Monday, April 1, 2019
Overview Of Theory And Treatment Of Substance Abuse Philosophy Essay
Overview Of Theory And Treatment Of Substance  debauch Philosophy  riseThis  physical composition is an overview of the chemical use,  discernment, hi fabrication and treatment recommendations of Jay W. a college student  relations with failing grades and  intoxi groundworktic beverage. Upon interviewing Jay, his parents, and researching various  textbookbooks and video teachings on the theorys and treatments of substance  misdirect this paper  get  bug out examine the spiritual, genetic, and psycho companionable aspects of Jays  behavior. The assessment will asses if Jay is in use, abuse, or   addictive cycle, and will show if there are any co-occurring  give aways. This assessment of Jay W. makes a referral based on the determination of Jays  underway  commands. This paper will  crack up specific steps that our needed to be successful in the  recuperation process.CHEMICAL USE ASSESSMENT/HISTORY AND TREATMENT RECOMMENDATIONSName Jay W.DOB/ grow May 2, 1991Dates of Interviews April 2   0, 2011Evaluator Richard M. DoucettREASON FOR ASSESSMENT Jays parents are concerned  n archaeozoic his  drunkenness and how it appears to be interfering with his aspirations of  being a chemical engineer. Jay W. was referred for assessment  after(prenominal) flunking out of his  introductory year in college.SOURCES OF INFORMATION Beths (mother) interview,  take for granteds (father) interview, Jays interview, Doweiko, H.E. (2009). Concepts of  chemical Dependency (7th ed.) Belmont, Ca Brooks/Cole Cengage Learning, May, G.G. (1991).  dependance   bedight  hunch forward and Spirituality in the Healing of Addictions. New York, NY HarperCollins, Hawkins, R. (2009). Theology and Addiction www.libertyuniversity.edu, Clinton, T. (2009). Addiction and Reco genuinely www.libertyuniversity.edu.BACKGROUND INFORMATION Jay W. was born May 2, 1991 to  gull and Beth W. The  pregnancy was  make-upedly normal with no complications to the labor and delivery. Jay W. met  completely his develop kind mi   lestones  too soon and was described as an advanced baby. Jay reportedly excelled in school with needing very little effort to maintain a  forthwith A report card  until now in the gifted and  capable program.Jays parents report that Jay began   alcoholic beverageic drinkic beverage addiction at the age of 12. They described the  potable as experimental  ab initio  alone they state they became excessively more concerned as he got older. Jay and his parents describe his early drinking years as  veritable(prenominal) of  jejune behavior.They all three began attending AA together but Jay dropped out after 3 months.  hold out and Beth state they are both still  combat-ready in AA and Al-Anon. Jay states he stopped going be develop, all they talk well-nigh is war stories.CURRENT STATUS Jay appears reluctant to treatment but  concur to come because his parents state they will not continue financing his college if he does not get  succor.Jay states that currently he drinks a 12  clump or m   ore on the weekends. He qualified this by stating his friends help him drink the beer. He also does  consent that his weekends some cartridge holders  show up on Thursdays and dont end until Mondays. He states that he does not believe his drinking is the issue with his grades in college. He states he just gets bored in classes and his professors dont  unfeignedly know as much as they think they do. He states some condemnations he just doesnt feel like going to class because it is dumb.Jay does admit to b  indirect requestouts, drinking more than he intends to, and does seem to recognize that many of his friends   patronise up similar drinking patterns as he.INDICATIOR OF USE/ABUSE/DEPENDENCY placement and Behavior of Jay W. Jay W. uses alcohol because it makes him feel good and because it does feel good he wants to  retell this experience.Jay states he is willing to come to  talk over but does not think he has a drinking problem but he would like to figure out how to win his girlfri   end back. Dr. Clinton tells us that the  calamity of addiction is that is destroys,  singulars, families, and friendships (Clinton, 2009) Jay W. does not feel like he needs counseling but wants his girlfriend back, his parents arent happy with him, and he is destroying his own life by failing the classes that he needs to succeed.The basic laws of behavioral psychology hold that if something increases the individuals sense of  fun or decreases his discomfort, then he is likely to repeat that behavior. This process is called reward process. This consequence has a stronger  advert on behavior than delayed consequences (Doweiko, 2009, p.10). Thats why, since Jay  plunge the  set up of alcohol to be pleasurable, he will be tempted to use it again and again.Another meaningful fact is individual expectations as a component of alcohol use. The individuals expectations for alcohol  acquit been found to be a strong  work out on how Jay interprets the effects of alcohol. These expectations  re   crudesce in early adolescence as a result of multiple factors,  much(prenominal) as a peer group influences and Jays exposure to advertising (Doweiko, 2009, p.10). fond Functioning of Jay W. Human beings are social animals. A given Jays  finding to use or not use alcohol is made  inwardly the social group.  alcohol use can make mild social problems worsened by causing  pile to be more  spotty and likely to argue and by affecting judgment and  envision of behavior. Alcohol use can also be the topic of arguments.Jay W. qualified this by stating his friends help him drink the beer. He also does admit that his weekends sometime start on Thursdays and dont end until Mondays. He does seem to recognize that many of his friends  retain similar drinking patterns as he. He also reports a  late break up with his girlfriend of 2 years. He states he  real loves this girl but she broke up with him because she doesnt like his friends.One of the factors that influence recreational alcohol use is th   e social learning component of alcohol use. Individuals do not start life expecting to abuse alcohol. Rather, Jay W. must  view been taught that alcohol is acceptable he must  consecrate recognized the effects of the alcohol and interpreted it as desirable. All of these processes are accomplished  with the process of social learning, which takes place through peer groups, mass media, family feedback etc (Doweiko, 2009, p.11).occupational Functioning of Jay W. Jay W. is a student in a college, where he lives and spends time with his friends. Although he used to be a great student in school with needing very little effort to maintain a straight A report card even in the gifted and talented program. Jay is  elbow greaseing to become a chemical engineer in college, but he has already failed his first year. It seems that he has gotten in a  dance band of social failure and  hunt from feeling a looser. Alcohol and his alcohol use disorder (AUD) help him to forget about social responsibili   ties and  break the success among his drinking friends in Jays artificial world. He can control everything in this alcoholic world Jay decides when he wants to get into this world of pleasure (from Thursday till Monday or on weekends). Nevertheless when he goes out from these times of illusory euphoria, he gets into  in the altogether troubles such as studying. To escape from these troubles, Jay buys a new pack of beer and starts the same circle of escape from responsibility. This is typical of a person starting on the road to addiction. Dr. Clinton tells us in our video presentation that the key components to addiction our control problems, compulsiveness, narrowing focus, denial,  margin and withdrawal (Clinton, 2009). We see many of these components in the occupational functioning of Jay. financial Aspects of Jay W. Abuse of alcohol may make current financial problems worse and cause new ones, including having less money for necessary expenses like  food for thought and clothing    neglecting to pay bills and creating additional expenses, such as extra  medical exam costs, fines, or car repairs. Jay W. reports spending an average of $75.00 a week on beer and his money doesnt always last until the end of the month. He attributes that to his parents not  great(p) him enough money. He states they only give him $1,000 a month. The adverse impact on the financial status of the family of the alcohol  abuser is one of the harms related to alcohol. There is an increasing level of expenditure by the alcohol abuser to sustain his habit. Gradually, due to the restrictions that the family income imposes, the alcoholic abuser begins to borrow money, steal and/or sell household objects in order to sustain his habit (Doweko, 2009).familial Relationships of Jay W. The relationship between an alcohol abuser and his family is complex. Family members report experiencing guild, shame, anger, fear, grief and  isolation due to the presence of an alcohol abuser in the family. They a   re ofttimes subjected to moderate to severe forms of harassment, conflict and tense atmosphere when they confront the drinking behavior of their alcohol-abusing family member (Doweiko, 2009, p.300). Spouses in families where there is chronic, excessive use of alcohol are frequently separated. Children of alcohol abusing persons report a higher  relative incidence of emotional and school-related problems. Don W., Jays father, is a neurosurgeon and his mother, Beth is a research scientist. Don was described by Beth as a functional alcoholic displaying  argillaceous drinking patterns and binge drinking when he was not on call. She states however, Don quit drinking 3 years ago when they realized Jay had a problem. Both Beth and Don have fathers that were alcoholics. Don states he quit drinking after the DUI incident because he wanted to support Jay in stopping. They all three began attending AA together but Jay dropped out after 3 months. Dan and Beth state they are both still active in    AA and Al-Anon. new(prenominal) complications in the family include long absences from home, destruction of household objects in rage, lack of communication between the alcohol abuser and the remaining family members, hostility and  review that marginalize the alcohol abuser, and domestic accidents (Doweiko, 2009, p.300-305).Legal History of Jay W. His parents state they first began worrying about Jays drinking when he totaled his first fomite two weeks after his 16th birthday. Jay lost his drivers license at that time and was charged with a DUI. Jay seemed to suggest his parents are over reacting because he has had several(prenominal) friends that have lost their license. Jay is becoming like most people  dealings with addiction in the fact that he is what Dr. Clinton says destined to misunderstand the story we find ourselves in because hell loves to confuse us (Clinton, 2009), Jay is confused and  construe his story by thinking his parents are over reacting and lots of people hav   e lost their license.Health History of Jay W. Jay W. was born May 2, 1991 to Don and Beth W. The pregnancy was reportedly normal with no complications to the labor and delivery. Jay W. met all his developmental milestones early and was described as an advanced baby. Although at this time he doesnt have any special diseases, alcohol abuse may cause short-term and long-term problems. The short-term effects of alcohol on the  consistency include upset stomach diarrhea lack of coordination and judgment headaches and insomnia). Abuse of alcohol can cause many different long-term problems because the  full-page body is affected. Some of these problems can lead to death. The long-term effects of alcohol are heart disease cancer liver problems problems of the stomach, lungs kidney, skin, muscle, and bones infections mental disorders insomnia malnutrition and impotence and infertility in men (Doweiko, 2009, p.75-85).Spiritual History of Jay W. When Jay entered the college he found new stress   es, responsibilities, and work. He may have felt  lonely(a) his girlfriend left him so he tried to relieve his pain. He hates feeling guilty, empty and alone. He longs to have acceptance and love alcohol use provides a remedy that helps to forget the pain, at least for awhile.  crapulence draws sorrow. Alcohol also provides Jay with predictable moments he can count on, an  whoremonger of control, and the addiction masters him. The effect is always self-destructive bondage. Jay is forced to  make out between his alcohol abuse and those, who love him. Although he does not want to lose those he loves, he does not want to quit drinking, even if he drinks every day.DIAGNOSTIC IMPRESSION Jay W. seems to have alcohol abuse problem on the level heavy social use/early problem alcohol use. Between social use and clear  rationalise problem use. People whose chemicals use falls in this point in the continuum would use chemicals in such ways as to be  clear above the norm of society, and/or begi   n to experience various combinations of legal, social, financial, occupational, and  private problems associated with chemical use (Doweiko, 2009). Jay can be classified as being at risk for a substance use disorder or of becoming a problem drinker. Thus, not everybody from this category would progress to an addictive disorder. Still, at this level, Jay attempts to hide or deny the problems that develop as a result of his alcohol abuse.RECOMMENDATIONS Jay needs new goals to become a  to the full functioning human. Dr. Hawkins in the video presentation Theology and Addiction  be given six ways out of addiction to recovery and they are have encounter with the Heavenly Father, allow for the power of the  sanctum sanctorum Spirit, make a commitment to a new goal, submit to a new truth, have accountability to a new family, engage in a new process (Hawkins, 2009). Dr. Hawkins firmly believes that recovery is an inside out issue requiring the Holy Spirit (Hawkins, 2009). Jay should start v   isiting again AA-group with his parents to start with. Jay W. does not need any hospitalization, he needs his own will. In our reading of the text Addiction and Grace the author tells us for the power of addiction to be overcome, human will must act in concert with  godly will. (May, 1991, p.178) Second he needs the support of others his family and possibly his girlfriend to be with him, and support him. Third he needs to understand his own vulnerability,  commit and anger our textbook also told us we cannot make this empowerment  devolve on our own, we can pray for it, seek it actively, open our hands for it and try our best to live it (May, 1991, p.178). If Jay wants to be a success, he has to open his eyes, his current illusion of power and control is only that an illusion. In Addiction and Grace we also learned that the alignment of our will with Gods must happen at a heart level (May, 1991, p.178). Studying hard and working  attend is real life, sometimes it is lonely, but real    life with real results can help you understand real love.______________________________________ _____________Signature Date  
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