When saying no leads to compliance: The door-in-the-face technique for changing attitudes and behaviors towards smoking at work

IntroductionThe aim of this action research was to encourage workers to comply with an anti-smoking charter and get them to effectively reduce their tobacco use. Two change procedures were compared: a classic one based on an information campaign and an original one based on the door-in-the-face technique.MethodForty-three smoking workers participated in this study. They were assigned to one of the two groups: information campaign group or door-in-the-face group. Two types of measures were administered. The first assessed self-reported attitudes towards smoking, such as perceived dependence (Fagerström Test); the second assessed effective behavior, such as number of cigarettes smoked and physiological nicotine addiction.ConclusionTaken together, the results show that the door-in-the-face technique was more effective than the information campaign. These results are discussed in light of the social acceptability of the initial refusal.     

The Frequency of Prayer,Meditation and Holistic Interventions in Addictions Treatment: A National Survey

This study examines the prevalence of endorsing the twelve step approach and the use of prayer, meditation, and holistic techniques in a national sample of 139 substance abuse treatment centers. Ninety one percent of the programs endorsed a twelve step orientation. Twenty six percent of the programs actively used prayer and 58% used meditation as a component of treatment. Thirty three percent of the programs used some form of a self-designated holistic technique. There was a divergent range of techniques that were used by programs, falling into four broad categories: (1) nutrition, exercise, relaxation and physical health; (2) recreation and adventure-based activities; (3) religious and spiritual practices; and (4) the use of specific therapy modalities.     

Restoration of Intimacy and Connection in the Treatment of Couples with Substance Abuse Issues

SUMMARY

Addictions destroy both individuals and in particular their intimate relationships. Couples remain together for many reasons and when one partner has an addiction, the spouse has the fantasy that when the addiction is addressed the couple relationship will return to ‘normal.’ This article focuses on couple issues that have not been addressed in addiction treatment facilities and examines the role of the couple therapist versus the addiction counselor. Techniques and clinical interventions with this population are discussed and illustrated by case examples.     

Impulsivity facets and cognitive distortions associated with problem gambling: Differences between ADHD and non-ADHD gamblers

ObjectiveTo compare the association between (1) impulsivity facets or cognitive distortions, and (2) problem gambling between male gamblers with versus without self-reported Attention-Deficit/Hyperactivity Disorder (ADHD).MethodIn 287 male gamblers recruited online, we assessed problem gambling (South Oaks Gambling Screen; cut-off ≥ 3), Adult ADHD Self-report Scale-V1.1 (ADHD), impulsivity facets (UPPS Impulsive Behavior Scale-short version) and gambling-related cognitions (Gambling-Related Cognitions Scale).ResultsThe prevalence of self-reported ADHD was 21.6%. In both ADHD and non-ADHD groups, problem gambling was associated with negative urgency, positive urgency and the same cognitive distortions. Sensation seeking and lack of premeditation were associated with problem gambling, but only in non-ADHD gamblers (significant interaction effect).ConclusionDifferent impulsivity facets, but not different cognitive distortions, are associated with problem gambling in male gamblers with or without ADHD. Emotion dysregulation (positive and negative urgency) and cognitive distortions are involved in both groups, but sensation seeking and lack of premeditation may be specific to non-ADHD problem gamblers.     

Pregnancy as an Opportunity for Trauma-Intervention Among Women Who Are Addicted to Substances

Victims of violence come from various backgrounds; however, the intersection of gender combined with poverty, belonging to a racial minority, [dis]ability, and youth, put women at greater risk for experiencing violence and trauma. Many of these features are also high-risk markers for women who experience addictions to substances. Considering the risk factors and prevalence of violence and addictions experienced by young women, it is important to consider the comorbidity of complex trauma and substance use disorder and their combined effects on women’s reproductive health. The experience of pregnancy, combined with the experience of past trauma and addictions, presents a complex and compelling situation in which women struggle to balance their intentions to maintain a healthy pregnancy, with the drive to use substances as a way to cope with unresolved past traumatic experiences. By reviewing the literature regarding addictions, pregnancy, and complex trauma, this article aims to demonstrate that pregnancy presents a unique opportunity for trauma intervention among addicted women, and to establish how a missed opportunity for trauma-focused intervention can contribute to intergenerational trauma, creating a cycle of harm for women and their children.     

Where’s the GPS? navigating treatment with co-existing problems. A reflective journey amongst graduate practitioners

This paper examines reflective portfolios of graduate students studying co-existing problems (CEP) within an alcohol and drug studies programme in New Zealand. The methodology employs Todd’s principles of treating co-existing disorders (culture, management, engagement, assessment, integrated care, well-being and management). The metaphor, a GPS, is employed in the title to describe how Todd’s principles are used as a GPS to help navigate the murky waters of working with this specialised client population. The principles, allocated as themes within the portfolios, highlight how these principles are reflected upon within their workplace. Culture and engagement principles were the most endorsed themes within the portfolios. The reflective portfolios also allowed us to reflect upon the ongoing process of curriculum development for this specialised client population.     

The effect of passive heat stress on distress andself-control in male smokers and non-smokers

In the current study, we tested the effects of core body temperature increases (e.g. heat stress) on affect, self-reported physical discomfort, and subsequent self-control in male smokers and nonsmokers using a novel passive heat stress paradigm, within a distress tolerance framework. Twenty-eight men (14 smokers), completed both heat stress and control sessions in randomized order. Results revealed that increases in core body temperature were associated with increased anxiety, irritability, and body discomfort as well as decreased happiness, with stronger effects for smokers. Smokers and nonsmokers both evidenced less self-control during the heat session and did not differ on this measure, nor on a measure of interoceptive sensitivity. The current study indicates that heat stress is a viable method for studying distress tolerance in men, and suggests the value in examining dynamic changes in self-control as a function of distress. Implications will be discussed for distress tolerance in general and smokers in specific.     

Introduction. Esquisse d’une approche intégrative du concept d’addiction : regards croisés

Referring to the respective scientific preoccupations about the concept of addiction in the French laboratories of psychology specializing in the concept of addiction, this introduction proposes to sum up the main theoretical backgrounds in this area and to discuss its respective impact and similarities. Definitions, classifications and theoretical models are presented according to those described in the articles of this special issue. These articles mainly refer to the scientific backgrounds of psychopathology, clinical psychology and health psychology. Its respective contributions are discussed on the one hand, referring to theoretical point of views and, on the other hand, in order to propose any subsequent applications for future researches and psychological perspectives for the prevention, detection and the treatment of addictive behaviors.