Chp. 4

Question 1

What are the 3 behavioral definitions of addiction?

Answer 1

3 Cs :
compulsion with obsession
control-inability to stop using the substances
continued use despite adverse consequences

Question 2

What are the major components of alcohol/ drug use?

Answer 2

1. The individual
2. The drug
3. The set and setting

Question 3

Definition of set

Answer 3

The psychological and emotional frame of mind of a person when using alcohol/drug.

Question 4

What other things might have an affect on a person’s drug use?

Answer 4

• emotionally unstable
• psychiatric problems
• person’s mood or emotional state
• trauma, shame, and embarrassment

Question 5

Definition of setting

Answer 5

Involves not only the physical environment but also the social and interpersonal environment.

Question 6

List the stages of alcohol/ drug use

Answer 6

• Nonuse
• Initial contact
• Experimental situational circumstantial use
• Integrated use
• Excessive use
• Addiction

Question 7

List the recovery strategies most effective for the addiction stage

Answer 7

• abstain from alcohol/ drug use
• 12-step recovery program
• strong development in self-help support groups
• relationship with sponsor
• aftercare treatment program

Question 8

What do experts suggest as being most effective in order to lower the risk of relapse?

Answer 8

1. 6-9 month inpatient treatment program
2. Additional one-year outpatient aftercare program
3. It is important for counselors to address relapse issues with patients

Question 9

What are the 2 defense mechanisms people use when exhibiting denial?

Answer 9

• minimalization
• rationalization

Question 10

What are the consequences of minimalization and rationalization?

Answer 10

• neglect; emotional, physical, and sexual abuse
  -loss–death, trauma, divorce, and separation
• numerous relocations and unstable home environment
• parental dysfunction, creating feelings of parental unavailability and/or feelings of abandonment, rejection, or shame

Question 11

What are the topics that can help identify an alcohol/ drug abuse problem in adolescents?

Answer 11

• Mood
• Changes
• Responsibility
• Motivation
• School
• Negative activities
  -Lying, stealing, and cheating
• Community
• Criminal justice problems
• Physical signs
• Parents

Question 12

What do you need to know in order to assess an individual’s alcohol/drug problem?

Answer 12

1. Age of initial drug and alcohol use.
2. Frequency of use, amounts used, set, and setting of use.
3. Patterns of use, binges, and periods of nonuse.
4. Stage of current use – experimentation, integrated use, excessive use, and addiction.
5. History of negative consequences – physical psychological, financial, familial, and spiritual.
6. Medical history - conditions that might be affected by the use of alcohol/drug.
7. Use of coffee, cigarettes, and medications.

Question 13

What is the significance of the consequences of alcohol/drug use?

Answer 13

Pointing out the consequences to the patient may be a valuable tool in breaking through their denial.

Question 14

What questions can be used to assess potential suicide?

Answer 14

Have you been thinking about suicide?
Do you have a plan to take your life?
Do you feel hopeless about the future?
Do you think you are a burden to your loved ones?
Are you feeling so bad you are considering ending your life?
Do you ever wish you could go to sleep and never wake up?
Have you ever wanted to stop living?

Question 15

What are some important questions to ask clients that are at risk for suicide?

Answer 15

On a scale of 1 to 10, how likely are you to kill yourself?
How much do you want to die? To live?
What would prevent you from committing suicide?
What might occur to make life worth living?