Alcoholics and addicts and those with other addictive behaviours appear to have the same general cognitive distortions as well as distortions of errors in thinking specific to their manifest addictive behaviour. However, there seem to be overlaps in certain cognitive distortions as in the case of […]
Mindfulness training modifies cognitive, affective, and physiological mechanisms implicated in alcohol dependence.
Yesterday we looked a how low heart rate variability in alcoholics (active and in recovery) may influence self, emotion and stress regulation, and have a limited effect on impulsivity, and result in a “locked in” attention to alcohol-related cues, all of which have obvious consequences for relapse. Here […]
I remember when I was in the first days, weeks and months of early recovery I used to give myself such a hard time when my attention was drawn to some alcohol-related cue, like someone drinking ,or finding it difficult not dealing with some reminder of people places and […]
Research on alexithymia (1) has found significant positive associations between alexithymia, difficulties identifying feelings, difficulties describing feelings and alcohol problems (Thorberg, Young, Sullivan, & Lyvers, 2009; Thorberg, Young, Sullivan, Lyvers, Connor & Feeney, 2010). Individuals with alcohol-dependence and alexithymia report more severe alcohol problems compared to those with alcohol-dependence […]
In an earlier blog we asked the question whether neurobiological or “conditioning” or reinforcement models of craving predict relapse in abstinent alcoholics and addicts? For us this is the most essential question. How do we explain relapse in those individuals motivated to remain abstinent, especially when they have followed some […]
In our previous blog on we looked at automatic physiological response to cues that alcoholics appear to experience. These habitual responses are well explained by reinforcement, conditioning or neurobiological models of addiction. However, do these neurobiological models predict relapse in abstinent alcoholics and addicts? Factors in relapse Cues, […]
In the first of a three part series of blogs we discuss “what is craving?” and consider whether the emotional dysregulation we consider to be at the heart of alcoholism and addiction also plays a role in both craving and relapse. We start this series by considering the neurobiological accounts […]
Treating Addiction as an Emotional Regulation and Processing Disorder Translating accurate diagnosis into effective treatment Around this time last year and just weeks before The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (1), DSM-5, was due to appear, the National Institute of Mental Health (NIMH), […]
Euphoria re-experienced not simply recalled. It appears that negative affect (emotions, mood, anxiety) can automatically prompt thoughts of alcohol or drugs (1) and that the neural circuitries of affect, reward, memory and attention are taken over or ‘hijacked’ in the addiction cycle and often prompted into activation by […]
Most alcoholics have difficulties with emotional and stress regulation.