Addiction Counseling chp
8/11/12/13/14 Exam-Graded A
CH. 8
Strengths and limitations of AA - ANSWER-Strengths are:
a."Suggested" steps.
b. Only membership requirement is a desire to stop drinking.
c. No dues or fees.
d. Widely accessible.
e. Fused with various treatments.
f. Numerous special-interest groups.
Limitations are:
a. High attrition rates.
b. Motivation being connected to "hitting bottom."
c. External locus of control (spiritual).
d. Use of the disease model.
e. A focus on defects of character, powerlessness, loss of control, abstinence, self-
labeling as an alcoholic
f. Dependence on the group.
g. Inconclusive research on its effectiveness.
h. Discussion of usage in meetings may stimulate cravings for the client.
i. Catch phrases might be irritating to the client.
j. Groups may offer a rigid interpretation of the steps to clients and demand that the
client follow the steps as defined by the group or group members.
k. Anyone can be at a self-help meeting.
l. Previous exposure to a 12-step program may have been an unpleasant experience or
left the client unimpressed.
m. Its basis in Caucasian, middle-class, male culture.
n. Some "isms" may operate in a group.
o. Being based in Christianity, given its Oxford Group roots.
CH. 8
Benefits of self-help groups - ANSWER-education
motivation
empowerment
reinforcement
social support
opportunity to learn
,CH. 8
Counselors who are not familiar with the 12-step model of recovery can become more
educated about how it operates - ANSWER-Become familiar with one 12-step model of
recovery
Readings
Attend an open 12-step meeting
Become familiar with at least one 12-step alternative self-help group
CH. 8
Six national 12-step groups - ANSWER-Alcoholics Anonymous,
Narcotics Anonymous,
Cocaine Anonymous,
Marijuana Anonymous,
Crystal Meth Anonymous,
Heroin Anonymous
CH. 8
The six types of 12-step meetings - ANSWER-open meetings
Closed meetings
Discussion meetings
speaker meetings
step meetings
Big Book meetings
CH. 8
The main premise of emotional sobriety - ANSWER-The premise that alcoholics and
addicts need to learn how to manage their emotions in order to achieve and maintain
sobriety
The spiritual dimension of AA can be a strength as well as a limitation for clients
because:
Both the strengths and the weaknesses are related to the client being comfortable with
a Judeo-Christian orientation-it is a strength if they are comfortable with this orientation
and a weakness if they are not.
CH. 11
PAIN - ANSWER-Pain is the most common reason for medication appointments, nearly
40 million visits annually, and costs this country over $100 billion each year in health
care and lost productivity.
, CH.11
types of pain - ANSWER-Nociceptive- Musculoskeletal pain that is treated with anti-
inflammatory medication until healing stops and the pain is gone.
Neuropathic- Pain that is the result of irritable or damaged nerves that exist episodic
and transient even after healing has occurred.
Breakthrough- Pain flare-ups that occur beyond the basic chronic pain experienced.
Chronic nonmalignant pain is a non-cancer-related pain, it is classified as both
nociceptive and neuropathic.
CH.11
opiodid AND pain
opioid prescription crisis - ANSWER-(1) in 2011, Americans age 12 or older, who were
current nonmedical users of pain relievers, was 4.5 million or 1.7 percent (SAMHSA,
2012b),
(2) in 2010, every American could be medicated on prescribed painkiller medication for
a month and while they were prescribed for medical reasons, they were misused or
abused by others (CDC, 2013),
(3) in the past 20 years there has been a tripling of prescription painkiller overdoses
(opioid or narcotic) (SAMSHA, 2010; SAMSHA, 2011),
(4) abuse/misuse of them has doubled emergency room visits (SAMSHA, 2010), and
(5) they are used by both teens and adults to experience a "high" or for other
nonmedical reasons (SAMSHA, 2011).
In a summary of the literature, Bannwarth (2012) states that Americans are consuming
80% of the global opioid supply while only being 4.6% of the world population—this
medical use trend impacts opioid availability (the greater number of prescriptions has
resulted in their availability in homes) and has resulted in a "prescription opioid crisis"
that can negatively impacting pain treatment.
Clients may become addicted to pain medication even though they do not have a
history of addiction.
In America, pain treatment can be described as typically undertreated.
There is a risk of opioid misuse when a person has a chronic pain condition because of
the frequency of chronic pain conditions and the frequent treatment of chronic pain
conditions with opioids.
Adults and adolescents uses painkiller medication to get high.
CH. 11
SPIRITUALITY
SPIRITUAL BYPASS - ANSWER-The client is avoiding upsetting emotions and
necessary counseling work by working on the issue only spiritually.
Spiritual bypass has been called "false transcendence,"
"denial of the shadow side,"
"assumed spiritual persona"
8/11/12/13/14 Exam-Graded A
CH. 8
Strengths and limitations of AA - ANSWER-Strengths are:
a."Suggested" steps.
b. Only membership requirement is a desire to stop drinking.
c. No dues or fees.
d. Widely accessible.
e. Fused with various treatments.
f. Numerous special-interest groups.
Limitations are:
a. High attrition rates.
b. Motivation being connected to "hitting bottom."
c. External locus of control (spiritual).
d. Use of the disease model.
e. A focus on defects of character, powerlessness, loss of control, abstinence, self-
labeling as an alcoholic
f. Dependence on the group.
g. Inconclusive research on its effectiveness.
h. Discussion of usage in meetings may stimulate cravings for the client.
i. Catch phrases might be irritating to the client.
j. Groups may offer a rigid interpretation of the steps to clients and demand that the
client follow the steps as defined by the group or group members.
k. Anyone can be at a self-help meeting.
l. Previous exposure to a 12-step program may have been an unpleasant experience or
left the client unimpressed.
m. Its basis in Caucasian, middle-class, male culture.
n. Some "isms" may operate in a group.
o. Being based in Christianity, given its Oxford Group roots.
CH. 8
Benefits of self-help groups - ANSWER-education
motivation
empowerment
reinforcement
social support
opportunity to learn
,CH. 8
Counselors who are not familiar with the 12-step model of recovery can become more
educated about how it operates - ANSWER-Become familiar with one 12-step model of
recovery
Readings
Attend an open 12-step meeting
Become familiar with at least one 12-step alternative self-help group
CH. 8
Six national 12-step groups - ANSWER-Alcoholics Anonymous,
Narcotics Anonymous,
Cocaine Anonymous,
Marijuana Anonymous,
Crystal Meth Anonymous,
Heroin Anonymous
CH. 8
The six types of 12-step meetings - ANSWER-open meetings
Closed meetings
Discussion meetings
speaker meetings
step meetings
Big Book meetings
CH. 8
The main premise of emotional sobriety - ANSWER-The premise that alcoholics and
addicts need to learn how to manage their emotions in order to achieve and maintain
sobriety
The spiritual dimension of AA can be a strength as well as a limitation for clients
because:
Both the strengths and the weaknesses are related to the client being comfortable with
a Judeo-Christian orientation-it is a strength if they are comfortable with this orientation
and a weakness if they are not.
CH. 11
PAIN - ANSWER-Pain is the most common reason for medication appointments, nearly
40 million visits annually, and costs this country over $100 billion each year in health
care and lost productivity.
, CH.11
types of pain - ANSWER-Nociceptive- Musculoskeletal pain that is treated with anti-
inflammatory medication until healing stops and the pain is gone.
Neuropathic- Pain that is the result of irritable or damaged nerves that exist episodic
and transient even after healing has occurred.
Breakthrough- Pain flare-ups that occur beyond the basic chronic pain experienced.
Chronic nonmalignant pain is a non-cancer-related pain, it is classified as both
nociceptive and neuropathic.
CH.11
opiodid AND pain
opioid prescription crisis - ANSWER-(1) in 2011, Americans age 12 or older, who were
current nonmedical users of pain relievers, was 4.5 million or 1.7 percent (SAMHSA,
2012b),
(2) in 2010, every American could be medicated on prescribed painkiller medication for
a month and while they were prescribed for medical reasons, they were misused or
abused by others (CDC, 2013),
(3) in the past 20 years there has been a tripling of prescription painkiller overdoses
(opioid or narcotic) (SAMSHA, 2010; SAMSHA, 2011),
(4) abuse/misuse of them has doubled emergency room visits (SAMSHA, 2010), and
(5) they are used by both teens and adults to experience a "high" or for other
nonmedical reasons (SAMSHA, 2011).
In a summary of the literature, Bannwarth (2012) states that Americans are consuming
80% of the global opioid supply while only being 4.6% of the world population—this
medical use trend impacts opioid availability (the greater number of prescriptions has
resulted in their availability in homes) and has resulted in a "prescription opioid crisis"
that can negatively impacting pain treatment.
Clients may become addicted to pain medication even though they do not have a
history of addiction.
In America, pain treatment can be described as typically undertreated.
There is a risk of opioid misuse when a person has a chronic pain condition because of
the frequency of chronic pain conditions and the frequent treatment of chronic pain
conditions with opioids.
Adults and adolescents uses painkiller medication to get high.
CH. 11
SPIRITUALITY
SPIRITUAL BYPASS - ANSWER-The client is avoiding upsetting emotions and
necessary counseling work by working on the issue only spiritually.
Spiritual bypass has been called "false transcendence,"
"denial of the shadow side,"
"assumed spiritual persona"
