General Notes

Question 1

Define enabling

Answer 1

A set of behaviors of people who are knowingly supportive of or attempting to assist another person’s attempts at using chemicals

Question 2

Why do people enable?

Answer 2

• Being a friend
• Peace in house
• Keep addict from anger

Question 3

Define codependency

Answer 3

A relationship pattern between two people where one is a substance abuser, but both are dependent on each other

Question 4

What is the difference between enabling and codependency?

Answer 4

Enabling is giving the user the substance, codependency is when the user has an emotional dependence on the user.

Question 5

One of the clear goals of codependency is _____.

Answer 5

Control

Question 6

The person who is codependent is _____.

Answer 6

Straight-jacketed; must play a certain role

Question 7

How do people become codependent?

Answer 7

Learned from previous relationships or family

Question 8

Codependency is a construct that implies:

Answer 8

It is not even true. Is not a diagnosis.

Question 9

When you get dual-diagnosed clients, the treatment outcomes are invariably _____.

Answer 9

Poorer

Question 10

People who are dual-diagnosed tend to have very fragile _____.

Answer 10

Brain chemistries or egos.

Question 11

What is intensive outpatient treatment?

Answer 11

AKA Partial-hospitalization; A day-type center where the patient comes in the morning and stays through the afternoon doing counseling, recreational activities, and rehabilitation
- Usually lasts a few months to years

Question 12

What is a Residential Treatment Program (the 28 day concept) used for?

Answer 12

Not a detox facility, used to change the lifestyle/routine/access of the user

Question 13

What is a 12 Step Program?

Answer 13

Not necessarily AA, but incorporates AA principles in their treatment program

Question 14

What is a therapeutic community?

Answer 14

A self-help community for treatment of substance abuse, very intensive and can be confrontational at times. Requires a level of commitment from and control over the user.

Question 15

What is a half-way house?

Answer 15

A place to stay when the user is between the detox facility and living completely on their own; provides rehabilitation counseling and groups usually.

Question 16

What substances require medical detox?

Answer 16

Alcohol
Heroin
Benzo's
Barbiturates
Opiates
Cocaine
Amph/Meth
PCP
Steroids

Question 17

What is the myth of confrontation?

Answer 17

• The myth is that everything has to be yelling and screaming with substance users
• No evidence that this is useful

Question 18

What would you want to work on in family and marital interventions?

Answer 18

○ Communication
- Usually a secret to be kept in these types of families
- The more transparent it is, the healthier it is for everyone
○ Roles/Rules
- Usually distorted
- Kids learn rules that will allow them to survive in substance abusing family, but not outside
- Parentification of children

Question 19

What are the individual therapy approaches?

Answer 19

• Cognitive behavioral strategies
  
  • Contingency management/Self-monitoring
• Treatment of comorbid disorders

Question 20

What is the importance of group therapy?

Answer 20

Provides feedback and support from people going through similar issues; teaching coping and social skills

Question 21

What is harm reduction?

Answer 21

Helping people “use” safely

• Needle exchange programs
• Helping cut back on the substance to decrease negative effects on life

Question 22

What is Rational Recovery?

Answer 22

Created in response to not liking the spiritual side of AA

Question 23

What are some of the other support groups?

Answer 23

• Women for Sobriety

- Moderation Management