Attachment Files

Cognitive-Behavior Therapy for Substance Dependence:Coping Skills Training

Summary/Abstract

From the perspective of cognitive-behavior theory, alcohol and drug dependence
are viewed as learned behaviors that are acquired through experience.

Content

Overview of Model From the perspective of cognitive-behavior theory, alcohol and drug dependence are viewed as learned behaviors that are acquired through experience. If alcohol or a drug provides certain desired results (e.g., good feelings, reduced tension, etc.) on repeated occasions, it may become the preferred way of achieving those results, particularly in the absence of other ways of meeting those desired ends. From this perspective, the primary tasks of treatment are to (1) identify the specific needs that alcohol and drugs are being used to meet, and (2) develop skills that provide alternative ways of meeting those needs. There are different viewpoints within this general perspective. "Behavioral" approaches emphasize observable antecedents and consequences of behavior, without making reference to internal events, such as cognitions, that can only be known by selfreport. "Cognitive-behavioral" approaches, on the other hand, include cognitions, thoughts, and emotions among the factors that are considered to precipitate or maintain behavior. The latter approaches often utilize behavioral methods (e.g., repeated practice, reinforcement) to modify cognitive and emotional processes. The present guidelines employ a cognitive-behavioral framework for conceptualizing drinking and drug-abuse problems, and as a basis for designing interventions that focus on developing more adequate coping skills. The conceptual models that are more strictly behavioral, contingency management and the community reinforcement approach, are both presented in other guidelines that are available at this web site.