Introduction to Addictive Behaviors

457 Pages·2019·4.665 MB·English

by  Dennis L Thombs, Cynthia J Osborn

IntroductIon to AddIctIve BehAvIors

INTRODUCTION TO
ADDICTIVE
BEHAVIORS
FIFTH EDITION
DENNIS L. THOMBS
CYNTHIA J. OSBORN
The Guilford Press
New York London
Copyright © 2019 The Guilford Press
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Last digit is print number: 9 8 7 6 5 4 3 2 1
The authors have checked with sources believed to be reliable in their efforts to
provide information that is complete and generally in accord with the standards
of practice that are accepted at the time of publication. However, in view of the
possibility of human error or changes in behavioral, mental health, or medical sci-
ences, neither the authors, nor the editors and publisher, nor any other party who
has been involved in the preparation or publication of this work warrants that
the information contained herein is in every respect accurate or complete, and
they are not responsible for any errors or omissions or the results obtained from
the use of such information. Readers are encouraged to confirm the information
contained in this book with other sources.
Library of Congress Cataloging-in-Publication Data
Names: Thombs, Dennis L., author. | Osborn, Cynthia J., author.
Title: Introduction to addictive behaviors / Dennis L. Thombs, Cynthia J.
Osborn.
Description: Fifth edition. | New York : The Guilford Press, [2019] |
Includes bibliographical references and index.
Identifiers: LCCN 2018041447 | ISBN 9781462539222 (hardback)
Subjects: LCSH: Substance abuse—Etiology. | Substance abuse—Treatment. |
BISAC: PSYCHOLOGY / Psychopathology / Addiction. | MEDICAL /
Psychiatry / General. | SOCIAL SCIENCE / Social Work. | PSYCHOLOGY /
Psychotherapy / Counseling.
Classification: LCC RC564 .T55 2019 | DDC 362.29—dc23
LC record available at https://lccn.loc.gov/2018041447
About the Authors
Dennis L. Thombs, PhD, FAAHB, is Professor and Dean of the School
of Public Health at the University of North Texas Health Science Center
in Fort Worth. The focus of his scholarship is addictive behaviors, with
special interests in the epistemology of addiction, and in alcohol and drug
use during the period of emerging adulthood. In recent years, Dr. Thombs’s
research has focused on analyzing drinking practices and their conse-
quences in natural settings. He is a past president and Fellow of the Ameri-
can Academy of Health Behavior.
Cynthia J. Osborn, PhD, LPCC-S, LICDC, is Professor of Counselor Edu-
cation and Supervision at Kent State University. Her clinical background is
in treatment of adults with co-occurring disorders (substance use disorders
and mental illness). Dr. Osborn’s teaching, supervision, and scholarship
focus on addictions counseling, particularly evidence-based practices such
as motivational interviewing. She is a member of the Motivational Inter-
viewing Network of Trainers and has extensive experience in the clinical
supervision of counselors-in-training and professional counselors.
v

Preface
This book was written for practicing health and human services pro-
fessionals with no formal training in the prevention and treatment of
substance use disorder and for undergraduate and graduate courses on
addictive behaviors. The book has two primary goals. The first is to chal-
lenge and strengthen the reader’s understanding of addiction by explor-
ing how others in the field have come to know it. We hope that this will
enable the reader to create a clear and logically consistent perspective on
addiction. The second goal is to show the reader how theory and research
are important to both the prevention and treatment of substance abuse.
This information should provide the reader with an array of strategies for
addressing substance abuse problems and help make him or her an effective
practitioner.
A number of good books are currently available on substance abuse
and dependence. For the most part, however, these books either are written
at an advanced level for the sophisticated practitioner or researcher or focus
on a limited set of theoretical orientations. The present text is unique in
that it attempts to present a comprehensive and thoughtful review of theory
and research with the front-line practitioner and student in mind. Expo-
sure to complex and divergent theories of addictive behavior has often been
neglected in the preparation and training of health and human services
professionals, including substance abuse or addictions counselors, public
health practitioners, prevention specialists, social workers, psychologists,
and nurses. Some of these practitioners are familiar with one or more of the
disease models, but even here they often have not had the opportunity to
examine propositions critically. This book assumes virtually no preexisting
knowledge in the biological and behavioral sciences, medicine, or public
health. In each chapter, a careful attempt is made to explain the conceptual
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viii Preface
underpinnings of the theories and approaches described therein, as well as
the research supporting these frameworks.
The fifth edition of Introduction to Addictive Behaviors has been
revised to appeal to a broad audience of practitioners and students. The
primary purpose of the first two editions was to provide a multidisciplinary
foundation for addiction treatment. The third edition was revised to include
a theoretical and research foundation for substance abuse prevention as
well. The fourth edition was expanded to include three new chapters: “The
Controversial Science of Behavioral Addiction,” “Promoting Motivation
and Autonomy for Personal Change,” and “Linking Theory, Evidence, and
Practice.” The fifth edition has been extensively updated and includes new
research, such as that on the genetics of addiction, which can be found in
Chapter 2, “The Disease Models.” Chapter 9, “Social and Cultural Founda-
tions,” has been extensively rewritten to include new sections on addiction
stigma and a comprehensive overview of the current opioid epidemic. For
the fifth edition, other chapters from the fourth edition have been updated,
examples are provided throughout, and revised Review Questions appear
at the end of each chapter.
Special thanks are in order to those who helped us complete the
fifth edition. We are grateful to The Guilford Press, and especially to Jim
Nageotte and Jane Keislar, for their encouragement and assistance in pre-
paring this edition. Several anonymous reviewers provided feedback that
also was extremely helpful in steering the direction of the book.
Dennis L. Thombs
University of North Texas
Health Science Center at Fort Worth
CynThia J. osborn
Kent State University
Acknowledgments
We thank the publishers of the following works, who have generously
given us permission to use extended quotations or paraphrases and
to reprint or adapt tables and figures:
“Principles of Alcoholism Psychotherapy” by S. Zimberg, 1978, in S. Zimberg,
J. Wallace, and S. Blume (Eds.), Practical Approaches to Alcoholism
Psychotherapy, New York: Plenum Press. Copyright 1978 by Springer
Science and Business Media.
“Dual Diagnosis: A Review of Etiological Theories” by K. T. Mueser, R. E.
Drake, and M. A. Wallach, 1998, Addictive Behaviors, 23, 717–734.
Copyright 1998 by Elsevier.
“Self-Determination Theory and the Facilitation of Intrinsic Motivation, Social
Development, and Well-Being” by R. M. Ryan and E. L. Deci, 2000, American
Psychologist, 55, 68–78. Copyright 2000 by the American Psychological
Association.
Addiction and Change: How Addictions Develop and Addicted People Recover by
C. C. DiClemente, 2003, New York: Guilford Press. Copyright 2003 by The
Guilford Press.
Motivating Substance Abusers to Enter Treatment: Working with Family Members by
J. E. Smith and R. J. Meyers, 2004, New York: Guilford Press. Copyright 2004
by The Guilford Press.
Motivational Interviewing: Helping People Change (3rd ed.) by W. R. Miller and S.
Rollnick, 2013, New York: Guilford Press. Copyright 2013 by The Guilford
Press.
“The Experiences of Affected Family Members: A Summary of Two Decades of
Qualitative Research” by J. Orford, R. Velleman, A. Copello, L. Templeton,
and A. Ibanga, 2010, Drugs: Education, Prevention and Policy, 17(Suppl.
1), 44–62. Copyright 2010 by Taylor & Francis.
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