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Communal reinforcement

Social phenomenon

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  • 2 chapters

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Through Socialization, Community and Empirical evidence

In addiction treatment

The community-reinforcement approach (CRA) is a behaviourist alcoholism treatment approach that aims to achieve abstinence by eliminating positive reinforcement for drinking and enhancing positive reinforcement for sobriety. CRA integrates several treatment components, including building the client's motivation to quit drinking, helping the client initiate sobriety, analyzing the client's drinking pattern, increasing positive reinforcement, learning new coping behaviors, and involving significant others in the recovery process. These components can be adjusted to the individual client's needs to achieve optimal treatment outcome. In addition, treatment outcome can be influenced by factors such as therapist style and initial treatment intensity. Several studies have provided evidence for CRA's effectiveness in achieving abstinence. Furthermore, CRA has been successfully integrated with a variety of other treatment approaches, such as family therapy and motivational interviewing, and has been tested in the treatment of other drug abuse. Community reinforcement and family training (CRAFT) is an adaptation of CRA that is aimed at giving the Concerned Significant Others (CSOs) of alcoholics skills to help them get the alcoholic into treatment.

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