Chapter 12. Addictions Counseling
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1 Chapter 12 Addictions Counseling 1
2 Addictions Counseling Define Alcoholism - 2
3 Addictions Counseling Alcoholism Nature/Nurture (chicken/egg) -Disease -Behavioral -Excuse (I can t help it) 3
4 Addictions Counseling Your 1 st drink 4
5 Addictions Counseling Why drink anyway? (Taste vs. effects) 5
6 Addictions Counseling Stats Half of all ER visits 70% of all child abuse 52% of all rapes 86% of all homicides 75% of all domestic violence 40% of all traffic deaths (16,000 a year) 15+ million Americans struggle with alcoholism 95-96% of all who try AA stop, going 50-60% of all who try a recovery plan, fail So why is alcohol legal 6
7 Chapter 6 Action-Oriented Approaches 7
8 Action-Oriented Theories - -Behaviorally specific interventions -Counselor role is directive -Are responsive to third party pay 8
9 Action-Oriented Theories - -Behavioral principles have been assimilated into the mainstream of counseling. -Problems are seen as maladaptive learning patterns. -No reflections of feelings 9
10 Behavioral Movement - View of Nature: - Scientific - Structured Behaviors are: - Observable - Measurable -Focuses on overt behavior 10
11 Behavioral Movement - Thorndike ( ) 11
12 Behaviorism - -Animal Studies Charles Darwin 12
13 Classical Conditioning - (Pavlov) 13
14 Behaviorism - Watson -Father of Behaviorism (Give me a Child, I ll give you a rich man, poor man, beggar man, thief.) (Little Albert) 14
15 Behaviorism - - Thorndike Puzzle Box 15
16 Operant Conditioning B. F. Skinner - Skinner Box 16
17 Operant Conditioning Skinner s work has resulted in many practical applications in: Education Training B. F. Skinner And views of society 17
18 Cognitive Trend (modeling, social Observational learning) 18
19 Behavioral Movement - -Superstition -Horoscope (Study) -Psychics (Study) 19
20 Explain This One! Count the people, wait until they shift, and then count them again. 20
21 Thing aren t always the way we see them. 21
22 Behavioral Movement - Client Contracts - General Goal of Behavioral Counseling - - Create new conditions for learning Arguments against Behavioral Counseling: - Treatment of symptoms - Manipulation (therapist is in control) - We don t live in a skinner box 22
23 Behavioral Movement - Techniques: - Relaxation Training (progressive relaxation) -Systematic Desensitization (Classical Conditioning) - Biofeedback 23
24 Behavioral Movement - Token Economy: -Given as soon as possible after behavior occurs -Gradually replace with verbal phrase. Temper Tantrum 24
25 Behavioral Movement - Punishment - used to reduce the frequency of a client s behavior by presenting an aversive stimuli. Extinction - the removal of the reinforcement. Shaping - the process in which complex terminal behaviors are reinforced in approximate successive stages. Flooding - bombarding the subject with the stimulus until fatigue sets in or until the stimulus loses its pleasurable value. Time-Out - the removing of the subject from the environment where the inappropriate behavior is occurring. 25
26 Behavioral Movement - Modeling Behavior: 1. Live Models 2. Symbolic Models (Audio / Video) 3. Multiple Models (Groups) 4. The more similar the models are the more effective 26
27 Behavioral Movement - Learned Helplessness 27
28 Rational-Emotive Behavior Counseling Albert Ellis 28
29 Rational-Emotive Behavior Counseling (Albert Ellis) -Concerned with cognition and feelings. -Disputes irrational beliefs in a direct, active and confrontive manner. Basic Hypothesis - our emotions stem mainly from our beliefs, evaluations, interpretations and reactions to life situations. Anxiety, unhappiness, and negative emotions come from evaluative thoughts about traumatic situations. 29
30 Rational-Emotive Behavior Counseling (Albert Ellis) We - -Make or contribute to our own problems by our perceptions. -Condition ourselves to feel disturbed or depressed. -Make mistakes - we learn to live with them. -Have the ability to change. -Are all somewhat neurotic. -Blame is the core of most emotional disturbances. Criticized for being overly: combative directive, and intellectual 30
31 Therapeutic Techniques: Cognitive Method 1. Disputing of irrational beliefs (confronting) show client it s not the event but their perception. 2. Cognitive homework - experience (public speaking). 3. Changing ones language - relearning of statements. (a word is only a word - only meanings change) 31
32 Therapeutic Techniques: Emotive Technique - 1. Rational-emotive imagery - mentally experience situations and good outcomes. 2. Role Play - rehearse new or different behaviors (work on unpleasant feelings. 3. Shame attacking exercises - -clients do or experience something they re afraid of. -they then see its not such a big deal or that other don t see it that way. 32
33 Chapter 11 Career Counseling Career Counseling
34 Career Counseling - What Do You Want To Be When You Grow Up? Vocation is tied to a: - - Sense of identity - Self-image - Sense of worth -How is a vocation selected? -What s important? -High School - (Work / College)
35 Career Counseling - The world of Work: -Changes in the Workplace -Work and Leisure -Use of Technology -Changing work ethics -Education -Vocational training -College vs. Vocational School Deferring gratification -
36 Career Counseling - Practical Applications for Career / Vocational counseling: 1. Assessment - identify interests & abilities 2. Establish Goals - - assess skills - interests - motivation 3. Counseling - reality A vocational counselor teaches people to change their attitudes about work.
37 Career Counseling - Career Counseling Process - From assessment To resume writing To application preparation To interview skills.
38 Career Counseling - Second Career Counseling - Changing Careers - Defining the Problem -
39 Career Counseling - Work and Adjustment - 1. Attitudes 2. A job is such a part of our life. 3. Occupational stress and job related problems are one of the leading public health problems.
40 Career Counseling - Career Exploration - - Assessment - Research - Homework - Volunteer work - Visiting occupational areas - Career days at high schools, college s
41 Your Career Path
42 Your Career Path
43 Your Career Path
44 Next Weekend Research Paper Due (Friday Night) LiveText Essays # 1 /2 / 3 Final Exam (Saturday)
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