Chapter 22-Teaching Substance Abuse/Addictions Counseling Flashcards Preview

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RE: addictions counseling course, the first class will ask questions like, What comes to your mind when you hear the word addict ? How about addiction ? substance use ? substance dependence?
Why are these questions asked?

1. Makes students aware of personal biases
2. Clients do not fit any one pattern


What three constructivist theories that can be used when working with addictions population?

1. solution-focused brief therapy
2. motivational interviewing
3. narrative therapy


How does constructivist addictions counseling function?

1. Creates language of change, particularly related to solutions.
2. Deconstruction of the client’s definition of the problem.
3. Breaks addiction down into its component parts, who, what, where, when, and how of the contributing circumstances that keep the addiction going.


How is constructivist addiction counseling different from reshaping or reframing?

The process that heals is collaborative conversation rather than finding answers to questions.


Who developed Solution-Focused Brief Therapy (SFBT)?

Steve de Shazer, Insoo Kim Berg, and associates at the Brief Family Therapy Center


When applied to treating addictions, what are the tenets of constructivist epistemology?

Counselor and client co-construct effective solutions to bring about preferred living.
(a) Clients are experts on themselves
(b) awareness of exceptions to the problem, times when the addictive behavior is not happening


In solution-focused counseling, in many of the techniques, counselors highlight:

sustainable change based on the belief that change is constant and inevitable.


What are examples of techniques in solution-focused counseling?

1. scaling
2. rating
3. the miracle question


Who developed Motivational Interviewing (MI)?

William Miller and Stephen Rollnick


Describe Motivational Interviewing

1. Nonjudgmental, nonconfrontational, and nonadversarial
2. Goals: establish rapport, elicit change talk, and establish commitment from the person with addictive behaviors.


Motivational Interviewing is based on what 5 principles?

1. Express empathy
2. Develop discrepancy
3. Roll with resistance
4. Support self-efficacy
5. Avoid argumentation


What have studies shown for MI vs. confrontational interviewing and cognitive behavioral interventions?

Significant differences in better treatment effects over the long term


Who developed Narrative Therapy?

Michael White and David Epston
Known through their book: Narrative Means to Therapeutic Ends


Describe Narrative Therapy.

1. Respectful, nonblaming conversations in which clients can safely explore the stories of their lives.
2. Explore the stories, or narratives, that have led to addictive issues.


Describe “deconstructive questioning.”

1. Counselors and Clients investigate the influence of the problem on the life and relationships of the addicted.
2. EX of question: “When was the problem nonexistent?”
3. Through “real talk,” destructive beliefs become changeable interpretations.
4. Externalizing the problem-the problem is the problem; the client is not the problem


Once the problem is deconstructed, describe “landscape.”

The “landscape” of preferred living can be co-constructed.


What are examples of techniques in narrative therapy?

1. deconstructive listening
2. questioning
3. externalizing
4. identifying coping abilities support systems
5. seeking unique outcomes


Why is an addictions course and/or program important in any counseling course?

1. In 2007, an estimated 19.9 million or 8% of Americans 12 and older were current illicit drug users.


What learning objectives are important in the addictions course?

1. Students will learn assessment according to the DSM and the Patient Placement Criteria established by American Society of Addiction Medicine (ASAM).
2. Students will understand the term treatment is usually associated with court-ordered clients, while the term counseling is reserved for those who volunteer to make changes in their substance


What other learning objectives are important in the addictions course?

3. Students will understand constructivism and the challenge of integrating constructivist theory with traditional addictions treatment programs.
Students will discover the contemporary view of substance abuse treatment


Why is it difficult to define addiction?

Theorists and counselors have yet to agree on one universal definition of this phenomenon.


As part of examining definitions of addictions, what can the instructor teach about the historical perspectives?

1. Explore historical and multicultural perspectives on substance use.


Describe the can activity that can engage students in the discovery of addiction’s meaning to them.

1. Instructor distributes cards containing the terms drunk, drug addict, sex addict, junkie, etc.
2. Students work in pairs and discover differences in how individuals look at people with addictions.
3. Instructors ask students how they might work with a client with one of the addictions listed.


Some questions to pose to students about working with addictions clients include:

1. “Have you thought about working with an addicted client?
2. If so, do you believe that ‘cure’ happens as the result of an individual merely stopping the behavior?
3. Do you believe that stopping is always a choice?


Assignments and projects for the addictions course can include:

1. online discussions
2. immersion project at a treatment facility
3. outside reflection projects
4. final examination


Describe The Abstinence Project and Journal.

1. Students refrain from a substance or behavior that brings them a lot of joy for the duration of the course.
2. Students reflect on:
A. the meaning of the behavior for them
B. addressing thoughts and behaviors when behavior is halted
C. how they cope when they stop the behavior
D. what happens when they relapse