Changing Addictive Behaviour Analysis

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Critically assess the efficacy of treatment in changing addictive behaviour In order to critically evaluate the efficacy of treatment in changing addictive behaviour, an analysis of several factors needs to be addressed. Within this essay key issues such as theories, models of behaviour change and the methadone programme will be summarised. Treatments such as Cognitive Behavioural Therapy, Motivational Interviewing, Motivational Enhancement Therapy and Twelve Step-Facilitation will be critically assessed before finally moving onto the concept of unassisted behaviour change and natural recovery. Behaviour change is a complex and highly emotive subject with several competing theories as to 'what' and 'why' it takes place. Many theories…show more content…
The concept of behavioural intention can be predicted by the persons expectancies regarding the outcomes of a behaviour, attitudes toward the behaviour and normative beliefs the person has with respect to what influential's would do in a specific situation. The Theory of Planned Behaviour extends beyond the original Theory of Reasoned Action to include the concept of perceived behavioural control which can influence intentions and behaviour. The addition of perceived behavioural control attempts to account for factors outside the individual's control including the absence of resources or skills and impediments to behavioural performance. The perceived behavioural control construct is very similar to the concept of self-efficacy described by the Social Cognitive Theory however they are operationalised somewhat differently (Ajzen & Fishbein,…show more content…
Anderson in the early 1930's and as implemented in most AA-oriented treatment programmes (e.g., the Hazelden Foundation, the Betty Ford Foundation, the Sierra Tucson Centre, and others). These models assume addiction can be arrested but not cured, subscribe to the AA/NA philosophy, as described in AA/NA literature, that relies heavily on a combination of spirituality and pragmatism, and advocate peer support as the primary means for achieving sustained sobriety. Any approach that advocates controlled use of alcohol or other drugs (as compared with abstinence) is fundamentally dissimilar to Twelve Step-Facilitation with respect to basic treatment goals. Cognitive-behavioral approaches that are based on the idea that problem drinking and other drug abuse stems primarily from inadequate stress management skills and that aim to enhance problem solving and coping skills differ from TSF with respect to the assumption of peer support as fundamental to recovery. Twelve Step-Facilitation therapies also assume that alcoholism and other drug addictions are primary diagnoses and not symptoms of another diagnosis (e.g. depression, antisocial

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