Introduction
In 2006, the
130-year-old American Association on Mental Retardation changed its name to the
American Association on Intellectual and Developmental Disabilities because it
recognized that within the culture of its membership opinion toward the term mental retardation had turned negative.
In its press release, an official noted, “This new name is an idea whose time
has come. Individuals with disabilities and family members do not like the term
mental retardation and their advocacy
is encouraging political and social change at national, state, and local
levels. Our members demanded that we keep up with [the] times and they voted
for this name change” (American Association on Intellectual and Developmental
Disabilities, 2006).
Like the disabilities
field, the field of addictions also relies on terms and labels to diagnose,
treat, and intervene. One precaution in working in the field is to understand
the controversy surrounding labeling, the effect of labeling on clients, and
the influence of cultural context on labels. A consideration affecting
assessment and treatment is the underlying model used to inform processes.
This week, you examine
the implications of labeling in addictions assessment, and you explore the
relationship between addiction models and assessment processes.
Objectives
Students will:
- Analyze
implications of labeling in the addictions assessment process
- Analyze
influences of cultural context on labeling in the addictions assessment
process
- Analyze
the relationship between models of addiction and assessment processes
- Evaluate
controversies associated with models of addiction
Required Resources
Note: To access
this week's required library resources, please click on the link to the
Course Readings List, found in the Course
Materials section of your Syllabus.
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Readings
- Gordis,
E. (2009). Contributions of behavioral
science to alcohol research: Understanding who is at risk and why.
In G. A. Marlatt, & K. Witkiewitz (Eds.), Addictive behaviors: New readings on etiology, prevention, and
treatment (pp. 19–32). Washington, DC: American Psychological
Association.
Addictive Behaviors: New Readings on Etiology, Prevention, and Treatment, 1st Edition by Marlatt, G. & Witkiewitz, K. Copyright 2008 by American Psychological Association. Reprinted by permission of American Psychological Association via the Copyright Clearance Center.
For your Assignment, focus on thevarious hypotheses that describe why some individuals develop addictions and how certain age groupings are affected by alcohol.
- Miller,
G. (2010). Learning the language of
addiction counseling. New York, NY: Wiley.
Learning the Language of Addiction Counseling [Third Edition] by Gerri Miller. Copyright 2012 by John Wiley and Sons - Books. Reprinted by permission of John Wiley and Sons - Books via the Copyright Clearance Center - Chapter 1, “Introduction”
For your Assignment, focus on the various models of addiction and how they might relate to assessment.
- Allamani,
A. (2008). Views and models about addiction: Differences between
treatments for alcohol-dependent people and for illicit drug consumers in
Italy. Substance Use & Misuse,
43(12/13), 1704–1728.
Retrieved from the Walden Library databases.
Focus on the cultural context surrounding substance abuse and dependence and gambling.
- Kroska,
A., & Harkness, S. K. (2008). Exploring the role of diagnosis in the
modified labeling theory of mental illness. Social Psychology Quarterly, 71(2), 193–208.
Retrieved from the Walden Library databases.
Focus on the concept of consequences of labeling to the individual. Though this article is focused on mental illness, the concepts apply to the field of addictions.
- Richard,
A. J., Trevino, R. A., Baker, M., & Valdez, J. (2010). Negative
reflected appraisal, negative self-perception, and drug use intentions in
a sample of suburban high school students. Journal of Child & Adolescent Substance Abuse, 19(3), 193–209.
Retrieved from the Walden Library databases.
Focus on how labeling might affect adolescents.
- Van
der Aa, N., Overbeek, G., Engels, R. C. M. E., Scholte, R. H. J.,
Meerkerk, G-J.,& den Eijnden, R. J. J. M. (2009). Daily and compulsive
internet use and well-being in adolescence: A diathesis-stress model based
on Big Five personality traits. Journal
of Youth & Adolescence, 38(6),
765-776.
Retrieved from the Walden Library databases.
For your Assignment, focus on how the diathesis-stress model is applied in assessing Internet addiction in adolescents. Pay particular attention to how this model was incorporated into the assessment of Dutch adolescents in order to study their behavior.
- Young,
R. S., & Joe, J. R. (2009).Some thoughts about the epidemiology of
alcohol and drug use among American Indian/Alaska Native populations. Journal of Ethnicity in Substance
Abuse, 8(3), 223–241.
Retrieved from the Walden Library databases.
Focus on the cultural context of alcoholism in the Indian/Alaska Native populations. How might such labels as alcoholic and drinker differ in these populations as opposed to a different population in the United States? - Addiction
Treatment Magazine. (2011). New
definition of addiction causing controversy among doctors. Retrieved
from http://www.addictiontreatmentmagazine.com/addiction/new-definition-addiction-controversy/
Focus on how the new definition of addiction differs from definitions of years past. Why would this new definition be controversial? How would it affect treatment and practices?
- Hamlin,
J. (n.d.). Labelling theory (social
reaction theory). Unpublished manuscript, Department of Sociology and
Anthropology, University of Minnesota-Duluth. Retrieved November 25, 2013,
from http://www.d.umn.edu/cla/faculty/jhamlin/2311/Labeling%20Theory.pdf
Application: Models of Addiction and the
Assessment Process
Several models are
prominent in the field of addictions; these models include the medical model,
moral model, and the biopsychosocial model. A particular model advocated by an
addictions professional will influence the professional’s choices of assessment
methods and treatment of addiction.
To prepare:
- Consider
the following definition of addiction by Michael Miller, M.D., former
president of the American Society of Addiction Medicine: “At its core,
addiction is not just a social problem or a moral problem or a criminal
problem. It is a brain problem whose behaviors manifest in all these
others areas…The disease is about brains, not drugs. It is about
underlying neurology, not outward actions” (Addiction Treatment Magazine,
2011).
Assignment Directions:
- Review
the article, “New Definition of Addiction Causing Controversy Among
Doctors.”
- Research
two articles that support or refute this position.
- Examine
Miller’s statement and, based on your research, identify which model it
reflects and the implications for the assessment process.
Submit by Day 7
a 2- to 4-page paper that includes the following:
- A
brief description of the articles you chose and an explanation of their
significance to Miller’s definition
- An
explanation of the model reflected in Miller’s statement and its
implications for the assessment process
- An
explanation of the controversy that exists between models of addiction and
their effects on assessment
- An
explanation of the relationship between the models of addiction and
assessment processes
Cite your sources using APA guidelines.
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