Cocaine Treatment: Models of Cocaine Addiction

Psychological or Characterological Model

The characterological approach to AODA views chemical dependency as rooted in abnormalities of personality or character. The proponents of this model follow that an "addictive personality" exists in such individuals and is inherint with a degree of deficit in personal and psychological boundaries. Traits associated with the "addictive personality" are poor impulse control; low self-esteem; an inability to cope with stressors; egocentricity; manipulative traits; and a need for control and power, while feeling impotent and powerless. The belief in treating AODA from this viewpoint is that a complete restructuring of the individuals personality is key.

Causal Factors

  1. Personality or disposition ("addictive personality")
  2. Low Self-Esteem
  3. Poor Impulse Control

Suggested Courses of Treatment

  1. Psychotherapy
  2. Identification and modification of self-esteem, interpersonal skills, impulse control, improved boundary setting

Treatment Specialists

  1. Psychotherapists
  2. Social Workers with training in advanced practice

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