This manual was developed as part of NIDA Grant DA06162, Improving Drug Abuse Treatment for AIDS-Risk Reduction (DATAR).

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1 his manual was developed as part of NIDA Grant DA06162, Improving Drug Abuse reatment for AIDS-Risk Reduction (DAAR). he Mapping New Roads to Recovery: Cognitive Enhancements to Counseling training module and all related data collection forms may be used for personal, educational, research, and/or information purposes. Permission is hereby granted to reproduce and distribute copies of these materials (except reprinted passages from copyrighted sources) for nonprofit educational and nonprofit library purposes, provided that copies are distributed at or below costs and that credit for author and source are included on each copy. No material may be copied, downloaded, stored in a retrieval system, or redistributed for any commercial purpose without the express written permission of exas Christian University. Institute of Behavioral Research exas Christian University P.O. Box Fort Worth, X (817) (817) (FAX) ibr@tcu.edu August, 1993 ii EXAS CHRISIAN UNIVERSIY/DAAR MANUA

2 ypes of Structured Maps Maps can serve many purposes. In contrast to the process maps that originate and develop as a result of counselor-client interactions, the maps presented in this chapter are prepackaged, developed in advance to serve special purposes during counseling. We have labeled these pre-packaged tools as fill-in maps and presentation maps. ill-in maps allow personal content to be added into a predrawn structure. hese structured designs (often presented on oversized 11x17 sheets of paper) guide the client, with the assistance of the counselor, through step-by-step analyses of specific areas of concern. he structure provides a framework for discussion and for the personal content of the map, which is added by the counselor or client. hese maps may also be used as solitary self-discovery exercises for clients, something to be done outside the counseling session and then discussed with the counselor at the next session. Presentation maps are finished products designed to convey information for lectures or structured discussions. hey are primarily teaching and reference tools. Counselors have used these maps in planning for counseling sessions, in providing information to clients, and to stimulate discussion on a particular topic. Clients can use presentation maps as study sheets. Examples of both types of structured maps are presented on the following pages. Note that these maps can be used with both groups and individuals. MAPPING NEW ROADS O RECOVERY 59

3 60 EXAS CHRISIAN UNIVERSIY/DAAR MANUA

4 ill-in Maps Examples of fill-in maps shown in this section represent topics of major concern in the counseling process. We will present these in a sequence which might be introduced over several months of counseling. hese maps are: u Examining the self Divisions of Self (5.1a and 5.1b) u Analysis of specific situations reatment Plan (5.2a and 5.2b) Problem Analyzer (5.3a and 5.3b) Solution Search (5.4a and 5.4b) Success Analyzer (5.5a and 5.5b) Rather than provide commentary on each map, we have chosen to show first the map structure and then follow this with a self-explanatory example of the completed map. Again, these maps can be used with individuals, with groups, or as take home exercises. If the map is to be a solitary self-discovery exercise, the counselor should make sure that the client can read the map and understand what is being asked at each point. After a fill-in map is completed, it can be used as a starting point for future counseling sessions. Reviewing a map several months after it was done or doing a second version and comparing it with the first can be an effective means of assessing progress. MAPPING NEW ROADS O RECOVERY 61

5 MAP 5.1a: DIVISIONS O SE 62 EXAS CHRISIAN UNIVERSIY/DAAR MANUA

6 MAP 5.1b: DIVISIONS O SE (Completed) MAPPING NEW ROADS O RECOVERY 63

7 REAMEN PAN P Problem Statement: Short erm Goal: P P P P How? How? How? How? I C C C C When? When? When? When? ong-erm Goal: MAP 5.2a: REAMEN PAN 64 EXAS CHRISIAN UNIVERSIY/DAAR MANUA

8 MAP 5.2b: REAMEN PAN (Completed) MAPPING NEW ROADS O RECOVERY 65

9 MAP 5.3a: PROBEM ANAYZER* *ink-to-link Connections Note the link-to-link connections in the central portion of this map, indicating (in this case) an influence or moderating effect on the strength of a leads to link (i.e., on the extent to which one set of events will lead to another). We have found the link-to-link connection a useful addition to the more usual link-to-node format. 66 EXAS CHRISIAN UNIVERSIY/DAAR MANUA

10 MAP 5.3b: PROBEM ANAYZER (Completed) MAPPING NEW ROADS O RECOVERY 67

11 PROBEM MAP Feelings Values Pressures Actions (others) Actions (self) What led to the PROBEM? What's the PROBEM? N? N? N? What are your CHOICES? (Alternatives) What are the CONSEQUENCES of each choice? What is your choice? (DECISION) What was the RESU of your choice? Feelings Values Pressures Actions (others) Actions (self) MAP 5.4a: SOUION SEARCH* *his map was developed at the Rochester Institute of echnology by K.W. Chase, E. Rusling, and G. ong. 68 EXAS CHRISIAN UNIVERSIY/DAAR MANUA

12 MAP 5.4b: SOUION SEARCH (Completed) MAPPING NEW ROADS O RECOVERY 69

13 MAP 5.5a: SUCCESS ANAYZER* *ink-to-link Connections Note the link-to-link connections in the central portion of this map, indicating (in this case) an influence or moderating effect on the strength of a leads to link (i.e., on the extent to which one set of events will lead to another). We have found the link-to-link connection a useful addition to the more usual link-to-node format. 70 EXAS CHRISIAN UNIVERSIY/DAAR MANUA

14 MAP 5.5b: SUCCESS ANAYZER (Completed) MAPPING NEW ROADS O RECOVERY 71

15 Presentation Maps he counselor may use a pre-prepared map as an instructional tool to present specific information about a topic, as have been done in Maps 5.6, 5.7 and 5.8 for AIDS information (the DAAR AIDS/HIV module). Maps 5.9 and 5.10 has been used to teach constructive approaches to dealing with problems. hese appear in Straight Ahead: ransition Skills for Recovery (also a DAAR manual). Presentation maps are frequently used as overhead transparencies and as handouts. hey are especially useful in organizing a lecture or maintaining the focus of discussion on a topic. 72 EXAS CHRISIAN UNIVERSIY/DAAR MANUA

16 BEHAVIOR P P PASSIVE Exposure to Virus ACIVE Exposure to Virus MEDICA BIRH SEXUA Activities NEEDE USE I RE-EXPOSURE (unprotected sex/sharing needles) HIV INFECION I I Immune System Modifiers AIDS MAP 5.6: HE ROE O BEHAVIOR IN HIV IN ECION* ( rom AIDS Module) *ink-to-link Connections Note the link-to-link connections in the central portion of this map, indicating (in this case) an influence or moderating effect on the strength of a leads to link (i.e., on the extent to which one set of events will lead to another). We have found the link-to-link connection a useful addition to the more usual link-to-node format. MAPPING NEW ROADS O RECOVERY 73

17 CASSIFICAION SYSEM FOR HIV INFECION 1. Acute HIV Infection 2. Asymptomatic Infection 3. Persistent Generalized ymphadenopathy 4. Other HIV Diseases I I C Symptoms C WBC Count Platelet Count -ymphocyte Helper and Supressor Cell Count C A B C C 1 C 2 D E Absence of Symptoms Palpable ymph Nodes > 1 cm at > 2 extra-inguinal sites for > 3 months MAP 5.7: CASSI ICAION SYSEM OR HIV IN ECION - I ( rom AIDS Module) 74 EXAS CHRISIAN UNIVERSIY/DAAR MANUA

18 CASSIFICAION SYSEM FOR HIV INFECION 4. Other HIV Diseases A. Constitutional B. Neurological C. Secondary Infections D. Secondary Cancers E. Other C I Absence of Concurrent I C 1 1. Pneumocystis carinii pneumonia 2. Chronic cryptosporidiosis C 2 1. Oral hairy leukoplakia 2. Multidermatomal herpes zoster Chronic ymphoid Interstitial Pneumonitis Concurrent illnesses Other 4.A Fever > 1 mo. Diarrhea > 1 mo. Weight oss > 10% baseline Myelopathy Dementia Peripheral Neuropathy 3. oxoplasmosis 4. Extraintestinal strongyloidiasis 5. Isosporiasis 6. Candidiasis (esophageal, bronchial, pulmonary) 7. Cryptococcosis 8. Histoplasmosis 3. Recurrent Salmonella bacteremia 4. Nocardiosis 5. uberculosis 6. Oral candidiasis (thrush) 1. Kaposi's sarcoma 2. Non-Hodgkin's lymphoma 3. Primary lymphoma of the brain 4.C 4.D 9. Mycobacterial infection (Mycobacterium avium complex or M. Kansasii) 10. Cytomegalovirus infection 11. Chronic mucocutaneous or disseminated herpes simplex virus infection C Defect of Cell-mediated Immunity 12. Progressive multifocal leukoencephalopathy MAP 5.8: CASSI ICAION SYSEM OR HIV IN ECION - II ( rom AIDS Module) MAPPING NEW ROADS O RECOVERY 75

19 Ask for attention Example I want to talk with you State these Next Describe the behavior Example When you arrive late to class in the Next State your feelings Example I feel concerned order Next most comfortable State why the behavior is a problem Next Example Because it disturbs the class for you. Make a direct request for change Next ISEN Next Part Part Part Example Stay calm Don't interrupt Pay attention Part Keep an open mind Part Don't argue mentally I want you to arrive on time in the future. RESPOND Option Option Option Restate your request for behavior change ("I want you to arrive on time in the future") Ask for more information and discuss ("Is there a reason you're late so often?") Negotiate / make a compromise request ("If you arrive late, please wait until the break to join the class.") MAP 5.9: ASSERIVE MESSAGE MAP* ( rom DAAR'S SRAIGH AHEAD Manual) *his map was prepared for clients who may or may not have been introduced to the mapping link system. 76 EXAS CHRISIAN UNIVERSIY/DAAR MANUA

20 Problem: Husband drinks won't talk to me gets angry runs away from talking I still feel angry & hurt. ocus on positive John comes home drunk. Co I control my feelings for now. Co Dinner & V with John & kids N N N Sleep it off Co No good to talk when he's drunk N Calls brother N eaves N I tell John how I feel, and what concerns me with his drinkings. Co John's not drunk Co N I'm not so mad. I tell him about how its normal for him to still be angry cause I used when I was pregnant. Co Maybe he drinks cause he's still mad at me N 1 (wo wo things may happen) 2 John gets mad I feel good. I don't use! We talk some more. Co Co I call my sponsor or sister. N Get support -- talk it out! Co Hurray! John says he'll come to counseling with me. MAP 5.10: PROBEM SOVING MAP ( rom DAAR'S SRAIGH AHEAD Manual) MAPPING NEW ROADS O RECOVERY 77

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For more information, contact: This manual was developed as part of the National Institute on Drug Abuse (NIDA) Grant DA08608, Cognitive Enhancements for the Treatment of robationers (CETO). The TCU Guide Maps: A Resource for Counselors