Which intervention uses tangible rewards to reinforce abstinence and positive behaviors?

• A. Contingency Management
• B. DBT
• C. Motivational Interviewing
• D. CBT

Answer: (A)

Contingency management uses tangible rewards to reinforce abstinence and positive behaviors. It is based on operant conditioning: when a person achieves abstinence or demonstrates desired behaviors, they receive immediate, material incentives—such as vouchers, prizes, or other rewards. The immediacy and the contingent nature of these rewards strengthen the connection between the abstinent behavior and a positive outcome, making it more likely the behavior will be repeated. This approach is distinctive in its reliance on concrete rewards tied directly to verified abstinence (for example, through drug tests or verified attendance), rather than on counseling or skill-building alone.

In contrast, methods like dialectical behavior therapy focus on building emotional regulation and coping skills; motivational interviewing emphasizes resolving ambivalence and boosting motivation without material incentives; cognitive-behavioral therapy targets thoughts and behaviors through skills practice and cognitive techniques without contingent rewards.