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Addiction Psychiatry 2018 Journal of Addiction Research & Therapy
ISSN: 2155-6105 Page 39
August 13-14, 2018
Madrid, Spain
8th International Conference on
Addiction Psychiatry
Despite the fact that the use of the substance causes
considerable damage, persistent use is often explained
by deterioration in the decision-making process. Decision-
making essentially defined as a process that makes the most
advantageous choice according to its long-term and short-term
results. One of the factors that is closely related to substance
use is higher delay discounting. Individuals with substance use
disorder behave impulsively, choosing small immediate rewards
associated with drug use over delayed rewards such as good
health. In terms of substance abuse, it is thought that finding and
implementing psychosocial ways to regulate these processes will
be successful in terms of treatment success and relapse rates.
Acceptance-based therapies can be considered as a valuable
option with findings that reduce the delayed discounting. It is
considered to be a powerful method in terms of reducing the
level of stress related with delayed reward. Stress intolerance
and psychological inflexibility also often lead to the decision to
use drugs in individuals with substance use disorder by distorting
their ability of staying in a negative mood. Acceptance-based
therapies are also used for strengthening this ability by increasing
stress tolerance and flexibility. Another alternative approach is
goal management training (GMT) when studying on decision
making processes with substance use disorder. GMT trains self-
regulation, feedback monitoring and response initiation that are
fundamental cognitive control processes involved in decision-
making. Enrolling this approach in usual substance use disorder
treatment regimens, have shown a significant improvement in
decision-making processes. In this presentation, it is the main
goal to share how wrong decision-making processes, which may
affect treatment success in terms of addiction, are retreated in
different therapy techniques.
Recent Publications
1. Ashe M L, Newman M G and Wilson S J (2015) Delay
discounting and the use of mindful attention versus
distraction in the treatment of drug addiction: A
conceptual review. Journal of the Experimental
Analysis of Behavior 103(1):234-248.
2. Lamb R J, Maguire D R, Ginsburg B C, Pinkston J W
and France C P (2016) Determinants of choice, and
vulnerability and recovery in addiction. Behav Process
127:35–42.
3. Morrison K L, Madden G J, Odum A L, Friedel J E and
Twohig M P (2014) Altering impulsive decision making
with an acceptance-based procedure. Behavior
therapy 45(5):630-639.
4. Robles E, Huang B E, Simpson P M and McMillan
D E (2011) Delay discounting, impulsiveness, and
addiction severity in opioid-dependent patients.
Journal of Substance Abuse Treatment 41(4):354-
362.
5. Valls Serrano C, Caracuel A and Verdejo Garcia A
(2016) Goal management training and mindfulness
meditation improve executive functions and transfer
to ecological tasks of daily life in polysubstance users
enrolled in therapeutic community treatment. Drug
and Alcohol Dependence 165:9-14.
Biography
Betül Akyel has been a Psychologist for six years. She has completed her
Master’s degree programme on Substance Addiction at Ege University In-
stitute on Drug Abuse and she has been a PhD student on Substance Ad-
diction Programme at Ege University Institute on Drug Abuse, Toxicology
and Pharmaceutical Science. Her research interests are addictive disorders,
neurocognitive assessment and cognitive behavioral therapies.
Achieving rational decision-making with therapy: addiction
perspective
Betül Akyel
Ege University - Institute on Drug Abuse, Toxicology and Pharmaceutical Science, Turkey
Betül Akyel, J Addict Res Ther 2018, Volume 9
DOI: 10.4172/2155-6105-C2-039