Addiction Treatment: A Strengths Perspective 4th Edition
By Katherine Van Wormer & Diane Rae Davis
All Chapters 1-13| 4 Units| Latest Version, Verified Answers With Rationale| Grade A+
From: [Bestmaxsolutions.stuvia
,PART 1. INTRODUCTION ________________________________________________________ 3
Chapter 1: The Nature Of Addiction ___________________________________________________ 3
Chapter 2: Historical Perspectives ____________________________________________________ 25
PART 2. THE BIOLOGY OF ADDICTION ____________________________________________ 46
Chapter 3: Substance Misuse, Dependence, and the Body ________________________________ 46
Chapter 4: Substance Misuse with a Co-Occurring Mental Disorder or Disability ______________ 64
Chapter 5: Gambling, Eating Disorders, Shopping, and Other Behavioral Addictions ___________ 85
PART 3. THE PSYCHOLOGY OF ADDICTION _______________________________________ 103
Chapter 6: Addiction across the Life Span _____________________________________________ 103
Chapter 7: Screening and Assessment________________________________________________ 126
Chapter 8: Strengths- and Evidence-Based Helping Strategies ____________________________ 141
Chapter 9: Mutual Help Groups and Spiritual/Religious Resources_________________________ 161
PART 4. THE SOCIAL ASPECTS OF ADDICTION _____________________________________ 186
Chapter 10: Family Risks and Resiliencies _____________________________________________ 186
Chapter 11: Ethnicity, Culture, and the Socioeconomic Determinants of Addiction____________ 211
Chapter 12: Gender, Sexual, and Sexual Orientation Differences __________________________ 231
Chapter 13: Public Policy __________________________________________________________ 244
,PART 1. INTRODUCTION
Chapter 1: The Nature Of Addiction
Katherine van Wormer: Addiction Treatment: A Strengths Perspective 4th Edition, Test Bank
ESSAY QUESTIONS
1. Make The Case That Twelve Step Approaches And Harm Reduction Are Not
Polar Opposites Or Even Mutually Exclusive. (PG 48)
Answer May Vary
Introduction:
Define Twelve Step Approaches And Harm Reduction, Emphasizing Their Core
Principles.
State The Premise: Despite Their Differences, The Two Approaches Can Be Integrated
Into Treatment Programs.
Twelve Step Approaches:
Focus On Abstinence, Spirituality, Personal Responsibility, And Peer Support (E.G.,
Alcoholics Anonymous).
Emphasize The Role Of Community And Personal Accountability In Recovery.
Harm Reduction:
Focus On Minimizing Negative Consequences Of Substance Use Without Requiring
Complete Abstinence.
Strategies Include Safer Use Practices, Education, And Access To Services Like Clean
Needle Exchanges.
Common Ground:
Both Approaches Acknowledge That Addiction Is A Chronic, Relapsing Condition That
Requires Ongoing Care.
Harm Reduction Can Help Individuals Engage With Treatment And Reduce Harm While
Still Progressing Toward The Goals Of The Twelve Step Model (E.G., Eventually
Achieving Abstinence).
,Twelve Step Approaches Can Complement Harm Reduction By Offering A Structured,
Supportive Community For Long-Term Recovery.
Conclusion:
Argue That The Key Difference Is Not About Abstinence Versus Harm Reduction But
About The Pathway To Recovery.
The Two Can Coexist And Support Different Aspects Of The Recovery Journey,
Especially For Individuals Who Are Not Yet Ready For Full Abstinence But Can Benefit
From Supportive Frameworks.
2. Discuss Three Major Benefits Of A Harm Reduction Philosophy For Society. (PG
46 And Throughout The Chapter)
Answer May Vary
Introduction:
Define Harm Reduction Philosophy.
Highlight That Harm Reduction Focuses On Reducing The Risks Associated With
Harmful Behaviors, Particularly Substance Use.
Benefit 1: Public Health Improvement
Reduces The Spread Of Infectious Diseases (E.G., HIV, Hepatitis C) Through Initiatives
Like Needle Exchange Programs.
Increases Access To Healthcare And Treatment For Individuals Who Might Otherwise
Avoid Services Due To Stigma Or Fear Of Judgment.
Benefit 2: Reduction In Criminal Justice Involvement
Encourages A Public Health Approach Rather Than A Punitive One, Reducing The
Criminalization Of Substance Users.
Decreases The Burden On The Criminal Justice System, Allowing Resources To Be
Redirected To More Severe Crimes.
Benefit 3: Cost-Effectiveness
Prevents Costly Health Crises By Providing Low-Cost Or No-Cost Services To Prevent
Harm.
,By Reducing Emergency Medical Situations And Long-Term Health Complications,
Harm Reduction Ultimately Saves Money In Public Health And Social Services.
Conclusion:
Emphasize That Harm Reduction Is An Evidence-Based Approach That Has Proven
Effective In Reducing Both Individual And Societal Harm, Benefiting Society As A Whole.
3. Discuss In Depth The Methodology Used In Project MATCH And The Treatment
Implications Of The Findings. (PG 35-36)
Answer May Vary
Introduction:
Define Project MATCH (Motivational Enhancement Therapy, Cognitive-Behavioral
Therapy, And Twelve-Step Facilitation).
State That Project MATCH Was A Large-Scale, Randomized Clinical Trial Designed To
Test The Efficacy Of Different Treatments For Alcohol Use Disorders.
Methodology:
Randomized Controlled Trial With Three Groups, Each Receiving One Of The Following
Interventions:
Motivational Enhancement Therapy (MET): A Brief, Client-Centered Intervention To
Enhance Motivation To Change.
Cognitive-Behavioral Therapy (CBT): Focused On Identifying And Changing Negative
Thoughts And Behaviors Related To Alcohol Use.
Twelve-Step Facilitation (TSF): Focused On Encouraging Individuals To Engage With
AA And Other 12-Step Programs.
Participants Were Assessed At Multiple Intervals (E.G., 3, 6, 12 Months) To Measure The
Success Of Each Treatment.
Findings:
No Single Treatment Was Universally Superior; All Three Treatments Showed Similar
Levels Of Efficacy.
,The Success Of Each Intervention Depended On The Individual’s Personal
Characteristics, Such As Their Level Of Motivation And Engagement.
Treatment Implications:
The Results Suggest That Treatment Should Be Personalized And Flexible, Allowing For
A Range Of Approaches To Meet Individual Needs.
Treatment Providers Should Offer A Variety Of Therapeutic Options And Assess Client
Readiness And Preferences For Better Outcomes.
Conclusion:
Emphasize That Project MATCH Reinforced The Importance Of Individualized
Treatment Plans And That Multiple Approaches Can Be Effective, Depending On The
Person.
4. Define Interactionism And Show How The Addicted Family Member’s Behavior
Affects The Family System. (PG 14)
Answer May Vary
Introduction:
Define Interactionism: A Theoretical Perspective That Focuses On The Dynamic And
Reciprocal Interactions Between Individuals And Their Social Environments.
State That This Approach Views The Family As A System Where Each Member’s
Behavior Influences And Is Influenced By The Others.
The Addicted Family Member’s Impact:
Disruption Of Roles: The Addicted Individual May Fail To Fulfill Their Responsibilities,
Creating Imbalance In The Family System.
Enabling And Codependency: Other Family Members May Enable The Addiction By
Covering Up Or Minimizing The Problem, Which Reinforces The Cycle Of Addiction.
Emotional Stress: The Addicted Member’s Behavior May Cause Emotional Strain,
Resulting In Increased Conflict, Anxiety, Or Guilt For Other Family Members.
Family System Dynamics:
,Addiction Can Lead To A Breakdown Of Healthy Communication Patterns Within The
Family.
The Family’s Attempt To “Fix” The Problem Or Avoid Confrontation Often Leads To
Dysfunctional Behaviors.
Interactionism Suggests That The Behavior Of The Addicted Individual And The
Responses Of Family Members Are Interconnected, Perpetuating The Cycle Of
Addiction.
Conclusion:
Addiction Is A Family Issue, Not Just An Individual One. Treatment Must Address The
Family Dynamics And Help The System Shift Toward Healthier Functioning.
5. Discuss The Ethical Dilemmas Faced By The Casino Worker Who Is A Social
Work Major. (PG 6-7)
Answer May Vary
Introduction:
Define The Ethical Dilemma: A Situation Where A Person’s Professional Values Conflict
With Their Personal Or Work Environment Values.
Conflict Of Interest:
The Casino Worker May Be Faced With Ethical Issues Related To Promoting Gambling,
An Activity That Can Lead To Addiction And Financial Ruin For Vulnerable Individuals.
Social Work Emphasizes Helping Individuals In Need, While Working In A Casino May
Feel Like Promoting An Activity That Causes Harm.
Balancing Personal And Professional Values:
The Worker Might Experience Conflict Between Personal Beliefs About Gambling’s
Harmful Effects And The Need To Maintain Employment In An Industry That Profits
From Gambling.
There Is An Ethical Concern About Whether Their Work Is In Alignment With Social
Work’s Core Values Of Promoting Well-Being And Social Justice.
,Potential Solutions:
The Worker Could Seek To Promote Responsible Gambling Or Provide Resources For
Individuals Struggling With Addiction.
Alternatively, They Could Reconsider Their Employment Or Work In A Capacity That
Addresses The Negative Consequences Of Gambling, Such As In Counseling Or
Rehabilitation Programs.
Conclusion:
Ethical Dilemmas In Such Situations Require Balancing Professional Integrity With
Practical Realities. The Casino Worker Must Navigate These Tensions Carefully,
Considering Both Their Responsibilities As A Social Worker And The Role They Play In
The Casino Industry.
MULTIPLE CHOICE
1. According To Shavelson (2001), Author Of Hooked, Which Three Words Define
Harm Reduction?
A. Any Positive Change
B. Recovery From Pain
C. A Controlled Life
D. I’m In Recovery
ANSWER: B
According To Shavelson, Harm Reduction Focuses On Recovery From Pain, Both
Physical And Emotional, As Part Of A Therapeutic Process.
A. Any Positive Change – While Harm Reduction Can Involve Positive Changes, It
Specifically Emphasizes Recovery From Pain Rather Than General Improvement.
C. A Controlled Life – Harm Reduction Does Not Focus On Control But On Reducing
Harm And The Negative Consequences Of Substance Use.
D. I’m In Recovery – This Phrase Reflects An Individual's Journey, But It Is Not A
Definition Of Harm Reduction Itself.
PG1
,2. The DSM-5 Has Made The Following Change From The Previous Version Of The
DSM:
A. The Term Dependence Will Now Be Used Instead Of Addiction
B. Abuse And Dependence Are Now To Be Dichotomized
C. Specific Criteria For Diagnosis Will No Longer Be Provided
D. The Term Dependence Will Now Be Used Only For Physiological Dependence
ANSWER: D
In The DSM-5, "Dependence" Is Specifically Tied To Physiological Dependence,
Distinguishing It From Addiction, Which Can Be Psychological Or Behavioral.
A. The Term Dependence Will Now Be Used Instead Of Addiction – This Is Inaccurate
As "Dependence" Is Now More Narrowly Defined In The DSM-5, Not Replacing
Addiction.
B. Abuse And Dependence Are Now To Be Dichotomized – This Is Incorrect; DSM-5
Combines The Previous Abuse And Dependence Categories Into One Diagnosis,
Substance Use Disorder.
C. Specific Criteria For Diagnosis Will No Longer Be Provided – This Is False As DSM-
5 Continues To Provide Clear Diagnostic Criteria.
PG3
3. According To The DSM-5, What Term Or Terms Replace(S) The Word Dependence?
A. A Personal Choice
B. A Bad Habit
C. A Brain Disease
D. Addiction
ANSWER: D
The DSM-5 Replaces The Word Dependence With The Term Addiction, Which Is Used
To Describe A Compulsive, Often Harmful, Pattern Of Behavior.
, A. A Personal Choice – Addiction Is Not Defined As A Personal Choice In The DSM-5;
It’s A More Complex Condition Involving Behavioral And Physiological Components.
B. A Bad Habit – Addiction Is Far More Complex And Is Not Simply Categorized As A
Bad Habit.
C. A Brain Disease – While Addiction Has Biological Components, It Is Not Exclusively
Labeled As A "Brain Disease" In The DSM-5.
PG4
4. Which Of The Following Are NOT Typical Symptoms Defined By The DSM-5 To
Diagnose Substance Use Disorder:
A. Tolerance
B. Unsuccessful Attempts To Control Or Reduce Consumption
C. Nervous Facial Tics
D. Withdrawal Problems
ANSWER: C
Nervous Facial Tics Are Not Part Of The Diagnostic Criteria For Substance Use Disorder
In The DSM-5. Symptoms Typically Include Tolerance, Control Issues, And Withdrawal.
A. Tolerance – Tolerance Is A Well-Known Symptom And Diagnostic Criterion For
Substance Use Disorder In The DSM-5.
B. Unsuccessful Attempts To Control Or Reduce Consumption – This Is A Key
Symptom In Diagnosing Substance Use Disorder.
D. Withdrawal Problems – Withdrawal Symptoms Are Another Significant Diagnostic
Criterion.
PG4
5. In The Boxed Reading, “Social Work Major Working In A Casino,” The Author
Describes:
A. Her Gambling Addiction Problems
B. Examples Of People Winning Lots Of Money
C. Close Surveillance Of Employees