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Dr. Arnold M. Washton | |
---|---|
Nationality | American |
Alma mater | The Graduate School, City University of NY (Ph.D.) |
Occupation(s) | Psychologist, Author, Researcher, Clinical Professor |
Known for | Contributions to addiction psychology and the treatment of addictive disorders |
Notable work | "Treating Alcohol and Drug Problems in Psychotherapy Practice: Doing What Works" |
Website | https://recoveryoptions.us/ |
Arnold M. Washton is an American psychologist, author, researcher, and educator working in the field of addiction psychology since 1975. He has written several textbooks for graduate students and practitioners, self-help manuals published by the Hazelden Foundation, and over 30 articles in professional refereed journals. His work has influenced national policy and the development of best practices in addiction treatment. [1] He continues to provide professional training seminars approved by the American Psychological Association and sponsored by academic institutions, including the Graduate School of Applied and Professional Psychology at Rutgers University. [2] [3] [4]
A native of New York City, born and raised in The Bronx, Washton began his education in psychology at New York University where he earned a B.A. degree in 1968, followed by an M.A. from Queens College of The City University of New York 1973 and a Ph.D. in psychology from The Graduate School of the City University of New York in 1978. [5]
Starting in the early 1980s, he brought to public attention the emerging epidemic of cocaine use in the United States and spearheaded an effort to formally recognize cocaine “addiction” as a phenomenon worthy of medical classification. [6] [7] [8] This challenged the long-held but mistaken belief that cocaine was not truly “addictive” because abrupt discontinuation of cocaine use did not give rise to definitive withdrawal syndrome as is the case with heroin and other opioids. Washton’s work has also contributed to a greater understanding of the role of medication assisted treatment for addiction, including the clinical value of opioid antagonists such as naltrexone and naloxone. [9] [10] [11] Washton has developed specialized approaches for treating addiction in high-fuctioning individuals including corporate executives, physicians, and other healthcare professionals. [12] [13] He has promoted evidence-based treatment protocol for substance abuse, including marijuana abuse, [14] [15] [16] and has published on protocols for outpatient treatment of substance abuse. [17] [18]
He has been quoted in the press as a commentator on addiction issues, especially on topics related to challenges faced by professionals struggling with alcohol and other drug problems. [19] [20] [21]
In 1998, Washton founded Recovery Options, [22] a private practice in New York City. With his wife, Loraine Washton, he formed The Washton Group [23] in Princeton, NJ, offering a range of online telehealth addiction and mental health services. The Washton Group specializes in the treatment of executives, professionals, and their families. Treatment incorporates group and individual therapy to support diverse substance use goals, including abstinence, harm reduction, and alcohol moderation. In clinical practice, and in publications, he advances the thesis that "willpower" should not be viewed as a necessary and sufficient condition for recovery. [24] [25]
In addition to his clinical practice, Washton provides professional training and continuing education webinars approved by the American Psychological Association many of which are sponsored by Rutgers University Graduate School of Applied and Professional Psychology. [3]
Washton has served on the Substance Abuse Advisory Committee of the U.S. Food and Drug Administration and the American Psychological Association and has provided expert testimony on drug abuse trends in America to both the United States Senate and the House of Representatives. [5]
Washton has written ten textbooks published between 1987 and 2023, four monographs published by the Hazelden Foundation (Hazelden Betty Ford Foundation), [26] and over 30 articles in refereed journals, including early investigation of the efficacy of Naltrexone. [27] "Treating Alcohol and Drug Problems in Psychotherapy Practice: Doing What Works", co-authored with Joan Zweben, was published in 2006 and updated in 2023. [28] [29] [30]
Twelve-step programs are international mutual aid programs supporting recovery from substance addictions, behavioral addictions and compulsions. Developed in the 1930s, the first twelve-step program, Alcoholics Anonymous (AA), founded by Bill Wilson and Bob Smith, aided its membership to overcome alcoholism. Since that time dozens of other organizations have been derived from AA's approach to address problems as varied as drug addiction, compulsive gambling, sex, and overeating. All twelve-step programs utilize a version of AA's suggested twelve steps first published in the 1939 book Alcoholics Anonymous: The Story of How More Than One Hundred Men Have Recovered from Alcoholism.
Substance misuse, also known as drug misuse or, in older vernacular, substance abuse, is the use of a drug in amounts or by methods that are harmful to the individual or others. It is a form of substance-related disorder. Differing definitions of drug misuse are used in public health, medical, and criminal justice contexts. In some cases, criminal or anti-social behavior occurs when the person is under the influence of a drug, and long-term personality changes in individuals may also occur. In addition to possible physical, social, and psychological harm, the use of some drugs may also lead to criminal penalties, although these vary widely depending on the local jurisdiction.
Drug rehabilitation is the process of medical or psychotherapeutic treatment for dependency on psychoactive substances such as alcohol, prescription drugs, and street drugs such as cannabis, cocaine, heroin, and amphetamines. The general intent is to enable the patient to confront substance dependence, if present, and stop substance misuse to avoid the psychological, legal, financial, social, and medical consequences that can be caused.
Opioid use disorder (OUD) is a substance use disorder characterized by cravings for opioids, continued use despite physical and/or psychological deterioration, increased tolerance with use, and withdrawal symptoms after discontinuing opioids. Opioid withdrawal symptoms include nausea, muscle aches, diarrhea, trouble sleeping, agitation, and a low mood. Addiction and dependence are important components of opioid use disorder.
Cocaine Anonymous (CA) is a twelve-step program formed in 1982 for people who seek recovery from drug addiction. It is patterned very closely after Alcoholics Anonymous (AA), although the two groups are unaffiliated. While many CA members have been addicted to cocaine, crack, speed or similar substances, CA accepts all who desire freedom from "cocaine and all other mind-altering substances" as members.
Naltrexone, sold under the brand name Revia among others, is a medication primarily used to manage alcohol use or opioid use disorder by reducing cravings and feelings of euphoria associated with substance use disorder. It has also been found effective in the treatment of other addictions and may be used for them off-label. An opioid-dependent person should not receive naltrexone before detoxification. It is taken orally or by injection into a muscle. Effects begin within 30 minutes, though a decreased desire for opioids may take a few weeks to occur.
Substance dependence, also known as drug dependence, is a biopsychological situation whereby an individual's functionality is dependent on the necessitated re-consumption of a psychoactive substance because of an adaptive state that has developed within the individual from psychoactive substance consumption that results in the experience of withdrawal and that necessitates the re-consumption of the drug. A drug addiction, a distinct concept from substance dependence, is defined as compulsive, out-of-control drug use, despite negative consequences. An addictive drug is a drug which is both rewarding and reinforcing. ΔFosB, a gene transcription factor, is now known to be a critical component and common factor in the development of virtually all forms of behavioral and drug addictions, but not dependence.
William Richard Miller is an American clinical psychologist, an emeritus distinguished professor of psychology and psychiatry at the University of New Mexico in Albuquerque. Miller and Stephen Rollnick are the co-founders of motivational interviewing.
Treatment Improvement Protocols (TIPs) are a series of best-practice manuals for the treatment of substance use and other related disorders. The TIP series is published by the Substance Abuse and Mental Health Services Administration (SAMHSA), an operational division of the U.S. Department of Health and Human Services.
Drug detoxification is variously construed or interpreted as a type of "medical" intervention or technique in regards to a physical dependence mediated by a drug; as well as the process and experience of a withdrawal syndrome or any of the treatments for acute drug overdose (toxidrome). The first definition however, in relation to substance dependence and its treatment is arguably a misnomer and even directly contradictory since withdrawal is neither contingent upon nor alleviated through biological excretion or clearance of the drug. In fact, excretion of a given drug from the body is one of the very processes that leads to withdrawal since the syndrome arises largely due to the cessation itself and the drug being absent from the body; especially the blood plasma, not from ‘leftover toxins’ or traces of the drug still being in the system.
Substance use disorder (SUD) is the persistent use of drugs despite substantial harm and adverse consequences to self and others. Related terms include substance use problems and problematic drug or alcohol use.
Addiction is a neuropsychological disorder characterized by a persistent and intense urge to use a drug or engage in a behavior that produces natural reward, despite substantial harm and other negative consequences. Repetitive drug use can alter brain function in synapses similar to natural rewards like food or falling in love in ways that perpetuate craving and weakens self-control for people with pre-existing vulnerabilities. This phenomenon – drugs reshaping brain function – has led to an understanding of addiction as a brain disorder with a complex variety of psychosocial as well as neurobiological factors that are implicated in the development of addiction. While mice given cocaine showed the compulsive and involuntary nature of addiction, for humans this is more complex, related to behavior or personality traits.
Mark S. Gold is an American physician, academic, and researcher known for his work on the effects of opioids, cocaine, tobacco, and food on brain function and behavior. He has held academic positions as a professor of neuroscience and psychiatry and served as chair of the Department of Psychiatry at the University of Florida College of Medicine, where he established the Division of Addiction Medicine.
About 1 in 7 Americans reportedly suffered from active addiction to a particular substance. Addiction can cause physical, emotional and psychological harm to those affected by it. The American Society of Addiction Medicine defines addiction as "a treatable, chronic medical disease involving complex interactions among brain circuits, genetics, the environment, and an individual's life experiences. People with addiction use substances or engage in behaviors that become compulsive and often continue despite harmful consequences."
Euphoric recall is a cognitive bias that describes the tendency of people to remember past experiences in a positive light, while overlooking negative experiences associated with some event(s). Euphoric recall has primarily been cited as a factor in substance dependence. Individuals may become obsessed with recreating the remembered pleasures of the past, where positive expectancy of outcomes results in the belief that substance use can provide immediate relief.
Andrew Tatarsky is an American psychologist and the founder and director of the Center for Optimal Living. He teaches in New York City as the Professor of Professional Practice for the Harm Reduction Psychotherapy Certificate Program at the New School for Social Research. Tatarsky is known for developing Integrative Harm Reduction Therapy (IHRP), a treatment for the spectrum of substance use disorders and other high-risk behaviors.
Linda Carter Sobell, Ph.D., ABPP, is the President's Distinguished Professor at Nova Southeastern University (NSU) in Fort Lauderdale, Florida. She is a professor of clinical psychology, addiction specialist, co-director of NSU's Guided Self-Change clinic, a Motivational Interviewing Trainer, and is board-certified in cognitive and behavioral psychology.
Treatment and management of addiction encompasses the range of approaches aimed at helping individuals overcome addiction, most commonly in the form of DSM-5 diagnosed substance use disorders, or behavioral addictions such as problematic gambling and social media addiction. Treatment is one of the recovery pathways that individuals can follow to resolve their addiction and other related problems, as opposed to natural recovery, depending on how severe the addiction is.
Prescription drug addiction is the chronic, repeated use of a prescription drug in ways other than prescribed for, including using someone else’s prescription. A prescription drug is a pharmaceutical drug that may not be dispensed without a legal medical prescription. Drugs in this category are supervised due to their potential for misuse and substance use disorder. The classes of medications most commonly abused are opioids, central nervous system (CNS) depressants and central nervous stimulants. In particular, prescription opioid is most commonly abused in the form of prescription analgesics.
Joseph R. Volpicelli is an American psychiatrist, research scientist, medical academic, and expert in the treatment of addictive disorders. He is professor emeritus, Perelman School of Medicine at the University of Pennsylvania. He is board certified in neurology, psychiatry and addiction psychiatry. He currently is medical director at Volpicelli Center, an out-patient addiction treatment facility in Plymouth Meeting, Pennsylvania, as well as the executive director at Institute of Addiction Medicine, a non-profit research entity also in Plymouth Meeting, Pennsylvania.
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