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Introduction Training Practicum
 question 1 question 2 question 3 question 4 question 5

Patient A has been diagnosed with alcohol dependence or alcoholism. Alcoholism may be treated as a substance dependence disorder characterized by behavior patterns resulting from uncontrolled use of alcohol and continued, or even increased, use, often despite awareness that the substance is disrupting one's life.

Take a psychodynamic approach:

Question 1: What might be a potential cause of A's alcoholism?

X

a.

faulty neurotransmitters in A's brain

 

b.

unconscious conflicts that are manifested in drinking behaviors

X

c.

thoughts and feelings of being a failure

X

d.

heartbreak from a relationship that recently ended


Answer: A psychodynamic approach might view unconscious conflicts that are manifested in drinking behaviors as a potential cause of alcoholism.

Question 2: What might you examine to better understand A's alcoholism?

 

a.

if drinking keeps difficult feelings out of A's awareness

X

b.

if A's drinking only becomes a problem after a certain number of drinks

X

c.

if A drinks alone or with others

X

d.

if drinking hinders A's long-term memory


Answer: A psychodynamic approach might examine how drinking keeps difficult feelings out of A's awareness.

Question 3: Which treatment might you prescribe for A?

X

a.

subliminal suggestion into A's psyche of new, unpleasant associations with drinking

X

b.

art therapy that encourages creative expressions of interpersonal conflicts

 

c.

therapy to help A gain insight into difficult feelings and memories that fuel drinking behaviors

X

d.

surgery on the part of A's brain that oversees repression


Answer: A psychodynamic treatment approach might include therapy to help A gain insight into difficult feelings and memories that fuel drinking behaviors.


Next, take a behavioral approach.





 

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