Cognitive therapy for addiction motivation and change 1st Edition by Frank Ryan 9781118316559 111831655X

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ISBN 10: 111831655X
ISBN 13: 9781118316559 
Author: Frank Ryan

An innovative new approach to addiction treatment that pairs cognitive behavioural therapy with cognitive neuroscience, to directly target the core mechanisms of addiction. Offers a focus on addiction that is lacking in existing cognitive therapy accounts Utilizes various approaches, including mindfulness, 12-step facilitation, cognitive bias modification, motivational enhancement and goal-setting and, to combat common road blocks on the road to addiction recovery Uses neuroscientific findings to explain how willpower becomes compromised-and how it can be effectively utilized in the clinical arena

Cognitive therapy for addiction motivation and change 1st Table of contents:

Chapter 1: The Tenacity of Addiction

• Introduction and Overview

• Terminology

• Scope

• Gambling and other compulsive appetitive behaviours

• The plan of the book

• Discovering Cognition

• Implicit Cognition and Addiction

• Cognitive control is compromised in addiction

• Neuropsychological Findings

• Addictive Behaviour is Primary, Not Compensatory

• Drugs: no excuse needed!

• Changing Habits is the Priority

• Diagnostic Criteria

• Towards Integration

• Equivocal Findings from Research Trials

• Time for CHANGE

• Evolution, Not Revolution

• Something Old, Something New

Chapter 2: Existing Cognitive Behavioural Accounts of Addiction and Substance Misuse

• The Evidential Basis of CBT for Addiction

• Meta-analytic Findings

• Behavioural Approaches

• Diverse Treatments Mostly Deliver Equivalent Outcomes

• What Are the Mechanisms of Change?

• The Missing Variable?

• A Dual-Processing Framework

Chapter 3: Core Motivational Processes in Addiction

• Is Addiction About Avoiding Pain or Seeking Reward?

• How Formulation Can Go Astray

• Incentive Theories of Addiction

• Learning Mechanisms in Addiction

• Addiction is about anticipation

• Distorted Motivation and Aberrant Learning: the Emergence of Compulsion

• ‘Wanting and Liking’ in the Clinic

• The Role of Secondary Reinforcers

• Beyond Pleasure and Pain: a Psychoanalytic Perspective

• Conclusion

Chapter 4: A Cognitive Approach to Understanding the Compulsive Nature of Addiction

• Theories of Attention

• Top-Down Influences Can Be Automatic

• Automatic Processes Can Be Practically Limitless

• Motivationally Relevant Cues are Prioritized

• Biased Competition

• Attention and Volition

• Appetitive Cues Usually Win

• Purposeful Behaviour Can Occur in the Absence of Consciousness

• Attentional Bias and Craving

• Implicit cognition and behaviour

• Cognitive Cycle of Preoccupation

Chapter 5: Vulnerability Factors in Addiction

• Individual Differences in Addiction Liability

• Personality Traits

• The ‘Big Five’ Personality Factors

• Personality Disorders

• Affective Vulnerability Factors

• Brain-Derived Neurotrophic Factors

• Neurocognitive Vulnerability

• Findings from the Addiction Clinic

• From Research to Practice

Chapter 6: Motivation and Engagement

• Impaired Insight and the Therapeutic Relationship

• Ambivalence is a systemic problem with a systemic solution

• The Sad Case of Julia

• Conflicted Motivation is the Key

• Goal Setting and Maintenance

• The Importance of Between-Session Change

• Neurocognitive Perspectives on Motivation

• Motivational Interviewing in Practice

• Frames

• Systematic motivational counselling

• Formulating and Planning the Intervention

• Building a therapeutic alliance: distinct features in addiction

• Attributional Biases: the Blame Game

• Case Formulation

• Summary

Chapter 7: Managing Impulses

• Introduction and Overview

• Structuring the Session

• Building Resilience

• Impulse Control

• Craving and Urge Report

• Cognitive Processing and Craving

• Cognitive Bias Modification

• Attentional Bias in the Context of Addiction

• The Alcohol Attention-Control Training Programme

• Modifying Implicit Approach Tendencies

• Reversing the Bias: Conclusion

• Brain Training and Neurocognitive Rehabilitation Approaches

• Physical exercise

• Working memory and delay discounting

• Clinical Implications of Delayed Reward Discounting

• Tried and Tested Techniques

• Using behavioural experiments

• Expectancy: ‘now’ or ‘later’

• The Road to Recovery is Paved with Good Implementation Intentions!

• Contingency management

• Neurophysiological Techniques

• Neuropsychopharmacological Approaches

Chapter 8: Managing Mood

• The Reciprocal Relationship Between Mood and Addiction

• Pre-existing Vulnerability to Emotional Distress

• Negative Affect Due To Drug Effects

• Stepped Care for Addiction

• An Integrated Approach to Addressing Negative Emotion

• Example 1

• Example 2

• Example 3

Chapter 9: Maintaining Change

• Relapse Prevention Strategies from a Neurocognitive Perspective

• The chronic nature of cognitive deficits

• The Importance of Goal Maintenance in the Long Term

• A Neurocognitive Perspective on Relapse

• Twelve-Step Facilitation Therapy

• Implicit Denial

• COMET: continuous outcome monitoring while engaged in treatment

• Rationale for continuous feedback

• Providing feedback in a neurocognitive framework

• Meditation techniques

Chapter 10: Future Directions

• Neurocognitive Therapy

• Increasing Cognitive Control is the Goal

• Do We Know Anything New?

• Motivation: the First M

• Managing impulsivity: the Second M

• Managing mood: the Third M

• Maintaining change: the Fourth M

Appendix: Self-Help Guide – Six Tips: A Pocket Guide to Preventing Relapse

• Introduction: Why Six Tips?

1. Don’t Always Trust Your Memory!

2. Beware of the ‘Booze Bias’!

3. Separate Thoughts from Actions

4. Learn How to Distract Yourself

5. Willpower Is Sometimes Not Enough

6. Beware of the Dog that Doesn’t Bark…

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