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“The most common outcome of chemical dependency treatment is relapse. Continued abstinence, even after only 2 years is the exception (Hester & Miller,

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Presentation on theme: "“The most common outcome of chemical dependency treatment is relapse. Continued abstinence, even after only 2 years is the exception (Hester & Miller,"— Presentation transcript:

1 “The most common outcome of chemical dependency treatment is relapse. Continued abstinence, even after only 2 years is the exception (Hester & Miller, 1995; Peele 1991).”

2 DRUG SETTING SET Remember the Zinberg Triangle

3 Drug—the substance itself, its pharmacological properties, its chemistry (this causes this, when placed into a 150 lb. body) –What is cut in with it? –Route of administration “pharmacological determinism-the tendency to put all of our treatment efforts in approaching clients with over-investments in the power of the substances themselves (demonizing particular drugs over another often leads to “demonizing clients more than others” (example they are only a prescription addict vs. a “full- blown heroin addict)

4 Set Set-what is the expectation, especially unconscious expectation (effects how a 150 lb. person reacts to a drug) –The person using the drug –Motivation for using –person’s unique personality traits –Whatever coping deficits the person might have

5 Setting Setting-environment-physical, social, cultural (is 150 lb. person shooting up in a restroom stall or taking Percocets during break at work in an office setting –Stressors –Use alone or with others –Can person take dose timely or hurried –Legality of the substance –Societal attitudes toward the substance –Culture values or rituals client was reared –Is current culture similar or opposed to original values


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