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PSYC 330 Chapter 15 Notes
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This is a comprehensive and detailed note on Chapter 15; Treatment of substance use disorders. *Essential Study Material!!
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Chapter 15: Treatment of Substance Use DisordersMotivation to Change
● Treatment, planned activities designed to change some pattern of behaviors of
individuals or their families
● Spontaneous remission, resolution of a problem without the help of formal treatment
○ This happens frequently with smokers, although it may take a couple of tries
● Major barrier to change is the person's denial of the problem
● Research is now looking at the readiness to change instead of motivation
● Stages of Change Model
○ Precontemplation: not aware of the problem and have no interest in change
○ Contemplation: facilitate between the pros and cons of their behavior and making
changes
○ Preparation: on the edge of taking action and may have tried in recent past
○ Action: Setting goals and engaged in activities to change
○ Maintenance: continued use of behavior-change activities for as long as three
years
● Sometimes, people need external pushes for change if they cannot identify that there is
a problem on their own, may help them progress into the different steps
Changes without Formal Treatment
● Most people with such problems resolve them on their own more than using self-help
groups and professional treatment
● With spontaneous remission, most people decided based on pros and cons
● Immediate change is far from rare
● People who do this still can wind up using other treatment resources
Self-Help Groups
● Members of peer self-help groups perform therapeutic functions without professionals
● All have some identified problem that is the focus of the group
● Members of the group both give and receive help
● Professionals work in the treatment of substance use disorder often use relevant
self-help groups in complement with professional treatment
● Alcoholics Anonymous
○ Basis for the development of other self-help movements for treatments in other
problem areas
○ Dr. B and Bill W to spread idea that alcoholics need to help each other
○ Twelve Step Program
○ The first being that alcoholics recognize that they cannot control their
consumption
○ Recovery, lifetime process that is without alcohol and other drugs
○ Chairpersons tells his/her history of alcoholism and recovery and others are able
to open up after about it
, ○ Learn from the experience of others
○ Has become the cornerstone of a self-help movement and is reaching people
everywhere
● Other Self-Help Groups
○ Women for Sobriety
■ Slight variant of AA
■ Focus is the special psychological and social needs and concerns that
women face in achieving and maintaining sobriety
○ Self-Management and Recovery Training
■ Motives for alcohol and other drugs and to stop use
■ Beliefs that can help or hinder alcohol and drug use
■ Emotions
■ Behavior
■ Aligned with the Rational Recovery
● Educational movement based on cognitive principles
○ Secular Organizations of Society
■ Viewed as being in charge of making emotional and rational decisions
■ Uses peer support group meetings like AA
■ Core principle of one day at a time
■ Three key points
● Acknowledgement of addiction/disease
● Acceptance of the problem
● Sobriety is the number one priority
Models of Substance Use Disorders
● Five Model Categories
○ Moral Model
■ Seen as personally responsible for the problems they may incur form their
use of drugs and alcohol
■ Choices were available other than drug and alcohol and were not taken
○ Biological Model
■ Result of genetic and psychological processes
○ American Disease Model
■ Dependence on alcohol is the product of progressive, psychological, and
spiritual disease
■ Foundation of Alcoholics Anonymous
○ Social Learning Theory
■ Complex interaction of individuals with their environments
■ Modeling the behavior of other individuals when they drink or use drugs in
a harmful way
○ Sociocultural Model
■ Subcultures and societies shape alcohol and drug use patterns and their
consequences
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