#2 Questions and Answers 100% Pass
What is unique about forming a group of addicted sufferers? - ✔✔1. Propensity to rely
on chemical use if their anxiety, shame, anger and guilt is not modulated carefully.
2. This is especially true in the early stages of treatment
3. The development of optimal frustration can be particularly challenging with addicted
sufferers
4. Often have character pathology
Intake and first few sessions - ✔✔1. Establish a preliminary alliance between patient
and clinician;
2. Gain a clear consensus about the patient's therapeutic hopes;
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,3. Offer information and instruction about group psychotherapy;
4. Deal with the initial anxiety about joining a group;
5. Present and gain acceptance of a contract.
Four common fears - ✔✔1. Confidentiality of personal information.
2. Rejection by the group.
3. Embarrassment over revealing intimate information to other group members.
4. Pathology of others.
Establish a Preliminary Alliance - ✔✔They must adapt to the unknown demands of the
group and learn which behaviors will lead to acceptance and which behaviors will lead
to rejection.
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, Awkwardness of the management of the early hours of treatment was the most
significant factor contributing to premature dropouts and treatment failures
Alcoholics and addicts handle stress poorly-window of tolerance (WOT) minimal
Curative Forces: - ✔✔-Clients need positive peer support and pressure for abstinence
from substances
-Mutual identification and the opportunity for individuals to learn they are not alone or
unique must be provided
-The opportunity is provided to better understand their own attitudes and denial of
addiction by confronting similar attitudes and defenses in other substance abusers
-learning and exchange of information conveys that abstinence is always accorded
priority (encouraging client's acceptance of their identity as a Substance Abuser)
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