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Addictions > Chapter 7 > Flashcards

Chapter 7 Flashcards

1
Q

Eriksonian model:

A

Believed that early relationships with parents played a significant role in the development of children.

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2
Q

Erikson’s Model

A
  • Trust vs. Mistrust
  • Autonomy vs. Shame/doubt
  • Initiative vs. guilt
  • industry vs. inferiority
  • identity vs role confusion
  • intimacy vs isolation
  • generativity vs stagnation
  • integrity vs despair
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3
Q

Trust vs Mistrust

A

-0-2 years
-Development of basic trust with parental figures
-Normal dependency: child can depend on the parental figures to be consistent and present → trust
(Learn to self-sooth;
Learn to trust that they can effect movement in their environment)
-If the child is unable to develop a felt bond or connection, a strong core message of unworthiness or not being enough can develop

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4
Q

Autonomy vs Shame and Doubt

A
  • 2-4 years old
  • Child learns to differentiate right from wrong and good from bad
  • Working towards the development of a sense of autonomy and separateness to build to an internal sense of control; setting boundaries by saying “no” and are challenging their environment
  • Support of the child creating healthy boundaries is important to the development of a healthy self-esteem, without this trust they may feel shame, doubt, insecurity
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5
Q

Initiative vs Guilt

A
  • 4-6 years old
  • Facilitated primarily by the parental figures setting reasonable limits, which encourage the child to engage in new initiatives
  • Initial role identification occurs for boys/girls
  • Guilt occurs if this stage fails
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6
Q

Industry vs. inferiority

A
  • 6-puberty
  • Child is observing socially acceptable activities (parents & peer groups)
  • Need to feel an internalized sense of success, if not they will feel discouraged
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7
Q

Identity vs. Role Confusion

A
  • Beyond puberty
  • Individual’s struggle for identity and finding a place in the world
  • Trust vs mistrust is revisited for the community and other environments
  • Failure to develop a sense of self leads to a diffuse and scattered self-understanding
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8
Q

Intimacy vs Isolation

A
  • Romantic relationships and significant friendships begin to develop
  • Recapitulation of family dynamics with intimate relationships
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9
Q

Generativity vs. Stagnation

A
  • Involves the altruistic behavior or humans, either by raising a family or going beyond one’s own ego and helping others. Often includes parenthood.
  • If this is left unaddressed, the individual with probably develop feelings of stagnation and boredom
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10
Q

Integrity vs. Despair

A

A life review occurs to determine whether life is and has been worthwhile

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11
Q

Piaget

A
  • Sensorimotor period
  • preoperational period
  • concrete operational period
  • formal operations
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12
Q

sensorimotor period

A
  • Birth to 1-2 years
  • Child learns primary circular reaction; experience the world primarily through their sense and motor capabilities
  • Linear, causal, direct interaction with the world; thinking by doing
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13
Q

preoperational period

A
  • 1-7 years
  • Begins to learn language skills and incorporate an egocentric view of the world; unable to see from perspectives outside of self
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14
Q

concrete operational period

A

Can begin to carry our increasingly complex cognitive operations (non-abstract)

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15
Q

formal operations

A
  • 12-18 years

- When an individual can think and respond in an abstract manner

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16
Q

Kohlberg’s Model

A

Expanded on Piaget’s model from a moral perspective

  • Preconventional
  • Conventional
  • postconventional
17
Q

Kohlberg’s Preconventional Period

A
  • Punishment and Obedience Orientation: Child understands that certain rules regulate behavior and that the child will abide by them in order to avoid punishment
  • Instrumental-Relativist: examines the child’s thought process of whether breaking the rules outweighs the possible consequences of breaking the rules (pain vs. pleasure)
18
Q

Kohlberg’s Conventional Period

A
  • Good Boy and Nice Girl: when the individual conforms to family or environmental rules despite personal discomfort; wants to contribute to the family despite discomfort
  • Law and order orientation: individual’s adherence to rules and order of the society; begins autonomous judgment
19
Q

Kohlberg’s Postconventional Period

A
  • Social Contract/Legalistic: where individuals have both rights and responsibilities
  • Universal Ethical: where a person’s moral beliefs and attitudes are also in agreement with one’s own ethical principles
20
Q

Gorski’s model of recovery

A
  1. Transition
  2. Stabilization
  3. Post-Acute Withdrawal
  4. Early Recovery Stage
  5. Middle Recovery Stage
  6. Late Recovery
  7. Maintenance Stage
21
Q

Gorski’s model Transition Stage:

A
  • denial and attempts to control usage are considered.
  • Transition occurs when an individual attempts to control their usage
  • Have not connected life problems with alcohol/drug use
  • Begin to experience insight by experience consequences or recognizing excessive use → will try to control/cut down use to prove their use is not a problem. Attempts to control are short lived.
22
Q

Gorski’s model Stabilization

A

Goal 1: Client’s recuperation from the use of the drug (discontinuing use)
Goal 2: reduction in drug/alcohol preoccupation and increased focus on recovery and supportive relationships
Goal 3: better cope with stress without using chemicals
Goal 4: developing hope and motivation to continue in recovery

23
Q

Gorski’s Post-Acute Withdrawal

A
  • Withdrawal that occurs long after the initial physical withdrawal symptoms
  • Starts with the emergence of feeling overwhelmed by daily tasks, having difficulty making simple decisions, and managing stress ineffectively
  • May occur in the first 6-12 months of recovery; does not occur in everyone
  • Also include the grief/loss of the drug
24
Q

Gorski’s Early Recovery Stage

A

Identify the signs of possible relapse and break recovery down into two parts: drinking and drugging problem and the thinking problem

25
Q

Gorski’s Middle Recovery Stage

A
  • Occurs when clients begin repairing their lives by working to develop a balanced lifestyle
  • Use recovery principles; make amends
26
Q

Gorski’s Late Recovery

A
  • Clients have been sober and clean and feel better, yet may be unsure if there is anything else to do in recovery
  • Unhappiness in recovery stems from unresolved childhood issues merged with self-defeating thoughts and behaviors
  • Challenges: inability of clients to engage in problem-solving thoughts and behaviors; unrefined skills in managing emotion; rigidity in behavior and subsequent lack of flexibility with lifestyle changes; blaming others or acting out
27
Q

Gorski’s Maintenance Stage

A
  • Lifelong, has no end

- Substance may not be a main part of their life/treatment

Addictions (6 decks)

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