Abstract
Conceptualizing, diagnosing, and treating behavioral or process addictions (addictions to nondrug activities, such as gambling, sex, Internet use and gaming, eating, shopping, work, and exercise) have proven to be conceptually complex. As a means of addressing this complexity, we adopt a syndrome model of addiction, which views the disorder of addiction as a syndrome with multiple opportunistic expressions and multiple, interacting biological, psychological, and experiential elements. In this chapter we refine our focus to how the psychological factors of impairment of control, craving, motives and expectancies, and personality influence the addiction syndrome of excessive behaviors. We draw upon relevant research on these psychological factors as they relate to excessive behaviors, integrate these findings, and propose implications for treating excessive behaviors. A transdiagnostic treatment approach is suggested that recognizes the dynamic interaction between personality characteristics, emotional and cognitive states, interpersonal problems, and excessive behaviors but also uses a tailored case conceptualization to identify the optimal specific treatment focus and approach as relevant to specific individuals and types of behavioral problems.
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Mudry, T.E., Stea, J.N., Hodgins, D.C. (2015). The Psychological Underpinnings of Addictive Behaviours. In: el-Guebaly, N., Carrà, G., Galanter, M. (eds) Textbook of Addiction Treatment: International Perspectives. Springer, Milano. https://doi.org/10.1007/978-88-470-5322-9_72
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