GORDON CONWELL THEOLOGICAL SEMINARY - CHARLOTTE CO709: Counseling in Addictive Behaviors Fall 2010 September 10-11, October 8-9, November 5-6 Professor: John F. Cattich, Ph.D., M.Div. COURSE DESCRIPTION: This course addresses (a) the key issues involved in the diagnosis and treatment of substance abuse (b) the physiology and pharmacology of substance abuse, (c) the assessment of substance abuse, (d) prevention issues and strategies, and (e) specific approaches and models used in the treatment of substance abusers and their families. COURSE GOALS: By the end of the course, students will: 1. Acquire knowledge of the definition of alcoholism, addiction, other chemical dependency, and evaluation of the user as well as other non chemical addictions. 2. Acquire knowledge of the current theories and research related to the etiology of addictions. 3. Acquire an understanding of the physical, psychological, behavioral, emotional and relational consequences of substance abuse on the individual, the family and society. 4. Acquire the ability to effectively assess and evaluate individuals for substance abuse, especially when they are presenting with other clinical symptoms. 5. Become familiar with human diversity (i.e., gender, ethnicity, age, etc.) issues impacting prevention, intervention, and treatment efforts. 6. Gain familiarity with major models and specific interventions used to assess and treat substance abusers and their families. 7. Acquire an understanding of the individual and system dynamics that support or enable substance abuse and effective strategies for intervention and treatment. 8. Acquire knowledge about the referral process to community resources offering assessment, treatment and on-going support for substance abusers and their families. 9. Explore ethical and legal issues related to working with substance abusers and their families. 10. Acquire an understanding of issues related to the prevention of substance abuse. COURSE REQUIREMENTS:. 1. Attendance and Participation: Attendance is required for this class. Students are expected to arrive on time for class and be prepared to participate in discussions. 2. Personal Assumptions Reaction Paper #1: Students will write a short paper (3-5 pages) discussing his/her current attitudes towards addictions and addicted persons. The paper will trace the origin of the students particular perspectives as well as how such views may impact work with clients and their families. Use examples from case load if/whenever possible. Paper is due on October 8, 2010.
3. Quiz: A short multiple choice and true-false quiz will be given to assess students understanding and comprehension of terms and concepts related to a discussion of substances and addition. The quiz will be taken on October 8, 2010 4. 12-Step Meeting Attendance and Reaction Paper #2: Students will attend two 12-Step (Alcoholics Anonymous, Narcotics Anonymous, Gamblers Anonymous, Sex and Love Addicts Anonymous, Overeaters Anonymous, Codependents Anonymous, Al-Anon, etc.) meetings in the community and write a 5-7 page critical reaction paper. This paper shall address the following areas: Brief identifying information about the meetings attended (i.e., type of meeting location, day and time) Personal reactions to the meetings including differences between them. How these 12-Step meetings do or do not support individuals in reaching their goals for abstinence and/or recovery. The student should cite (WITHOUT NAMES, ADDRESSES, OR ANY OTHER IDENTIFYING INFORMATION ABOUT PERSONS SEEN/HEARD THERE) specific examples from the meetings s/he attended and any relevant literature. How a systems oriented therapist best understands the recovery community and the 12-Step process. This paper is due November 5, 2010. 5. Group Class Presentation: Students will form groups and be expected to present research on one form of addiction/compulsive. Groups may address addiction to alcohol, uppers, downers, gambling, sex/love/co-dependency, cutting, eating (how anorexia/bulimia are/are not addictions). Presentations should cover assessment (questionnaires, etc.), criteria, etiology, current treatments, systemic factors (current family, family of origin, culture/gender, adult vs. adolescence), co-morbidity factors, resources and bibliography. Student groups will prepare a 60 minute presentation for the class. Presented on November 6, 2010. 6. Reading/Annotated Bibliography To develop an adequate foundation in family systems theory, students are expected to read from a variety of sources. In addition to the textbooks, books may be chosen from the appended bibliography, the bibliographies in the textbooks, or books or articles from the primary literature selected by the students provided they pertain to the topics covered by this course. The student will keep account of these readings by means of an annotated bibliography that shall include the following components, using APA style format: 1. Author(s), Title of the book, chapter, or journal article, Publisher and year of publication 2. Number of pages read by source (total pages read should also be tallied on first page) 3. Brief summary of the central ideas and concept presented. Journal articles and book chapters can be summarized in a paragraph (at least 200 words), and books can be summarized in one page, typed single spaced. Although the core of the grade for this assignment is based on the number of pages read, the nuance (+/-) is based on the quality of the annotation.
4. If the resource was a videotape, indicate a page number equivalency (1 hour = 33 pages; 6 hour maximum). Grading criteria for this assignment are: 2000 pages = A 1600 pages = B 1200 pages = C Due date: December 1, 2010 All written work should be double-spaced, typewritten, and written at a level consistent with Masters Degree standards. Material presented in this course and from the addictions research and treatment literatures should be cited in accord with APA (6 th ed.) format. SUMMARY OF CLASS ASSIGNMENTS: Assignments % of grade Due Date Reaction Paper #1: Personal Assumptions 15% 10/8/10 Quiz 15% 10/8/10 Reaction Paper #2: 12 Step Meeting 20% 11/5/10 Class Presentation 30% 11/6/10 Reading/Annotated Bibliography 20% 12/1/10 100-94 points A 93-90 points A- 89-87 points B+ 86-84 points B 83-80 points B- < points F COURSE SCHEDULE The following is a proposed outline for the course. This outline may be altered as the course progresses to meet the specific needs of the class. Date Topic/Assignment 9/10/10 Introductions and Syllabus; Knowledge and beliefs surrounding various substances. 9/11/10 Epidemiology/Statistics, Conceptualization/Theory, Assessment, Diagnosis/Dual Diagnosis, Classification and effects of psychoactive drugs (Uppers, Downers, All- Arounders and Other Drugs), Inaba & Cohen, Chapters 1-6, 9-10 10/8/10 Quiz & Reaction Paper Discussion Reaction paper #1 Due: Personal Assumptions
10/9/10 Gambling, Eating, Sex, internet, other compulsive behavior; prevention, orientations to treatment Inaba & Cohen, Chapters 7-8, Miller & Rollnick, Chapters 1-8, 11, 19, 24 11/5/10 Reaction papers: 12-Step attendance and reactions. 11/6/10 Presentations 12/1/10 Annotated Bibliographies Due REQUIRED READINGS/TEXT: Inaba. D. & Cohen, W. (2004). Uppers, downer, all arounders: Physical and mental effects of psychoactive drugs (5 th ed). Ashland, OR: CNS Publications, Inc. Miller, W. & Rollnick, S. (2002). Motivational interviewing: Preparing people to change addictive behavior (2 nd ed.). New York: The Guilford Press. Additional Selected Readings: American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4 th ed., text revision). Washington, DC. Center for Substance Abuse Treatment (CSAT). (2005). Substance abuse treatment of persons with co-occurring disorders (Treatment Improvement Protocol (TIP) Series, No. 42). Rockville, MD: Substance Abuse and Mental Health Services Administration. Center for Substance Abuse Treatment (CSAT). (2004). Substance abuse treatment and family therapy (Treatment Improvement Protocol (TIP) Series, No. 39). Rockville, MD: Substance Abuse and Mental Health Services Administration. Chassin, L. & Ritter, J. (2001) Vulnerability to substance use disorders in childhood and adolescence. In R. Ingram & Price (Eds.), Vulnerability to psychopathology: Risk across the lifespan (pp. 107-134). New York: The Guilford Press. Collins, R.L. & Shirley, M. (2001). Vulnerability to substance use disorders in adulthood. In R. Ingram & Price (Eds.), Vulnerability to psychopathology: Risk across the lifespan (pp. 107-134). New York: The Guilford Press. Daigle, Robert D., et al. (1988). A primer on neurotransmitters and cocaine. Journal of Psychoactive Drugs, 20:3, 283-295.
Landau, J., Garrett, J., Shea, R., Stanton, M., Brinkman-Sull, D., & Baciewicz, G. (2000). Strength in numbers: The ARISE method for mobilizing family and network to engage substance abusers in treatment. The American Journal of Drug and Alcohol Abuse, 26, 379 398. (Please access Dr. Landau s articles at her website, http://www.linkinghumansystems.com/training/intervention.htm). McKay, J., et al. (1999, March). The relationship of alcohol use to cocaine relapse in cocaine dependent patients in aftercare study. Journal of Studies on Alcohol. 176-180. McLellan, T., Lewis, D., O Brien, C. & Kleber, H. (2000, October). Drug dependence, a chronic medical illness: Implications for treatment, insurance, and outcomes evaluation. Journal of the American Medical Association, 284, 1689 1695. Mell, L., et al. (1987). Passive inhalation of marijuana smoke: Urinalysis and room air levels. Journal of Analytical Toxicology, 11, 89-96.Prochaska, J. et al. (1992). In Search of how People Change. American Psychologist, 47, 1102-1114. National Institute on Drug Abuse. (2003). Research Findings - Epidemiology and Etiology Research [Electronic version]. Director s Reports (February 2003). Retrieved from http://www.drugabuse.gov/dirreports/dirrep203/directorreport5.html National Institute on Drug Abuse (NIDA). (2002b). Marijuana abuse [Electronic version]. Research Report Series (October 2002). NIH Publication Number 02-3859. National Institute on Drug Abuse (NIDA). (2002a). Therapeutic community [Electronic version]. Research Report Series (August 2002). NIH Publication Number 02-4877. National Institute on Drug Abuse (NIDA). (2001). Hallucinogens and dissociative drugs: Including LSD, PCP, Ketamine, Dextromethorphan [Electronic version]. Research Report Series (March 2001). NIH Publication Number 01-4209. National Institute on Drug Abuse. (2000). Approaches to drug abuse counseling [Electronic version]. Washington, DC. National Institute on Drug Abuse. (1999). Principles of drug addiction treatment: A research-based guide [Electronic version]. Washington, DC. Obert, J., et al. (1997). Substance abuse treatment for hazardous users: An early intervention. Journal of Psychoactive Drugs, 29:3, 291-298. O Farrell, T. & Fals-Stewart, W. (2003). Alcohol abuse. Journal of Marital and Family Therapy, 29, 121 146. (Please access the full-text of this article via the GCTS Library electronic database).
Prochaska, J., DiClemente, C., & Norcross, J. (1992). In search of how people change. American Psychologist, 47, 1102 1114. (Please access the full-text of this article via the LLU Library electronic database). Roberts, L. & McCrady, B. (2003). Alcohol problems in intimate relationships: Identification and intervention A guide for marriage and family therapists. Washington, DC: National Institute on Alcohol Abuse and Alcoholism. Rowe, C. & Liddle, Howard. (2003). Substance abuse. Journal of Marital and Family Therapy, 29, 97-120. (Please access the full-text of this article via the LLU Library electronic database). Stocker, S. (1999). Studies link stress and drug addiction [Electronic version]. NIDA Notes, 14. Retrieved from http://165.112.78.61/nida_notes/nnvol14n1/stress.html. Sussman, S., et al., (2000). Self-reported high-risk locations of drug use among drug offenders. Ethnic and gender differences. Hispanic Journal of Behavior Sciences, 22:2, 237-252. Szapocznik, J., Hervis, O., & Schwartz, S. (2003). Brief strategic family therapy for adolescent drug abuse (NIH Pub. No. 03-4751) [Electronic version]. Bethesda, MD: National Institute on Drug Abuse. Tims, F., DeLeon, G., & Jainhill, N. (Eds.). (1994). Therapeutic community: Advances in research and application (NIDA Research Monograph No. 144). Rockville, MD: National Institute on Drug Abuse. Whittinghill, D., et al., (2000). The benefits of a self-efficacy approach to substance abuse counseling. Journal of Addiction and Offender Counseling. 20, 64-74.