PSYC 3403 Lecture Notes - Lecture 1: Alcohol Use Disorders Identification Test, Substance Abuse, Substance Dependence

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Conceptualizing problematic use as a binary phenomenon (problem/no problem) Belief that clients are in a state of denial . Lack of objective assessment techniques, technologies and approaches that have a solid theoretical and empirical foundation. Poor interviewing skills (use of presumption and close-ended questions) What is an addict ? ( besides being a pejorative term of reference!) Conceptualizing use patterns as falling on a continuum from non-use to very problematic use. Use patterns that we have seen with offenders. Much can be determined from clients simply by asking . Basic client-treatment matching: low severity problem = low intensity response, moderate severity problem = moderate intensity response, severe problem = high intensity response. Transtheoretical model of change prochaska & diclemente. Practicing new behaviour: maintenance, commitment to maintaining change/new behaiours. Stages of change readiness and treatment eagerness scale (socrates-v8) 19-item public domain instrument. Readiness to change questionnaire (rtcq: measures stages of change. Modeled after the computerized lifestyle assessment (harvey skinner, uoft)

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