Cognitive mechanisms and therapeutic targets of addiction

被引：21

作者：

Copersino, Marc L. ^{[1
,2
]}

机构：

[1] McLean Hosp, 115 Mill St, Belmont, MA 02178 USA

[2] Harvard Med Sch, Boston, MA 02115 USA

来源：

CURRENT OPINION IN BEHAVIORAL SCIENCES | 2017年 / 13卷

基金：

美国国家卫生研究院;

关键词：

SUBSTANCE USE DISORDERS; ATTENTIONAL BIAS; DRINKING MOTIVES; IMPULSIVITY DEFINITIONS; CLINICAL-IMPLICATIONS; ALCOHOL DEPENDENCE; MEASUREMENT ISSUES; SELF-CONTROL; MINDFULNESS; CONSUMPTION;

D O I：

10.1016/j.cobeha.2016.11.005

中图分类号：

B84 [心理学]; C [社会科学总论]; Q98 [人类学];

学科分类号：

03 ; 0303 ; 030303 ; 04 ; 0402 ;

摘要：

Fundamental to cognitive models of addiction is the gradual strengthening of automatic, urge-related responding that develops in tandem with the diminution of self-control-related processes aimed at inhibiting impulses. Recent conceptualizations of addiction also include a third set of cognitive processes related to self-awareness and superordinate regulation of self-control and other higher brain function. This review describes new human research evidence and theoretical developments related to the multicausal strengthening of urge-related responding and failure of self-control in addiction, and the etiology of disrupted self-awareness and rational decision-making associated with continued substance use. Recent progress in the development of therapeutic strategies targeting these mechanisms of addiction is reviewed, including cognitive bias modification, mindfulness training, and neurocognitive rehabilitation.

引用

页码：91 / 98

页数：8

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