Substance use Disorder Case Study

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Rutgers University *

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340

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Psychology

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Dec 6, 2023

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AUD Discussion 10 Points Group number: 55 Members present (this must be filled out for credit): Tim, Brayden, Kyonte, Shai 1) In cohesive paragraphs, explain Kirk’s predispositions, influences, stressors, types of conditioning, and specific (mild, moderate, severe) diagnosis based on the DSM-V symptoms (list the symptoms). Kirk's predisposition toward alcohol misuse is shaped by a combination of genetic vulnerabilities and environmental stressors. Family history, a known risk factor according to the DSM-V, suggests a potential genetic predisposition to alcohol use disorder. Environmental factors, particularly work-related social pressures and feelings of neglecting responsibilities at home, contribute significantly to his drinking patterns. His drinking behavior is influenced by conditioning, where positive reinforcement occurs in business-related situations, leading to the habit of drinking in those contexts. Simultaneously, negative consequences, such as the failure to engage constructively with his children, serve as potential indicators of negative reinforcement. These conditioning factors contribute to the maintenance of his drinking behavior. According to the DSM-V, Kirk’s symptoms align with those attributed to Alcohol Use Disorder. His struggles to limit alcohol intake, despite a strong desire to do so, point to impaired control. This is further compounded by the impact on his social functioning, notably in business-related situations and at home, leading to negative consequences. Persistent risky behaviors, such as consuming alcohol before business events and during family time, persist despite adverse outcomes. Additionally, the text doesn't explicitly mention physical dependence, but psychological dependence is evident through Kirk's frequent and intense urges to drink. These symptoms collectively suggest a moderate to severe case, emphasizing the need for a comprehensive clinical evaluation by a qualified professional for a more accurate and individualized diagnosis. 2) In cohesive paragraphs include all therapeutic methods and why they were either helpful or not helpful for Kirk. Kirk one main method to fix his drinking. He used others for other purposes and they all helped. The first being the SORC method which helped his drinking problems and lessened his urges to drink at public gatherings or at home. The next two were used for his marriage and his personal thoughts and
doubts at work. They used cognitive behavior for his unwanted thoughts and communication training to help restore his marriage to good standing. The SORC model used with Kirk was a common behavioral model to help with excessive drinking. It stands for Stimulus, Organism, responses, and Consequences. It is a model that helps the drinker understand their urges and the reasons they drink so that they can learn from them and prohibit them in the future. It states that basically most instances of drinking relate to these standards. The stimulus is the trigger that causes the urge, could be just being out with friends or your partner upset you. The organism related to your inner self and your thoughts and emotions from that event that give you the urge to drink. The responses are the specific drinking types like how many drinks. The consequences are the nature of those actions whether positive or negative. In Kirk’s case, he has excessive drinking to the point where it is negatively affecting his marriage and relationship with his kids so they do this behavioral model of therapy to get to the bottom of the drinking to repair those facets of his life. Kirk struggles with irrational thoughts about his clients when missing phone calls which lead to self doubts about himself and his ability to do his job well. This problem was fixed with him, writing down his thoughts and looking at alternative views to lessen his worries. It worked to more logically think about the doubts and improved his mood. He also used communication skills and training to help his marriage by taking over more of the chores and take some of the burden off of his wife which helped them come to an agreement and be in better moves with each other. 3) In cohesive paragraphs address the topics under debate for the classification and treatment of substance use disorders (also include the issues surrounding abstinence). Because drug use disorders are complex diseases with varied effects, there is continuous disagreement over how best to classify and treat them. The categorization schemes themselves are one of the main points of dispute. Substance use disorders were formerly divided into abuse and dependency categories. But the most recent diagnostic hierarchy, found in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition), combined these disorders into one classification: substance use disorder (SUD). With this modification, the spectrum of these diseases was highlighted, and different degrees of severity were included, resulting in a more nuanced and complete picture. Due to differing perspectives on recovery, there are a variety of treatment modalities for SUDs. Among the popular discussions are damage reduction vs abstinence-based strategies. Complete cessation of substance use is advocated as the main objective by abstinence- centered approaches, which are represented by groups like Alcoholics Anonymous. Specializing in total sobriety and personal accountability, these programs frequently include a 12-step or spiritual approach. Because it has a defined end point and lowers the chance of recurrence, abstinence is said to be the most successful rehabilitation strategy. There are several ethical, medical, and societal components to the complicated discussion surrounding abstinence. Backers of abstinence emphasize that it may lead to total recovery and personal growth, while detractors claim that strict models based on abstinence might alienate those who have trouble obtaining sobriety right away, which could result in their
disengagement from treatment programs. However, given the variety of factors impacting drug use disorders, such as socioeconomic position, co-occurring mental health issues, and personal motives, the idea of abstinence may not be universally relevant or desired for everyone. Group Reflection 4) How was this group interaction different than the previous discussions? How can you work together more effectively to ensure no revisions are needed? Will you change anything for the last discussion? There were fewer group members in this discussion, but they did not raise an issue because of the fact that there were only three questions. We do not need any improvement in the way we work as a group because we work very efficiently. Make sure to fill out the anonymous group survey under the quizzes section of Canvas (for credit) Now let's choose roles for the next discussion on 12/11 (members should have different roles for the next discussion) 1) Assign Prompts (the member who will assign prompts for the pre-group annotations and make sure each member is aware of which prompt they are assigned) Frankie 2) Monitor Prompts (the member who will ensure that all members complete their prompts before the discussion, make sure that all prompts include highlighted text and that members posted under “annotations”)
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Tim 3) Leader (the member who will organize the discussion to ensure that the prompts are completed, and the group runs smoothly) Kyonte 4) Reporter (the member who will type the responses on their TopHat account) Brayden 5) Timekeeper (the member who will ensure that all members have the same amount of time to speak and contribute. This will prevent one member from taking over the discussion) Shai