Chap 11 continued - 03/11/201011:53:00 Chap11continued...

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03/11/2010 11:53:00 Chap 11 continued Alcoholics Anonymous o Success based on anecdotal info rather than objective study of  treatment outcomes o Does not participate in external research o About half people drop out of the program within 3 months Some cant expect quasi-religious quality of the sessions Group-testimonial format o OUTCOME STUDIES AND ISSUES ON TREATMENT Varies considerably Poorer outcomes in those with personality disorders or mood  disorders Most effective when individual realizes they need help, when  adequate treatment facilities are available, when individual  attends treatment regularly “check-up”: follow-up programs on drinking behavior some argue that patient characteristics should be taken into  account o “Project match” study of patient-treatment matching 1989  1726 patients in 26 alcohol-treatment programs in US Results: matching patients to particular treatments did not  appear to be important to having an effective outcome  all had  equal outcomes o Relapse Prevention High success rates in “curing” but less rates of abstinence at  follow-ups o Cognitive-Behavioral Approach
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“indulgent behaviors”  behaviors underlying the relapse, based  on individuals learning history longer the person is able to maintain control, the greater  the sense of achievement some people do unconscious things to relapse (ex.  buying alc. Just in case friends come) “abstinence violation effect”  minor transgressions seen as  having drastic significance  abstainer may hold that she/he should not transgress, or  give into old habit under any circumstance “relapse prevention treatment”  clients taught to recognize  irrelevant decisions that serve as early warning signals of  relapse possibility “planned relapse”: some therapists incorporate it Drug Abuse and Dependence Aside from alcohol, psychoactive drugs associated with abuse and  dependence in society: o 1. Narcotics (opiates, opoids, opium and heroine) o 2. Sedatives (barbiturates) o 3. Stimulants (cocaine/ amphetamines) o Anti-Anxiety drugs (benzodizepines) o Pain medications (oxycotton) o Hallucinogens (LSD) Abuse likely to be under estimated b/c many abusers don’t seek help  most  common during adolescence and young adulthood, vary according to  metropolitan area Impact of drug use among employed people has been reported to be  significant OPIUM AND ITS DERIVATIVES (NARCOTICS) Used for 5,000 yrs. o
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This note was uploaded on 02/15/2011 for the course PSYCH 270 taught by Professor Chang during the Fall '07 term at University of Michigan.

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Chap 11 continued - 03/11/201011:53:00 Chap11continued...

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