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By Dennis M. Donovan PhD, G. Alan Marlatt PhD
This finished scientific source and textual content is grounded in state-of-the-art wisdom concerning the biopsychosocial strategies fascinated about addictive behaviors. awarded are research-based, eminently useful ideas for assessing the therapy wishes and ongoing scientific results of people who've issues of substance use and nonchemical addictions. From top members, the ebook indicates the right way to weave evaluate throughout the whole technique of care, from the preliminary screening to intervention, relapse prevention, and posttreatment tracking.
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Extra resources for Assessment of Addictive Behaviors, Second Edition
Sample text
Those individuals who at intake described themselves as having more effective coping skills in general, and those who reported using behavioral avoidance and positive thinking about the anticipated benefits of sobriety, were more likely to have remained abstinent following treatment. Similarly, Connors, Longabaugh, and Miller (1996), based on results from the RREP, found that the availability of coping skills was a potent protective factor, and that the use of ineffective coping was a consistent predictor of relapse.
Cooper, Russell, Skinner, and Windle (1992) derived three primary dimensions that constituted reasons or motives for drinking: to enhance positive affect, to cope with negative affect, and to enhance social interaction and social activity with friends. To the extent that these expectancies are activated and accessible to the individual in high-risk situations, they appear to determine the anticipated outcomes from engaging in the addictive behavior and to mediate subsequent behavior (Kilbey, Downey, & Breslau, 1998; Palfai & Ostafin, 2003; Rather & Goldman, 1994; Stacy, 1997; Stacy, Leigh, & Weingardt, 1994; Stacy, Newcomb, & Bentler, 1995; Weingardt, Stacy, & Leigh, 1996).
Thus, while there appears to be evidence of a more stable coping style, successful coping may require the ability to deal with the stresses or temptations embedded in a specific highrisk situation. Consistent with this, Shiffman (1989) found a degree of consistency of behavioral coping strategies used across different relapse situations, whereas cognitive coping showed no cross-situation consistency. , 1998). From an assessment perspective, such findings suggest that trait-like measures of coping style may not provide an accurate or sufficient picture of how the person will behave in 26 ASSESSMENT OF ADDICTIVE BEHAVIORS high-risk situations.