Marc I Rosen1. 1. Department of Psychiatry, Yale University School of Medicine, West Haven, CT, USA. marc.rosen@yale.edu
Abstract
BACKGROUND: How addicts manage their funds can be understood from the studies of impulsive spending, contingency management, self-reported expenditures, behavioral economics, and anthropology. OBJECTIVE: To show how these differing perspectives can provide theoretical explanations for substance abuse, they were applied to the question of when extra "windfall" funds are spent on substances of abuse. Treatment implications of these perspectives were examined. METHODS: Relevant literature was reviewed. RESULTS: Behavioral economics and related approaches provide the basis for money-management-based interventions targeting substance abuse, informed configuration of reinforcers to compete with substances, and therapeutically framing the choice between abstinence and substance use. CONCLUSIONS AND SCIENTIFIC SIGNIFICANCE: A cross-discipline consideration of how addicts manage their funds has the potential to inform and improve substance abuse treatment.
BACKGROUND: How addicts manage their funds can be understood from the studies of impulsive spending, contingency management, self-reported expenditures, behavioral economics, and anthropology. OBJECTIVE: To show how these differing perspectives can provide theoretical explanations for substance abuse, they were applied to the question of when extra "windfall" funds are spent on substances of abuse. Treatment implications of these perspectives were examined. METHODS: Relevant literature was reviewed. RESULTS: Behavioral economics and related approaches provide the basis for money-management-based interventions targeting substance abuse, informed configuration of reinforcers to compete with substances, and therapeutically framing the choice between abstinence and substance use. CONCLUSIONS AND SCIENTIFIC SIGNIFICANCE: A cross-discipline consideration of how addicts manage their funds has the potential to inform and improve substance abuse treatment.
Authors: R J Peters; Susan R Tortolero; Regina Jones Johnson; Robert C Addy; Christine M Markham; S Liliana Escobar-Chaves; Holly Lewis; George S Yacoubian Journal: Am J Addict Date: 2005 Oct-Dec
Authors: Wilson M Compton; Jack B Stein; Elizabeth B Robertson; Denise Pintello; Beverly Pringle; Nora D Volkow Journal: J Subst Abuse Treat Date: 2005-10
Authors: Susan M Essock; Kim T Mueser; Robert E Drake; Nancy H Covell; Gregory J McHugo; Linda K Frisman; Nina J Kontos; Carlos T Jackson; Flora Townsend; Karin Swain Journal: Psychiatr Serv Date: 2006-02 Impact factor: 3.084