Perhaps More Consideration of Pavlovian-Operant Interaction May Improve the Clinical Efficacy of Behaviorally Based Drug Treatment Programs.
Perhaps More Consideration of Pavlovian-Operant Interaction May Improve the Clinical Efficacy of Behaviorally Based Drug Treatment Programs.
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DOI：
10.11133/j.tpr.2013.63.4.010
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Troisi JR 2nd
中科院分区：
文献类型：
--
作者：
Troisi JR 2nd
Drug abuse remains costly. Drug-related cues can evoke cue-reactivity and craving, contributing to relapse. The Pavlovian extinction-based cue-exposure therapy (CET) has not been very successful in treating drug abuse. A functional operant analysis of complex rituals involved in CET is outlined and reinterpreted as an operant heterogeneous chain maintained by observing responses, conditioned reinforcers, and discriminative stimuli. It is further noted that operant functions are not predicated on Pavlovian processes but can be influenced by them in contributing to relapse; several empirical studies from the animal and human literature highlight this view. Cue-reactivity evoked by Pavlovian processes is conceptualized as an operant establishing/motivating operation. CET may be more effective in incorporating an operant-based approach that takes into account the complexity of Pavlovian–operant interaction. Extinction of the operant chain coupled with the shaping of alternative behaviors is proposed as an integrated therapy. It is proposed that operant-based drug abuse treatments (contingency management, voucher programs, and the therapeutic work environment) might consider incorporating cue-reactivity, as establishing/motivating operations, to increase long-term success—a hybrid approach based on Pavlovian–operant interaction.
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DOI：
10.3758/bf03209840
发表时间：
1994-08-01
期刊：
ANIMAL LEARNING & BEHAVIOR
影响因子：
--
作者：
BOUTON, ME;RICKER, ST
通讯作者：
RICKER, ST
影响因子：
2.7
作者：
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通讯作者：
GRUSEC, T
影响因子：
2.3
作者：
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通讯作者：
Johanson, CE
影响因子：
6
作者：
Carter, BL;Tiffany, ST
通讯作者：
Tiffany, ST
影响因子：
1.3
作者：
Baker, Tyson W.;Weisman, Ronald G.;Beninger, Richard J.
通讯作者：
Beninger, Richard J.