Substance Abuse Group Therapy Flashcards

Flashcards related to substance abuse group therapy, covering topics such as group models, leadership techniques, and client placement criteria.

ACCSA

An organization providing Addiction Counselor Certifications in South Africa.

Interpersonal Process Group Psychotherapy

Enables clients to recreate their pasts in the here-and-now of group and rethink the relational and other life problems that they have previously fled by means of addictive substances.

Four Models of Group Therapy

Teach about substance abuse, hone the skills necessary to break free of addictions, rearrange patterns of thinking and action that lead to addiction, and comprise a forum where members can debunk each other’s excuses and support constructive change.

Defensive posture of the individual with addiction

A process commonly referred to as denial

Psychoeducational groups

educate clients about substance abuse

Skills development groups

cultivate the skills needed to attain and sustain abstinence

Cognitive-behavioural groups

alter thoughts and actions that lead to substance abuse

Support groups

buoy members and provide a forum to share pragmatic information about maintaining abstinence and managing day-to-day, chemical-free life

Interpersonal process groups

delve into major developmental issues that contribute to addiction or interfere with recovery

Precontemplation Stage

Clients are not thinking about changing substance abuse behavior and may not consider their substance abuse to be a problem.

Contemplation Stage

Clients still use substances, but they begin to think about cutting back or quitting substance use.

Preparation Stage

Clients still use substances, but intend to stop since they have recognized the advantages of quitting and the undesirable consequences of continued use. Planning for change begins.

Action Stage

Clients choose a strategy for discontinuing substance use and begin to make the changes needed to carry out their plan. This period generally lasts 3–6 months.

Maintenance Stage

Clients work to sustain abstinence and evade relapse. From this stage, some clients may exit substance use permanently.

Recurrence Stage

Many clients will relapse and return to an earlier stage, but they may move quickly through the stages of change and may have gained new insights into problems that defeated their former attempts to quit substance abuse (such as unrealistic goals or frequenting places that trigger relapse).

Time Determination in Self-Help Groups

Members may leave group at their own choosing, members may avoid self-disclosure or discussion of any subject.

Time Determination in Interpersonal Process Groups

Predetermined minimal term of group membership, avoidance of discussion seen as possible resistance.

Early Recovery

The client has moved into treatment, focusing on becoming abstinent and then on staying sober. Clients in this stage are fragile and particularly vulnerable to relapse. This stage generally will last from 1 month to 1 year.

Middle Recovery

The client feels fairly secure in abstinence. Cravings occur but can be recognized. Nonetheless, the risk of relapse remains. The client will begin to make significant lifestyle changes and will begin to change personality traits. This stage generally will take at least a year to complete, but can last indefinitely. Some clients never progress to the late recovery/maintenance stage. Sometimes they relapse and revert to an early stage of recovery.

Late Recovery/Maintenance

Clients work to maintain abstinence while continuing to make changes unrelated to substance abuse in their attitudes and responsive behavior. The client also may prepare to work on psychological issues unrelated to substance abuse that have surfaced in abstinence. Since recovery is an ongoing process, this phase has no end.

Therapeutic Groups

All groups can be therapeutic. Anytime someone becomes emotionally attached to other group members, a group leader, or the group as a whole, the relationship has the potential to influence and change that person.

Culture

Integrated patterns of human behaviour that include the language, thoughts, communications, actions, customs, beliefs, values, and institutions of a racial, ethnic, religious, or social group.

Cultural Knowledge

Familiarity with selected cultural characteristics, history, values, belief systems, and behaviours of the members of another ethnic group.

Cultural Awareness

Developing sensitivity to and understanding of another ethnic group. This usually involves internal changes of attitudes and values. Awareness and sensitivity also refer to the qualities of openness and flexibility that people develop in relation to others. Cultural awareness should be supplemented with culturalknowledge.

Cultural Competence

A set of congruent behaviours, attitudes, and policies that come together in a system, agency, or among professionals that enable them to work effectively in cross-cultural situations.

Eco-Map

A graphic representation that depicts interpersonal relationships

Cohesion

A positive group quality stemming from a sense of solidarity within the group

FRAMES Approach

This approach engages clients in their own treatment and motivates them to change in ways that are the least likely to trigger resistance.

Interventions

May be directed to an individual or the group as a whole. They can be used to clarify what is going on or to make it more explicit, redirect energy, stop a process that is not helpful, or help the group make a choice about what should be done

Countertransference

When therapists have a strong emotional response to a client