Selskab for misbrugspsykologi årsmøde Odense –

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Presentation transcript:

Selskab for misbrugspsykologi årsmøde Odense 01. 10. – 02. 10 Selskab for misbrugspsykologi årsmøde Odense 01.10. – 02.10.2009 Hypnosis Cue Exposure and Addiction Jörg Albers, clinical psychologist Augustenborg, Denmark Jorg.Albers@pcm.regionsyddanmark.dk

Cue Exposure Why? ”Addiction is the inability to accept the fullness of the present moment.” (G.A. Marlatt)

Cue Exposure Results

Exposure and EMDR

At Sydgården we developed a structured Cue Exposure Treatment leaned on a well evaluated treatment approach ( Monti, Kadden et al. 2002). During 20 months we administered CET in 6 group sessions (6-8 participants) in aftercare treatment during the first three month after discharge from a 12 week’s inpatient program.

Individual reaction at the first exposure session

Individual reaction after 5th session

Case -study Rita, 42 years, Borderline personality (F. 60.31), psychiatric inpatient and outpatient client without remarkable results by medical and psychodynamic treatment has stayed sober in 1 year after 6 weeks addiction treatment, constantly distracted by severe craving symptoms occuring often spontaneous at home. After 6 sessions Exposure and EMDR significantly diminishing of craving over time

Who participated in Exposure and EMDR? Case study (cont.) Who participated in Exposure and EMDR?

Case study (cont.)

References: Bandura (1997). Self- efficacy: The exercise of control. New York: Freeman Drummond, D.C, Cooper,T. & Gautier, S.P. (1990). Conditioned learning in alcohol dependence: implications for cue exposure treatment. British Journal of Addiction, 85,725 -743. Hester, R.K. & Delaney, H.D. (1997). Behavioral Self-Control Program for Windows: Results of a controlled clinical trial. Journal of Consulting and Clinical Psychology, 65(4), 686 -693. Hester,R.K. &Miller,W.R. (2003.):Handbook of alcoholism treatment approaches. Boston: Allyn & Bacon Monti, P.M. & Kadden, R.M.et al.(2002).Treating Alcohol Dependence. A Coping Skills Training Guide. New York: Guilford Rohsenow, D.J. et al. (2001). Cue exposure with coping skill training and communication skills training for alcohol dependence. Six and twelve month outcomes. Addiction, 96,1161 -1174.