Deck 15: Relapse After Treatment of Alcohol and Other Drug Disorders

Question 1

A test of the clinical effectiveness of cue exposure treatment for alcohol dependence found support for the:

A)Extinction view
B)Opponent process theory
C)Conditioned withdrawal
D)None of the above

Answer 1

A
Extinction view

Question 2

Which model is based on the Pavlovian paradigm and holds that conditioning involves responses that are opposite in direction from the original unconditioned responses, presumably to resume homeostasis?

A)Positive appetitional model
B)Compensatory response model
C)Opponent process model
D)Cue extinction model

Answer 2

B
Compensator y response model

Question 3

Which model may help to best explain the phenomenon of tolerance?

A)Positive appetitional model
B)Compensatory response model
C)Opponent process model
D)Cue extinction model

Answer 3

B
Compensatory response model

Question 4

The example of alcohol intensifying physiological arousal, which then results in a follow up reaction of the nervous system attempting to suppress arousal, is an example of which model?

A)Positive appetitional model
B)Compensatory response model
C)Opponent process model
D)Cue extinction model

Question 5

Which form(s) of coping serves to be most effective in treating alcoholism?

A)Cognitive
B)Avoidance
C)Behavioral
D)both a & c

Question 6

Cravings experienced by alcoholics resemble many aspects of which of the following disorders?

A)Obsessive compulsive disorder
B)Antisocial disorder
C)Bipolar disorder
D)Histrionic disorder

Question 7

The method by which the environmental stimuli that trigger cravings for alcohol are weakened is known as:

A)Classical conditioning
B)Cue extinction
C)Aversive conditioning
D)Stimulus extinction

Question 8

The use of ecological momentary assessment (EMA) in which clients use beepers and palm-top computers to record near real-time information about the settings, urges, mood, and coping during or shortly after a lapse offers what main advantage for researchers?

A)Being able to capture real time information in detail
B)Avoiding reliance on prospective memory
C)Avoiding reliance on retrospective memory
D)Avoiding reliance on self reports

Question 9

Which model focuses on events that occur prior to when alcohol is consumed?

A)Positive appetitional model
B)Compensatory response model
C)Opponent process model
D)Cue extinction model

Question 10

A clinical trial evaluating naltrexone found that:

A)naltrexone combined with coping skills therapy is an effective treatment approach to reducing craving and relapse.
B)naltrexone alone was an effective treatment approach to reducing craving and relapse.
C)naltrexone combined with coping skills therapy was not an effective treatment in reducing craving and relapse.
D)naltrexone combined with coping skills therapy is an effective treatment approach to reducing craving but not relapse.

Question 11

According to retrospective self reports from alcoholics, what has been found to precede relapse?

A)Environmental temptations
B)Negative emotional states
C)Lack of motivation
D)All of the above

Question 12

Which order of procedures is followed during Relapse Prevention?

A)Motivation and commitment, cognitive restructuring, decision making, coping skills training
B)Cognitive restructuring, coping skills training, decision making, Motivation and commitment.
C)Motivation and commitment, decision making, cognitive restructuring, coping skills training.
D)Coping skills training, cognitive restructuring, decision making, motivation and commitment.

Question 13

Estimated relapse rates of 50% to 90% occur within _____ months following treatment for many drugs, including alcohol, smoking, and heroin.

A)4
B)5
C)6
D)7

Question 14

Craving and obsessive compulsive disorder may have some common ______________ mechanisms that limit impulse control.

A)Biological
B)Psychological
C)Neurophysiological
D)Behavioral

Question 15

All but which of the following is true about "abstinence violation effect" (AVE)?

A)The drinker who yields to temptation and resumes the use of alcohol experiences cognitive dissonance with his or her goals of abstinence.
B)AVEs may increase guilt
C)AVEs may increase self-efficacy
D)AVEs may lower attributions of internal control

Question 16

Which model views alcoholism not as a disease but as a set of strong habits with undesirable consequences that can be offset by the conscious decision to acquire a new set of habits?

A)Positive appetitional model
B)Compensatory response model
C)Relapse prevention model
D)AA

Question 17

All the following have been reported to cause relapse for alcoholics, smokers, and gamblers, except:

A)Interpersonal conflict
B)Depression or anger
C)Social pressure
D)Weight gain

Question 18

Recognizing high risk situations that may lead to relapse is part of the:

A)Sociobehavioral learning approach
B)Cognitive behavioral learning approach
C)Self monitoring learning approach
D)Active and behavioral coping approach

Question 19

The opponent process theory proposed that during initial use:

A)A small amount of drug produces a weak positive affect (state A), which leads to a relatively strong negative aftereffect (state B).
B)A large amount of drug produces a strong negative affect (state A), which leads to a relatively weak strong positive aftereffect (state B).
C)A small amount of drug produces a strong negative affect (state A), which leads to a relatively weak negative aftereffect (state B).
D)A small amount of drug produces a strong positive affect (state A), which leads to a relatively weak negative aftereffect (state B).

Question 20

Findings from a study that examined the role of craving for drugs during abstinence and withdrawal found which of the following:

A)Craving was a major self-reported cause of relapse
B)Craving was not a major self-reported cause of relapse
C)Relapse was related to conscious craving
D)Both a & c

Question 21

Cognitive appraisal of the individual is a major factor of whether a slip or lapse inevitably leads to relapse. It has been found that relapse occurred more for:

A)Persons who attributed their lapses to external factors
B)Persons who attributed their lapses to internal factors
C)Persons who attributed their lapses to both external and internal factors
D)None of the above

Question 22

In regards to coping skills training, homework assignments serve several important patient goals by:

A)Increasing awareness of events that trigger drinking
B)Anticipating problem situations so that coping responses cab be prepared
C)Planning and rehearsing alternative coping responses
D)All of the above

Question 23

Because relapse prevention research has been criticized for focusing on the examination of the factors involved in specific or isolated relapse episodes, an alternative conception to relapse takes a dynamic view which includes the belief that:

A)Multiple factors interacting with each other determine the likelihood of lapses.
B)The likelihood of relapse is affected by tonic processes involves distal factors.
C)The interplay among multiple concurrent factors affecting drinking varies over time.
D)All of the above