Behavior Analysis and Substance Dependence: Theory, Research and Intervention

Foreword
Preface
	References
Contents
About the Contributors
Part I: Introductory Aspects and Main Concepts
	Chapter 1: Drug Abuse: Classifications, Effects and Risks
		Introduction
		Epidemiological Data
		Consumption Patterns and Risk Factors
		Alcohol
		Tobacco
		Marijuana
		Solvents and Inhalants
		Amphetamines
		Cocaine and Crack
		Ecstasy
		LSD
		Final Considerations
		References
	Chapter 2: Behavioral Analysis of Substance Use and Dependence: Theoretical-Conceptual Aspects and Possibilities for Intervention
		Introduction
		The Approach Proposed by Behavior Analysis
		References
	Chapter 3: Criteria for Substance Use Disorders Diagnosis (SUD): An Behavioral-Analytic Perspective
		Introduction
		Disorders Related to Substance Use
		Final Considerations
		References
	Chapter 4: Basic Concepts of Behavioral Pharmacology
		Introduction
		Basic Concepts of Pharmacology
		Neurotransmission
		Some Methods of Behavioral Pharmacology
		Understanding the Relationship Between Drugs and Behavior
		Behavioral Pharmacology of Some Addiction-Related Drugs
			Ethanol
			Tobacco
			Cocaine
		Final Considerations
		References
	Chapter 5: Functional Analysis of Substance Use and Dependence
		Introduction
		Functional Analysis of Behavior and Formulation of Clinical Cases
		Example of Cases
		History and Development Data
		The Developmental Variables Composing a Case Study
		Final Considerations
		References
	Chapter 6: Establishing and Abolishing Contingencies of Crack Use: User Descriptions of a CAPSad
		Introduction
		Methodology
		Results and Discussion
		Final Considerations
		References
Part II: Clinical and Social Interventions
	Chapter 7: Contingency Management for the Treatment of Substance Use Disorders
		Introduction: Substance Use from an Operant Behavioral Perspective
		Theoretical and Experimental Basis for the Self-Administration of Substances
		Contingency Management (CM)
		Effectiveness of Contingency Management in the Treatment of Substance Use Disorders
		Contingency Management for Crack Use Disorder in Brazil
		Clinical Case
		Final Considerations
		References
	Chapter 8: Cue Exposure Therapy for Substance Use: A Complement to Functional Analysis
		Introduction
		Theoretical Model of Cue Exposure Therapy
			Classical Conditioning on the Substance Effect
		Conditioned Compensatory Response and Its Role in Tolerance, Relapse, and Overdose
		Clinical Implications of Cue Exposure
		Kinds of Cue Exposure
		Topographies
		Methodological Issues of CET and Effectiveness Data
		Final Considerations
		References
	Chapter 9: Functional Analytic Psychotherapy (FAP) as an Adjunct Treatment to Substance Dependence Cases
		Introduction: Functional Analytic Psychotherapy (FAP)
		Substance Dependence
		The Application of FAP to Substance Dependence
		Final Considerations
		References
	Chapter 10: Dialectical Behavioral Therapy (DBT) for Substance Use Associated with Borderline Personality Disorder
		Introduction
		History and Philosophical Framework of DBT
		The Biosocial Model: Central DBT Theoretical Postulate
		The BIO in Biosocial
			The SOCIAL in Biosocial: The Invalidating Environment
		The Interaction Between BIO and SOCIAL
		Structure of DBT-SUD
		Intervention Strategies: Acceptance, Change, and Dialectics
		DBT-SUD-Specific Strategies
			Dialectical Abstinence
			Clear Mind
			Community Reinforcement
			Burning Bridges and Building New Ones
			Alternative Rebellion and Adaptive Denial
			Patient Consultancy Vs. Environmental Intervention
		A Brief Clinical Example
		Final Considerations
		References
	Chapter 11: Contributions of Acceptance and Commitment Therapy (ACT) with an Emphasis on Values and Committed Actions in the Treatment of Substance Dependence
		Introduction
		Principles of Behavior Analysis in Explaining ACT
		ACT Processes
		ACT Practical Applications with Committed Actions
			Action Scanner
			Likegram
		Final Considerations
		Appendices
			Appendix 1 – Action Scanner
			Appendix 2 – ACT Likegram
			Appendix 3 – ACT Likegram
			Appendix 3 – ACT Likegram – Part 2
		References
	Chapter 12: Therapy by Contingencies of Reinforcement (TCR) and Substance Dependence: A Clinical Case Presentation
		Introduction
		Psychotherapeutic Model of Therapy by Contingencies of Reinforcement (TCR)
		Substance Dependence
		Clinical Case
			Client Identification
			Complaint
			Behavioral Characterization of the Client’s Difficulties
			Desired Behavior
			History of Contingencies of Reinforcement (HCR) and Behavioral Conceptualization
			Goals
			Procedures
			Results
		Final Considerations
		References
	Chapter 13: Motivational Interviewing Under a Behavior Analysis Perspective
		Introduction
		Motivational Interviewing: Its Origins
		Motivational Interviewing: Definition and Strategies
		Motivational Interviewing: Mechanisms of Change
		Motivational Interviewing and Behavior Analysis: An Approach According to Christopher and Dougher (2009)
		Final Considerations
		References
Part III: Special Topics
	Chapter 14: Interfaces Between Neurosciences and Behavior Analysis on the Use of Psychoactive Substances
		Introduction
		Behavior Analysis
		Psychoactive Substance and Behavior
		Neurosciences
		Some Units of Analysis in Brain Sciences
			Cells
			Neural Communication
			Neurotransmitters
			Anatomophysiology
			Reward System
		Psychoactive Drugs
		A Possible Interface
		Final Considerations
		References
	Chapter 15: Behavioral Functions of Drug Use in Marital Narratives: From Progression to Treatment of Substance Dependence
		Introduction
		Narrative Analysis in Substance Dependence: A Brief Review
		Methodology
			Data Analysis Procedures
			Analysis of the Elements Indexed in the Couples’ Narratives
			Analysis of the Functional Elements of the Contingencies of the Progression of the PAS Use Pattern
		Clinical Cases
		Description and Behavioral Analysis in Narrative Sequences: From Progression to the Treatment of Substance Dependence
		Initial Situation: The Beginning of the Love Relationship
		Disturbance: Relationship Between Critical Points of the PAS Use and the Romantic Relationship
		Transformation
		Resolution
		Final Situation
		Discussion
		Final Considerations
		References
	Chapter 16: Drugs Use in Romantic Relationship and Violence Against Women
		Introduction
		Drug Use in Romantic Relationships and Violence Against Women
		Clinical Case Report
		Final Considerations
		References
	Chapter 17: Challenges of Clinical Behavior Analysis in Legal Substance Use: Alcohol and Tobacco
		Introduction
		Public Opinion – Social Acceptance
		Response Effort in Obtaining and Consuming
		Multiple Pairing and Functions
		Examples of Clinical Behavior Analysis Interventions
		Final Considerations
		References
Index