As the semester gets underway, we would like to remind you about a resource available to MCC students with personal counseling needs. Free individual counseling is available through a partnership with Tarleton State University. Graduate students who are enrolled in practicum courses in the counseling psychology program will be available to counsel MCC students under the supervision of a clinical supervisor. Counseling will be available for issues such as anxiety, depression, anger, loneliness, guilt, low selfesteem, grief, stress, relationship issues, roommate problems, family crisis, divorce, identity concerns, and academic concerns. Referrals to community resources will be available for students needing services beyond the above list. This service will be located in rooms 313 and 314 of the Student Services Center (SSC) during the first half of this semester; the offices will move to their new location in Wellness & Fitness once the renovations there are completed. Counseling will be available from 10am-6pm Monday-Thursday, and from 8am-12pm on Fridays. If you have a student with personal counseling needs, please have them call Counseling Services at 299-8210. Students with immediate counseling needs may also be referred directly to SSC 313/314, although calling for an appointment is recommended. 1 Week 1 2 A car accident occurred when the car skidded off a wet road and smashed into a tree. The driver was ejected from the vehicle and killed. What is the perspective of: Physician? Highway Safety Expert? Meteorologist? Police Officer? 3 A. The Physician pronounced the driver, “Dead from Massive Head Trauma”. 4 The Highway Safety Expert reported that the cause of death was, “Unsafe Road Design combined with the fact that the tree was allowed to grow in a dangerous position at the side of the road.” 5 The Meteorologist blamed the death on “weather conditions at the time of the crash.” 6 The Police Officer upon seeing empty beer cans in back of the car, blamed the death on the driver’s use of alcohol and the driver not wearing a seatbelt. 7 Illustration points out how one event can be viewed differently by various professionals. The same holds true for Addictions and Chemical Dependency! 8 Eclectic To pick and choose individual aspects that you like rather than accepting the “whole package” Addiction A relationship with a substance or activity, which replaces Healthy Relationships with People (develops tolerance & leads to uncontrollable use) Tolerance Need for more & more to produce the desired effects 9 Neurotransmitter Chemicals in the brain which are responsible for processing information (synapse = opening) Addictive Logic The way families/addicts learn to reason (as a coping mechanism) creating fallacies; also known as Cognitive Distortions 10 Jekyll/Hyde “normal”/”addict”; addictive personality Homeostasis The tendency of a system to be stable and resist change; examples: human body regulation of body temperature, control of blood glucose levels, the regulation of salt and water balance; cruise control on a car 11 • • Defense Mechanisms Protect the EGO from overwhelming situations (Review Freud: 3 parts of personality) Examples: Denial, Displacement, Rationalization, etc. Endorphins ◦ Naturally occurring chemicals with opiate-like properties which serve as neurotransmitters 12 As the semester gets underway, we would like to remind you about a resource available to MCC students with personal counseling needs. Free individual counseling is available through a partnership with Tarleton State University. Graduate students who are enrolled in practicum courses in the counseling psychology program will be available to counsel MCC students under the supervision of a clinical supervisor. Counseling will be available for issues such as anxiety, depression, anger, loneliness, guilt, low self-esteem, grief, stress, relationship issues, roommate problems, family crisis, divorce, identity concerns, and academic concerns. Referrals to community resources will be available for students needing services beyond the above list. This service will be located in rooms 313 and 314 of the Student Services Center (SSC) during the first half of this semester; the offices will move to their new location in Wellness & Fitness once the renovations there are completed. Counseling will be available from 10am-6pm Monday-Thursday, and from 8am-12pm on Fridays. If you have a student with personal counseling needs, please have them call Counseling Services at 299-8210. Students with immediate counseling needs may also be referred directly to SSC 313/314, although calling for an appointment is recommended. 13 We will be looking at 11 Models of Addiction in a general Chronological Order: Earliest Latest 14 My T eacher A ssigned E ach C hild C upcakes B ecause S he G ets S uch P leasure! 15 A. Emphasize personal choice as the cause of alcohol problems 16 B. Drunkeness viewed as sinful; spiritual deficit C. Willful violations of societal rules/norms 17 1988 Supreme Court case dealt with issue of “disease” ◦ Is the behavior beyond person’s control? ◦ Or is it “willful misconduct” for which the person is accountable Individuals are seen to be capable of making choices & decisions and ARE HELD ACCOUNTABLE BY LAW 18 US Courts do not excuse behavior because of “alcoholic” label 19 A. Emphasized Moderation or “Temperance” B. 1919 - 18th Amendment banning the manufacture, sale, transportation or importation of alcohol (abstinence) 20 C. Use and related problems of alcohol were the lowest in History, but it was unpopular & very difficult to enforce D. 1933 - 21st Amendment repealed Prohibition (18th Amend.) 21 E. Cause of Alcohol problems is the Alcohol itself (Pharmacologic Properties) 22 A. 1935 - Alcoholics Anonymous (AA) came into being, introducing the “disease concept” 23 B. Alcoholics viewed as substantially different than non-alcoholics - making them incapable of drinking in moderation 24 C. Likened to an “allergy to alcohol” arising from ◦ Physical, ◦ Psychological & ◦ Spiritual Causes 25 “1 Drink, 1 Drunk” 26 E. Disease is seen as irreversible; incapable of being cured; but possible to be controlled through abstinence F. View has limited acceptance outside of US 27 ◦ 1. Alcoholics - removes responsibility & justifies humane treatment instead of punishment 28 2. Other Drinkers - alcohol doesn’t affect them, only “alcoholics” 29 3. Medical Community - requires medical treatment 30 4. Manufacturers of Alcohol - removes blame from them and places it on an abnormality in certain individuals. The implication is that “Alcoholism is not caused by alcohol” (some alcoholics have never had a drink) 31 H. Intervention - the “Quest for the Test” to determine who is alcoholic 32 The assumption is that alcohol/drug problems evolve from a knowledge deficit and lack of information about use & abuse. Drug Abuse Resistance Education 33 A. Emphasize the roots of Alcoholism in abnormalities of personality 34 B. Represents an early fixation of normal psychological development involving unresolved conflicts regarding Dependence (Freud); arrested at Oral Stage of development, person is literally “sucking the bottle” 35 C. Also may arise from low self-esteem, sexrole conflicts, drive for power or control by persons who feel powerless (abusive when drinking/using) 36 D. Assumption is that alcoholics are people with particular personality types & the resolution requires a restructuring of the personality 37 E. Assumes that the Alcoholic displays an unusually high level of defense mechanisms (such as Denial) 38 A. Pavlovian conditioning (Stimulus-Response Theory) emphasizes role of learning in shaping drinking behavior & craving for alcohol 39 B. Skinner’s work in Operant Conditioning indicates that if drinking alcohol leads to rewarding consequences, it is likely to continue or increase 40 C. Other incentives: ◦ ◦ ◦ ◦ Tension reduction “Time out” from societal rules Positive social reinforcement from companions Enabling behaviors from family 41 A. Emerged in 1970’s; Gives emphasis to Genetic & Physiological processes as the causes of alcoholism 42 B. Predisposition due to things like Heredity, Abnormal Alcohol Metabolism, Unique Brain Sensitivity, etc. 43 C. Pharmacologic Addiction is represented in this model 44 D. THIQ Theory THIQs* are a cause of alcoholism. This is an old theory, which was very attractive in the early 1970s. It suggested that alcoholics, when they drink, form opiate-like THIQs (abbreviation for several artificially-formed chemicals) in the brain, to which they become dependent. Later research was not able to consistently find THIQs in the tissues of alcoholics compared to those of non-alcoholics. Thus, the “THIQ theory” is no longer popular among most scientists. *tetrahydroisoquinolines 45 A. Focus on Interactions between the individual and the environment in shaping patterns of alcohol use 46 B. Emphasizes modeling, peer pressure & also the importance of coping skills. (Reliance on Drug Use for Coping Purposes = Psychological Dependence) 47 C. Cognitive Processes - Expectations (Beliefs that Alcohol causes Beneficial & Desirable Effects) D. Treatment includes Cognitive Restructuring 48 A. View Individual behavior as an inherent part of a larger social system (which tends to maintain an overall status quo, & will resist change) 49 B. Individual’s problem is the malfunctioning or “dysfunction” of a larger system 50 C. Usually the larger system is thought of as the Family (members take on Roles to play interactive “games”) 51 D. Co-Dependents: The Dysfunctional Family has an abnormal set of needs & traits, which make the person uniquely vulnerable to Addictive Behaviors or Pathological Relationships Some say it even passes on to grandchildren of Alcoholics (making it generational) 52 A. Assumption that the Higher the Level per Capita of Alcohol Consumption, the Higher the Level of Alcohol Problems that they will Experience 53 B. This is influenced by ◦ ◦ ◦ ◦ Availability of alcohol Costs Convenience of access Legal regulation 54 C. Key consideration is Social Control of Availability D. Legal Trends: ◦ Increased liability of those serving if harm is inflicted by the drinker who was served ◦ Acknowledges the responsibility of the larger environment for the actions of the individual 55 F. Cultural Factors: ◦ ◦ ◦ ◦ Level of societal stress or alienation Encouragement or punishment for drunkenness Attitudes about alcohol Symbolic or functional importance of alcohol within the society 56 G. Availability restricted by ◦ Increasing cost (by taxation) ◦ Regulation of the number, location & hours of places that sell ◦ Prohibition of advertising 57 A. No One Model is likely to be adequate in intervening with & preventing alcohol problems B. Proposes an integration of the 3 types of causal factors: ◦ Agent (alcohol or drug) ◦ Host (user) ◦ Environment (family, society, culture) 58 This translates into our “BioPsychoSocial” Theory: Bio = Physical Psycho = Psychological Social = Environment And Also into the “Agent/Host/Environment” Theory: Bio = Physical = AGENT (alcohol) Psycho = Psychological = HOST (user) Social = Environment = ENVIRONMENT 59 Put the 10 Models into the Corresponding Category: 1. 2. 3. 4. 5. Moral Temperance American Disease Educational Characterological 6. Conditioning 7. Biological 8. Social Learning 9. General Systems 10. Sociocultural 11. Public Health Model Agent Host Environment Temperance Moral Conditioning American Disease Social Learning Educational General Systems Characterological Sociocultural Biological Public Health Model Public Health Model Public Health Model 60