Chapt 22-Substance abuse

Question 1

What gender is more likely to have an alcohol and illicit drug use disorder- can cooccur with mood, anxiety, and personality disorder?

Answer 1

Men

Question 2

Alcohol abuse is the leading cause of death between what age range?

Answer 2

16-24 year olds

Question 3

Alcohol is highly correlated with what?

Answer 3

murder, suicide, and accidental death rates

Question 4

What is the most abused illicit drug?

Answer 4

marijuana

Question 5

how many Americans have an alcohol drinking problem>

Answer 5

13 million

Question 6

How is alcoholism understood to be caused by?

Answer 6

biopsychosocial

Question 7

theory that states that addiction to be biologically based illness
-chronic and progressive
-addiction is most often characterized by denial and loss of control
-tx follows a medical model-hospitalization, medication, and education
what model?

Answer 7

disease model

Question 8

type of model that states addiction to be a maladaptive response to underlying psychopathology

Answer 8

traditional psychiatric models

Question 9

type of model that views addiction as a primary psychiatric condition
-tx consist of the medical model in addition to emphasis on psychiatric symptomatology

Answer 9

contemporary psychiatric models

Question 10

type of model that believes there is a high co-occurance of trauma experiences and substance abuse.

• the capacity for inner self soothing and self regulation are greatly diminished or absent, causing the person to go for external sources.
• tx includes initial stabilization with later emphasis on exploration of the trauma

Answer 10

trauma model

Question 11

model that believes the influence of deficits in coping capacity and familial modeling in the development of a substance use disorder- what model?
-targets coping skill enhancement and examination of underlying use expectancy

Answer 11

Bandura’s social cognitive model

Question 12

model that believes addiction to be a family disease
-each person is affected and plays a role in the family drama
-

Answer 12

systems theory model

Question 13

model that believes addiction as a environmental factor- such as poverty, poor job availability, lack of education, lack of house, racism, sexism, drug availability contribute to addiction

Answer 13

social model

Question 14

What are Jackson’s 7 stages of alcoholic families?

Answer 14

1. family attempts to deny the problem
2. family tries to eliminate the problem
3. family becomes disorganized
4. family makes a first attempt at reorganization
5. family attempts to escape the problem
6. family makes a second attempt at reorganization
7. family reorganizes with the substance abuser seeking help

Question 15

What are the 5 stages of treatment for alcohol abusers?

Answer 15

confrontation, detoxification, education, therapy, and reintegration

Question 16

What are the roles of the children?

based on research the children of alcoholics often adopt rigid roles in the family

Answer 16

• the hero
• scapegoat
• lost child
• mascot

Question 17

What are additional roles that family members unconsciously adopt in order to provide relief from the stresses in the alcoholic family system?
-based by Wegscheider

Answer 17

dependent

enabler

Question 18

type of role that: outwardly appears hostile, rejecting, angry, and grandiose; the inner feelings is shame

Answer 18

dependent

Question 19

type of role: outwardly super responsible, self righteous, and powerless
-keeps the family functioning; the inner feeling is anger

Answer 19

enabler

Question 20

For the therapist, what assessment approaches need to be done?

Answer 20

behavioral/physiological approach
-family history, use history, potential for withdrawal, health consequences

psychological assessment: ways of coping, potential co-occurring psychiatric conditions
cognitive- expectancies
social- interpersonal difficulties, environmental stressors and consequences

Question 21

What are the common warning signs of an alcohol abuser?

Answer 21

• drinking alone or secretively
• using alcohol to cope with difficult situations
• feeling uncomfortable on occasions when alcohol is not available
• escalating consumption
• consuming alcohol heavily in risky situations
• getting drunk regularly or more frequent than the past
• drinking in the morning or unusual times

Question 22

Before treatment to begin, what has to be acknowledge by who?

Answer 22

the drinking as the problem BY THE DRINKER and the family members

Question 23

What disrupts the family balance when the family is organized around the alcoholism?

Answer 23

sobriety

Question 24

What is the model of choice for adolescent substance use disorderes?

Answer 24

targeting multiple areas of functioning

-ecologically baed family treatments

Question 25

type of treatment that: utilizes a systems lens through which to identify a constellation of intervention foci

• joining, reframing, enactment paradox
• shown to decrease substance use rates and arrests at a 4 year follow up

Answer 25

multisystemic family therapy

Question 26

type of treatment that: involves both developmental and systems oriented case formulation

• targets individual, family, and social areas of risk that are understood as symptom maintaining factors
• tx last 4-6 months in 3 stages
• shown improvements in adolescent group therapy

Answer 26

multidimensional family therapy

Question 27

an intervention that facilitate treatment initiation among resistant substance abusers through work with one or more concerned family members

• ex: pressures to change and community reinforcement and family training
• tx ranges from 1 session-6 months
• tx involves motivational enhancement, communication skills, behavioral analysis, and contingency contracting

Answer 27

Unilateral interventions

Question 28

type of intervention used with couples; active treatment with individuals affected by substance use disorder

• tx lasts 4-6 months
• targets abstinence or use reduction and marital functiong
• tx includes: communication skills, assigned shared activities, and contingency contracting

Answer 28

Behavioral marital therapy

Question 29

a therapeutic approach the confronts denial in the alcoholic unwilling to seek help on his/her own
-has roots in the network family therapy
-involves a group of participants
-suggestion is confrontation in the morning
-

Answer 29

Intervention