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Therapeutic Aversion: Objective, Illustrations, and Dissent

Aversive treatment: Function, instances, and disputes

Unveiling of the WIN-Initiative, Captured by Neleman/Getty Images
Unveiling of the WIN-Initiative, Captured by Neleman/Getty Images

Therapeutic Aversion: Objective, Illustrations, and Dissent

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Quit those nasty habits with a kick - Aversion therapy explained

Wanna ditch that naughty habit, like biting your nails or smoking your life away? Then buckle up, friend, because aversion therapy might just be your ticket outta here! This psychological treatment puts your undesirable habits in a torch with an unpleasant experience to make 'em less appealing. Here's the low down on this wild ride.

Also known as "deterrent therapy" or "aversive conditioning," aversion therapy is a technique that repeatedly links an unwanted behavior with an uncomfortable sensation, aiming to discourage said behavior. It's mostly popular when it comes to treating addiction, such as quitting smoking or managing alcohol misuse. But don't worry, it's not as common as other treatments for substance disorders.

Aversion therapy has stirred up some drama over the years, and some mental health professionals disagree with its use. Its long-term effectiveness in treating addiction is still up for debate. Curious? Let's dive in!

So, what's the deal with aversion therapy?

Aversion therapy operates on the principle of creating an unpleasant association with a behavior through repetition. The idea is, if you tie a negative sensation to an undesirable habit, you'll naturally want to shun it.

What sorts of behaviors can aversion therapy conquer?

Aversion therapy can potentially help manage behaviors like:

  • chopping your nails back to baseline (nail biting)
  • hooked on tobacco smoke? (smoking)
  • can't resist the spin of the roulette wheel? (gambling addiction)

Gimme an example of aversion therapy in action

Here are a few examples:

Puking your guts out

Emetic counter conditioning (ECC) is a form of aversion therapy that's claimed to reduce alcohol cravings in heavy drinkers. During multiple ECC sessions, a person takes a pill to get themselves sick, followed by sips of various alcoholic drinks. The theory is that they'll eventually associate drinking with the rotten feeling of being ill.

Gruesome warning labels

Gruesome images on cigarette packages, mandatory in 118 countries, show off the terrible consequences of smoking, like sick lungs and cancerous tumors. They're a form of aversion therapy because they join smoking with the distressing images you'd rather avoid.

Rapidly puffin'

In rapid smoking, people quickly puff on a cigarette every few seconds to activate unpleasant sensations that make smoking unbearable and less addictive. This method aims to reduce nicotine dependency. However, as per a 2016 review, rapid smoking isn't stellar for long-term quitting success.

Hurtin' yourself a little

Rubber band aversion therapy (RBAT) is a treatment for OCD. People wear a rubber band on their wrist and snap it each time they have an obsessive thought. The goal is to link the pain of the rubber band to the obsessive thought, making them less frequent over time. Fun fact: RBAT doesn't seem to work as intended, according to a 2010 review.

Does aversion therapy actually work?

There's evidence suggesting aversion therapy can cut-down on addictive behaviors in the short term.

In a small 2017 study, researchers found that ECC reduced alcohol cravings and even resulted in prolonged sobriety for some people with AUD. The findings imply that ECC could be an effective treatment for AUD, but further research is needed to confirm these results.

Research into the efficacy of aversion therapy for other addiction-related behaviors is rather scarce. However, a 2016 review notes that it doesn't appear to be an effective long-term treatment for nicotine addiction or overeating.

Why's everybody talkin' smack about aversion therapy?

Some mental health professionals argue that aversion therapy is unethical because it relies on punishment to elicit behavioral change. Criticism of aversion therapy dates back to its use in "conversion therapy." Conversion therapy was once used to bankrupt individuals' sexual orientations, which is messed up if you ask me!

A 2022 review highlights that conversion therapy is still being practiced by some mental health practitioners, sparking outrage and calls for a nationwide ban in the US.

FAQ

  1. How effective is aversion therapy?The success rate of aversion therapy varies depending on the behavior being treated. No reliable success rates are available for long-term outcomes, but a 2016 review states that it doesn't seem like an effective long-term treatment for nicotine addiction or overeating.
  2. What are the side effects of aversion therapy?Side effects of aversion therapy depend on the specific form of therapy, with potential side effects ranging from pain and discomfort to nausea and vomiting (in the case of ECC) to fear and anxiety.

Bottom Line:

Aversion therapy is a treatment approach that associates undesirable behaviors with unpleasant consequences to reduce their appeal. Although aversion therapy can potentially help manage addiction-related behaviors, it's important to consider its limitations, controversy, and alternatives. Some research suggests that certain types of aversion therapy may provide short-term benefits, but further investigation is needed to determine its long-term effectiveness and ethical implications. Happy quitting!

  1. Aversion therapy, often referred to as 'deterrent therapy' or 'aversive conditioning', is a psychological treatment that links an unpleasant experience to an undesirable habit to discourage the behavior.
  2. This technique is particularly popular in treating substance disorders, such as quitting alcohol or smoking, but it's not as commonly used as other treatments for these disorders.
  3. Despite some controversy surrounding its use, aversion therapy has been employed to handle various behaviors, including nail biting, smoking, gambling addiction, and obsessive-compulsive disorder (OCD).4.
  4. For instance, emetic counter conditioning (ECC), a form of aversion therapy, is used to reduce alcohol cravings in heavy drinkers by making them associate drinking with feeling ill.
  5. Similarly, gruesome images on cigarette packages, compulsory in 118 countries, serve as aversion therapy by linking smoking with distressing images that people generally want to avoid.
  6. However, the long-term effectiveness of aversion therapy in treating addiction is still debatable, and its use has sparked ethical concerns, particularly in relation to the discredited practice of 'conversion therapy'.

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