
What is aversion therapy for addiction?
Various forms of aversion therapy have been used in the treatment of addiction to alcohol and other drugs since 1932 (discussed in Principles of Addiction Medicine, Chapter 8, published by the American Society of Addiction Medicine in 2003).
How does aversion therapy differ from classical conditioning theory?
Therefore, aversion therapy focuses on the current behavior instead of experiences that lead the individual to develop such behaviors. Classical conditioning theory suggests responses are learned through consistent and repeated associations.
Is aversion therapy safe for children?
The American Psychiatric Association considers some therapy, aversion therapy, and similar techniques acceptable but disagrees with other techniques. However, they warn not to use these treatments on children, as the risks are too high. When was aversion therapy developed? Aversion therapy is a type that has been used since the early 20th century.
Is aversion therapy ethical?
While there is evidence that aversion therapy programs effectively treat unwanted and inappropriate behaviors, aversion therapy programs are quite controversial due to ethical reasons. The negative stimuli, in some cases, can cause adverse side effects that will cause the individual to suffer.

When was aversion therapy invented?
1932Various forms of aversion therapy have been used in the treatment of addiction to alcohol and other drugs since 1932 (discussed in Principles of Addiction Medicine, Chapter 8, published by the American Society of Addiction Medicine in 2003).
Who developed aversion therapy?
In covert conditioning, developed by American psychologist Joseph Cautela, images of undesirable behaviour (e.g., smoking) are paired with images of aversive stimuli (e.g., nausea and vomiting) in a systematic sequence designed to reduce the positive cues that had been associated with the behaviour.
Is aversion therapy still used today?
Aversion therapy is most commonly used to treat drug and alcohol addictions. 3 A subtle form of this technique is often used as a self-help strategy for minor behavior issues.
How has aversion therapy been used in the past?
Before the American Psychiatric Association (APA) deemed it an ethical violation, some researchers used aversion therapy to “treat” homosexuality. Prior to 1973 , homosexuality was considered a mental illness in the Diagnostic and Statistical Manual of Mental Disorders (DSM).
What is the basic principle of aversion therapy?
Abstract. Electrical aversion therapy (EAT) is the administration of electrical shocks following exposure to cues that stimulate inappropriate urges or behaviors (respondent conditioning) or following the carrying out of the behaviors (operant conditioning).
How is aversion therapy based on classical conditioning?
Aversion therapy is based on classical conditioning. According to learning theory, two stimuli become associated when they occur frequently together (pairing). For example, in addiction, the drug, alcohol or behavior in the case of gambling becomes associated with pleasure and high arousal.
Is aversion therapy evidence based?
Available evidence indicates that chemical aversion therapy may be an effective component of certain alcoholism treatment programs, particularly as part of multi-modality treatment programs which include other behavioral techniques and therapies, such as psychotherapy.
What drugs are used in aversion therapy?
While a number of drugs have been employed in chemical aversion therapy, the three most commonly used are emetine, apomorphine, and lithium.
What are the examples of aversive treatment?
the use of external devices, materials or equipment to prevent, restrict or subdue the voluntary movement of any part of the person's body without consent (e.g. mittens to prevent someone biting their hand, an arm splint to prevent someone from hitting their head, a helmet to prevent someone from hitting themselves).
How has aversion therapy been used to stop nail biting?
Another common example of aversion conditioning is using nail polish to prevent nail-biting. People commonly paint their nails with clear polish or aloe, which tastes unpleasant. Over time, they begin to associate nail-biting with this unpleasant taste and stop wanting to bite their nails.
Which type of psychotherapy uses aversion therapy?
Aversion therapy is a form of behavioral therapy which creates an aversion or negative stimulus to an undesired behavior or habit. It is used most often in the case of addiction.
What is aversion in psychology?
n. a physiological or emotional response indicating dislike for a stimulus. It is usually accompanied by withdrawal from or avoidance of the objectionable stimulus (an aversion reaction). —aversive adj.
What is implosive therapy?
a form of behavior therapy involving intensive recollection and review of anxiety-producing situations or events in a patient's life in an attempt to develop more appropriate responses to similar situations in the future.
What drugs are used in aversion therapy?
While a number of drugs have been employed in chemical aversion therapy, the three most commonly used are emetine, apomorphine, and lithium.
What is the purpose of aversion therapy?
Aversion Therapy. Aversion therapy is a behavioral therapy technique with the aim of reducing unwanted behavior. Aversion therapy works by pairing together the stimulus that can causes deviant behavior (such as an acholic drink or cigarette) with some form of unpleasant (aversive) stimulus such as an electric show or nausea-inducing drug.
Why is compliance with aversion therapy low?
Compliance with the treatment is low due to the unpleasant nature of the stimuli used e.g. inducing violent vomiting. Apart from ethical considerations, there are two other issues relating to the use of aversion therapy. First, it is not very clear how the shocks or drugs have their effects.
Why is covert sensitization preferred over aversion therapy?
There are ethical issues associated with the use of aversion therapy such as physical harm (vomiting can lead to electrolyte unbalance) and loss of dignity for this reason covert sensitization is now preferred to aversion therapy.
What is the effect of aversive drugs on vomiting?
Patients are given an aversive drug which causes vomiting-emetic drug. They start experiencing nausea at this point they are given a drink smelling strongly of alcohol, they start vomiting almost immediately. The treatment is repeated with a higher dose of the drug.
Is behavioral therapy a CBT?
Behavioral therapies are mostly used in combination with other therapies [ (CBT) or biological (drugs)] it is therefore difficult to evaluate their effectiveness.
Is aversion therapy effective?
Second, there are doubts about the long-term effectiveness of aversion therapy. It can have dramatic effects in the therapist’s office. However, it is often much less effective in the outside world, where no nausea-inducing drug has been taken and it is obvious that no shocks will be given.
When was aversion therapy first used?
Various forms of aversion therapy have been used in the treatment of addiction to alcohol and other drugs since 1932 (discussed in Principles of Addiction Medicine, Chapter 8, published by the American Society of Addiction Medicine in 2003).
What is an aversion therapy?
Aversion therapy is a form of psychological treatment in which the patient is exposed to a stimulus while simultaneously being subjected to some form of discomfort. This conditioning is intended to cause the patient to associate the stimulus with unpleasant sensations with the intention of quelling the targeted (sometimes compulsive) behavior.
What is the Ludovico technique?
In Anthony Burgess 's novel A Clockwork Orange and the film adaptation directed by Stanley Kubrick, the main character Alex is subjected to a fictional form of aversion therapy, called the " Ludovico technique ", with the aim of stopping his violent behavior.
What is the treatment for alcohol addiction?
Alcohol addiction. An approach to the treatment of alcohol dependence that has been wrongly characterized as aversion therapy involves the use of disulfiram, a drug which is sometimes used as a second-line treatment under appropriate medical supervision.
Who was the colonial physician who started the sanatorium in Seattle?
In 1935, Charles Shadel turned a colonial mansion in Seattle into the Shadel Sanatorium where he began treating alcoholics for their substance use disorder. His enterprise was launched with the help of gastroenterologist Walter Voegtlin and psychiatrist Fred Lemere. Together, they created a medical practice that exclusively treated chronic alcoholism through Pavlovian conditioned reflex aversion therapy.
Is aversion therapy inhumane?
Aversion therapy, when used in a nonconsensual manner, is widely considered to be inhumane. At the Judge Rotenberg Educational Center, aversion therapy is used to perform behavior modification in students as part of the center's applied behavioral analysis program. The center has been condemned by the United Nations for torture .
When did aversion therapy start?
Aversion therapy first appeared in 1932 , and it has been in use and controversial ever since. This type of conditioning therapy is a treatment where the individual experiences a stimulus and at the same time is exposed to some discomfort. The idea is that the mind will associate discomfort with the behavior that is being treated.
Why do people use aversion therapy?
There are many reasons for choosing aversion therapy to be rid of unwanted behavior, but the most common reason for its use recently is addiction. This type of therapy is behavioral therapy. Behavioral therapies are psychological treatments that are used to change unwanted behavior.
How does exposure and response therapy work?
Exposure and response therapy (ERT) is a modern alternative to the outdated aversion therapy techniques. Exposure and response work better than aversion therapy because it centers on facing the actual problem rather than dealing effectively with the stress when the behavior is not acted upon. Individuals are exposed to the triggers that precipitate the OCD behaviors; then, they are walked through an effective response to the trigger. The individual learns that the stress and anxiety will lower on their own without engaging in the behavior. For example, consider someone afraid of going outside. Using Exposure and Response Therapy, the therapist would slowly guide the person to leave their house. Perhaps they'd start by getting them to go on their porch. Next, they'd walk down to their mailbox. Over time, they'd walk down to neighboring houses and eventually visit the grocery store or a shopping mall. ERT is all about teaching people with compulsive disorders that nothing bad happens when they face what makes them fearful and anxious. When the person keeps leaving their house without anything bad happening, it becomes easier and easier. Eventually, the fears and anxieties don't have the grip over a said person as they once did.
What type of therapy is best for addiction?
Different people respond differently to therapy, and therefore only a therapist, counselor, or psychologist can advise on the type of therapy that is right for you. Aversion therapy was once popular for addiction treatment and has also been used to banish other unwanted behavior with varying degrees of success.
What is addiction therapy?
Marriages hit the rocks, friendships suffer, and close family ties break down when addiction is present. Aversion therapy is a behavioral treatment intervention that has had success in dealing with addictive behaviors. The main problem that arises once this therapy helps change the behavior is a relapse.
How does electrical aversion work?
Electrical aversion works by administering an electrical shock as the individual engages in the unwanted behavior. Aversion imagery techniques use pictures to "shock" or trigger "aversion" as the individual engages in the unwanted behavior.
What is behavioral therapy?
This type of therapy is behavioral therapy. Behavioral therapies are psychological treatments that are used to change unwanted behavior. Changing unwanted behavior is achieved through conditioning, and conditioning goes back to the theories of classical conditioning. The idea that the mind can be conditioned through association, repetition, and exposure to change unwanted behavior is at the heart of all types of behavioral therapy.
Why is aversion therapy not recommended?
Research is mixed on its uses, and many doctors may not recommend it due to criticism and controversy. You and your healthcare provider can discuss the right treatment plan for you, whether that includes aversion therapy or not.
What is aversive therapy?
Aversion therapy, sometimes called aversive therapy or aversive conditioning, is used to help a person give up a behavior or habit by having them associate it with something unpleasant.
Why is there no long term benefit to aversion therapy?
It’s believed that the lack of long-term benefit occurs because most aversion therapy happens in-office. When you’re away from the office, the aversion is harder to maintain.
What are some ways to help with aversion?
Other methods that have been used for aversion therapy include: electrical shock. another type of physical shock, like from a rubber band snapping. an unpleasant smell or taste. negative imagery (sometimes through visualization) shame.
What is the second type of therapy?
A second one is called exposure therapy , which works by exposing a person to something they fear. Sometimes these two types of therapies can be combined for a better outcome. Therapists may also recommend other types of behavioral therapy, along with in or outpatient rehabilitation programs for substance use disorders.
Why did homosexuals seek psychiatric treatment?
This was often due to shame and guilt, as well as societal stigma and discrimination. However, evidence showed that this “treatment” was both ineffective and harmful.
Is aversion therapy effective?
Some research has shown that aversion therapy is effective for treating alcohol use disorder.
How does aversion therapy work?
Aversion therapy is used to help people to overcome undesirable habits or behavior. It does this by associating the habit which is to be changed with an unpleasant sensation so that the person does not want to continue doing it .
Why is aversion therapy important?
This is because the underlying problems motivating the behavior have not be solved, and often the addiction to one substance may simply be replaced with that of another. Using Aversion Therapy along with other psychological techniques and instigating a relapse prevention program can achieve better results.
What are some examples of aversive therapy?
Physical stimuli used in Aversion therapy can include pinches or smacks, and sometimes the patient can administer his own aversive stimulus, for example by snapping an elastic band which is on his wrist. The use of electric shocks as the aversive stimulus is perhaps the most controversial in Aversive Therapy.
How does a therapist assess a problem?
The therapist will assess the problem by measuring the severity, frequency, and the environment of the undesirable behavior. This will allow them to formulate a treatment program. Depending on the behavior to be modified, the therapist will decide on which is the appropriate aversive stimulus to use.
What is consent form in therapy?
The person will be asked to sign a consent form stating that they understand the process and that they are willing to participate in it.
How does aversion therapy affect behavior?
Aversion Therapy causes changes in behavior because during therapy the person learn s that a certain behavior will cause them an unpleasant sensation. This could be a physical pain or a sensation of feeling unwell. Gradually the person learns to associate the unpleasant sensation with that behavior, and so they will decrease or stop ...
What is the cause of abnormal behavior?
Faulty learning, or conditioning, is considered to be the cause of abnormal behavior. Conditioning is an effective form of learning which can be reinforced with either positive or negative stimuli.
When did Freud's conversion therapy get approved?
During the three decades between Freud's death in 1939 and the Stonewall riots in 1969, conversion therapy received approval from most of the psychiatric establishment in the United States. In 1962, Irving Bieber et al. published Homosexuality: A Psychoanalytic Study of Male Homosexuals, in which they concluded that "although this change may be more easily accomplished by some than by others, in our judgment a heterosexual shift is a possibility for all homosexuals who are strongly motivated to change".
When did conversion therapy stop in Germany?
Germany. On 7 May 2020, German parliament Bundestag banned nationwide conversion therapy for minors until 18 years and forbids advertising of conversion therapy. It also forbids conversion therapy for adults, if they are decided by force, fraud or pressure.
Why do mental health organizations not ban conversion therapy?
Haldeman argues that, due to concern for people whose "spiritual or religious concerns" may assume priority over their sexual orientation, mental health organizations do not ban conversion therapy outright.
What is the National Association for Research and Therapy of Homosexuality?
The National Association for Research & Therapy of Homosexuality (NARTH) was the main organization advocating for conversion therapy. Fundamentalist Christian groups, and some other organizations, have used religious justification for the therapy.
What is conversion therapy?
Conversion therapy is the pseudoscientific practice of trying to change an individual's sexual orientation from homosexual or bisexual to heterosexual using psychological, physical, or spiritual interventions. There is no reliable evidence that sexual orientation can be changed, and medical institutions warn that conversion therapy practices are ...
When did the Royal Assent to the Health Complaints Act come into effect?
Royal assent was granted on 5 May 2016. The law, known as the Health Complaints Act 2016, went into effect on 1 February 2017. On 17 May 2018, Health Complaints Commissioner opened an inquiry into conversion therapy, which concluded on 1 February 2019 and which recommended a full ban and support for survivors.
Which European country banned conversion therapy?
Albania. In May 2020, Albania became the third European country (after Malta (2016) and Germany (2020)) to ban conversion therapy or any pseudo-therapeutic attempts to change a person's sexual orientation or gender identity.
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Overview
In addictions
Various forms of aversion therapy have been used in the treatment of addiction to alcohol and other drugs since 1932 (discussed in Principles of Addiction Medicine, Chapter 8, published by the American Society of Addiction Medicine in 2003).
An approach to the treatment of alcohol dependence that has been wrongly characterized as aversion therapy involves the use of disulfiram, a drug which is sometimes used as a second-lin…
In compulsive habits
Aversion therapy has been used in the context of subconscious or compulsive habits, such as chronic nailbiting, hair-pulling (trichotillomania), or skin-picking (commonly associated with forms of obsessive compulsive disorder as well as trichotillomania).
In history
Pliny the Elder attempted to heal alcoholism in the first century Rome by putting putrid spiders in alcohol abusers' drinking glasses.
In 1935, Charles Shadel turned a colonial mansion in Seattle into the Shadel Sanatorium where he began treating alcoholics for their substance use disorder. His enterprise was launched with the help of gastroenterologist Walter Voegtlin and psychiatrist Fred Lemere. Together, they creat…
In popular culture
• In Anthony Burgess's novel A Clockwork Orange and the film adaptation directed by Stanley Kubrick, the main character Alex is subjected to a fictional form of aversion therapy, called the "Ludovico technique", with the aim of stopping his violent behavior.
Judge Rotenberg Center
The Judge Rotenberg Center is a school in Canton, Massachusetts that uses the methods of ABA to perform behavior modification in children with developmental disabilities. Before it was banned in 2020, the center used a device called a Graduated Electronic Decelerator (GED) to deliver electric skin shocks as aversives. The Judge Rotenberg center has been condemned by the United Nations for torture as a result of this practice. While many human rights and disability right…
See also
• Behavior modification