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Addictions-Models of Addiction
Models of Addiction: disease, moral, psychological, sociocultural, biopsychosocial
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02/23/2011

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Term
What are the assumptions of the disease or medical model of addiction? (6)
Definition
Addiction is:
-a progressive disease that goes through stages.
-a chronic, long-term condition.
-can only be treated NOT CURED.
-is a PRIMARY disease.
-ABSTINENCE is the only viable option
-ingesting drugs leads to loss of control
Term
What are the advantages of the medical or disease model of addiction?
Definition
-It removes the societal/moral stigma
-removes shame/guilt; individuals more likely to seek help
-treatment more likely to get insurance coverage
-clear treatment goal: abstinence
-increased funding for research
-allows for clear language and communication among clinicians
Term
What are the disadvantages of the disease/medical model?
Definition
-excludes those who do not fit in disease model concept
-removes any personal responsibility
-makes excuses for deviant behavior
-ignores psychological variables
-all or nothing approach
-lack of empirical evidence of concept
-treatment may be too simplistic
-may lead to other 'diseases' ex-shoplifting.
Term
What are the assumptions of the moral model of addiction?
Definition
addiction is: the person's choice, a result of choices from a flawed character, addiction seen as 'sinful' and spiritual interventions needed, addiction is sign of 'bankrupt' spiritual life and drug is a search for a higher power; UNDERPINNING OF OUR LEGAL SYSTEM-people pay for poor choices
Term
What are the advantages of the moral model?
Definition
Advocates personal responsibility; empowers people to make good choices to get rid of addictive behavior, appeal to those who have world view based on right/wrong; brings a spiritual component to counseling
Term
What are the disadvantages of the moral model?
Definition
Judgement based; contributes to STIGMA, guilt, shame and blame of addiction; may minimize complex nature of addiction; may promote the stigma of addiction; shame/guilt may keep people from treatment
Term
What are the assumptions of the psychological model of addiction?
Definition
Addiction is:
Driven by psychological stress
Addiction is used as a coping mechanism
Addiction is a secondary problem; psychological problems are primary
An ‘addictive’ personality exists
Social learning models can be helpful in explaining addiction.
Term
What are the advantages of the psychological model of addiction?
Definition
This model:
-takes away guilt, shame & stigma associated with substance abuse
-addresses underlying reasons for turning to substance abuse
-clinicians can more accurately create and define treatment protocols and coping mechanisms
-by treating underlying issues, may be less chance of relapse
-may give HOPE for full recovery
Term
What are the disadvantages of the psychological model?
Definition
-Risk of labeling (using DSM terms)
-use of behavioral therapy (may not work for all clients)
-may encourage external blame instead of personal responsibility
-not a holistic model; may be too narrow
-may encourage clients to adopt a cyle of finding a reason to self-medicate
Term
What are the assumptions of the sociocultural model?
Definition
-familial, peer and cultural influences play a large/primary role in substance abuse
-one must examine an individual in relation to his or her surrounding environment
Term
What are the five advantages of the sociocultural model of addiction?
Definition
-encourages and promotes responsibility for some societal norms.
-systemic approach
-prevention is a key factor in mitigating problem substance abuse
-helps to identify at-risk populations where prevention is needed
-helps teach about other cultural norms
Term
What are the three main disadvantages of the sociocultural model of addiction?
Definition
-counseling with more people becomes more complex.
-blame may be placed on culture rather than on the person
-could promote cultural stereotypes
Term
What are the two main assumptions behind the biopsychosocial model of addiction?
Definition
-many factors including biological, psychological and sociological together can influence or cause addiction.
-a complex combination of causes can all lead to a common pathway of addiction
Term
What are the three main advantages of the biopsychosocial?
Definition
-it captures 'everything'
-promotes a team approach to treatment
-individualized, holistic and flexible treatment plans for those abusing substances
Term
What are the two main disadvantages of using the biopsychosocial model of addiction?
Definition
-'where does one start' syndrome; can be too complex a process
-can create confusion and information overload.