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Updated: Aug 4, 2026

A Treatment Package without Escape Extinction to Address Food Selectivity
Published on: August 21, 2015
Origins, issues and options in the development of the combined behavioral intervention
Richard Longabaugh1, Allen Zweben, Joseph S Locastro
1Center for Alcohol and Addiction Studies, Brown Medical School, Box G-Butler Hospital, Providence, Rhode Island 02912, USA. Richard_Longabaugh@brown.edu
Objective:
The aim of the investigators was to develop a moderate intensity comprehensive behavioral treatment based on the principles of motivational interviewing and Cognitive Behavioral Therapy that, within the confines of a standardized abstinence-oriented treatment, would provide a broad spectrum of modules to assist those seeking treatment to achieve reduction of problematic drinking.
Method:
The core issue of how to deliver a flexible therapy tailored to the needs of individual clients while at the same time providing a standardized treatment protocol for a randomized clinical trial provided the dilemma out of which this unique standardized protocol arose. By using a single decision tree, client choice, combined with limited options, we were able to reconcile these conflicting demands.
Results:
Key decisions that were made in developing the treatment protocol and the thinking leading to these decisions are described.
Conclusions:
Understanding these key issues and the factors that led to the decisions made will assist would-be users in their own clinical and/or clinical research needs.
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