1. Which theory of addiction or counseling is most attractive to you and why?
My favorite theory of addiction from the video (#5 from the video) is the Mental Health Theory of Addiction. The existence of trauma in the history of most addicts personal lives and in their family systems contributes most heavily to the initial motivation for substance use - it is self medication - masking internal fears, emotional pain, shame, low-self esteem, and the follow-on manifestations: anxiety, anger, depression. Without resolving of their source-trauma by bringing it to full consciousness, the addict is stuck in a negative feedback loop which further alienates them from their community and intensifies the reasons for the self-medication. I believe
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It presumes, (correctly in my opinion), that the individual has the inner capacity for positive growth no matter what their current condition. This theory, to be most effective, can benefit from combining with Cognitive-Behavioral Theory to begin to learn to watch ones own thoughts and habits in a non-judgmental way and forge new pathways to self-actualization.
2. Looking at 3 of the theories of addiction and counseling and listing what I consider to be pros and cons, I have come up with this:
Cognitive - Behavioral Addiction Theory (CBT) of
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Looks to solutions that are based the harm reduction model and work to relieve the client of the stress, anxiety, anger etc… that manifest from the repeated self-shaming and alienation their addiction causes. Since those are often the primary reasons the client acts on their addiction - to self-medicate, releasing them in other ways relieves them of the need to use or act out.
Cons: I looked by could not find or imagine any “cons” for this “theory” because it is the current position of most experts and professionals who accept the “co-occurring” posture.
Moral Theory of Addiction
Pros: Makes you think about “morality”… Beyond that, I can’t find anything I would consider good about this theory.
Cons: Starts with the assumption that human beings are deeply flawed (original sin for example) and therefore have a predisposition toward “immorality”. Regardless of how treatment centers and institutions couch their programs, the Moral Theory has actually been the foundation of most of western treatment up until the last 30 years or so - and the record speaks for itself - only 1 of 30 addicts achieve long-term recovery. It is the opposite of scientific as morality is not objectively measurable as it is founded on religion not science. The moral theory is fraught with judgement and shame, which only increases the indicators and causes
The three models of addiction examined in this week’s readings include the medical model, the psychosocial model, and the disease of the human spirit model. The medical model “rests on the assumption that disease states are the result of a biological dysfunction, possibly one on the cellular or even molecular level” (Doweiko, 2012, p. 333). Many consider this model and “maintain that much of human behavior is based on the interaction between the individual’s biological predisposition and the environment” (Doweiko, 2012, p. 333). Individuals under this model view free will “as an illusion” (Doweiko, 2012, p. 333). There is controversy regarding this model as “to the degree to which the
Dr. Gabor Mate, a Hungarian born Canadian physician, who is also a neurologist, psychiatrist, and psychologist, but who specializes in the study and treatment of addiction, reveals revolutionary evidence pertaining to addiction. In Vancouver’s Downtown Eastside, Dr. Mate worked with patients suffering chronic drug addiction for 12 years. With 20 years of experience as a family practitioner, Dr. Mate is a renowned speaker and teacher throughout North America; sharing his extensive knowledge with diverse audiences including health care professionals and educators (Mate, About Dr. Mate, 2016). The Realm of Hungry Ghosts, Dr. Mate’s most recent best-selling book, illuminates the origins and causes of addiction. As Co-founder of Compassion for Addiction (a non-profit organization), Dr. Gabor Mate encourages a greater understanding; “addiction is the attempt of affected human beings to escape a profound discomfort with themselves and their world” (Mate, Compassion4Addiction, 2015). Drawing on cutting-edge science, Dr. Mate presents the world with a shocking discovery: “The source of addiction is not to be found in genes, but in the early childhood environment.” Therefore, Dr. Mate simply “calls for a more compassionate approach toward the addict.” (Mate, 2016) As cutting-edge science concludes addiction to be a mental health issue, rather than criminal behavior, the American legal system demonstrates a devastating disservice to its own society.
As a counseling student, it is very important to formulate a counseling theory tailored to ones’ own personality and beliefs. A counselor may choose a single theory to model when practicing therapy or pick and choose components and techniques from various theories, otherwise known as eclecticism. No theory is considered right or wrong. Understanding the different therapeutic approaches are important to effective counseling, however, counselors must also understand their own personal value, view of human nature, human behavior, counseling techniques and the purpose and goals of counseling. Understanding these components along with the different theoretical approaches will provide the counselor with a 9 knowledge of their own counseling, orientation and is essential to not only the productivity of counseling but the growth of the counselor as well.
Throughout this essay I will illustrate the similarities and differences between the three core theories by looking at the theory behind each concept, the nature of the client/counsellor relationship and the techniques used. The three core theories to be considered here are Humanistic,
It is paramount to attempt to understand why individuals become ‘addicts’/ drug dependent, as in doing so treatments and therapies may be adopted in line with the needs of the drug dependent individual. A greater understanding in the area of causality may produce more effective interventions at earlier stages of drug misuse.
Both of the psychological and biological models explain addiction. In addition, both models take a holistic approach in their arguments. They simply
Dr. May then goes into a much more in-depth look at the psychological factors of addiction. The text furthers the discussion of self-deception and goes into specific defense mechanisms that we use when we struggle with an addiction. During this portion of the text it elaborates on the understanding of how we will denial to others and more importantly to ourselves that we are increasing the particular behavior that we are addicted to. The book also mentions how we attempt to rationalize the situation to help us continue our addictive behavior. The text then goes into detail about hiding and delaying tactics, such as how we tell ourselves that “we will quit tomorrow.” The book then goes into the understanding of control issues within the addiction, along with how it effects other and how other effect an individual’s addiction. The book then goes into different areas of the psychological factors and discusses the behavioral issues and the understanding of the psychoanalytical aspect of the issue through explaining how addiction uses our unconscious to develop. There is also a
For many years, individuals have battled substance abuse and addiction. My position comes from hearing about it, having seeing results from it, and reading about it, also developing my own thoughts about addiction. Weil and Rosen (1993) believe that a drug use (and addiction) results from humans longing for a sense of completeness and wholeness, and searching for satisfaction outside of themselves. McNeece and DiNitto (2012) says the reason why people continue to use drugs to the point of becoming a physically and/ or psychologically dependent on them are more complex, some have tried to explain this
My position regarding the importance of biology and genetics on substance abuse and addiction are similar to recent readings, but I feel that free will is a factor in addiction. My father, grandfather, and grandmother were all alcoholics, and I can determine that the
Motivational interviewing is a counseling approach that was studied and understood as an applicable theory of practice that would be beneficial in the environment where I currently work which is an alcohol treatment facility. Whereas, it is understood that clinical and applied aspects of Motivational Interviewing (MI) have shown effective as a relatively brief intervention (Levensky, Cavasos, & Brooks, 2008), especially those dealing with an alcohol dependency. According to Miller and Roderick, MI, has been defined mostly as a directive, client centered counseling approach for eliciting behavior change by helping clients to explore and resolve ambivalence. In addition, with its goal-orientated approach it can help break down resistance to change (Corey, 2013, pp. 191-194). This theoretical approach is the most favored for the environment in my profession of choice, in addition, integrating it with the practice of Cognitive Behavioral Therapy (CBT) which is already in use.
Considering the entirety of your post, I agree that the Rat Park about Bruce Anderson's addiction study seemed complicated. I found that breaking it down into smaller chunks and relating it to "The Power of Habit" situation with Angie Bachmann helped. In fact, I considered my mom being Angie as she left a career and raised her three kids and now she is trying to figure out what to do. She could have ended up looking for excitement and acceptance similar to Angie's circumstance. This may have been why I was able to look at the situation and understand how bad habits are formed out of various needs, and how the rat and the cheese study by Olds and Miner related to the Rat Park study. The rats behavior was based more on meeting their basic
This learner believes that behavior and addiction should be accepted as the same as addiction to substances. Working in a substance abuse recovery program has allowed this learner to understand addiction as a behavior. Many individuals have a substance abuse addiction and issues because of their behavior. They have made a choice to use substances and their behavior has taken over their life. Overall, this learner believes that all addictions are just as important as a substance abuse addiction. In fact, it should not be considered the same type of illness despite of it being a food, sex, or even gambling addiction. However, the addictions have to be treated differently based on the type and the individuals. According Smith (2012), “Developing brain science brain science has set the
Addiction is like all behaviours “the business of the brain”. Addictions are compulsive physical and psychological needs from habit-forming sustenances like nicotine, alcohol, and drugs. Being occupied with or involved in such activities, leads a person who uses them again and again to become tolerant and dependent eventually experiencing withdrawal. (Molintas, 2006).
There are several theories of addiction. All of them are imperfect. All are partial explanations. It is for this reason that it is important to be aware of and question addiction theories.
In Addiction Training in Clinical Psychology: Are We Keeping up With the Rising Epidemic?, the authors and researchers discuss clinical psychology and its effectiveness when dealing with addiction. Clinical psychologists have always had an interest in addiction and its treatments. With treatments being focused into evidence-based aspects, the American Psychological Association and the Nation Institutes of Health formed programs such as the National Institute on Alcohol Abuse and Alcoholism (NIAAA) and the National Institute on Drug Abuse (NIDA). Programs like the NIAAA and NIDA focused on alcohol and substance abuse and how different treatments worked and their effectiveness. Grants had been offered for psychology graduate students in