Dusoe final exam essay study

  1. What are the two types of relapse prevention
    • Cenaps Model by Gorski
    • Cognitive-Social Learning Model by Marlatt and Annis
  2. What are the goals of the Cenaps Model by Gorski?
    • 1.  The recognition that chemical dependency is a biopsychosocial disease
    • 2.  The recognition of the need for lifelong abstinence from all mind-altering drugs
    • 3.  the development and use of an ongoing recovery program to maintain abstinence
    • 4.  the diagnosis and treatment of other problems or conditions that can interfere with recovery
  3. In Gorski's words, the Cenaps Model...
    "integrates the fundamental principles of AA and the Minnesota Model Treatment to meet the needs of relapse-prone patients.
  4. Gorski's six steps of recovery are:
    • 1.  Abstaining from alcohol and other drugs
    • 2.  separating from people, places, and things that promote chemical use and establishing a social network that supports recovery (back doors and sober support)
    • 3.  stopping compulsive self-defeating behaviors that suppress awareness of painful feelings and irrational thoughts
    • 4.  learning how to manage feelings and emotions responsibly without resorting to compulsive behaviors or the use of chemicals
    • 5.  Learning to change addictive-thinking patterns that create painful feelings and self-defeating behaviors
    • 6.  identifying and changing the mistaken core beliefs about self, others, and the world that promote the use of irrational thinking
  5. Explain Cognitive-Social Model of Relapse Prevention by Marlatt and Annis
    • Maintaining a behavior and initiating a behavior change may be guided by different principles
    • belief in self-efficacy determines probability of relapse
    • Ability to cope with high-risk situations is critical
    • (AIDs)Apparently irrelevant decisions- result from lifestyle imbalances and lead to relapse
    • (AVE) Abstinence Violation Effect- results in escalation of slips to relapse
  6. What is AID's
    (AIDs)Apparently irrelevant decisions- result from lifestyle imbalances and lead to relapse
  7. What is AVE
    (AVE) Abstinence Violation Effect- results in escalation of slips to relapse
  8. Most important to know about relapse prevention
    Assessment of high-risk situations and coping with high-risk situations
  9. What are the 5 AA alternatives
    • Women for Sobriety
    • SMART Recovery
    • Secular Organizations for Sobriety/Save Ourselves (SOS)
    • Many Roads, One Journey
    • Moderation Management
  10. Highlights of: Many Roads, One Journey
    • Kasl (1992)
    • Maintain sobriety 
    • healing by self acceptance and commitment to sobriety 
    • Know about oppression
  11. Highlights of:  Moderation Management
    • (1994)
    • Made for people who are concerned about their drinking and want to cut back or quit drinking before problems develop
    • Learned behavior-not a disease
    • Behavioral
  12. Highlights of: Women for Sobriety
    • Kirkpatrick (1976)
    • feminist movement
    • Women take full charge of self
    • self esteem
  13. Highlights of: Secular Organizations for Sobriety/ Save Ourselves (SOS) 
    • Christopher (1986)
    • Spirituality is not necessary-free thinking

    • Has 5 Guidelines "Sobriety Priority" 
    • 1.  Acknowledgement of alcoholism
    • 2.  One Day at a time
    • 3. Reaching out to people who have been affected by persons alcoholism
    • 4. Self-acceptance, change and growth
    • 5.  Taking responsibility for providing meaning in life
  14. Highlights of: SMART Recovery
    • (1994)
    • Self management and recovery Training
    • Scientific Orientation
    • 1.  Enhance and maintain motivation to abstain 
    • 2.  Cope with urges
    • 3. Manage thoughts, feelings, and behaviors
    • 4.  balance momentary and enduring satisfactions
  15. How did Dear and Roberts identify codependency (2002)
    • tendency to put others needs before own 
    • engage in taking responsibility for others actions (caretaking)
    • fixing damage caused by another person (rescuing)
  16. What are Potter and Efrons 8 characteristics of Codependency (1989)
    • 1.  Fear is indicated by a preoccupation with the problems of others, an avoidance of interpersonal risk, a general mistrust of others, persistent anxiety, and manipulative attempts to change another's behavior, especially drinking behavior
    • 2.  Shame and guilt are characterized by a persistence of shame and guilt about another's behavior, self-loathing, isolation, and an appearance of superiority that masks low self-worth
    • 3.  Prolonged despair relates to a generalized pessimism toward the world and feelings of hopelessness about changing current situation.  Low self-worth in direct opposition to one's actual accomplishments.
    • 4.  Anger is often present but may be expressed in a passive-aggressive manner.  Persistent anger.  Fear that anger means loss of control
    • 5.  Denial is usually consistent, minimization of problems and the use of justifications or rationalizations aimed at protecting the person from perceived or real consequences
    • 6.  Rigidity is identified by cognitive, behavioral, and moral, spiritual, and emotional inflexibility
    • 7.  Identity development is impaired.  Needs validation from others
    • 8.  Confusion about what is normal and what is real. Gullibility and indecisiveness.
  17. Easy Efron and Potter's 8 characteristics
    • Fear
    • Despair
    • Identity confusion
    • Shame and guilt
    • Confusion
    • Anger
    • Rigidity
    • Denial
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Dusoe final exam essay study
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