Which CBT component uses predetermined positive/negative consequences to reward abstinence or punish drug-related behaviors?

Which CBT component uses predetermined positive/negative consequences to reward abstinence or punish drug-related behaviors?

• A. Contingency management
• B. Hypnosis
• C. Dream analysis
• D. Free association

Answer: (A)

Contingency management focuses on shaping behavior through contingent reinforcement. It uses predetermined positive consequences (rewards) for abstinence or verified drug-free behavior, and predetermined negative consequences for drug-related actions. This approach is grounded in observable outcomes and external motivation, making abstinence more likely by directly reinforcing the desired behavior. In CBT for substance use, the emphasis is on teaching and reinforcing concrete behaviors, so this component stands out. Other options don’t fit this CBT-based reinforcement framework: hypnosis relies on suggestion rather than structured rewards; dream analysis and free association come from psychoanalytic approaches that explore internal processes rather than behavioral change through reinforcement.

Contingency management focuses on shaping behavior through contingent reinforcement. It uses predetermined positive consequences (rewards) for abstinence or verified drug-free behavior, and predetermined negative consequences for drug-related actions. This approach is grounded in observable outcomes and external motivation, making abstinence more likely by directly reinforcing the desired behavior. In CBT for substance use, the emphasis is on teaching and reinforcing concrete behaviors, so this component stands out.

Other options don’t fit this CBT-based reinforcement framework: hypnosis relies on suggestion rather than structured rewards; dream analysis and free association come from psychoanalytic approaches that explore internal processes rather than behavioral change through reinforcement.