EXAM 2- PSYCHOTHERAPEUTIC APPROACHES TO SUBSTANCE ABUSE TREATMENT

Question 1

Psychotherapy

Answer 1

helps patient access repressed memories and unconscious thoughts

Question 2

Psychotherapy includes

Answer 2

Behavioral
Cognitive
Psychodynamic
existential humanistic

Question 3

Psychodynamic therapy

Answer 3

that emphasizes systematic study of the psychological forces that underlie human behavior, feelings, and emotions and how they might relate to early experience

Question 4

Why psychotherapy for substance abuse patients?

Answer 4

To generate muscle tissue due to depleted experience

Question 5

What is empirically supported (ESTs)

Answer 5

research-based medical and scientific evidence showing that they work

Question 6

Subsections of psychotherapeutic approaches (HAMSC(x3))

Answer 6

-Counseling Dynamics
-Harm Reduction
Modeling
-Solutions- Focused
Counseling
-Community Reinforcement
Approach (CRA)
- Interventions (CBT)

Question 7

Counseling Dynamics (sub topics)

Answer 7

The Treatment Frame - Transference

Countertransference

Question 8

Parameters of treatment frame

Counseling dynamics

Answer 8

-Regularly scheduled
appointments
- Enforced start/end times
- Maintaining private
relationship
- Canceling sessions with intoxicated patients
- Clear payment and scheduling intervals
- Preset contact parameters outside of treatment

Question 9

Transference

In counseling Dynamics

Answer 9

- Projected thoughts, 
  feelings, expectations, etc. 
  from past relationships 
  onto current relationships. 
- Patients -->  counselors
      Positive or negative

Question 10

Counter Transference

In counseling dynamics

Answer 10

• Counselors –> Patients

- Counselors as “Rescuers”

Question 11

What is

counter-transference

Answer 11

therapist transfers emotions to a person in therapy, is often a reaction to transference

Question 12

Why Harm Reduction ?

Answer 12

To create change of mentality

Moderation not abstinence

Question 13

Harm reduction modeling

Answer 13

-Client-advocacy focused
-Compassionate pragmatism (
vs. moralistic idealism)
- Efforts benefit individual &
society
-“Meeting where they’re at”
- Low threshold for outcomes
- Broad/generalized goals

Question 14

Trial Moderations of Harm

Reduction Therapy

Answer 14

-Limiting intake (context,
event, timeframe, etc.
specific?
-Tapering down

Question 15

Rationale of Harm Reduction Therapy

Answer 15

- Many users do not wish to 
  stop using substances
- Diversity of substance 
  users & need for 
  individualized treatment
- Moderation  Realistic 
  goals?

Question 16

Principles of Harm Reduction Therapy

Answer 16

- Accepting that clients may 
  not wish to discontinue 
  substance use
- Any use reduction or 
  related behaviors is 
  valuable

Question 17

Important Factors

Answer 17

• Therapeutic -
• Alliance/Relationship & -
• Clinician’s Attitude, Shared
• Goals