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Cognitive Behavioral Therapy & Substance Abuse

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Substance abuse, defined by Sue, Sue and Sue (1994) as a maladaptive pattern of excessive use of a substance which an individual finds him- or herself unable to reduce or cease intake despite physical harm or impaired social or occupational function, is considered to be America's foremost public health challenge (Sue, Sue & Sue, 1994). One approach to this problem has been cognitive-behavioral therapy. The purpose of this paper is to examine the literature on the cognitive-behavioral approach to this disorder.

Cognitive-Behavioral Approaches To Substance Abuse

One of the more current approaches to substance abuse has been anger management, this because according to Reilly, Clark, Lewis and Shopshire (1994), the inability to control anger and hostility is often related to substance abuse. The authors further report that the cognitive-behavioral approach to anger management includes several dimensions. Commonly these include helping substance abusers: to identify the physical, emotional, and situational cues associated with their anger, to recognize self-talk that facilitates anger and to substitute this inner dialogue with more positive self-statements.

Many programs develop very individualized anger management plans. There is the use of time-out as a means of controlling angry feelings and instruction and practice of conflict-resolution strategies. Group therapy is usually combined with these strategies in order to help substance abusers discuss

. . .
hird, it can be concluded that the approach is not only successful but often superior to that of other approaches. All of the comparative studies indicated that, in the main, the cognitive-behavioral approach was to be preferred over other approaches. Of course this does not mean that the approach is always best and/or that it works independently of other factors. However, all contributing factors being equal, it can be stated that the changes are strong that, when compared to other forms of therapy, the cognitive-behavioral approach will most likely work best for various types and kinds of substance abusers. References Fisher, M.S. (1994). Effectiveness study of two group models with substance abusing mentally ill. Dissertation Abstracts International, 56(3-A), p. 1125. Forgey, M.A. (1994). Substance abuse prevention approaches for inner-city African-American and Hispanic youth. Dissertation Abstracts International, 55(6-A), p. 1692. Gerlock, A.A. (1994). Veterans' responses to anger management intervention. Issues in Mental Health Nursing, 15(4), 393-408. Greenwood, P.W. (1994). What works with juvenile offenders: A synthesis of the literature and experience. Federal Probation, 58(4), 63-67. Lane, R.A. (1992).
. . .

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Approximate Word count = 3522
Approximate Pages = 14 (250 words per page)

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