Why extensive participation in treatment and twelve-step programs is associated with the cessation of addictive behaviors: an application of the addicted-self model of recovery

Applying the Addicted-Self Model of recovery to explain why extensive participation in recovery activities predicts abstinence, it was hypothesized that high levels of participation in treatment and Twelve-step programs promote abstinence because these activities reinforce the notion that controlled...

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Bibliographic Details
Published inJournal of addictive diseases Vol. 22; no. 1; p. 35
Main Authors Fiorentine, Robert, Hillhouse, Maureen P
Format Journal Article
LanguageEnglish
Published England 01.01.2003
Subjects
Adolescent
Adult
Alcoholics Anonymous
Cognition
Counseling
Female
Humans
Internal-External Control
Male
Middle Aged
Models, Psychological
Motivation
Patient Compliance
Substance-Related Disorders - psychology
Substance-Related Disorders - therapy
Treatment Outcome
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Summary:Applying the Addicted-Self Model of recovery to explain why extensive participation in recovery activities predicts abstinence, it was hypothesized that high levels of participation in treatment and Twelve-step programs promote abstinence because these activities reinforce the notion that controlled use is not possible for dependent alcohol and drug users. Findings from a prospective treatment outcomes study (n = 356) indicate general support for this hypothesis. Yet the cognitive transformation described by the Addicted-Self Model involving acknowledgement of loss of control over alcohol and other drugs is only a partial explanation of why extensive participation in recovery activities promotes recovery. Reiterating the conclusion that "more is better," frequent counseling participation, treatment completion, and weekly or more frequent participation in Twelve-Step programs promote absti- nence independently from their influence on controlled use self-efficacy. Theoretical and clinical implications, and directions for future research are discussed.
ISSN:1055-0887
DOI:10.1300/J069v22n01_03