
People were motivated, driven and propelled by forces in the social world as well as from within their own personalities. It is not a sentiment or a preference, but rather a motivational necessity that people had to accommodate. Collective motivational interviewing (CMI) breaks new ground by extending the theory of motivational interviewing (MI) beyond the individual to include the social network. Our developed CMI approach makes a clear contribution to the theory of MI and can potentially benefit people with substance use problems with complex needs. Presently, we are refining CMI and have been applying this approach to additional clients and CSOs. We call for more studies to monitor its fidelity and wider application in populations of individuals affected by substance use disorders.
The Persistence of Drug-Stimulus Associations

Axsom & Cooper (1985) used laboratory procedures to demonstrate that people can lose weight cognitive dissonance addiction if they are motivated by dissonance, but no such treatment ever became available for people to use. Most of us remained wedded to our laboratories while practitioners were either unaware of the studies or unconvinced of their usefulness. The field of social psychology has always had equal interest in theoretical advancement and practical applications of its theories.
Effects of cognitive dissonance
Nick Tse and Samson Tse are leading the overall project; they also managed the literature view, summary of previous work, development of CMI intervention protocol, and translation of quantitative measurements and managed database and analysis. Nick Tse and Samson Tse co-produced the first version of the four-quadrant theory of collective motivation and the six-process model of CMI. Paul Wong and Peter Adams made critical revisions of the manuscript and contributed to the literature review as well as the qualitative data analysis. All authors directed manuscript conceptualization, implementation of the analyses, and interpretation of results. Cognitive dissonance occurs when a person holds two related but contradictory cognitions, or thoughts. Cognitive dissonance can be caused by feeling forced to do something, learning new information, or when faced with a decision between two similar choices.
Addiction and Cognition

Prevention messages were described by Participant 18 as ‘strikingly different from what I received from social media’ via peer posts. Several participants (7/30; 23.3%) discussed how they resolved the inconsistencies between prevention messages and personal posts by coming to the conclusion that prevention messages were not accurate, credible or helpful. Another minority (4/30; 13.3%) conferred more credibility to prevention posts and dismissed their peers. Several participants discussed Twelve-step program wanting more complete information and safer use guidelines.
General Health
- She thrives on providing families a warm and friendly connection to their loved ones treatment process which in turn helps not only the families, but our clients.
- Moreover, the literature has widely documented the negative effects of user addiction on cognitive dissonance 90,91.
- Drug education in schools and public service announcements (PSAs) delivered on social media and messages posted on personal social media accounts (i.e. personal posts).
- To prevent the loss of credibility, it is important that prevention messages are relevant to young people’s beliefs, behaviors and realities.
- Internal consistency reliability is a statistical method used to measure the consistency and reliability of tests or actual measurements in the research.
- In the realm of physical health, Axsom & Cooper (1985) showed that dissonance could be used to help clinically obese people lose a significant amount of weight, and that the dissonance-produced weight loss lasted for at least six months following the procedure.
- Cognitive dissonance, an uncomfortable state of tension caused by holding inconsistent cognitions 18, may be one reason why so many teens reject adults’ messages to abstain 1.
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That distance was surreptitiously measured with marks that had been placed on the floor. The experimenter then asked half of the participants if they were willing to undergo our therapy, forewarning them that it might be difficult or embarrassing. The other half were not given any choice about engaging in the difficult, embarrassing therapy. The therapy itself was indeed effortful, but not in a way that participants may have anticipated. It was a purely physical effort therapy, involving lifting weights and doing gymnastic exercises. At the conclusion of several minutes of the effortful therapy, participants returned to the room in which Oz was lying and were asked to approach the snake a second time.
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While research has focused on the light side factors that influence user engagement and retention, the research on the dark side of discontinuous usage intention of pan-entertainment mobile live broadcast platform users is in a research gap. Therefore, more research is needed on the specific antecedents that drive discontinuous usage intention of users of pan-entertainment mobile live broadcast platforms. Filling these research gaps can help to provide a more comprehensive understanding of the impact of pan-entertainment mobile live broadcast platforms on users and the entertainment industry and can be useful for platform operators to improve their services and retain their users. This study suggests that youth exposure to positive portrayals of substance use on social media has exacerbated the gap between prevention messages and what teens believe and observe.
COGNITIVE DEFICITS IN CHRONIC DRUG ABUSE
This article explores the relationship between cognitive dissonance and addiction, shining a light on the psychological struggle individuals face when dealing with addictive behaviors. Participants were asked about the types of messages they had received in school-based drug education (‘drug education’) and social media prevention messages (‘PSAs’). Most participants (21/30; 70.0%) described being taught not to use substances in schools. A few participants (8/30; 26.6%) reported how they learned about adverse consequences, such as addiction, lung cancer or liver damage, in school-based drug education. One participant spoke about how all the messages in drug education promoted abstinence only. The present study interviewed youth who use social media to understand their exposure to substance-related content on social media and how this corresponds to their perception of prevention messages.

As Festinger said, “The holding of two or more inconsistent cognitions arouses the state of cognitive dissonance, which is experienced as uncomfortable tension. This tension has drive-like properties and must be reduced.” Although Festinger had no direct evidence that drive-like properties actually existed, it rendered the dissonance process different from other theories that suggested that consistency is preferred to inconsistency. Just as people need to reduce their thirst by drinking and their hunger by eating, people who perceive inconsistency must find a way to reduce it. The drive to reduce inconsistency can be accomplished by a number of means, but attitude change became the most frequent resolution in the early research on dissonance. 3.1 In conclusion the present paper was designed to provide a representative sample of contemporary cognitive constructs related to addiction.
- Her role is to help our clients develop and improve their physical and mental health well-being.
- This tension has drive-like properties and must be reduced.” Although Festinger had no direct evidence that drive-like properties actually existed, it rendered the dissonance process different from other theories that suggested that consistency is preferred to inconsistency.
- We hypothesized that presentations of substance use from peers on social media would contrast with prevention messages from adults, causing cognitive dissonance and reducing receptivity to prevention messages.
- The inconsistency between what people believe and how they behave motivates them to engage in actions that will help minimize feelings of discomfort.
- Cognitively, individuals with addiction may face a mental conflict between their desire to continue using substances and their awareness of the negative impact it has on their health and relationships.
- This article explores the relationship between cognitive dissonance and addiction, shining a light on the psychological struggle individuals face when dealing with addictive behaviors.
The effects of prenatal tobacco exposure are particularly concerning because so many expectant mothers smoke—by one estimate, over 10 percent in the United States (Hamilton et al., 2007). In utero exposure to tobacco byproducts has been linked to cognitive deficits in laboratory animals and human adolescents (Dwyer, Broide, and Leslie, 2008). Some studies suggest that such exposure can lower general intelligence; for example, one found a 12-point gap in full-scale IQ between exposed and unexposed middle-class adolescents (e.g., Fried, Watkinson, and Gray, 2003). In another study, the odds of having attention deficit hyperactivity disorder (ADHD) were more than three times as great for adolescents whose mothers smoked during pregnancy compared with children of nonsmoking mothers (Pauly and Slotkin, 2008).
- Angie maintains involvement with the day to day operations, continually looking for ways to improve and innovate.
- To maintain a positive self-image, individuals may align their beliefs with their actions, even in the presence of evidence pointing to harm.
- That distance was surreptitiously measured with marks that had been placed on the floor.
- This is a complex issue, however, as different drugs of abuse appear to alter different cognitive processes and cell signaling pathways.
- One process identified, long-term potentiation (LTP), has features that parallel key aspects of learning.
I consider dissonance to be a secondary drive that is learned early in childhood and then becomes generalized to myriad issues that we deal with as we develop. In order to make this case, I present evidence for the revision of dissonance theory that Fazio and I called the New Look Model of Dissonance (Cooper & Fazio, 1984), which I believe more fully incorporates the findings and limitations of dissonance. The New Look model also makes children’s learning of dissonance a more plausible aspect of normal development. Recognizing the emotional and mental confusion that you experience is an important step in breaking out of self-doubt. Working with a therapist using talk therapy is instrumental in making changes to how you see yourself and learning to trust your own experiences, thoughts, and beliefs. The individual who is emotionally abused experiences cognitive dissonance through the strategic, structured manipulation by the narcissist.
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