Treating Addictive Behaviors Processes of Change
About a decade ago, psychologists began exploring the commonalities among alcohol and drug abuse, smoking, and obesity. The term sub stance abuse evolved into the current concept of addictive behaviors, which recognizes similarities with other behaviors
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APPLIED CLINICAL PSYCHOLOGY Series Editors: Alan S. Bellack, Medical College of Pennsylvania at EPPI, Philadelphia, Pennsylvania, and Michel Hersen, University of Pittsburgh, Pittsburgh, Pennsylvania
Current Volumes in this Series BEHAVIORAL ASSESSMENT AND REHABILITATION OF THE TRAUMATICALLY BRAIN DAMAGED Edited by Barry A. Edelstein and Eugene T. Couture HANDBOOK OF ASSESSMENT IN CHILDHOOD PSYCHOPATHOLOGY Applied Issues in Differential Diagnosis and Treatment Evaluation Edited by Cynthia L. Frame and Johnny L. Matson HANDBOOK OF BEHAVIORAL GROUP THERAPY Edited by Dennis Upper and Steven M. Ross ISSUES IN PSYCHOTHERAPY RESEARCH Edited by Michel Hersen, Larry Michelson, and Alan S. Bellack A PRIMER OF HUMAN BEHAVIORAL PHARMACOLOGY Alan Poling THE PRIVATE PRACTICE OF BEHAVIOR THERAPY Sheldon J. Kaplan RESEARCH METHODS IN APPLIED BEHAVIOR ANAL YSIS Issues and Advances Edited by Alan Poling and R. Wayne Fuqua SEVERE BEHAVIOR DISORDERS IN THE MENTALLY RETARDED Nondrug Approaches to Treatment Edited by Rowland P. Barrett SUBSTANCE ABUSE AND PSYCHOPATHOLOGY Edited by Arthur I. Alterman TREATING ADDICTIVE BEHAVIORS Processes of Change Edited by William R. Miller and Nick Heather A Continuation Order Plan is available for this series. A continuation order will bring delivery of each new volume immediately upon publication. Volumes are billed only upon actual ship· ment. For further information please contact the publisher.
Treating Addictive Behaviors Processes of Change Edited by
William R. Miller Univmily of New Mexico Albuquerque, New Merico
and
Nick Heather Universily of Dundee Dundee, Scolland
Plenum Press • New York and London
Library of Congress Cataloging in Publication Data Treating addictive behaviors. (Applied clinical psychology) Based on papers presented at the 3rd International Conference on Treatment of Addictive Behaviors, held at North Berwick, Scotland in Aug. 1984. Includes bibliographies and index. 1. Compulsive behavior-Treatment-Congresses. 2. Substance abuse-Treatment -Congresses. I. Miller, William R. II. Heather, Nick. III. International Conference on Treatment of Addictive Behaviors (3rd: 1984: North Berwick, Scotland) IV. Series. [DNLM: 1. Compulsive Behavior-therapy-congresses. 2. Substance Dependencetherapy-congresses. WM 176 T784 1984J RC533.T73 1986 616.85'227 86-20463 ISBN-13: 978-1-4612-9289-0 e-ISBN-13: 978-1-4613-2191-0 001: 10.1007/978-1-4613-2191-0
1098765 © 1986 Plenum Press, New York Softcover reprint of the hardcover 1st edition 1986 A Division of Plenum Publishing Corporation 233 Spring Street, New York, N.Y. 10013 All rights reserved No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the Publisher
To
Lillian and Richard W. R. M.
In loving memory of Nicholas Heather N.H.
Contributors
Helen M. Annis, Addiction Research Foundation, and University of Toronto, Toronto, Ontario, Canada
Claus-Peter App