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Why extensive participation in treatment and twelve-step programs is associated whith the cessation of addictive behaviors: an application of the addicted-self model of recovery
(Pourquoi une grande implication dans le traitement et les programmes 12 étapes est associée à un abandon des conduites addictives : une application du modèle de guérison "addicted-self")
Auteur(s) :
FIORENTINE, R. ;
HILLHOUSE, M. P.
Année
2003
Page(s) :
35-55
Langue(s) :
Anglais
Refs biblio. :
85
Domaine :
Plusieurs produits / Several products
Thésaurus mots-clés
USAGER
;
OBSERVANCE DU TRAITEMENT
;
GUERISON
;
MODELE
;
PROGRAMME
;
ENTRAIDE
;
ALCOOLIQUES ANONYMES
;
NARCOTIQUES ANONYMES
;
ABSTINENCE
;
EFFICACITE
Note générale :
Journal of Addictive Diseases, 2003, 22, (1), 35-55
Note de contenu :
tabl.
Résumé :
ENGLISH :
Applying the Addicted-Self Model of recovery to explain why extensive participation in recovery activities predicts abstinence, it was hypothesized that high levels of participation in treatment and Twelve-step programs promote abstinence because these activities reinforce the notion that controlled use is not possible for dependent alcohol and drug users. Findings from a prospective treatment outcomes study (n=356) indicate general support for this hypothesis. Yet the cognitive transformation described by the Addicted-Self Model involving acknowledgement of loss of control over alcohol and other drugs is only a partial explanation of why extensive participation in recovery activities promotes recovery. Reiterating the conclusion that "more is better," frequent counseling participation, treatment completion, and weekly or more frequent participation in Twelve-Step programs promote abstinence independently from their influence on controlled use self-efficacy. Theoretical and clinical implications, and directions for future research are discussed. (Author' s abstract)
Affiliation :
UCLA Drug Abuse Research Center, 11075 Santa Monica Blvd, Suite 200, Los Angeles, CA 90025. Email : Fioreucla.edu
Etats-Unis. United States.
Etats-Unis. United States.