The Addictive Process - Hagedorn The Addictive Process...

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Hagedorn MHS 6450 1 The Addictive Process Models, Theories, and More W. Bryce Hagedorn, PhD, LMHC, NCC, MAC But first, how about some DSM Criteria? Abuse – a maladaptive pattern of substance use leading to __________________ of the following (over 12 months): – Failure to fulfill major _________________ at work, school or home – Recurrent use in situations in which it is physically ____________________ – Recurrent substance-related _______________ ____________________ – Continued use despite having persistent or recurrent ________________________ problems And then there’s Dependence… Dependence – a maladaptive pattern of substance use leading to _______________________ of the following (over 12 months): – ______________ – increased amounts or diminished effect – Withdrawal – characteristic withdrawal syndrome or substance is taken to relieve or avoid withdrawal – Substance is taken in larger amounts than was intended – Unsuccessful efforts to _________________________ use – A great deal of time is spent in activities necessary to obtain, use, or recover from its effects – Important social, occupational, or recreational ___________ ______________ or reduced – Use is continued despite knowledge of having a persistent or recurrent _________________________________ problem
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Hagedorn MHS 6450 2 Major Etiological Models Addiction occurs as a consequence of _________________________ Individuals are viewed as capable of choosing abstinence Substance abuse ___________________ Religious or spiritual intervention required Social-learning – learned through modeling or as a _____________________________ – SA as a result of environmental factors “Using” patterns and attitudes are strongly related to peers’ use of SA Alcoholics more likely come from: – Rigid, conflict oriented, disengaged, emotionally repressive families – Rigid, moralistic families
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Hagedorn MHS 6450 3 SA viewed as secondary to other _______________ _____________ Used to escape/________________________ pain – Self-medicative hypothesis SA used to escape shame from family of origin
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