Book contents
- Frontmatter
- Contents
- List of contributors
- Preface
- 1 New perspectives on adolescent risk behavior
- Part I A focus on development
- Part II A focus on problem behavior
- 3 Persistent themes and new perspectives on adolescent substance use: A lifespan perspective
- 4 Multiple risk factors for multiproblem boys: Co-occurrence of delinquency, substance use, attention deficit, conduct problems, physical aggression, covert behavior, depressed mood, and shy/withdrawn behavior
- 5 Adult outcomes of adolescent drug use: A comparison of process–oriented and incremental analyses
- 6 Linking etiology and treatment for adolescent substance abuse: Toward a better match
- 7 Risky driving behavior among adolescents
- Part III A focus on sexual activity
- Part IV A focus on psychopathology
- Part V A focus on social role performance
- Part VI Overview and integration
- Author index
- Subject index
6 - Linking etiology and treatment for adolescent substance abuse: Toward a better match
Published online by Cambridge University Press: 06 July 2010
- Frontmatter
- Contents
- List of contributors
- Preface
- 1 New perspectives on adolescent risk behavior
- Part I A focus on development
- Part II A focus on problem behavior
- 3 Persistent themes and new perspectives on adolescent substance use: A lifespan perspective
- 4 Multiple risk factors for multiproblem boys: Co-occurrence of delinquency, substance use, attention deficit, conduct problems, physical aggression, covert behavior, depressed mood, and shy/withdrawn behavior
- 5 Adult outcomes of adolescent drug use: A comparison of process–oriented and incremental analyses
- 6 Linking etiology and treatment for adolescent substance abuse: Toward a better match
- 7 Risky driving behavior among adolescents
- Part III A focus on sexual activity
- Part IV A focus on psychopathology
- Part V A focus on social role performance
- Part VI Overview and integration
- Author index
- Subject index
Summary
Introduction
In this chapter we examine the relationship between the etiology and course of substance use problems among adolescents and our societal responses to those problems. A thorough review of this topic is a large task, one that could fill several volumes if completed comprehensively. Our review is selective. We argue that the treatment of adolescents with substance abuse problems must be sensitive to, if not specifically designed for, the psychological and social contexts of adolescent lifestyles. Unfortunately, many current treatment efforts are based on methods and rationales developed with adult populations. A new perspective on the treatment of adolescent substance abuse would begin with an understanding of the manner, rates, and predictive factors for adolescent substance abuse. Further, a new perspective would go beyond refining a model originating in adult psychopathology to developing a new model based on the specific developmental challenges of adolescence. For this effort, the assessment of variability in developmental trajectories of substance use is critical. Variability of substance use course suggests that not all adolescent use is problematic and that problematic use among adolescents is not often chronic. Different psychological factors are associated with different trajectories, suggesting the need for treatment of comorbid conditions as well. Essentially, we argue for a version of patient–treatment matching, but one that is sensitive to developmental issues in adolescents.
To make this case, we first describe the specific nature of adolescent substance use and related problems.
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- New Perspectives on Adolescent Risk Behavior , pp. 181 - 219Publisher: Cambridge University PressPrint publication year: 1998
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