Question 1

Sarah has a substance abuse problem.What will be her greatest barrier to change?

Accepted Answer

Denial is a common psychological defense mechanism often present in individuals with substance abuse problems. It is the belief that there is not really a problem, and this can be a significant barrier to change because without acknowledging the issue, it is difficult to seek help or take steps to change behavior. While lack of treatment options, peer pressure, and coping mechanisms may also impact the individual's ability to recover, overcoming denial is often the first step towards recovery.

Question 2

Which group is an educational movement based on cognitive-behavioural principles and the Addictive Voice Recognition Technique?

Accepted Answer

Rational Recovery is the educational movement based on cognitive-behavioural principles and the Addictive Voice Recognition Technique. Women for Sobriety also has a focus on cognitive-behavioural principles but does not use the Addictive Voice Recognition Technique. Secular Organizations for Sobriety and Alcoholics Anonymous have a spiritual aspect to their approach and do not focus solely on cognitive-behavioural principles.

Question 3

What did Narcotics Anonymous evolve to have a concentration on?

Accepted Answer

Narcotics Anonymous evolved to have a concentration on opiates, as it is a support group for individuals struggling with addiction to drugs such as heroin and prescription painkillers which are commonly classified as narcotics.

Question 4

In which stage of change is Jack if he lacks the serious intention to undergo change in the foreseeable future?

Accepted Answer

In the precontemplation stage, individuals are not yet considering a behavior change and lack the serious intention to undergo change in the foreseeable future. This stage is characterized by denial or resistance to change. Therefore, Jack is most likely in the precontemplation stage.

Question 5

According to the stages of change model,in what stage have individuals often NOT acknowledged a problem?

Accepted Answer

The precontemplation stage is characterized by individuals who have not yet acknowledged that they have a problem that needs to be changed. They may be in denial or lack awareness of the issue. The other stages involve varying degrees of acknowledgment and readiness to take action towards change.

Question 6

How do the majority of people resolve their substance abuse problems?

Accepted Answer

The majority of people resolve their substance abuse problems through spontaneous remission, which means they recover without formal treatment. This phenomenon is supported by research indicating that many individuals overcome addiction on their own over time.

Question 7

Which movement's philosophical position shifted to such a degree that they stopped support meetings in 1999,and they publicly condemn the self-help movement?

Accepted Answer

Rational Recovery was originally a part of the self-help movement, but its philosophical position shifted to a more dogmatic and confrontational approach, which led to the cessation of support meetings in 1999. They now publicly condemn the self-help movement and promote their own approach to addiction recovery.

Question 8

In which model does treatment consist of spiritual or legal intervention?

Accepted Answer

The moral model of addiction views addiction as a moral failing, and therefore, treatment consists of spiritual or legal intervention, such as prayer or punishment, rather than medical or scientific intervention.

Question 9

Martin considers himself to be an atheist.Which group would best meet his needs?

Accepted Answer

SMART (Self-Management and Recovery Training) is a secular organization that provides support for individuals who struggle with addiction or problematic behaviors. SMART is based on a scientific, non-spiritual approach to recovery and does not rely on any religious or spiritual concepts. As Martin identifies as an atheist, SMART may be the most suitable option for him. The other options, NA (Narcotics Anonymous) and AA (Alcoholics Anonymous) are both based on a 12-step program that includes spiritual or religious elements, and WFS (Women for Sobriety) is a program specifically for women that incorporates a spiritual approach to recovery.

Question 10

Helen is seriously considering taking action to stop drinking in the next thirty days.Which stage of change is this a sign of being in?

Accepted Answer

Helen's consideration to take action in the next thirty days indicates that she has moved past the stage of precontemplation and contemplation and is now in the preparation stage. The action stage comes after the individual has made the commitment to change and starts taking steps towards implementing the change.

Question 11

Jane is a member of Alcoholics Anonymous and has officially begun her alcoholic recovery.What did she do?

Accepted Answer

Jane's official beginning of her alcoholic recovery in the context of Alcoholics Anonymous involves recognizing her powerlessness over alcohol, which is a fundamental aspect of the AA program's first step.

Question 12

What is the term for the resolution of a problem without the use of formal treatment?

Accepted Answer

Spontaneous remission is the term used when a problem or illness resolves on its own without the need for formal treatment. This is often the case with minor illnesses or injuries that the body is capable of healing on its own. Options A, B, and D do not accurately describe this phenomenon.

Question 13

What is one of the last steps that involve a stable one-to-one relationship between a member with more sobriety and one with less?

Accepted Answer

Sponsorship is the one-to-one relationship between a member with more sobriety and one with less. It involves providing guidance, support, and accountability for the person in recovery. The sponsor helps the sponsee work through the 12 steps and navigate the challenges of sober living. This relationship is an essential part of the recovery process and helps to ensure long-term sobriety.

Question 14

Which group's philosophy is based on the Sobriety Priority Program?

Accepted Answer

Secular Organizations for Sobriety (SOS) is the group whose philosophy is based on the Sobriety Priority Program. SOS aims to promote sobriety and recovery from addiction without relying on a spiritual or religious approach.

Question 15

What self-help group for alcohol abusers was founded by Dr.Bob and Bill W?

Accepted Answer

Alcoholics Anonymous (AA) was founded in 1935 by Dr. Bob and Bill W. It is a self-help group for alcohol abusers that promotes abstinence and a 12-step program for recovery.

Question 16

Which self-help group is purported to be based on methods that are scientifically validated and is led by a coordinator who has maintained a period of sobriety or has never had an alcohol problem?

Accepted Answer

SMART (Self-Management and Recovery Training) is a self-help group that emphasizes self-empowerment and is based on cognitive-behavioral and motivational enhancement therapies. The program is designed to teach members practical methods for achieving and maintaining sobriety. Meetings are led by a trained facilitator, who does not necessarily have personal experience with addiction but has received extensive training in the methods of SMART Recovery. SMART Recovery is considered to be based on scientific evidence due to its use of evidence-based therapy and the focus on members' own self-reliance and decisions.

Question 17

What stage is an individual typically in when on the edge of taking action to change?

Accepted Answer

When an individual is on the edge of taking action to change, they have typically moved past the precontemplation stage (not considering a change) and contemplation stage (thinking about a change) and are getting ready to take action. This is the preparatory stage, where an individual is actively planning to make a change and may have already taken some initial steps. The action stage comes after the individual has made the actual change.

Question 18

Fred's therapist told him during their first session that he thinks Fred is personally responsible for the problems he incurred from his drug and alcohol use.What theoretical model does Fred's therapist use?

Accepted Answer

The moral model suggests that addiction is a personal choice and the individual is fully responsible for their drug and alcohol use. This aligns with the therapist's statement that Fred is personally responsible for the problems he incurred from his substance use.

Question 19

Which model is the foundation for Alcoholics Anonymous (AA)?

Accepted Answer

The American disease model, which sees alcoholism as a chronic and progressive disease, is the foundation for Alcoholics Anonymous.

Question 20

Jason is an alcoholic but does not believe that he has a drinking problem.However,he would like to stop drinking.He does well for a day or two but then returns to drinking.Which stage of change is Jason in?

Accepted Answer

Jason is in the contemplation stage because he acknowledges a desire to change his behavior (stop drinking) but has not yet committed to taking action or made a plan to change.

Quiz 14: Treatment of Substance-Use Disorders