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The Multidimensional Developmental Theory of Substance Addiction: Toward Full Recovery through Precision-Guided Treatment | OMICS International| Abstract
ISSN: 2155-6105

Journal of Addiction Research & Therapy
Open Access

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  • Theory   
  • J Addict Res Ther 2019, Vol 10(3): 384
  • DOI: 10.4172/2155-6105.1000384

The Multidimensional Developmental Theory of Substance Addiction: Toward Full Recovery through Precision-Guided Treatment

Joshua Matthews* and Rajeswari Natrajan-Tyagi
Department of Couples and Family Therapy, Alliant International University, USA
*Corresponding Author : Joshua Matthews, Department of Couples and Family Therapy, Alliant International University, USA, Tel: + 19498332651, Email: jmatthews@alliant.edu

Received Date: Feb 23, 2019 / Accepted Date: Jun 11, 2019 / Published Date: Jun 17, 2019

Abstract

Objective: To develop a comprehensive new theory about the fundamental nature of substance addiction, in the service of significantly improving the low to modest success rates of addiction treatment.

Methods: The resulting “Multidimensional Developmental Theory (MDT)” of substance addiction was developed by the first author via a qualitative, grounded theory methodology. Data analysis consisted of open, axial, and theoretical coding - and gave rise to the constructs of the theory.

Results: The central hypothesis of the MDT is as follows: substance addiction is a multidimensional developmental process that is organized around a particular person-substance relationship - and the unique, evolving manifestation of an individual’s addiction is a function of the 7 features of that process. The 7 features - themselves composed of 20 additional hypotheses form the architecture of the theory and serve as the structure that the central hypothesis rests upon. These 7 features function like variables in an equation, the result of which is an evolving multidimensional developmental “fingerprint” of an individual’s addiction. The degree of severity is posited to be a function of the degree of development and mapped by dimension of development within a multi-spectrum framework. Recovery is posited to be a function of beneficial multidimensional development. To the degree that downward/detrimental developmental trajectories are reversed, one dissolves the very fabric of addiction - and can thus achieve full recovery rather than an interminable remission state of being “in recovery.”

Conclusions: The MDT implies that fully individualized, “precision-guided treatment” would follow naturally from analyzing the unique multidimensional developmental “fingerprint” of each individual. Non-abstinence recovery pathways are potentially viable to the extent that they derive from an analysis of an individual’s multidimensional developmental process. Further research is needed to evaluate the degree to which the hypotheses and clinical implications of the MDT are valid.

Keywords: Substance addiction; Theory; Model; Developmental psychology; Assessment; Treatment; Recovery

Citation: Matthews J, Natrajan-Tyagi R (2019) The Multidimensional Developmental Theory of Substance Addiction: toward Full Recovery through Precision-Guided Treatment. J Addict Res Ther 10: 384. Doi: 10.4172/2155-6105.1000384

Copyright: © 2019 Matthews J, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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