Chapter 3: Approaches to Therapy(pg 31-71)

Substance abuse treatment and Family Therapy are distinct in their histories, professional organizations, preferred intervention techniques and focuses of treatment. Despite the variations, providers from both fields will continue to treat many of the same clients.

  1. From the Overview on page 31 how are substance abuse treatment and family therapy distinct? What common assumptions do they share?
  1. Compare and contrast the ‘disease model’ with the ‘family systems’ model.
  1. Discuss denial and resistance. How does substance abuse treatment typically view them? How do the mentioned family therapy models view them?
  1. Are substance abuse treatment and family therapy compatible? How so, or why not?
  1. How do family and substance abuse treatment potentially undervalue the powerful influences of culture and society on individuals and families?
  1. How do family interventions common in substance abuse treatment typically differ from Family Therapy? List four areas of difference.
  1. Explain the difference in ‘process’ and ‘content’ as discussed in Chapter 3. Give two examples of each to prove your understanding of their differences?
  1. According to Alcoholics Anonymous 1967 (pg 58-59), what themes are essential to discuss and explore?
  1. When is self-disclosure by the counselor appropriate in counseling?
  1. Regulations, licensure and certification vary from state to state. How many states require licensure for people practicing as family therapists? ______
  1. What is the importance of organizations such as IC&RC and NAADAC?
  1. Fill in the blanks. Assessments for substance abuse treatment programs focus on ______and ______. Family therapy assessments focus on ______and ______.
  1. What is triangulation? How does it affect the family dynamic?
  1. As a family therapist observes the family interactions, alliances can be determined. What else can be determined, according to page 42? ______and ______and other ______.
  1. What is a genogram?

Answer the following questions about the symbols on these figures. Use the symbols in Figure 3-3, on page 43.

  1. The identified patient in this example is:
  1. Mentally ill
  2. Abuses alcohol
  3. Is the youngest child
  4. Is the oldest child
  1. The slash marks represent:
  1. A death
  2. A second Marriage
  3. A divorce
  4. An adopted child
  1. The square with an ‘X’ through it most likely represents:
  1. A deceased parent
  2. A divorce
  3. A suicide
  4. A problem with substance abuse
  1. The circle figures that are half filled represent:
  1. Mentally Ill mother and daughters
  2. Deaths in the family
  3. Substance abuse in family
  4. Enmeshment
  1. In what ways do you see a Genogram as a useful assessment tool in Family Therapy and in Substance Abuse Treatment?
  1. Name three basic issues that arise as constraints and barriers in treatment?
  1. List and describe the Five Stages in the process of change, according to Prochaska.
  1. What are some motivational levels to help or hinder an individual and/or family to enter and remain in treatment?