Approaching avoidance - A step essential to the understanding of craving

Author(s): Stritzke, W. G., Lang, A. R.

Journal/Book: Alcohol Res Health. 1999; 23: 6000 Executive Blvd, Rockville, MD 20892-7003, USA. Natl Inst Alcohol Abuse Alcoholism. 197-206.

Abstract: Craving is only one component of the mental processes that influence drinking behavior. Alcohol-related cues (ARCs) can set in motion a dynamic competition between inclinations to approach drinking and inclinations to avoid drinking-Craving can thus be integrated into a comprehensive model of decisionmaking in which ambivalence or conflict is a key element. The relative strength of each component of the ARC reaction can fluctuate over time as well as in response to both subjective states and environmental circumstances. Simultaneously and independently evaluating these opposing responses puts clinicians in a better position to influence the relative weight that the patient assigns to the positive and negative outcomes of alcohol consumption.

Note: Article Breiner MJ, Florida State Univ, Dept Psychol, Tallahassee,FL 32306 USA

Keyword(s): AOD (alcohol and other drug) craving; alcohol cue; avoidance conditioning; theory of AODU (alcohol and other drug use); causes of AODU; predictive factors; classical conditioning; AOD sensitivity; expectancy; motivation; causal model; AOD prevention; intervention; behavior modification; risk assessment; literature review; ALCOHOL-USE; MOTIVATIONAL MODEL; DRINKING; ADDICTION; DRINKERS; EMOTION; CUES

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