Alcohol Abuse 9

Question 1

Delta alcoholics history

Answer 1

excessive or extreme binge drinkers

Question 2

Delta alcoholics symptoms

Answer 2

generally abstinent for many months then displays continuous uncontrolled drinking for many days, remembers little of the whole drinking episode when regain sobriety, returns to total abstinence for many month then repeats extreme binge drinking

Question 3

Delta alcoholics treatment

Answer 3

best treatment yet to be determined

Question 4

Medical disease model applied to alcohol abuse (3)

Answer 4

1) causes and cures of illness are strictly biological; 2) all diseases can be reduced to a single biological cause and a single medical cure; 3) emphasis is on illness

Question 5

Implications of medical disease model applied to alcohol abuse (3)

Answer 5

1) individuals can do little to prevent illness and little once illness occurs; 2) individuals are not expected to play an active role in treatment; 3) clinicians see little reason to explain diagnosis, prognosis or treatment with patient/client

Question 6

Biopsychosocial model applied to alcohol abuse

Answer 6

1) biological, psychological and social processes interact to determine health; 2) prevention of illness and maintenance of health are primary; 3) individuals have responsibility for their own health

Question 7

Implications biopsychosocial model applied to alcohol abuse

Answer 7

1) individuals can choose to avoid many (life-style) health changes; 2) individuals are essential decision makers in health team and professionals are facilitators; 3) this model widens health from an individual focus to an active preventative role by governments and communities

Question 8

Treatments under medical model compared to biopsychosocial model

Answer 8

medical model = total abstinence; biopsychosocial model = controlled drinking

Question 9

Causes under medical model compared to biopsychosocial model

Answer 9

medical model = biological disease/inherited/biological; biopsychosocial model = familial/cultural/learned/environment

Question 10

Individual’s role in treatment under medical model compared to biopsychosocial model

Answer 10

medical model = no individual role in treatment/learned helplessness to depression and suicide; biopsychosocial model = individual has primary responsibility/active member of group and makes informed decisions

Question 11

Role of therapist under medical model compared to biopsychosocial model

Answer 11

medical model = therapist is expert; biopsychosocial model = therapist is facilitator

Question 12

Basis under medical model compared to biopsychosocial model

Answer 12

medical model = institution based (total abstinence); biopsychosocial model = individual skills training and community networking

Question 13

Relapse rate under medical model compared to biopsychosocial model

Answer 13

medical model = high relapse rate; biopsychosocial model = lower relapse rate

Question 14

Medical model total abstinence perspective believes

Answer 14

Total abstinence perspective believes alcoholics: 1) Lose control after a few drinks; 2) cannot regulate the amount they consume; 3) can never acquire post-treatment stable drinking patterns

Question 15

Can chronic hospitalised alcoholics be taught to control their drinking

Answer 15

Lovibond & Caddy (1972) in Australia and Hunt & Azrin (1972) in USA carried out similar research; Trained institutionalised alcoholics to accurately estimate their blood alcohol level (BAL)