Self-Reevaluation Therapy: A Cognitive Intervention for the Chemically Dependent Patient

A brief cognitive-behavioral intervention, based on Higgins's self-discrepancy theory, is described, and a case report of its use with a cocaine-dependent patient is provided. Self-discrepancy theory states that discrepancies among current and desired self-representations from cognitive schemas...

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Bibliographic Details
Published in:Psychology of addictive behaviors 1994-12, Vol.8 (4), p.214-222
Main Authors: Avants, S. Kelly, Margolin, Arthur, Singer, Jerome L
Format: Article
Language:English
Subjects:
Abusers
Cocaine
Cognitive Techniques
Drug Abuse
Human
Self-Evaluation
Self-Perception
Selfreevaluation therapy
Substance Use Treatment
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Description
Summary:A brief cognitive-behavioral intervention, based on Higgins's self-discrepancy theory, is described, and a case report of its use with a cocaine-dependent patient is provided. Self-discrepancy theory states that discrepancies among current and desired self-representations from cognitive schemas, which, when activated, produce negative emotional states. Negative emotional states, in turn, are hypothesized to play a role in relapse to drug use. The goal of self-reevaluation therapy is to reduce actual:ideal self-discrepancies and to increase actual:addict self-discrepancies through the use of a guided imagery technique that helps the patient identify and elaborate alternative nonaddict self-representations. The imagery script and daily logs are provided in their entirety in an appendix.
ISSN:0893-164X
1939-1501
DOI:10.1037/0893-164X.8.4.214