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Informationen zum Autor Frank Ryan is a consultant clinical psychologist in Camden and Islington NHS Foundation Trust in London, UK. An Honorary Senior Lecturer in the Faculty of Medicine at Imperial College and an Honorary Research Fellow at Birkbeck, University of London, he is a practicing cognitive therapist and an active trainer, lecturer and researcher. Klappentext 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 Zusammenfassung An innovative new approach to addiction treatment that pairs cognitive behavioral therapy with cognitive neuroscience, Cognitive Therapy for Addiction directly targets the core mechanisms of addiction. Inhaltsverzeichnis About the Author ix Preface xi 1 The Tenacity of Addiction 1 Introduction and Overview 1 Discovering Cognition 5 Implicit Cognition and Addiction 6 Neuropsychological Findings 9 Addictive Behaviour is Primary, Not Compensatory 11 Changing Habits is the Priority 14 Diagnostic Criteria 15 Towards Integration 15 Equivocal Findings from Research Trials 16 Time for CHANGE 16 Evolution, Not Revolution 17 Something Old, Something New 18 2 Existing Cognitive Behavioural Accounts of Addiction and Substance Misuse 21 The Evidential Basis of CBT for Addiction 23 Meta-analytic Findings 23 Behavioural Approaches 24 Diverse Treatments Mostly Deliver Equivalent Outcomes 25 What are the Mechanisms of Change? 26 The Missing Variable? 27 A Dual-Processing Framework 28 3 Core Motivational Processes in Addiction 33 Is Addiction About Avoiding Pain or Seeking Reward? 33 How Formulation Can Go Astray 34 Incentive Theories of Addiction 35 Learning Mechanisms in Addiction 36 Distorted Motivation and Aberrant Learning: the Emergence of Compulsion 41 'Wanting and Liking' in the Clinic 41 The Role of Secondary Reinforcers 43 Beyond Pleasure and Pain: a Psychoanalytic Perspective 43 Conclusion 44 4 A Cognitive Approach to Understanding the Compulsive Nature of Addiction 45 Theories of Attention 46 Top-Down Influences Can Be Automatic 47 Automatic Processes Can Be Practically Limitless 48 Motivationally Relevant Cues are Prioritized 48 Biased Competition 50 Attention and Volition 51 Appetitive Cues Usually Win 52 Purposeful Behaviour Can Occur in the Absence of Consciousness 53 Attentional Bias and Craving 54 Cognitive Cycle of Preoccupation 56 5 Vulnerability Factors In Addiction 63 Individual Differences in Addiction Liability 63 Personality Traits 63 The 'Big Five' Personality Factors 65 Personality Disorders 66 Affective Vulnerability Factors 67 Brain-Derived Neurotrophic Factors 69 Neurocognitive Vulnerability 70 Findings from the Addiction Clinic 71 From Research to Practice 72 6 Motivation and Engagement 75 Impaired Insight and the Therapeutic Relationship 75 The Sad Case of Julia 80 Conflicted Motivation is the Key 81 Goal Setting and Maintenance 82 The Importance of Between-Session Change 83 Neurocognitive Perspectives on Mot...
