18. kafli – Elements of Effective Treatment
In my early professional years, I was asking the question: How can I treat, or cure, or change
this person? Now I would phrase the question in this way: How can I provide a relationship
which this person may use for his own personal growth?
Carl Rogers
DSM 5 no longer uses the term substance
• AA was founded in 1939, and for many is still
abuse and substance dependence, it refers to considered the “gospel” for addiction treatment
substance use disorders - which are defined – Stop the hedonistic activity … go to meetings
… get a sponsor … ask for help
as mild moderate or severe to indicate the
– The program dictates calling upon a “higher
level of severity, which is determined by the power”. However, it’s not equated with the
number of diagnostic criteria met by an scientific principles of effective treatment
– Following a basic 12-step program
individual. Substance use disorders occur
when recurrent use of alcohol and/or drugs causes clinically and functionally significant
impairment such as health problems, disability and failure to meet major responsibilities at work,
school or home. According to the DSM- a diagnosis of substance use disorder is based on
evidence of impaired control, social impairment, risky use and pharmacological criteria.
most recovery programs stressed the need for abstinence, although it is recognized that some
individuals may benefit from initiating their treatment with the aim of moderating their use,
rather than abstaining. Depending on the personality and situation of the client, a recovery-
oriented self-help group such as AA or AA
derivative such as Narcotics Anonymous or
Sexaholics Anonymous is often indicated. The
relieve effect from participating in a group that
offers empathy and belonging while
continuously rewarding sobriety may be
essential to the recovery process. A change in
social support is often stressed for alcoholics.
AA is an existing social network the does all
the things listed in the text box. In many cases group support can be bolstered by individual
counseling in all cases the only form of treatment that the addict will accept is one to one
psychotherapy. Most addiction experts agree that addicts attempting to terminate their use will
1
, almost always need some sort of psychological support. Whether individual or group, effective
treatment requires a readiness on both sides for intensive work. Most residential rehabilitation
centers follow a similar program of a 28 day typical stay a 12 step program paradigm and
supplemental cognitive behavioral therapy and motivational interviewing.
Earlier viewed as a generated by the lack of willpower - addiction is now more widely
understood as a „bio-psycho-social spiritual disorder“...society is now accepting addiction as a
LEGITIMATE ILLNESS!
National Institude on Drug Abuse....Known
factors that improve outcomes for people who
struggle with substance use disorders.
Integrated Models
The acronym SCRAM =
“leave a place quickly” ….is a convenient memory device for focusing on
integrated models for optimal treatment effects. It has become known that
therapeutic outcomes are often synergistically improved by combining
treatments, each with a demonstrated track record of effectiveness.
2
In my early professional years, I was asking the question: How can I treat, or cure, or change
this person? Now I would phrase the question in this way: How can I provide a relationship
which this person may use for his own personal growth?
Carl Rogers
DSM 5 no longer uses the term substance
• AA was founded in 1939, and for many is still
abuse and substance dependence, it refers to considered the “gospel” for addiction treatment
substance use disorders - which are defined – Stop the hedonistic activity … go to meetings
… get a sponsor … ask for help
as mild moderate or severe to indicate the
– The program dictates calling upon a “higher
level of severity, which is determined by the power”. However, it’s not equated with the
number of diagnostic criteria met by an scientific principles of effective treatment
– Following a basic 12-step program
individual. Substance use disorders occur
when recurrent use of alcohol and/or drugs causes clinically and functionally significant
impairment such as health problems, disability and failure to meet major responsibilities at work,
school or home. According to the DSM- a diagnosis of substance use disorder is based on
evidence of impaired control, social impairment, risky use and pharmacological criteria.
most recovery programs stressed the need for abstinence, although it is recognized that some
individuals may benefit from initiating their treatment with the aim of moderating their use,
rather than abstaining. Depending on the personality and situation of the client, a recovery-
oriented self-help group such as AA or AA
derivative such as Narcotics Anonymous or
Sexaholics Anonymous is often indicated. The
relieve effect from participating in a group that
offers empathy and belonging while
continuously rewarding sobriety may be
essential to the recovery process. A change in
social support is often stressed for alcoholics.
AA is an existing social network the does all
the things listed in the text box. In many cases group support can be bolstered by individual
counseling in all cases the only form of treatment that the addict will accept is one to one
psychotherapy. Most addiction experts agree that addicts attempting to terminate their use will
1
, almost always need some sort of psychological support. Whether individual or group, effective
treatment requires a readiness on both sides for intensive work. Most residential rehabilitation
centers follow a similar program of a 28 day typical stay a 12 step program paradigm and
supplemental cognitive behavioral therapy and motivational interviewing.
Earlier viewed as a generated by the lack of willpower - addiction is now more widely
understood as a „bio-psycho-social spiritual disorder“...society is now accepting addiction as a
LEGITIMATE ILLNESS!
National Institude on Drug Abuse....Known
factors that improve outcomes for people who
struggle with substance use disorders.
Integrated Models
The acronym SCRAM =
“leave a place quickly” ….is a convenient memory device for focusing on
integrated models for optimal treatment effects. It has become known that
therapeutic outcomes are often synergistically improved by combining
treatments, each with a demonstrated track record of effectiveness.
2
