recovery

Social influnace can cause increased use

• bothg initially and as addiction progreesses

  • tho if people dont talk or use addiction it will decrease likely hood

• animal studied

• human lab expareaments

families

• simlar trajectroy accross members developing addictions

• themes emerge '

• really diff

Bio social influance can alter how cells make proteins for prolonged periods with potential heritablity of these changes

recovery

• reducing social contact with those that use and rienforcement from substance use

• maintain and rebuild social connections that reinforce sobriety

Animal modles of recovery

• social rewards are comprtive vs drugs

  • access to social connection is sometimes more valuble than drug access

• cues of socail defeat can trigger rlapse in animals (neg social interaction can trigger relapse)

• social contract with a rat that used to be assocated with drug use can be associated with drug use

Human studies

• cant assign people to recovery

  • but we can observe them

  • we see a shift from friends who use to those who dont durring residental treatment stays

  • people who made shift stay ober longer

Clinical relationshios are social by nature

• the dynamic with therapist and social work can make or break recovery

  • lack of care, respect, and support can encourge relapse

  • repectful, caring, available, and colabortaive therapetutic relationships promote recovery

• ONE OF THE STRONGEST PREDICTORS OF TREATMENT PERSISTENCE

Mutual help groups

• I

Envormental enrichment

• we need enrichment to be happy