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Why do people change addictive behavior? The 1996 H. David Archibald Lecture
Author(s) -
Miller William R.
Publication year - 1998
Publication title -
addiction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.424
H-Index - 193
eISSN - 1360-0443
pISSN - 0965-2140
DOI - 10.1046/j.1360-0443.1998.9321632.x
Subject(s) - addiction , behavior change , addictive behavior , psychological intervention , psychology , addiction treatment , specialty , psychotherapist , compliance (psychology) , psychiatry , medicine , social psychology
Although there are specialty journals and professions focusing on addictions treatment, the reasons why people change addictive behaviors are still not well understood. The simplistic account that people change because they receive treatment is wanting in many ways. Many people who recover do so without formal treatment. Even relatively brief interventions seem to trigger change, and the dose of treatment delivered is surprisingly unrelated to outcomes. Client compliance with many different approaches, including placebo medication, has been linked to better outcomes. Client outcomes also vary widely depending upon the therapist who delivers treatment. Various models are briefly considered that may help in understanding this intriguing puzzle of change.