You can see them in action in schools and prisons, where good and bad behaviour are rewarded or punished accordingly. Operant conditioning and CM have filtered into many parts of society. Over time, this experience trains you not to touch hot things. To give an example of this, when you touch something hot, it causes you to feel pain. It also places stress on the role of reward and punishment in shaping behaviour. This, in turn, comes from behaviourism.īehaviourism is a form of psychology that grew popular in the 1900s. Operant conditioning is the belief that you can teach someone through the use of rewards and punishments. History and theory of contingency managementĬontingency management is rooted in something called operant conditioning. Patients who have struggled with other forms of treatment may find that CM is exactly what they needed. For this reason, CM often goes well with CBT.ĬM is actually quite unique in its approach. This sort of work needs to be done in a CBT session. It does not address underlying causes for addiction. In fact, it bears little similarity to conventional forms of therapy. The main difference between CM and other forms of treatment is that CM is based on goals and incentives. What are the differences between contingency management and other forms of treatment? For instance, it might be paired with cognitive therapy like CBT (Cognitive Behavioural Therapy). In exchange, they would receive prizes such as coupons to be exchanged at a supermarket.Ĭontingency management (CM) is often used in combination with other treatments. To provide evidence of this, patients would need to produce drug-free urine. These prizes can include vouchers, coupons and privileges.įor instance, a common goal for patients at a CM clinic would be to stay clean. What is the nature of the positive reinforcement which CM provides? Normally it comes in the form of prizes. In other words, contingency management is ‘the systematic reinforcement of desired behaviours and the withholding of reinforcement or punishment of undesired behaviours’. They can also include continuing with a programme of treatment. Positive behaviours can include sobriety or abstinence from drugs. It does so through the use of incentives. It aims to change people’s habits by reinforcing positive behaviours. These treatments are available at residential or outpatient rehab clinics across the UK and abroad.Ĭontingency management is a form of behavioural therapy. In this section, we outline a range of evidence-based addiction treatments.
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