The concept of paradigm and the treatment of addiction

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Suggests that scientists concerned with substance abuse review contemporary theories of addiction in order to develop and adopt a paradigm. An examination of various theoretical orientations indicates that these frameworks are at a preparadigm stage. The absence of a paradigm is considered to precipitate a variety of problems for drug-treatment research and clinical practice and 5 considerations are offered to facilitate paradigm development. These considerations are based on clinical analysis of addictive behavior and an inductive investigation of contemporary theories of addiction. The potential advantages that result from the adoption of a paradigm for drug treatment and the dangers associated with failing to recognize implicit paradigms are discussed. Because of the peculiar relationship between therapeutic practice and scientific theory and research, a discussion of the pitfalls associated with the acceptance of a paradigm is presented. (3½ p ref) (PsycINFO Database Record (c) 2006 APA, all rights reserved)

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