treatment for problematic drug use cogs 174: drugs and culture
DESCRIPTION
Treatment for Problematic Drug Use Cogs 174: Drugs and Culture. C. Alexander Simpkins PhD Annellen M. Simpkins PhD. Treatment Helps with Drug Problems. Statistics from the Substance Abuse and Mental Health Services Administration Reasons for discharge by types of service - PowerPoint PPT PresentationTRANSCRIPT
Treatment for Problematic Drug Use
Cogs 174: Drugs and Culture
Treatment for Problematic Drug Use
Cogs 174: Drugs and Culture
C. Alexander Simpkins PhD
Annellen M. Simpkins PhD
C. Alexander Simpkins PhD
Annellen M. Simpkins PhD
Treatment Helps with Drug ProblemsTreatment Helps with Drug Problems
Statistics from the Substance Abuse and Mental Health Services Administration
Reasons for discharge by types of service 44% Completed treatment 14% Transferred to another treatment 25% dropped out
Statistics from the Substance Abuse and Mental Health Services Administration
Reasons for discharge by types of service 44% Completed treatment 14% Transferred to another treatment 25% dropped out
QuickTime™ and a decompressor
are needed to see this picture.
SpecificsSpecifics
Different Treatments have specific effects• Efficacy Studies show some therapies work better for some
problems• CBT for Depression• Hypnosis for Anxiety and Fear
• Recent neuroscience research shows that different therapies activate different areas of the brain• So the therapy used should address the needs of the client.
Different Treatments have specific effects• Efficacy Studies show some therapies work better for some
problems• CBT for Depression• Hypnosis for Anxiety and Fear
• Recent neuroscience research shows that different therapies activate different areas of the brain• So the therapy used should address the needs of the client.
Non-Specific Ingredients of Treatment
Non-Specific Ingredients of Treatment
History: Johns Hopkins Phipps Clinic Research Group (Frank et. al, 1978)
Some Key Non-specific factors (Frank, 1991)
Hope, faith, trust Therapeutic relationship Therapeutic rationale and rituals Experiences of mastery of real skills
History: Johns Hopkins Phipps Clinic Research Group (Frank et. al, 1978)
Some Key Non-specific factors (Frank, 1991)
Hope, faith, trust Therapeutic relationship Therapeutic rationale and rituals Experiences of mastery of real skills
Evidence for Mind-Body Interactions: Expectancy and Placebo research
Evidence for Mind-Body Interactions: Expectancy and Placebo research
Mind and Body are linked Cognitive processes (appraisals, beliefs, and
expectancies) can elicit neurotransmitter action and brain activations and state changes
Expectancy research illustrates: Expectancy plus pharmacological action 2 times larger when
expectation is in line with phamacological action but weaker when expectancy is opposed (Luparello et. al, 1970)
Paradoxically expectancy can override pharmacological action (Frank & Frank, 1991)
Mind and Body are linked Cognitive processes (appraisals, beliefs, and
expectancies) can elicit neurotransmitter action and brain activations and state changes
Expectancy research illustrates: Expectancy plus pharmacological action 2 times larger when
expectation is in line with phamacological action but weaker when expectancy is opposed (Luparello et. al, 1970)
Paradoxically expectancy can override pharmacological action (Frank & Frank, 1991)
Placebo ResearchPlacebo Research
Although given placebo and told it is inert, responsive S’s still wanted refills! (Park and Covi, 1965)
For pain relief, similar to how opioids affect brain (Petrovic, et. Al. 2002)
Activation in rostral anterior cingulate gyrus (ACC) , right anterior insula (AI) and brainstem. Looping circuit: From limbic to brainstem to medial prefrontal areas
Connected to reward pathway: Placebo induced dopamine release in the ventral striatum (de la Fuente-Fernandez et. al, 2002)
Best results when people believe in their placebos: Appraisal matters (Seminowiecz, 2006)
Although given placebo and told it is inert, responsive S’s still wanted refills! (Park and Covi, 1965)
For pain relief, similar to how opioids affect brain (Petrovic, et. Al. 2002)
Activation in rostral anterior cingulate gyrus (ACC) , right anterior insula (AI) and brainstem. Looping circuit: From limbic to brainstem to medial prefrontal areas
Connected to reward pathway: Placebo induced dopamine release in the ventral striatum (de la Fuente-Fernandez et. al, 2002)
Best results when people believe in their placebos: Appraisal matters (Seminowiecz, 2006)
Psychotherapies for Treatment of Drug Use
Psychotherapies for Treatment of Drug Use
Some Basic Types Cognitive Behavioral 12 Steps Meditation Hypnosis
Work well together Modern therapists identify with an approach but
skilled practitioners use aspects from many methods
Some Basic Types Cognitive Behavioral 12 Steps Meditation Hypnosis
Work well together Modern therapists identify with an approach but
skilled practitioners use aspects from many methods
Psychotherapy Therapy vs Drug Therapy
Psychotherapy Therapy vs Drug Therapy
Research shows best together or that psychotherapy is at least as effective or more so than drug therapy With depression, found equally effective to Paxil, but had
some opposite brain effects: Paxil increased PFC activations and decreased hippocampal activation, CBT decreased PFC activation & increased hippocampal activation (Goldapple, et. al, 2004)
Psychotherapy helped subjects decrease rumination Less relapse
Mindfulness meditation prevents relapse (Witkiewitz, Marlatt, and Walker 2005)
Research shows best together or that psychotherapy is at least as effective or more so than drug therapy With depression, found equally effective to Paxil, but had
some opposite brain effects: Paxil increased PFC activations and decreased hippocampal activation, CBT decreased PFC activation & increased hippocampal activation (Goldapple, et. al, 2004)
Psychotherapy helped subjects decrease rumination Less relapse
Mindfulness meditation prevents relapse (Witkiewitz, Marlatt, and Walker 2005)
CBT& RET: You Feel the Way You ThinkCBT& RET: You Feel the Way You Think
Scientifically-based approach to therapy Two Main Founders: Aaron Beck (b. 1921) & Albert Ellis (1913-
2007) Based on the concept that feelings and behaviors are
caused by thoughts. Problematic patterns lead to problematic feelings You may not be able to change circumstances but you can change
how you think about them You can be responsible for change
CBT for addictions Recognize the triggers and take responsibility Challenge faulty assumptions and resulting beliefs about drugs Accept discomfort (Where is it written that you should always feel
good? Albert Ellis)
Scientifically-based approach to therapy Two Main Founders: Aaron Beck (b. 1921) & Albert Ellis (1913-
2007) Based on the concept that feelings and behaviors are
caused by thoughts. Problematic patterns lead to problematic feelings You may not be able to change circumstances but you can change
how you think about them You can be responsible for change
CBT for addictions Recognize the triggers and take responsibility Challenge faulty assumptions and resulting beliefs about drugs Accept discomfort (Where is it written that you should always feel
good? Albert Ellis)
CBT and the BrainCBT and the Brain
Sampling of studies showing CBT changes the brain CBT increases gray matter for chronic fatigue sufferers
(Lange, et. al., 2008).
Reappraisal tends to deactivate limbic regions and activate frontal executive functioning (co-varying relationship (Banks et. al, 2007).
Changes brain rapidly: 4 weeks for OCD (Saxena et. al, 2009).
Sampling of studies showing CBT changes the brain CBT increases gray matter for chronic fatigue sufferers
(Lange, et. al., 2008).
Reappraisal tends to deactivate limbic regions and activate frontal executive functioning (co-varying relationship (Banks et. al, 2007).
Changes brain rapidly: 4 weeks for OCD (Saxena et. al, 2009).
Meditation: From Ancient Traditions to Modern Treatments
Meditation: From Ancient Traditions to Modern Treatments
Yoga, Buddhism, Zen, & Daoism Successfully used in drug treatment. Meta-analysis of 198 independent studies showed meditation is as effective or more effective than standard treatments (Alexander, Robinson, & Rainforth, 1994).
Approaches and Techniques Include: Mindfulness to become aware Overcoming cravings Activating Internal Energy to Rehabilitate the Body and Mind Spirituality and enhanced well-being
Drugs often initially are taken when seeking a higher calling Ultimately drugs lead people away from spirituality Treatment involves satisfying the search for spiritual fulfillment without
drugs
Yoga, Buddhism, Zen, & Daoism Successfully used in drug treatment. Meta-analysis of 198 independent studies showed meditation is as effective or more effective than standard treatments (Alexander, Robinson, & Rainforth, 1994).
Approaches and Techniques Include: Mindfulness to become aware Overcoming cravings Activating Internal Energy to Rehabilitate the Body and Mind Spirituality and enhanced well-being
Drugs often initially are taken when seeking a higher calling Ultimately drugs lead people away from spirituality Treatment involves satisfying the search for spiritual fulfillment without
drugs
Meditation and Brain ResearchMeditation and Brain Research
Using more of the Brain Higher gamma baseline on EEG across both hemispheres
(Hankey, 2006) Dual Effect
Increased beta waves for alertness and wakefulness along with slower alpha and theta associated with relaxation (Bhatia et. al., 2003).
Decoupling of attention and arousal for calmer, more receptive attention (Lutz, 2004)
Cortical thickening (Lazar et. al, 2005) In right anterior insula and prefrontal cortex Slowed normal thinning: The cortex of older meditators
was as thick as 20-year old in these areas
Using more of the Brain Higher gamma baseline on EEG across both hemispheres
(Hankey, 2006) Dual Effect
Increased beta waves for alertness and wakefulness along with slower alpha and theta associated with relaxation (Bhatia et. al., 2003).
Decoupling of attention and arousal for calmer, more receptive attention (Lutz, 2004)
Cortical thickening (Lazar et. al, 2005) In right anterior insula and prefrontal cortex Slowed normal thinning: The cortex of older meditators
was as thick as 20-year old in these areas
HypnosisHypnosis Uses an altered state to facilitate change
This can be attractive to drug users who like to alter consciousness
Helps alleviate pain and helps manage withdrawal symptoms Hypnosis is well-researched for its pain reduction
capacities (Boyle et. al, 2007) Teaches people they can be responsible for feeling
good Doesn’t come from outside of themselves Activates neurotransmitters already in the brain
Find inner resources for strength and calm within (Simpkins & Simpkins, 2005)
Uses an altered state to facilitate change This can be attractive to drug users who like to alter
consciousness Helps alleviate pain and helps manage withdrawal
symptoms Hypnosis is well-researched for its pain reduction
capacities (Boyle et. al, 2007) Teaches people they can be responsible for feeling
good Doesn’t come from outside of themselves Activates neurotransmitters already in the brain
Find inner resources for strength and calm within (Simpkins & Simpkins, 2005)
Hypnosis and the BrainHypnosis and the Brain Researchers debate whether hypnosis is an altered state or
a socio-psychological phenomenon, but there is growing evidence from neuroscience that it alters the brain (Barabasz & Barabasz, 2008) Interaction between them creates the phenomenon
Changes in occipital region indicate a more flexible attentional style, a useful trait for therapeutic change (Davidson, et. al, 1976)
Activates anterior cingulate cortex involved in emotional regulation (Damasio, 1997)
Relaxation: Activates brainstem and hypothalamus areas involved in regulation of relaxation and sleep
Researchers debate whether hypnosis is an altered state or a socio-psychological phenomenon, but there is growing evidence from neuroscience that it alters the brain (Barabasz & Barabasz, 2008) Interaction between them creates the phenomenon
Changes in occipital region indicate a more flexible attentional style, a useful trait for therapeutic change (Davidson, et. al, 1976)
Activates anterior cingulate cortex involved in emotional regulation (Damasio, 1997)
Relaxation: Activates brainstem and hypothalamus areas involved in regulation of relaxation and sleep
The12 StepsThe12 Steps
Turn to higher power to overcome the strong pull of drug use
Carefully laid out plan of steps to follow Strong support system which continues to
be available lifelong
Turn to higher power to overcome the strong pull of drug use
Carefully laid out plan of steps to follow Strong support system which continues to
be available lifelong
Treatment ConsiderationsTreatment Considerations
Harm Reduction Self-Esteem Finding pleasure in life not just in substances Handle craving and discomfort Dealing with guilt and responsibility Learning to relax and self-soothe Learning to release talent by their own ability
which is perceived as enhanced through drug use Eg. Immersion in performance by Jimmy Hendrix
Harm Reduction Self-Esteem Finding pleasure in life not just in substances Handle craving and discomfort Dealing with guilt and responsibility Learning to relax and self-soothe Learning to release talent by their own ability
which is perceived as enhanced through drug use Eg. Immersion in performance by Jimmy Hendrix
Relapse PreventionRelapse Prevention
Working with Hospital Drug Treatment Programs
Become aware of and eliminate triggers• Avoid relationships associated with drug use• Stop pain killer use and any other drugs• Use non-alcoholic mouthwash, etc.
•Linda and surgery for deviated septum
Working with Hospital Drug Treatment Programs
Become aware of and eliminate triggers• Avoid relationships associated with drug use• Stop pain killer use and any other drugs• Use non-alcoholic mouthwash, etc.
•Linda and surgery for deviated septum
Begin with AwarenessBegin with Awareness
To understand drug use, begin with a simple survey How often do you use drugs? (daily, weekly?) What drugs do you use? Do you think you have a problem? If so, what is it Be specific
To understand drug use, begin with a simple survey How often do you use drugs? (daily, weekly?) What drugs do you use? Do you think you have a problem? If so, what is it Be specific
Illustrations with CasesHeroin
Illustrations with CasesHeroin
Bob: From crime and drugs to a life of fulfillment and honor His father and uncle were in jail Went into drug treatment program while seeing us for
therapy Former gang member he had harmed was also in rehab
Dealt with guilt in therapy and took responsibility Years later returned to honorably pay for his treatment Told us he had married a girl who had never been involved
in drugs or crime Had a responsible position as a manager
Bob: From crime and drugs to a life of fulfillment and honor His father and uncle were in jail Went into drug treatment program while seeing us for
therapy Former gang member he had harmed was also in rehab
Dealt with guilt in therapy and took responsibility Years later returned to honorably pay for his treatment Told us he had married a girl who had never been involved
in drugs or crime Had a responsible position as a manager
Methamphetamine The 30-year-old waiter with the heart of a 70-year-old man
Methamphetamine The 30-year-old waiter with the heart of a 70-year-old man
Danny was a waiter who used methamphetamine regularly When his doctor gave him the death sentence, he decided
to try to stop using Methamphetamine, but feared he would not be able to succeed
He felt drug made him charming, competent, and socially adept
Without it he thought he was slow, sluggish, and nobody liked him
Through hypnosis he learned to awaken his positive qualities without drugs
Danny was a waiter who used methamphetamine regularly When his doctor gave him the death sentence, he decided
to try to stop using Methamphetamine, but feared he would not be able to succeed
He felt drug made him charming, competent, and socially adept
Without it he thought he was slow, sluggish, and nobody liked him
Through hypnosis he learned to awaken his positive qualities without drugs
Valium: The girl who learned to put her anxiety in her little finger
Valium: The girl who learned to put her anxiety in her little finger
Berta was an attractive girl who had been prom queen of her high school
She became increasingly anxious, narrowing down her life to work in an ice cream parlor
She began deep hypnotherapy to overcome anxiety and her dependence on valium
In time she had the courage to enroll in classes to pursue her dream of becoming a dancer Using hypnosis, she earned how to be calm when dancing: just
shaking in her little finger Teacher used her as an example of poise and calm She worked on her conflicts unconsciously, doing automatic
writing She began gradually cutting down her use of valium. One day she forgot her pills, never returned to them again
Berta was an attractive girl who had been prom queen of her high school
She became increasingly anxious, narrowing down her life to work in an ice cream parlor
She began deep hypnotherapy to overcome anxiety and her dependence on valium
In time she had the courage to enroll in classes to pursue her dream of becoming a dancer Using hypnosis, she earned how to be calm when dancing: just
shaking in her little finger Teacher used her as an example of poise and calm She worked on her conflicts unconsciously, doing automatic
writing She began gradually cutting down her use of valium. One day she forgot her pills, never returned to them again
Alcoholism: The man who truly played golfAlcoholism: The man who truly played golf Dave had begun drinking many years ago as a manager for a well-
known band Enjoyed drinking with his wife and friends, at first. But then lost his motivation. Suspected drinking was the cause He was a golf enthusiast but he and his golfing friends drank while
on the golf course We taught him meditation and hypnosis. He learned to find meaningful enjoyment in something other than
the pleasure of indulging in alcohol, by focused involvement in technique and playing the game itself.
Discovered the satisfaction of mastery and experienced improvement of technique compared to playing while under the influence of alcohol
His natural feeling of motivation returned
Dave had begun drinking many years ago as a manager for a well-known band
Enjoyed drinking with his wife and friends, at first. But then lost his motivation. Suspected drinking was the cause He was a golf enthusiast but he and his golfing friends drank while
on the golf course We taught him meditation and hypnosis. He learned to find meaningful enjoyment in something other than
the pleasure of indulging in alcohol, by focused involvement in technique and playing the game itself.
Discovered the satisfaction of mastery and experienced improvement of technique compared to playing while under the influence of alcohol
His natural feeling of motivation returned
The Best Trip EverThe Best Trip Ever
During a brief stop while traveling, took a taxi tour through a city. Unexpectedly, needed to cope with an entirely different kind of trip, the driver of the cab!
The driver disclosed after awhile that he was peaking on an acid trip and took a drive for the experience. He was driving erratically putting himself and us in danger. He asked us how he was driving.
Successful strategic use of guidance with focused meditation gave
assistance.
During a brief stop while traveling, took a taxi tour through a city. Unexpectedly, needed to cope with an entirely different kind of trip, the driver of the cab!
The driver disclosed after awhile that he was peaking on an acid trip and took a drive for the experience. He was driving erratically putting himself and us in danger. He asked us how he was driving.
Successful strategic use of guidance with focused meditation gave
assistance.
Upcoming BooksUpcoming Books
BibliographyBibliography Alexander, C.N., Robinson, P., & Rainforth, M. 1994. Treating and
preventing alcohol, nicotine, and drub abuse through Transcendental Meditation: A review and statistical meta-analysis. Alcoholism Treatment Quarterly. 11, 1-2, 13-87.
Banks, S. J., Eddy, K. T., Angstadt, M., Nathan, P. J., & Phan, K. L. (2007). Amygdala-frontal connectivity during emotion regulation. Soc Cogn Affect Neurosci. 2, 4, 303-312.
Barabasz, A. F. & Barabasz, M. (2008). Hypnosis and the brain. In M. Nash & A. Barnier,, Eds. The Oxford handbook of hypnosis. London: Oxford U. Press. pp. 337-363.
Boly, M. Faymonville, M., Vogt, B. A., Maquet, P, & Laureys, S. (2007). Hypnotic regulation of consciousness and the pain neuromatrix. in G. A. Jamieson, Ed. Hypnosis and conscious states: The cognitive neuroscience perspective. Oxford, England: Oxford University Press.
Damasio, A. R. (1997). Towards a neuropathology of emotion and mood. Nature. 386, 769-70.
Davidson, R., Goleman, D., & Schwartz, G. 1976. Attentional and affective concomitants of meditation: A cross-sectional study. Journal of Abnormal Psychology. 85. 235-308.
de la Fuente-Fernandez, R. Schulzer, M., Stoessi, A., (2002). Placebo mechanisms and reward circuitry: clues from Parkinson’s disease. Biological Psychiatry. 56, 2, 67-71.
Frank, J. D., & Frank, J. B. (1991). Persuasaion & Healing. Baltimore: The Johns Hopkins University Press. Frank, J. D., Hoehn-Saric, R., Imber, S., Liberman, B., Stone, A. (1978). Effective Ingredients of successful
psychotherapy. New York: Brunner/Mazel. Goldapple, K., Segal, Z., Garson, C., Lau, M., Bieling, P., Kennedy, S.,
Mayberg, H. (2004). Modulation of cortical-limbic pathways in major depression: Treatment-specific effects of cognitive behavior therapy. Arch Gen Psychiatry, 61, 1, 34-41.
Lange, F. P., Koers, A. K. , Kalkman, J. S., Bleijengerg, G., Hagoort, P., van der Meer, J. W. M., & Toni, I. (2008). Increase in prefrontal cortical volume following cognitive behavioural therapy in patients with chronic fatigue syndrome. Brain, 131, 2172–80.
Alexander, C.N., Robinson, P., & Rainforth, M. 1994. Treating and preventing alcohol, nicotine, and drub abuse through Transcendental Meditation: A review and statistical meta-analysis. Alcoholism Treatment Quarterly. 11, 1-2, 13-87.
Banks, S. J., Eddy, K. T., Angstadt, M., Nathan, P. J., & Phan, K. L. (2007). Amygdala-frontal connectivity during emotion regulation. Soc Cogn Affect Neurosci. 2, 4, 303-312.
Barabasz, A. F. & Barabasz, M. (2008). Hypnosis and the brain. In M. Nash & A. Barnier,, Eds. The Oxford handbook of hypnosis. London: Oxford U. Press. pp. 337-363.
Boly, M. Faymonville, M., Vogt, B. A., Maquet, P, & Laureys, S. (2007). Hypnotic regulation of consciousness and the pain neuromatrix. in G. A. Jamieson, Ed. Hypnosis and conscious states: The cognitive neuroscience perspective. Oxford, England: Oxford University Press.
Damasio, A. R. (1997). Towards a neuropathology of emotion and mood. Nature. 386, 769-70.
Davidson, R., Goleman, D., & Schwartz, G. 1976. Attentional and affective concomitants of meditation: A cross-sectional study. Journal of Abnormal Psychology. 85. 235-308.
de la Fuente-Fernandez, R. Schulzer, M., Stoessi, A., (2002). Placebo mechanisms and reward circuitry: clues from Parkinson’s disease. Biological Psychiatry. 56, 2, 67-71.
Frank, J. D., & Frank, J. B. (1991). Persuasaion & Healing. Baltimore: The Johns Hopkins University Press. Frank, J. D., Hoehn-Saric, R., Imber, S., Liberman, B., Stone, A. (1978). Effective Ingredients of successful
psychotherapy. New York: Brunner/Mazel. Goldapple, K., Segal, Z., Garson, C., Lau, M., Bieling, P., Kennedy, S.,
Mayberg, H. (2004). Modulation of cortical-limbic pathways in major depression: Treatment-specific effects of cognitive behavior therapy. Arch Gen Psychiatry, 61, 1, 34-41.
Lange, F. P., Koers, A. K. , Kalkman, J. S., Bleijengerg, G., Hagoort, P., van der Meer, J. W. M., & Toni, I. (2008). Increase in prefrontal cortical volume following cognitive behavioural therapy in patients with chronic fatigue syndrome. Brain, 131, 2172–80.
Bibliography ContinutedBibliography Continuted Lazar, S. W., Kerr, C. E., Wasserman, R. H., Gray, J.R. Greve, M.,
Treadway, T., MCGarvey, M., Quinn, B.T., Dusek, J. A., Benson, H., Rauch, S.L, Moore, C. L.and Fishi, B. (2005.) Meditation experience is associated with increased cortical thickness. NeuroReport. 16, 17, 1893-1897.
Lutz, A. Gretschar, L.L., Rawlings, N., Ricard, M., & Davidson, R.J. 2004. Long-term meditators self-induce high-amplitude gamma synchrony during mental practice.Neuroscience. 101. 46. 16369-16373.
Luparello, t. J., Leist, N., Sourie, C. H., & Sweet, P. (1970). The interaction of psychologic stimuli and pharmacoligic agents on airway reactivity in ashmatic subjects. Psychosom. Med. 32, 509-13.
Park, L. C., & Covi, I. (1965). Non-blind placebo trial: An exploration of neurotic patients’ responses to placebo when its inert content is disclosed. Arch. Gen Psychiatry. 12, 336-45.
Petrovic, P. Kalso, E. K. M. Petersson, , Ingvar, M. (2002). Placebo and Opioid Analgesia-- Imaging a Shared Neuronal Network. Science, 295, 5560, 1737-1740.
Saxena, S., Gorbis, e., O’Neill, J., Baker, S. K., Mandlkern, M. A., Maidment, K. M., Chang, S., Salamon, N., Brody, A. L., Schwartz, J. M. & London, E. D. (2009). Rapid effects of brief intensive cognitive-behavioral therapy on brain glucose metabolism in obsessive-compulsive disorder. Molecular Psychiatry. 14, 197-205.
Seminowicz, D. (2006). Believe in your placebo. Journal of Neuroscience. 26, 17, 4453-4454. Simpkins, C. A. & Simpkins, A. M. (2005). Effective self hypnosis with CD. San Diego: Radiant Dolphin
Press Simpkins, C. A., & Simpkins, A. M. (2009). Meditation for therapists and their clients. New York: W.
W. Norton. Simpkins, C. A. & Simpkins, A. M. (2009). The Dao of neuroscience. New York: W. W, Norton. Witkiewitz, K, Marlatt, G.A., & Walker, D. (2005). Mindfulness-based
relapse prevention for alcohol and substance use disorders. Journal of Cognitive Psychotherapy. 19. 3, 211-228.
Lazar, S. W., Kerr, C. E., Wasserman, R. H., Gray, J.R. Greve, M., Treadway, T., MCGarvey, M., Quinn, B.T., Dusek, J. A., Benson, H., Rauch, S.L, Moore, C. L.and Fishi, B. (2005.) Meditation experience is associated with increased cortical thickness. NeuroReport. 16, 17, 1893-1897.
Lutz, A. Gretschar, L.L., Rawlings, N., Ricard, M., & Davidson, R.J. 2004. Long-term meditators self-induce high-amplitude gamma synchrony during mental practice.Neuroscience. 101. 46. 16369-16373.
Luparello, t. J., Leist, N., Sourie, C. H., & Sweet, P. (1970). The interaction of psychologic stimuli and pharmacoligic agents on airway reactivity in ashmatic subjects. Psychosom. Med. 32, 509-13.
Park, L. C., & Covi, I. (1965). Non-blind placebo trial: An exploration of neurotic patients’ responses to placebo when its inert content is disclosed. Arch. Gen Psychiatry. 12, 336-45.
Petrovic, P. Kalso, E. K. M. Petersson, , Ingvar, M. (2002). Placebo and Opioid Analgesia-- Imaging a Shared Neuronal Network. Science, 295, 5560, 1737-1740.
Saxena, S., Gorbis, e., O’Neill, J., Baker, S. K., Mandlkern, M. A., Maidment, K. M., Chang, S., Salamon, N., Brody, A. L., Schwartz, J. M. & London, E. D. (2009). Rapid effects of brief intensive cognitive-behavioral therapy on brain glucose metabolism in obsessive-compulsive disorder. Molecular Psychiatry. 14, 197-205.
Seminowicz, D. (2006). Believe in your placebo. Journal of Neuroscience. 26, 17, 4453-4454. Simpkins, C. A. & Simpkins, A. M. (2005). Effective self hypnosis with CD. San Diego: Radiant Dolphin
Press Simpkins, C. A., & Simpkins, A. M. (2009). Meditation for therapists and their clients. New York: W.
W. Norton. Simpkins, C. A. & Simpkins, A. M. (2009). The Dao of neuroscience. New York: W. W, Norton. Witkiewitz, K, Marlatt, G.A., & Walker, D. (2005). Mindfulness-based
relapse prevention for alcohol and substance use disorders. Journal of Cognitive Psychotherapy. 19. 3, 211-228.