Substance Disorders - Alcohol, Nicotine

Psychology 330 with Mahadevan at University of Tennessee - Knoxville

About this deck

By: Megan Rhoads
Textbook:

Essentials of Abnormal Psychology (with CD-ROM)
Created: 2009-04-14
Size: 15 flashcards
Views: 40

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Motivational Interview

Question-Answer method aimed at increasing patient's motivation to change. Has 5 principles.

5 Principles of Motivational Interview

Show compassion for the patient

Help them see the ways in which their life is not going well

Avoid arguing with them

For the time being, let them hold onto whatever mechanisms they favor (like reationalization)

Help them develop confidence that they can change

FRAMES

Key points the interviewers have in mind during interview:
* Feedback - Therapist listens to whatpatient says he does between sessions and gives feedback.
* Responsibility - Patient needs to take responsibility for actions
* Advise - Tell patient what needs to be done
* Menu - Plan to avoid places where there is a high probability for relapse and go to safe places
* Empathy - Feeling for how the patient feels
* Self-efficacy- Getting patient to develop confidence

Relapse Prevention movement

Risk for relapse begins with any high-risk situation in which the individual feels a loss of control. Received greatest boost from cognitive-behavioral approach to therapy.

Abstinence Violation Hypothesis (AVE)

If they have been good for months, then have just one drink, it's very difficult to stop at that point. Most don't stop until they're way over the top.

Smoker Statistics =

45% in 1954 to less than 20% in 2008 (People that smoke in the U.S.)

Nicotine Dependence: Theory

Might be a learned habit instead of a physiological addiction (because you want the tension-reduction effects, and because the evidence for tolerance is weak, and withdrawal symptoms are mild as compared to many other drugs).

Schachter studies on nicotine and smoking:

Conclusion: Smokers get nothing out of smoking other than avoidng the disruptive effects of withdrawal. It doesn't calm smokers, elevate their moods, or help job performance.

Vitamin C and smoking

Vitamin C lowers the nicotine level in the bloodstream by acidifying the urine and increasing the rate at which nicotine is excreted.

Relapse rates

Only 10-20% stay abstinent from cigarettes after 1 year.

Zyban

Deterrent for nicotine use. If you take this and have a cigarette within 24 hours, you'll get really sick. It's like Antabuse for alcohol.

Relapse rate is higher for...

...those who attend treatment programs, compared to those who attempt quiting on their own.

Nicotine has paradoxical effects

On the one hand it elevates blood pressure, but on the other hand it has a camling effect.

Around ??? Americans die prematurely each year from tobacco-induced diseases.

400,000

Nicotine dependence

This term refers primarily to those who want to quit smoking, but cannot.

About this deck

By: Megan Rhoads
Textbook:

Essentials of Abnormal Psychology (with CD-ROM)
Created: 2009-04-14
Size: 15 flashcards
Views: 40

About StudyBlue

“I have been getting MUCH better grades on all my tests for school. Flash cards, notes, and quizzes are great on here. Thanks!”
Kathy