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Treating Addiction: Forms Of Rehab Part 2

Updated on June 30, 2010

In a major medical clinical study involving criminal offenders with a history of violent and antisocial behavior linked with their alcohol problems demonstrated that the levels of employment were considerably improved as compared to the time of the patient's intake. The clinical study centered on the mobilization of a number of social and community resources to ameliorate the offenders' skills in locating gainful and preferably full time employment.

Cue exposure is a relatively new concept in therapeutic management of addiction and few controlled studies analyzing this method are available at this time. The Cue exposure approach is centered on the concept that craving and withdrawal are two pre-conditioned responses that can be eliminated by creating a situation whereby alcoholic drinkers and recreational narcotics users can be exposed to the various alcoholic drinking or narcotics use cues while at the same time not exposing the patient at all to alcohol or narcotics.

The process of cue exposures includes a variety of stimuli. In the case of alcoholic patients it includes the provision of a range of the sights, smells and tastes of alcoholic beverages, as well as images of bars and social alcoholic consumption locations. In the case of narcotics patients it includes the provision of the spectrum of the sights, smells and tastes of recreational narcotics, as well as images of syringes, "lines," and drug-taking environments.

There are various approaches to cue exposure which demonstrates its potential as a therapeutic intervention, and each one is tailored to the specific addiction and patient. In a variety of clinical trials, alcoholic drinkers have been allowed to ingest tiny doses of alcohol and then prohibited from any further consumption of alcohol. When cue exposure is applied to narcotics addicts, it appears that termination of drug-related cues is not stable and poses difficulties in the process of establishing and ascertaining its eventual efficacy.

In both cases of alcoholic and narcotics addictions, the community reinforcement strategy has constantly been demonstrated to be successful in Rehab settings, particularly in the case of patients having limited social support infrastructures and more severe problems with the excessive consumption of alcohol or abuse of recreational narcotic drugs.

The various therapeutic processes which focus on marital behavioral aspects seek to ameliorate interpersonal communication and problem solving abilities, and to hasten the exchange of positive reinforcement between the patient and their spouse or partner. The various components of marital therapy may incorporate education on the specific communication skills which are impacted most significantly by alcohol or narcotics consumption as well as establishing a sound basis of skillsets dealing with the various aspects that are confronted within the marital relationship.

Marital therapeutic interventions have been demonstrated to be effective in both brief and more extended Rehab implementations. The benefits of these forms of marital therapy may not display themselves immediately as the beneficial factors often take a certain amount of time to become effective, but they may become clear and overarching in the long term as the patient develops innovative skills which become an integral part of the relationship between the patient and their spouse or partner.

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