This seminar describes stages of initiation of addiction and stages of recovery and how prevention and intervention interact with these stages. We will examine the following key challenges. The first involves understanding important tasks and processes involved in both initiation and recovery. The second focuses on developing an understanding of use disorders that goes beyond DSM-5 symptoms. We propose a multidimensional set of key mechanisms that create a well maintained addiction that is difficult to change and meets criteria for a substance use disorder. The third is to examine the client contribution to recovery and the difference between change generating (behavior specific) mechanisms delineated by the Transtheoretical Model and change regulating (self-control) mechanisms and how to address these differences in treatment. The fourth is to explore how prevention and treatment are connected to the personal journey and change process of individuals initiating or trying to recover from addictions.
Dr. DiClemente is co-developer of the Transtheoretical Model of behavior change, and author of numerous scientific publications on motivation and behavior change with a variety of health and addictive behaviors. He has conducted funded research for the past 40 years with funding from NIH Institutes, SAMSHA, and Foundations. His most recent book Addiction and Change: How Addictions Develop and Addicted People Recover (second edition) was published in 2018. He has co-authored several professional books, The Transtheoretical Model, Substance Abuse Treatment and the Stages of Change (second edition), and Group Treatment for Substance Abuse: A Stages of Change Therapy Manual (Second Edition) and a self-help book, Changing for Good.
For his work, he has received awards from the Robert Woods Johnson Foundation, American Society of Addiction Medicine, Association for Behavioral and Cognitive Therapies, as well as a Presidential Citation from the American Psychological Association. In 2019 he received the National Institute on Alcohol Abuse and Alcoholism (NIAAA) Jack Mendelson, M.D., Award and the 2019 Alfred Wellner Lifetime Achievement Award by the National Register of Health Services Psychologists.
Dr. Carlo DiClemente received his Doctorate in Psychology at the University of Rhode Island and currently directs several training centers, the MDQUIT Tobacco Resource Center, the Center for Community Collaboration, and the Home Visiting Training Center at UMBC.
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