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10 - Individual Behavioral Interventions to Incentivize Sobriety and Enrich the Natural Environment with Appealing Alternatives to Drinking

from Part II - Meso Level

Published online by Cambridge University Press:  23 December 2021

By
James G. Murphy ,
Ashley A. Dennhardt  and
Kathryn S. Gex
Edited by
Jalie A. Tucker  and
Katie Witkiewitz
Jalie A. Tucker
Affiliation:
University of Florida
Katie Witkiewitz
Affiliation:
University of New Mexico
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Summary

For many people with alcohol use disorder, meaningful improvement in quality of life, and in some cases mere survival, is predicated on reducing or eliminating drinking. As a result, this is often an immediate treatment target. However, the requirement to reduce alcohol use prior to enriching other life domains may inadvertently undermine both treatment efficacy and treatment seeking. This chapter first summarizes theoretical and empirical support for alcohol treatments that emphasize the broader goal of “building a life worth living” versus the narrow goal of reducing alcohol use. Behavioral economic research is reviewed that provides robust support for reducing drinking by increasing the availability of alcohol-free sources of reward, followed by a review of brief low threshold and more comprehensive alcohol treatments that include a focus on enhancing alternatives to alcohol. The chapter concludes with a discussion of the importance of disseminating these interventions to high-risk and underserved populations.

Keywords

alcoholbehavioral economicsbrief interventiondelay discountingharm-reductionrecoveryreinforcer pathologyalternative reinforcementsubstance-free activity sessiontreatment
Type
Chapter
Information
Dynamic Pathways to Recovery from Alcohol Use Disorder
Meaning and Methods
 , pp. 179 - 199
Publisher: Cambridge University Press
Print publication year: 2022

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