ABSTRACT

A biopsychosocial model of crack addition assists in the identification of probable etiological factors in the development of an addiction. Biological, psychological, and social factors may prove to be etiological factors from which corresponding treatment interventions logically arise. In this way, we may arrive at a theoretical rationale for specific kinds of treatment interventions. This approach follows Marlatt (1988), who asks, “Is it possible to match treatment modality with specific etiological factors…?” (p. 476). The selection of specific treatment modalities that address biological, psychological, or social etiological factors may logically follow from a consideration of etiology. Knowledge of etiology therefore may facilitate matching patients to specific treatments. One of the guiding principles behind the use of a biopsychosocial model of addiction is that careful assessment determines which specific treatment interventions are necessary for individual patients (Donovan & Marlatt, 1988). However, before considering assessment (Chapter 10) and the process of matching patients to treatment modalities, we must present the theoretical rationale for the use of treatment interventions.