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Chunk #57 — CBT in the Next Thirty Years — Mechanisms and neuroscience

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Cognitive behavioral interventions for alcohol and drug use disorders: Through the stage model and back again.
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Finally, we anticipate the most promising strategy for improving and refining CBT in the next 30 years will be by consistent focus on mechanism. As outlined above, we must consistently seek to demonstrate that our interventions change the basic behavioral and cognitive targets of addiction and understanding why CBT has its enduring effects. Unlike many other therapies, CBT seeks to convey strategies for achieving and maintaining cognitive and behavioral control, and new technologies may help us do so more effectively. Neuroimaging, EEG, and advances in cognitive assessment should be harnessed in order to demonstrate how CBT changes cognition, behavior and the brain (Cabrera et al., 2016; Verdejo-Garcia, 2016; Weingarten & Strauman, 2015). As noted by Garland and Howard (2009), “Neuroplasticity represents a plausible biological mechanism through which psychological interventions may exert some of their therapeutic effects”. Powerful, rapidly developing tools like neuroimaging should help us explore how effective interventions like CBT may affect cognitive functions and identify markers of who responds to CBT (Chung et al., 2016; Konarski et al., 2009; Morgenstern, Naqvi, Debellis, & Breiter, 2013; Potenza, Sofuoglu, Carroll,