ADDICTION COUNSELING PRACTICES,
SKILLS & PROFESSIONAL ISSUES
1. "Drinking ten beers a day does not
make me an alcoholic!" -- What defense mechanism is this? - ANSWER-
Denial = refusing to accept some aspect of reality that is apparent to
other peopIe
"I would have passed that test if the
2. professor graded fairly." -- What defense mechanism is this? - ANSWER-
Displacement = transferring a feeling about an unpleasant situation
onto another individual
3. "She only has friends because she has a lot of money." -- What defense
mechanism is this? - ANSWER-Projection = attributing unacceptable
thoughts or feelings to another individual or object
4. "I did not run for class president because I did not want to hurt
anyone's feelings when I beat them." -- What defense mechanism is
this? - ANSWER-Rationalization = hiding the true reasoning behind a
behavior or feeling, but doing so i n a self-serving way, with incorrect
explanations
5. "I don't remember the night I was raped other than going to the
movies." -- What defense mechanism is this? - ANSWER-Repression =
blocking unpleasant experiences or thoughts from the conscious mind
6. "Because I am feeling sad today about the death of my grandmother, I
should go to lunch with my friend." -- What defense mechanism is this?
- ANSWER-Sublimation = redirecting maladaptive behavior into socially
acceptable behavior
,7. 12 Steps - ANSWER-1. We admitted we were powerless over alcohol—
that our lives had become unmanageable.
2. Came to believe that a Power greater than ourselves could restore
us to sanity.
3. Made a decision to turn our will and our lives over to the care of God
as we understood Him.
4. Made a searching and fearless moral inventory of ourselves.
5. Admitted to God, to ourselves, and to another human being the
exact nature of our wrongs.
6. Were entirely ready to have God remove all these defects of
character.
7. Humbly asked Him to remove our shortcomings.
8. Made a list of all persons we had harmed, and became willing to
make
amends to them all.
9. Made direct amends to such people wherever possible, except when
to do so would injure them or others.
10. Continued to take personal inventory and when we were wrong
promptly admitted it.
11. Sought through prayer and meditation to improve our conscious
contact with God as we understood Him, praying only for knowledge of
His will for us and the power to carry that out.
12. Having had a spiritual awakening as the result of these steps, we
tried to carry this message to alcoholics, and to practice these
principles in all our affair
8. Rules in a family system become rigid as a result of these three
covert/overt messages: - ANSWER-(1) DON'T TALK about what you see,
hear or know (i.e., shut-up);
(2) DON'T FEEL what you are feeling (i.e., shutdown); and
(3) DON'T TRUST anyone or what anyone says or does, including
yourself (i.e., shutout.)
9. What happens with family roles affected when member has sud? -
ANSWER-Roles become either fluid and easily changeable, or rigid and
locked into personality characteristics because appropriate boundaries
are shattered and/or become non-existent; Enabler, Hero, Scapegoat,
Lost Child, Mascot
, 10. what function does the Enabler role play? - ANSWER-Provides
responsibility
11. what function does the Hero role play? - ANSWER-provides self-
worth; Usually the oldest child, Becomes the competent caretaker that
keeps the family functioning
12. what function does the scapegoat role play? - ANSWER-provides
focus; The scapegoat child acts out to take the focus off the alcoholic
parent by getting into trouble.
13. what function does the mascot role play? - ANSWER-provides
distraction; The mascot is usually the youngest child. They try to ease
family tension with comedy to mask the sadness.
14. what function does the lost child role play? - ANSWER-provides
relief; The lost child tries to avoid conflict and pain by withdrawing
physically.
15. Purpose of group counseling - ANSWER-is to use the resources
and experiences of a group to learn new behaviors and recognize,
confront, correctly label, appropriately express and deal with a client's
denial and unpleasant feelings about his or her addiction
16. Group therapy is thought to be therapeutic because: - ANSWER--
it instills hope in otherwise empty individuals suffering from a
psychoactive substance use disorder;
- it teaches that there is universality, and no human deed or
thought is fully outside the experience of others;
- it provides an opportunity for the group members to impart
advice, information and didactic instruction;
SKILLS & PROFESSIONAL ISSUES
1. "Drinking ten beers a day does not
make me an alcoholic!" -- What defense mechanism is this? - ANSWER-
Denial = refusing to accept some aspect of reality that is apparent to
other peopIe
"I would have passed that test if the
2. professor graded fairly." -- What defense mechanism is this? - ANSWER-
Displacement = transferring a feeling about an unpleasant situation
onto another individual
3. "She only has friends because she has a lot of money." -- What defense
mechanism is this? - ANSWER-Projection = attributing unacceptable
thoughts or feelings to another individual or object
4. "I did not run for class president because I did not want to hurt
anyone's feelings when I beat them." -- What defense mechanism is
this? - ANSWER-Rationalization = hiding the true reasoning behind a
behavior or feeling, but doing so i n a self-serving way, with incorrect
explanations
5. "I don't remember the night I was raped other than going to the
movies." -- What defense mechanism is this? - ANSWER-Repression =
blocking unpleasant experiences or thoughts from the conscious mind
6. "Because I am feeling sad today about the death of my grandmother, I
should go to lunch with my friend." -- What defense mechanism is this?
- ANSWER-Sublimation = redirecting maladaptive behavior into socially
acceptable behavior
,7. 12 Steps - ANSWER-1. We admitted we were powerless over alcohol—
that our lives had become unmanageable.
2. Came to believe that a Power greater than ourselves could restore
us to sanity.
3. Made a decision to turn our will and our lives over to the care of God
as we understood Him.
4. Made a searching and fearless moral inventory of ourselves.
5. Admitted to God, to ourselves, and to another human being the
exact nature of our wrongs.
6. Were entirely ready to have God remove all these defects of
character.
7. Humbly asked Him to remove our shortcomings.
8. Made a list of all persons we had harmed, and became willing to
make
amends to them all.
9. Made direct amends to such people wherever possible, except when
to do so would injure them or others.
10. Continued to take personal inventory and when we were wrong
promptly admitted it.
11. Sought through prayer and meditation to improve our conscious
contact with God as we understood Him, praying only for knowledge of
His will for us and the power to carry that out.
12. Having had a spiritual awakening as the result of these steps, we
tried to carry this message to alcoholics, and to practice these
principles in all our affair
8. Rules in a family system become rigid as a result of these three
covert/overt messages: - ANSWER-(1) DON'T TALK about what you see,
hear or know (i.e., shut-up);
(2) DON'T FEEL what you are feeling (i.e., shutdown); and
(3) DON'T TRUST anyone or what anyone says or does, including
yourself (i.e., shutout.)
9. What happens with family roles affected when member has sud? -
ANSWER-Roles become either fluid and easily changeable, or rigid and
locked into personality characteristics because appropriate boundaries
are shattered and/or become non-existent; Enabler, Hero, Scapegoat,
Lost Child, Mascot
, 10. what function does the Enabler role play? - ANSWER-Provides
responsibility
11. what function does the Hero role play? - ANSWER-provides self-
worth; Usually the oldest child, Becomes the competent caretaker that
keeps the family functioning
12. what function does the scapegoat role play? - ANSWER-provides
focus; The scapegoat child acts out to take the focus off the alcoholic
parent by getting into trouble.
13. what function does the mascot role play? - ANSWER-provides
distraction; The mascot is usually the youngest child. They try to ease
family tension with comedy to mask the sadness.
14. what function does the lost child role play? - ANSWER-provides
relief; The lost child tries to avoid conflict and pain by withdrawing
physically.
15. Purpose of group counseling - ANSWER-is to use the resources
and experiences of a group to learn new behaviors and recognize,
confront, correctly label, appropriately express and deal with a client's
denial and unpleasant feelings about his or her addiction
16. Group therapy is thought to be therapeutic because: - ANSWER--
it instills hope in otherwise empty individuals suffering from a
psychoactive substance use disorder;
- it teaches that there is universality, and no human deed or
thought is fully outside the experience of others;
- it provides an opportunity for the group members to impart
advice, information and didactic instruction;
