End Of Treatment Abstinence Self Efficacy

According to the NIAAA (National Institute of Alcohol Abuse and Alcoholism), about how many previously diagnosable alcoholics matured out of their dependence? A. none B. only a fraction C. one third D. most ANS:C PG39 19. According to Hester and Miller’s empirical research, the highest treatment effectiveness scores were obtained for A. harsh confrontational techniques B. motivational enhancement. C psychoanalytical treatment D. treatment that focused on the underlying cause of the drinking or drug use. ANS:B PG39

Addiction has a way of pulling your attention away from your basic needs and making it harder for you to succeed in life. It's a sad truth that I've seen happen to so many people over the years. These are good people, with good brains and real potential, but addiction takes over and they can only focus on that aspect of their life.

I was very one sided as I walked into a AA meeting. I thought that the meeting where boring and little bit too much for people who wont to stop drinking. I couldn’t understand why people look forward to these meeting when they can simply talk to someone at home. Nevertheless, I was wrong. Hearing these people story who suffer from alcohol addiction was very heart breaking. I remember one story about this man losing his son to car accident. The only way he dealt with the pain of losing his son was to drink. He stated ever night he drunk him self-asleep. He was so adamant about telling his story because if it wasn’t for the hospital staff he would have lost his life. Alcoholism is an addiction to the consumption of alcoholic liquor or the mental illness and compulsive behavior resulting from alcohol dependency. alcohol is the main common substance abuse in the united states. The reported show over 16.3 million adults over 18 years older had a least try alcohol in the life time. 71 percent reported that they drank in the past year. 4.7 percent of people ages 18 or older reported that they engaged in binge drinking in the past month. 6.7 percent reported that they engaged in heavy drinking in the past month. 50 percent of marriage fell due to the spouse drinking uncontrollably (Burke, 2015)

Alcohol treatment in Canada, however seems to incorporate both mechanisms as shown in the study by Rush and Ogborne (1986).The study states that goals for one third of clients who were non abstinent were accepted depending on whether it was a residential or community-based outpatient service. Other effective methods in treating alcoholism are pharmacotherapy, behavioral method and self help manuals. This paper will discuss different therapeutic interventions while highlighting the controversy between controlled drinking and abstinence.

Today, one out of every thirteen adults abuse alcohol or are alcoholics. That means nearly thirteen million Americans have a drinking problem. (www.niaaa.nih.gov) This topic offers a broad range of ideas to be researched within the psychological field. For this particular project, the topic of alcoholism and the psychological effects on people best fit the criteria. Alcoholism is defined as a disorder characterized by the excessive consumption of and dependence on alcoholic beverages, leading to physical and psychological harm and impaired social and vocational functioning. (www.dictionary.com) Through this project, the most important information regarding personal experiences

Commitment to abstinence, a motivational construct, is a strong predictor of reductions in drug and alcohol use. Level of commitment to abstinence at treatment end predicts sustained abstinence, a requirement for recovery ( Laudet, A. B., & Stanick). Abstinence is the best way to avoid drug addiction. According to Hart & Ksir, a person who understands all this information about all these drugs will perhaps be better prepared to make decisions about personal drug use, more able to understand drug use by others, and better prepared to participate in social decisions about drug use and abuse (Hart & Ksir ).

Alcoholics Anonymous is a support group established to help, support, encourage men and women suffering from alcohol addiction. This group is anonymous and volunteer based where people from different race, gender, and socioeconomic status share their stories of substance addictions. Based on the dynamics, this addiction has no prejudice. Many people are unaware that alcohol is a depressant in which slows down one's motor skills and the ability to think rational. This inability can lead to the person harming themselves and others. Many alcoholics used this drug as a way of coping with depression, stress, or loses. This support group will enable the attendees to become open with their addiction, explore other option, and eventually cease this

In the article “Determining the Relative Importance of the Mechanisms of Behavior Change Within Alcoholics Anonymous: A Multiple Mediator Analysis” the authors conducted research to determine what techniques used in Alcoholics Anonymous (AA) aid in relapse prevention. According to the National Institute on Alcohol Abuse and Alcoholism (2016) alcohol is the fourth leading cause of death in the United States that is preventable. In 2014 alone, thirty-one percent of all traffic fatalities were alcohol related (NIAAA, 2016). The study participants suffered from Alcohol Use Disorder (AUD) and attended AA. NIAAA (2016) states the Diagnostic and Statistical Manual of Mental Disorders IV has integrated alcohol abuse and alcohol dependence into a single alcohol-related disorder, AUD with mild, moderate, and severe classifications. AUD is diagnosed when a client’s drinking causes themselves or others anguish or injury AA began in the 1930’s and is an informal organization of men/women who have a drinking problem (AA, 2016). AA is based upon anonymity along with twelve steps/principles and meetings for those seeking help with sobriety. Research has shown that participating in AA reduces risk of relapse and this article aims to understand the techniques that empowers those to remain sober.

The term “alcoholism” describes a drinker who is mentally and physically dependent on alcohol, and who would most likely have withdrawal symptoms upon trying to quit. This dependence prevents most alcoholics from being able to control when they drink and how much they drink. For that reason, alcoholics usually drink to excess despite the consequences. Alcoholism, like any addiction, is a chronic disorder which involves continued use despite negative consequences and requires ongoing treatment and management. This research paper will cover many aspects of alcoholism including the causes and effects of drinking and different treatment approaches.

The third and final stage of recovery is known as late recovery, and involves a client finding growth and meaning in life. In this stage, relapse may be less frequent as a sense of purpose is found. As this stage is found only by enduring great challenges, a client may not be as tempted by relapse and the act of back tracking in their recovery may seem tiresome and unworthy of their time. However, though a deep awareness of the consequences of substance abuse is profound, relapse is still possible if an addict forgets that he or she has a disease that is incurable and succumbs to the enticement of “just this one time can’t hurt” or has the thought that “I have been clean for so long. I am cured.” Bill W. stated in his book Alcoholics Anonymous that “This is the baffling feature of alcoholism as we know it-this utter inability to leave it alone, no matter how great the necessity or the wish” (pg. 34). Complete abstinence is the only choice for those with the disease of addiction, and so many recovering addicts forget this simple realization in the late recovery stage.

Motivational Enhancement Therapy is a treatment approach I resonate with for the treatment of alcohol disorders. The use of this approach will allow the individual to engage exploring the internal motivations for their behavior and resolving any ambivalence. Using this intervention is effective but short in duration and will reduce any possible risk of abrupt termination of treatment by the client. Nonetheless, using this type of therapy will build and strengthen motivation to change drinking behavior, while achieving moving forward in set goals. In addition,

The cognitive behavioural therapy and relapse prevention aim at improving social skills and self-control and are repeatedly found effective in reducing drinking, therefore making them ideal for treatment of alcohol abuse (79, 1090, 1092–1094). Cognitive behavioural therapy treatment, comprising of behavioural self-control training (including self-monitoring, goal setting, goal achievement rewards, analysis of drinking triggers and learning to cope with those triggers) and stress management interventions have produced better results than that of control treatments in fifty percent of studies (79, 1090, 1095–1097). Follow up studies also show better outcomes for the individuals who display improved self-efficacy at the conclusion of treatment (184, 1098–1100) as well as for those who used mastery or problem solving as a coping mechanism instead of avoiding triggering situations (43, 265, 959, 1101).

Alcohol dependence is known to be the most severe form of alcohol abuse. A person becomes so dependent on alcohol consumption that he/she loses sight of all the other important things going on around him/her. Family matters and social responsibilities become secondary worries to his/her primary concern for existence, which is drinking (Stephens, 2007). Nearly fourteen million Americans are somewhat dependent on alcohol. Alcohol dependence is more prominent in men, and young adults ages 18-29 (Stephens, 2007). According to a study done by Saitz “85,000 deaths, along with substantial disability from medical and psychiatric consequences, injuries and “secondhand” effects (ex: motor vehicle crashes) are attributed to the use of alcohol” (Saitz, 2005).

People drink in many ways, for many different reasons. We drink socially, to gain acceptance into a group. We drink alone to ease stress, to cope with our problems, or we “drink because we like the taste or how it makes us feel”#. Often drinking is a learned behavior, starting out as a social drinker; you quickly become psychologically and physically dependent. When someone reaches this stage they are often classified as an alcoholic. To an alcoholic, drinking becomes a compulsion; they cannot stop themselves from having another drink, like a social drinker can. In many cases alcoholics don’t even have to drink continuously in order to be an alcoholic. One the problems of alcohol addiction is that it’s something that doesn’t just effect the individual but it effects, friends and family as well. Spouse abuse, child abuse and dysfunctional family relationships can all be influenced by alcohol abuse.

Cognitive and Behavioural approaches are also widely used with alcohol and drug using clients. In a meta-analysis of 17 studies Walters, Mortgenstern, & Rotgers (2003) found that behavioural self-control programs (training in drinking rate control, goal setting, identifying high risk situations, alternatives to alcohol use) were more effective than no treatment and at least as effective as abstinence based programs. CBT for substance abuse encompasses a variety of interventions that emphasize different targets. However, this essay will be focus only on motivational intervention and family therapy.