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A cognitive processing model of alcohol craving and compulsive alcohol use
Stephen T Tiffany1, Cynthia A Conklin
1Department of Psychological Sciences, Purdue University, IN 47907, USA. tiffany@psych.purdue.edu
Addiction (Abingdon, England)
|September 26, 2000
Summary
This study proposes a cognitive processing model where addictive drug use is automatic, while craving signals non-automatic processes. Craving acts as a cognitive marker, not always directly driving drug seeking or use.
Area of Science:
- Addiction Research
- Cognitive Psychology
- Neuroscience
Background:
- Conventional addiction theories posit craving as central to drug dependence.
- Craving is characterized by situational specificity and persistence.
- Existing models struggle to link craving manifestations (report, behavior, autonomic response).
Purpose of the Study:
- To present a cognitive processing model of craving and drug use.
- To differentiate automatic processes regulating drug use from non-automatic processes involved in craving.
- To re-evaluate the role of craving in addiction.
Main Methods:
- Theoretical model development.
- Review of existing addiction and craving research.
- Conceptual analysis of cognitive processes in drug dependence.
Main Results:
- Addictive drug use is proposed to be regulated by automatic cognitive processes.
- Craving is posited as the activation of non-automatic processes.
- These non-automatic processes may aid or block ongoing drug use sequences.
Conclusions:
- Craving is a cognitive marker, not always directly responsible for drug seeking or use.
- Drug use and craving processes can operate independently.
- This model offers new implications for addiction research and treatment strategies.