1. The Life Process Program Stanton Peele Derived from The Truth About Addiction and Recovery (with Archie Brodsky and Mary Arnold)

2. The Stanton Peele Addiction Web Site http://www.peele.net Differences: Beginning the Treatment Process Disease ModelLife Process Program Your addiction is inbred (genetic, biological)Your addiction is a way of coping with life experience You get the same therapy as everyone elseYou design a treatment that fits you You must accept your identity as an addict/alcoholic You focus on problems and not labels Your therapy and cures are dictated to youYou arrive at your own goals and therapy plan Either you are addicted or you aren’tYour addiction will vary depending on your situation Your addictive symptoms are drummed into youYou identify the negative consequences of the addiction Any claims you have to being okay are attacked as denial Positive aspects of your self-image are accepted and amplified Source: Peele, Brodsky, and Arnold, The Truth About Addiction and Recovery (New York: Simon & Schuster, 1991), p. 174.

3. The Stanton Peele Addiction Web Site http://www.peele.net Differences: The Treatment Process Over Time Disease ModelLife Process Program Person taught they have no control or ability to choose Accept the need for self-control and to make choices Therapy focuses on addictionTherapy focuses on life environment Total abstinence is the only successful resolutionImproved control and relapse reduction are sought Avoid challenging situationsBecome more aware of and deal better with difficult situations Primary social supports are fellow addictsPrimary social supports are work, family, friends Person must accept same treatment and group support forever Treatment or group support evolves over life Person is always an addictPerson can leave addiction behind and no longer needs to think of themselves as an addict Source: Peele, Brodsky, and Arnold, The Truth About Addiction and Recovery (New York: Simon & Schuster, 1991), p. 174.

4. The Stanton Peele Addiction Web Site http://www.peele.net Overall Life Process Program Assessment –Assess addiction in life context –Assess values: What is important to person? –Assess resources: What does person have? What does person need? –Planning for change: Setting and maintaining goals Source: Peele, Brodsky, and Arnold, The Truth About Addiction and Recovery (New York: Simon & Schuster, 1991).

5. The Stanton Peele Addiction Web Site http://www.peele.net Overall Life Process Program Changing –Controlling the addictive behavior/destructive habit –Developing life skills –Integrating change into social world –Re-establishing community Source: Peele, Brodsky, and Arnold, The Truth About Addiction and Recovery (New York: Simon & Schuster, 1991).

6. The Stanton Peele Addiction Web Site http://www.peele.net The Life Process Program The Stages Assess Habit –How does the person feel it is harming them? Assess Values –What matters to the person? Assess Strengths/Resources –What does the person have/do well? –What are they missing? –How can they get what they don't have? Source: Peele, Brodsky, and Arnold, The Truth About Addiction and Recovery (New York: Simon & Schuster, 1991).

7. The Stanton Peele Addiction Web Site http://www.peele.net The Life Process Program The Stages Changing the Habit –Causes –Contexts –Consequences Outside World –Real world rewards –Community –Meaning and purpose Source: Peele, Brodsky, and Arnold, The Truth About Addiction and Recovery (New York: Simon & Schuster, 1991).

8. The Stanton Peele Addiction Web Site http://www.peele.net Assessing a Habit of Behavior What are the signs that the habit or behavior is a problem? –How is it hurting? What experience does it provide? –What benefit does the person derive? When is it a problem? –What situations provoke the habit? What are life problem areas? –Other than the habit itself? Source: Peele, Brodsky, and Arnold, The Truth About Addiction and Recovery (New York: Simon & Schuster, 1991), pp. 171-173.

9. The Stanton Peele Addiction Web Site http://www.peele.net Values Assessment/ Needed Values Self-control and moderation Accomplishment and competence Awareness of oneself and one's environment Health Self-esteem Relationships with family, others, community A purpose in life Source: Peele, Brodsky, and Arnold, The Truth About Addiction and Recovery (New York: Simon & Schuster, 1991), pp. 200-203.

10. The Stanton Peele Addiction Web Site http://www.peele.net Assessing Resources: An Audit of Assets/Needs Intimacy and supportive relationships Work skills and accomplishments Activities and interests Larger goals Coping with your world Coping with yourself Source: Peele, Brodsky, and Arnold, The Truth About Addiction and Recovery (New York: Simon & Schuster, 1991), pp. 217-221.

11. The Stanton Peele Addiction Web Site http://www.peele.net Skills Assessment/Skills Training Self-Management Skills –Managing thoughts –Problem solving –Decision-making –Relaxation –Managing anger –Stop negative thinking –Emergency planning Interpersonal Skills –Refusing substances –Assertiveness –Expressing needs –Accepting feedback –Giving criticism –Expressing emotions –Building networks Adapted from P. Monti et al., Treating Alcohol Dependence: A Coping Skills Training Guide (New York: Guilford).