Alcohol Abuse 11

Question 1

Traditional after-care findings

Answer 1

total abstinence 35%; re-incarcerated 9%; average monthly income $440

Question 2

Conclusion Oxford House

Answer 2

treatment needs to be conceptualised to be more than time-limited clinical intervention (social community intervention designed to prevent relapse)

Question 3

Medical disease model alcoholism causation

Answer 3

biological/inherited

Question 4

Medical disease model outcome

Answer 4

impaired (no volitional) control

Question 5

Medical disease model types of alcoholics

Answer 5

1) Gamma (no control once drinking begins); 2) Delta (inability to abstain; prolonged binge drinking)

Question 6

Medical disease model strength/weaknesses

Answer 6

using placebo challenge, those who believe they have consumed alcohol (whether they have or not) lose control

Question 7

Medical disease model treatment

Answer 7

detox (hospitalisation) and Alcoholics Anonymous

Question 8

Medical disease model treatment success

Answer 8

5% but very strict definition (one drink, always an alcoholic)

Question 9

Cognitive-behavioural causation

Answer 9

use alcohol for tension reduction

Question 10

Cognitive-behavioural outcome

Answer 10

alcohol use for negative reinforcement reasons (reduce anxiety/stress) and physiological relaxation

Question 11

Cognitive-behavioural types of alcoholics

Answer 11

alpha (social drinkers maintain inappropriate levels of alcohol consumption)

Question 12

Cognitive-behavioural strength/weaknesses

Answer 12

90%+ of alcoholics indicate they drink for negative reinforcement reasons

Question 13

Cognitive-behavioural treatment

Answer 13

Detox, AA, psychotherapy in martial/family/work areas

Question 14

Cognitive-behavioural treatment success

Answer 14

25% total abstinence and 87% reduction in alcohol consumption

Question 15

Social learning model causation

Answer 15

drinking is a learned behaviour