The Hidden Agenda: Cognitive processes in addiction

The hidden agenda: Cognitive processes as vulnerability factors in addiction Frank Ryan Clinical Psychologist Honorary Research Fellow CNWL NHS Mental Health Trust Birkbeck College London [email_address]

Overview & Scope ,[object Object],[object Object],[object Object],[object Object],[email_address]

Basic Assumptions ,[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]

Reward radar is always on! ,[object Object],[object Object],[object Object],[email_address]

Two Functions of Attentional Control ,[object Object],[object Object],[email_address]

Neuropsychological sequalae of drug misuse ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]

Impaired inhibition and learning in substance misusers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]

Cognitive biases are linked to craving ,[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]

An Appraisal Model of Cue Reactivity (Ryan, 2002) (arrows indicate influence of cognitive biases which can be facilitative or inhibitory) [email_address] Schematically Encoded Information about self and addiction in LTM Cognitions e.g. Expectancies Action Tendencies and Behaviour Physiological Reactivity Experience of Craving Cognitive Appraisal: Stimulus encoded as drug cue Adapted from Eysenck,1997

Work in progress….. ,[object Object],[email_address] Top down Processes (goals and coping strategies) Bottom up Processes “ Reward Radar”

Cycle of pre-occupation [email_address] Attribution of incentive salience

The Gateway and the Desktop ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]

Bridging the gap between laboratory and clinic ,[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]

Different concepts… Not so different therapies? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]

Why Drugs are Addictive ,[object Object],[object Object],[object Object],[email_address]

Wanting and Liking ,[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]

Attentional bias associated with dependence severity: Two UK studies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]

Outcomes Overview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]

Summary ,[object Object],[object Object],[email_address]

Implicit cognitive processes can subvert therapeutic allegiance ,[object Object],[object Object],[object Object],[object Object],[email_address]

General implications ,[object Object],[object Object],[object Object],[email_address]

Easier said than done! ,[object Object],[object Object],[email_address]

Introducing Neuro Cognitive Behaviour Therapy ,[object Object],[object Object],[object Object],[email_address]

Therapeutic Strategies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]

Implementing intentions to change ,[object Object],[object Object],[object Object],[object Object],[email_address]

“ Road to recovery… ,[object Object],[object Object],[object Object],[email_address]

Concluding comments ,[object Object],[object Object],[object Object],[object Object],[email_address]

Poetry, cognition and motivation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]

Selected References ,[object Object],[object Object],[object Object],[object Object],[email_address]

Selected Bibliography: Cognitive neuroscience and addiction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]

The Hidden Agenda: Cognitive processes in addiction

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The Hidden Agenda: Cognitive processes in addiction