2nd Edition

Addiction and Change
How Addictions Develop and Addicted People Recover

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ISBN 9781462533237
Published February 14, 2018 by Guilford Press
364 Pages

USD $40.00

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Book Description

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.

Table of Contents

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

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Carlo C. DiClemente, PhD, ABPP, is Professor Emeritus 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.


"This masterful book provides an overall framework for understanding how people take up addictions and how they move away from them. The second edition organizes a wealth of recent research about prevention, treatments, and biological and social influences. It puts knowledge about every aspect of psychosocial treatments for addictions at the reader's fingertips, and includes interesting, relevant case studies. DiClemente is an excellent writer with a relaxed and engaging style and a passion for his subject. This is an invaluable resource for college courses on addictions--I can't wait to use it in my classes."--Theresa B. Moyers, PhD, Department of Psychology, University of New Mexico

"Addiction and Change, Second Edition, incorporates the considerable body of addiction-related research that has accumulated over the last dozen years. DiClemente presents an important integration of many areas of research and advocates a personalized approach to treatment planning. He emphasizes that achieving and maintaining change is a process, not a product. This book will expand therapists’ toolboxes while serving as a guide for case conceptualization. Well done!"--Linda Carter Sobell, PhD, ABPP, and Mark B. Sobell, PhD, ABPP, Center for Psychological Studies, Nova Southeastern University

"The updated second edition attests to the major, expanding influence of the TTM on our understanding and treatment of addictive behavior. Decades of research inspired by the TTM are well reflected here; the book is also replete with references to other approaches and is sprinkled with clinical case examples that illustrate and amplify. Especially highlighted is the broader context of cultural and social factors that affect the processes of change. The author's personal anecdotes and self-reflection add a relevant personal touch to the book, which could easily serve as a text for the large swath of disciplines aiding those on their journey through change."--Peter M. Monti, PhD, Donald G. Millar Distinguished Professor of Alcohol and Addiction Studies and Director, Center for Alcohol and Addiction Studies, Brown University

"I thoroughly enjoy DiClemente's ability to take complex concepts and translate them into language that therapists and counselors can understand and utilize with their patients. More than most textbooks I use with graduate students, this one gives depth and texture to the idea of 'meeting clients where they are at.' Students and therapists consistently feel that the book helps them individualize treatment strategies and interventions more than any other source. I will definitely assign the second edition in my courses."--Kevin C. Gilliland, PsyD, Adjunct Faculty, Department of Dispute Resolution and Counseling, Southern Methodist University; Executive Director, Innovation 360 Dallas

"This updated and revised new edition has many advantages….Addiction and Change continues to be an invaluable resource for new students looking for foundational instruction and for seasoned professionals seeking information on recent advances in the field. Highly recommended. Students, researchers, and practitioners."--Choice Reviews, 11/1/2018