PSYC 3505 Lecture 6: Addiction- October 18th

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Conceptualizing problematic use as a binary phenomenon (problem/no problem) Subjective impressions and non-theoretical and non-empirical assumptions. Substance abuse is a chronic, progressive disease. 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) Rudimentary and simplistic understanding of client motivation . Ex. despite most offenders may drink, a good portion of them do not have problematic drinking issues. Much can be determined from clients simply by asking. Problems associated with substance use and abuse. Alcohol dependence scale (ads) canadian instrument/ harvey skinner. Drug abuse screening test (dast): harvey skinner. Transtheoretical model of change prochaska & diclemente. Stages of change: precontemplation: currently not considering change, contemplation: ambivalent about change, preparation: planning to change, action: practicing new behaviour, maintenance: commitment to maintaining change/new behaviours, relapse: return to old behaviour patterns.

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