- Review Questions
- Chapter 2. The Disease Models
- Different Disease Conceptions
- Tolerance and Withdrawal
- Genetic Origins of Addiction: The Susceptibility Model
- Effects of Drugs on Brain Structure and Function: The Exposure Model
- Historical Disease Concepts
- Chapter Summary
- Review Questions
- Chapter 3. Public Health and Prevention Approaches
- What Is Public Health?
- Public Health Surveillance of Substance Abuse
- A Brief History of America’s Drug Overdose Epidemic
- The COVID-19 Pandemic and Its Effects on Substance Use
- The Significance of Age of Onset
- The Changing Legal Status of Cannabis and Its Implications for Public Health
- E-Cigarette and Cigarette Use
- Types of Prevention Programs and Strategies
- Chapter Summary
- Review Questions
- Chapter 4. Understanding the Co-Occurrence of Substance Use and Psychiatric Conditions
- The Epidemiology of Comorbidity in the United States
- Explanatory Models
- Integrated Treatment for Dual Diagnosis
- Chapter Summary
- Review Questions
- Chapter 5. Psychoanalytic Formulations
- Psychoanalysis: A Type of Psychotherapy
- Personality Structure
- Anxiety, Defense Mechanisms, and the Unconscious
- Insights into Compulsive Substance Use
- A Contemporary Psychoanalytic Theory of Addiction
- Addiction Recovery as a Developmental Process
- Chapter Summary
- Review Questions
- Chapter 6. Conditioning Models and Approaches to Contingency Management
- Aims of Behaviorism
- Conditioned Behavior
- Initiation of Alcohol and Drug Abuse
- Addiction
- Relationship between Addiction and Physical Dependence
- Cessation and Relapse
- Delay Discounting
- Basic Principles of Contingency Management
- Applications of Contingency Management
- Chapter Summary
- Review Questions
- Chapter 7. Cognitive Models
- Fundamental Social-Cognitive Concepts
- Modeling and Substance Use
- Self-Efficacy and Treatment Outcomes
- Role of Outcome Expectancy in Alcohol and Drug Use
- Tiffany’s Model of Drug Cravings
- Cognitive Dynamics of Relapse
- Chapter Summary
- Review Questions
- Chapter 8. The Family System
- Family System Principles
- Genetic and Environmental Influences
- Three Family Treatment Models in Addictions
- Family-Based Approaches to Addiction Treatment
- O’Connor Family Case Functional Analysis
- Chapter Summary
- Review Questions
- Chapter 9. Social and Cultural Foundations
- Professional Nomenclature
- Diagnosis as Social and Cultural Control
- The Social and Cultural Control of the Addiction Treatment Industry
- Stigmatizing Addiction
- Sociocultural Functions of Substance Use and Misuse
- Find the Functions: Two Case Studies
- Practicing from a Social and Cultural Foundation
- Chapter Summary
- Review Questions
- Chapter 10. The Controversial Science of Behavioral Addiction
- Definitions and Models of Behavioral Addiction
- DSM Nomenclature and Diagnostic Criteria for Addiction
- Evolution and Addiction
- The State of the Science of Behavioral Addictions
- Established and Emerging Behavioral Addictions
- Challenges to Redefining Pleasurable Activities as Behavioral Addiction
- Legal and Health Care Implications of Defining Behavioral Addictions as Medical Conditions
- Chapter Summary
- Review Questions
- Chapter 11. Promoting Motivation and Autonomy for Personal Change
- Theories of Motivation
- What Is Motivation?
- Transtheoretical Model of Change
- Motivational Interviewing
- Self-Determination Theory
- Integrating the TTM, MI, and SDT
- Harm-Reduction Approaches
- Mindfulness-Based Approaches
- Twelve-Step Facilitation
- Chapter Summary
- Review Questions
- Chapter 12. Linking Theory, Evidence, and Practice
- Standards of Evidence
- The Relationship between Theory, Evidence, and Practice
- Chapter Summary
- Review Questions
- References
- Author Index
- Subject Index
- About Guilford Press
- Discover Related Guilford Books