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 behavior. Aversion therapies can take many forms, for example: placing unpleasant-tasting substances on the fingernails to discourage nail-chewing; pairing the use of an emetic with the experience of alcohol; or pairing behavior with electric shocks of mild to higher intensities. Aversion therapy, when used nonconsentually, 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.
In addictions
Various forms of aversion therapy have been used in the treatment of addiction to alcohol and other drugs since 1932.
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. When a person drinks even a small amount of alcohol, disulfiram causes sensitivity involving highly unpleasant reactions, which can be clinically severe. Rather than as an actual aversion therapy, the nastiness of the disulfiram-alcohol reaction is deployed as a drinking deterrent for people receiving other forms of therapy who actively wish to be kept in a state of enforced sobriety.
Cocaine dependency
Emetic therapy and faradic aversion therapy has been used to induce aversion for cocaine dependency.
Cigarette addiction
It is unknown whether aversion therapy, in the form of rapid smoking, can help tobacco smokers overcome the urge to smoke.
In compulsive habits
Aversion therapy has been used in the context of subconscious or compulsive habits, such as chronic nailbiting, hair-pulling, or skin-picking.
In history
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 created a medical practice that exclusively treated chronic alcoholism through Pavlovian conditioned reflex aversion therapy.
The JudgeRotenberg 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 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 rights advocates have campaigned to shut down the center, as of 2020 it remains open. Six students have died of preventable incidents at the school since it opened in 1971.
