Not everyone who experiments with substance use or risky behavior becomes addicted, and many who are addicted have been able to recover. This authoritative book, now revised and updated, has given tens of thousands of professionals and students a state-of-the-art framework for understanding the journey both into and out of addiction. From Carlo C. DiClemente, codeveloper of the transtheoretical model (TTM), the book identifies the stages and processes involved in initiating, modifying, maintaining, or stopping any pattern of behavior. Grounded in extensive research, and illustrated with vivid case examples, the book shows how using the TTM can help overcome obstacles to change and make treatment and prevention more effective.
New to This Edition
*Incorporates 15 years of research advances, contemporary prevention and treatment approaches, and the ongoing development of the TTM.
*Chapter on current developments in intervention research.
*Expanded discussions of neuroscience; self-regulation; behavioral economics; self-help, mutual help, and spirituality; motivational issues; "process addictions" (gambling and sex addiction); and more.
*Deeper coverage of risk and protective factors across adolescent and young adult development.
Carlo C. DiClemente, PhD, ABPP, is Professor of Psychology at the University of Maryland, Baltimore County (UMBC), and Director of the MDQuit tobacco resource center, the Center for Community Collaboration, and the Home Visitor Training Certificate Program at UMBC. He is codeveloper of the transtheoretical model of behavior change and author of numerous scientific publications on motivation and behavior change with a variety of health and addictive behaviors. His books include Addiction and Change, Second Edition; Substance Abuse Treatment and the Stages of Change, Second Edition; Group Treatment for Substance Abuse, Second Edition; and the self-help resource Changing for Good. Dr. DiClemente is a recipient of awards including the Lifetime Achievement Award from the Addictive Behaviors Special Interest Group of the Association for Behavioral and Cognitive Therapies, the John P. McGovern Award from the American Society of Addiction Medicine, the Innovators Combating Substance Abuse award from the Robert Wood Johnson Foundation, and a Presidential Citation from the American Psychological Association.
I. Understanding Addictions in Terms of Change 1. Models of Addiction and Change 2. The Process of Human Intentional Behavior Change 3. The Well-Maintained Addiction: An Ending and a Beginning II. The Road to Addiction: The Journey through the Stages of Addiction 4. Exploring the Precontemplation and Contemplation Stages of Becoming Addicted and Interventions to Prevent Initiation 5. Preparation: The Critical Transition Stage from Contemplation through Experimentation to Regular Use 6. Repeated and Regular Use: Moving into Action on the Road to Addiction III. Quitting an Addiction: The Journey through the Stages of Recovery 7. Precontemplation for Recovery: Cultivating Seeds for Change 8. The Decision to Change: Moving from the Contemplation Stage to the Preparation Stage of Recovery 9. Preparing for Action: Creating Commitment and a Plan 10. Taking Action to Change an Addiction 11. The Long Haul: Well-Maintained Recovery IV. Research and Interventions and a Comprehensive Understanding of Addictions 12. Designing Interventions: Research Informed by the Process of Initiation and Recovery 13. Creating a Comprehensive Approach to Understanding Addiction References Index