Volume 3 Flashcards
What is the difference between transference and counter-transference?
transference is the patient projecting emotions, thoughts and expectations on to the interviewer. (them looking at you as a mother figure)
counter-transference is the interviewer projecting emotions thoughts and expectations on to the patient.
What are 3 behaviors that let the patient know that you are listening to them?
eye contact, attentive posture, and verbal following
True or False
A CDE gives clinic personnel the right to contact the commander-directed individual’s family.
False
What are the 3 key areas of social history?
social
occupational/academic
home environment
Why is it important to explore the patient’s academic background?
to gain a complete grasp of your patient’s capabilities
What does the patient’s progression reveal to you? (ADAPT)
Knowing how the patient’s drinking has progressed will give you an idea of increased tolerance and/or a progression to a more powerful substance.
What is the primary purpose of conducting a MSE?
to gather objective data which may be helpful in determining etiology (cause), diagnosis, treatment, and prognosis (outcome)
What are the primary assessment areas of the MSE?
appearance and behavior
emotions
cognitive functioning
What is the difference between mood and affect?
Mood is defined as the internal emotional tone.
Affect is simply the observable external expression fo the patient’s tone.
What are the primary types of affect?
appropriate inappropriate flat blunted labile
What is the difference between an illusion and a hallucination?
illusion- a misperception or misinterpretation of real external stimuli
hallucination- false sensory perceptions not associated with real stimuli
What is motivational interviewing?
MI is a patient-centered, directive method for enhancing intrinsic inspiration to change by exploring and resolving ambivalence.
What are the 4 general principles of motivational interviewing?
express empathy
develop discrepancy
roll with resistance
support self-efficacy
What are the 6 dimensions of care defined by ASAM?
- acute intoxication and/or withdrawal potential
- biomedical conditions and complications
- emotional, behavioral, or cognitive conditions or complications
- readiness to change
- relapse/continued use/ problem potential
- recovery environment
What purpose do the ASAM 6 dimensions have?
the information obtained in all 6 dimensions form the basis for treatment recommendations.
What is the clinical purpose of consent?
to enlist the patient’s faith and confidence in the anticipated outcome of treatment.
Who is responsible for approving all requests for release of information?
MTF Commander
What are the 3 primary areas of family advocacy?
prevention services
maltreatment program
special needs identification and assignment coordination process
What are the criteria for the disease model of addiction?
- loss of control over the use of the substance
2. continued use despite negative consequences
What is addiction?
compulsive need for and use of habit-forming substance characterized by tolerance and by well-defined physiological symptoms upon withdrawal
What is disease?
a condition of the living animal or plant body or of its parts that impairs.
What is the heart of the disease model?
alcohol and drug dependence are physical illnesses
What are the disease model’s 4 identifiers?
primary
progressive
chronic
fatal
What are the 4 stages of alcoholism?
symptomatic phase- pre alcoholic stage characterized by drinking that initially has rewarding aspects
Prodromal Phase (Early stage)- significant increase in frequency and amount of alcohol consumed.
Crucial Phase- involuntary loss of control over drinking
Chronic Phase- combines the qualities of the previous 3 as well as the collapse of family, occupational, and social status
