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Johnson’s Model of Substance Dependency

Johnson’s Model of Substance Dependency. Disease - Alcoholism and chemical dependency are a disease. ( A disease has its own symptoms and is describable) Primary Disease-It is not a secondary symptom of some thing else

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Johnson’s Model of Substance Dependency

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  1. Johnson’s Model of Substance Dependency • Disease - Alcoholism and chemical dependency are a disease. ( A disease has its own symptoms and is describable) • Primary Disease-It is not a secondary symptom of some thing else • Progressive Disease-It progressively gets worse. People become physically, psychologically, and spiritually ill. • Chronic Disease-There is no cure, There is no way to safely use substances again. • Fatal Disease-The disease can only be arrested. If it is not arrested, the person will die from it.

  2. Phase 1: The Learning Phase • Pain Normal Euphoria • ________________[_________]________________

  3. Phase 2: The Mood Swing • Pain Normal Euphoria • ________________[_________]________________

  4. Phase 3: Harmful Dependency • Pain Normal Euphoria • ________________[_________]________________

  5. Phase 4: Chronic Stage • Pain Normal Euphoria • ________________[_________]________________

  6. Alcoholism As A Disease • Jellineck (late 1940’s) established that alcohol dependence progressed through a natural sequence. • Disease concept includes the notions that alcoholics are out of control and abstinence is the only answer.

  7. Alcoholism: A Genetic Link? • Nature VS. Nurture • Twin Studies: • 3,000 children ion Sweden • showed children with one biologic alcoholic parent was at a greater risk of developing an alcohol problem • Even when raised by adoptive parents

  8. Cognitive/Behavioral Approach to Substance Problems (1) • Problematic substance use arises based on a number of motivations • Individuals lacking coping/life skills may use substances to self-medicate • Abusive patterns of use can be changed • Concept of controlled drinking

  9. Cognitive/Behavioral Approach to Substance Problems (2) • Problematic use is a result of Nurture, not Nature • Problematic use does not always result in death • Physical dependence does not occur (Vietnam vets) • Problematic use is a learned behavior that can be unlearned • Use is a way of coping yourself and your world

  10. Disease Concept: Treatment • Abstinence • Alcoholics Anonymous • Narcotics Anonymous • Turn life over to a higher power • Once alcoholic, always an alcoholic • Treatment Services

  11. Cognitive/Behavioral: Treatment • Controlled drinking • Counseling focusing on: • Rational Thinking • Cognitive Restructuring • Development of life skills • Development of self-awareness and self efficacy

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