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No ONE theory explains it! So there are MANY models and approaches! |
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Margolis and Zweben created four theoretical models including |
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1. disease model 2. learning theory 3. psychoanalytic model 4. family theory model |
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Addiction impacts over time |
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health,relationships, career, lifestyle |
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Learning theory and psychoanyalsis |
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Favorable by doctors AND therapists! MANY pathways to addiction. FIRST model to treat the whole person NOT just the addiction!! |
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Addiction treatment models |
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Disease model is dominant model of US since the 1960s. Says people are prone (physical or psychological condition) to use drugs. |
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Disease model treatment approach endorses |
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wrking with person to "accept" addiction and then pursue abstinence |
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basis of disease model, solution is SPIRITUALITY |
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people CHOOSE to use drugs, calling clients "non compliant", treatment centers that fail to identify and weed out practice of passing moral judgement of clients tend to KICK out clients or treat them as 2nd class citizens! They are not good enough! Disease model confused with this ! |
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More RECENT model, disease model is confused with this, but it ain't it! Addiction = genetic problem needs medication. Figured out before DNA was thought of or brain scanning! |
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Addiction = personality disorder, people show denial defense mechanism, therapists have power struggles with client's replacing their DENIAL with compliance |
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Addiction learning theory model |
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Focuses on THOUGHTS and ACTIONS of addicts. Includes 1. behavioral modalities, 2. cognitive 3. and cogntive-behavioral |
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Addiction psychoanalytic model |
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OLDER crowd CRITICIZED this model for treating addiction as a symptom of a DEEPER issue rather than central problem. Therapists hate this because 1.) wastes time focusing on past instead of imminent danger of addition 2.) avoid accountability through blame, denial, rationalization 3.) assuming one can STILL USE if they figure out the core of their addiction! they can use "moderately" 4.) recalling trauma can create relapse |
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Addiction family theory model |
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Gotta understand family to get the addiction, and sees families as resisting change which, in turn, can affect the progress of the individual |
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Define family in addiction family model |
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family of origin, significant others, couples, multiple families |
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family therapy models most comment are |
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family systems model, family behavioral model, family disease model |
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Additional family therapy models include |
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strategic family therapy,structural family therapy, bowenian, contextual, network, ETC (not all see page 26 of manual baby) |
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Addiction biopsychosocial model |
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model most WIDELY used by treatment researchers and it can most ADEQUATELY explain addiction! |
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Biopsychosocial approach looks at |
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1. Genetics 2. thoughts, feelings, behaviors, social, spirituality (added by many therapists!) |
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Biopsych model is LIMITED in |
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application to assessment and treatment planning |
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Addiction treatment providers usually develop programs based one ONE model but |
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this is not in best interest of the client so a CLIENT-CENTERED APPROACH should be adopted utilizing MANY techniques |
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