Contingency Management with Dominic DePhilippis, PhD-Contingency Management with Dr. DePhilippis

Video Transcription

Video Summary

Dr. DeFilippis is an expert in addiction treatment and discusses the role of contingency management (CM) in the treatment of substance use disorders. He explains that substances impact the brain's reward systems, leading to a prioritization of substance use over other fulfilling activities. CM is a treatment approach that provides immediate reinforcement for engaging in recovery behaviors.<br /><br />Dr. DeFilippis goes on to explain the four active ingredients of CM: positive reinforcement, extinction, punishment, and negative reinforcement. He discusses the implementation concerns of CM, such as choosing the target behavior, the model of CM to use, and the type of reward.<br /><br />CM has been shown to be effective in promoting recovery behaviors and improving patient outcomes. It can be implemented in various treatment settings and can be combined with other treatments.<br /><br />Critics of CM argue that it is a form of bribery or reduces internal motivation, but Dr. DeFilippis counters these arguments with evidence. He explains that CM does not meet the definition of bribery and that the over-justification effect does not apply to recovery behaviors.<br /><br />CM is a valuable and effective treatment for substance use disorders, with lasting effects on behavior change. Its implementation should be accompanied by competent delivery and a motivational interviewing approach.

Keywords

addiction treatment

contingency management

substance use disorders

reward systems

recovery behaviors

positive reinforcement

extinction

punishment

negative reinforcement

implementation concerns

patient outcomes

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