Cognitive-Behavioral Therapy

Cognitive-behavioral therapy (CBT) is the main method of psychotherapy generally accepted in the field of substance addiction and non-substance addiction. This chapter mainly introduces the methods and technology of cognitive-behavior therapy of substance

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Cognitive-Behavioral Therapy Ri-Hui He, Hong An, Yun-Rong Zheng, and Ran Tao

Abstract  Cognitive-behavioral therapy (CBT) is the main method of psychotherapy generally accepted in the field of substance addiction and non-substance addiction. This chapter mainly introduces the methods and technology of cognitive-behavior therapy of substance addiction, especially in order to prevent relapse. In the cognitive-­behavior treatment of non-substance addiction, this chapter mainly introduces gambling addiction and food addiction. Keywords  Cognitive-behavioral therapy • Relapse prevention

16.1  Introduction Cognitive-behavioral therapy (CBT) is based on cognitive theory and behavioral theory, which reflects the work of its pioneers, namely Ellis and Bandura. The therapy emphasizes the importance of thought and feeling, including how individuals feel and explain life events, which is a decisive factor in action. CBT also attempts to help patients realize maladjustment, teach them how to heed, seize, monitor, interrupt the “cognitive-affective-behavioral chains” and eventually adapt to it, in order to achieve the highest goal [1]. CBT is a structured, short-term, well-targeted, psychological treatment that focuses on the current problems of substance addiction, and helps addicts to identify, evade and respond to the factors inducing substance addiction, in order to maintain integrity, prevent relapse. The efficacy has been verified. The actual curative effects of CBT in the substance addiction has also been valued and adopted in R.-H. He RiHuiAddiction and Mental Disorders Medical Center, Guangzhou 510000, China H. An • Y.-R. Zheng English Department, Tianjin University of Technology and Education, Tianjin 300222, China R. Tao (*) Department of Psychological Medicine, PLA Army General Hospital, Beijing 100700, China e-mail: [email protected] © Springer Nature Singapore Pte Ltd. 2017 X. Zhang et al. (eds.), Substance and Non-substance Addiction, Advances in Experimental Medicine and Biology 1010, DOI 10.1007/978-981-10-5562-1_16

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p­ sychotherapy of non-substance addiction. However, frankly speaking, CBT has no confirmed efficacy in treating psychological addiction, which accounts for the development of other psychological addiction elimination technology, such as MBRP and PITDH etc. CBT of substance addiction combines the behavioral theory (classical conditioned reflex and operant conditioned reflex), social learning theory (the decisive effect of observational learning, the influence of role models, and cognitive anticipation on behavior) and foundations of cognitive theory (thinking, Cognitive schemas, beliefs, values, attitudes and attribution). According to behavior theory, substance addiction is an acquired behavior pattern through learning and reinforcement. On the other hand, learning and changing behavioral reinforcement can modify addictive behavior. Addictive substance produces a strong physiological effect in the human body, that is, positive effects, and reduce anxiety, relaxation a