1) Watch an episode of the television show Intervention
Intervention: Then & Now: Danielle Is On a List of Pills – Full Episode (S1, E20) | A&E
Briefly describe one of the addict?s story and circumstances. Based on the addict?s personal story, the information provided by significant others, and your overall observations of the episode, relate 2 of the theoretical models of addiction to this person?s life. In your paper, write about each of the models of addiction one at a time, creating a heading for each model, specifically relating them to what you observed and heard from the addict. What aspects or key concepts of the various models or theories of addiction are illustrated in this addict?s life? Connect at least 2 key concepts of each model to the person?s addiction.
You may use any of the following models: Disease Model, Psychoanalytic Theory, Behavioral Theory, Cognitive Theory (a.k.a. Social Learning Theory), or Family Systems Theory.
2) Cite literature that deals with the different models or theories. Use at least 3 different references in your paper. (This does not include multiple references from the same source.)
3) How did this person?s description of his/her substance usage manifest a substance use disorder according to DSM-V criteria? Be specific in citing DSM-V criteria in your diagnosis. If you do not have enough information, do not make up facts. Simply state what information is lacking, or what would need more corroboration.
DSM-V Substance-Use Disorder Criteria
A. A maladaptive pattern of substance use leading to clinically significant impairment or distress, as manifested by 2 (or more) of the following, occurring within a 12-month period:
1. Recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or home (e.g., repeated absences or poor work performance related to substance use; substance-related absences, suspensions, or expulsions from school; neglect of children or household).
2. Recurrent substance use in situations in which it is physically hazardous (e.g., driving an automobile or operating a machine when impaired by substance use).
3. Continued substance use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of the substance (e.g., arguments with spouse about consequences of intoxication, physical fights)
4. Tolerance, as defined by either of the following:
a. a need for markedly increased amounts of the substance to achieve intoxication or desired effect.
b. markedly diminished effect with continued use of the same amount of the substance (Note: Tolerance is not counted for those taking medications under medical supervision such as analgesics, antidepressants, ant-anxiety medications or beta-blockers).
5. Withdrawal, as manifested by either of the following:
a. the characteristic withdrawal syndrome for the substance (refer to Criteria A and B of the criteria sets for Withdrawal from the specific substances).
b. the same (or a closely related) substance is taken to relieve or avoid withdrawal symptoms (Note: Withdrawal is not counted for those taking medications under medical supervision such as analgesics, antidepressants, anti-anxiety medications or beta-blockers).
6. The substance is often taken in larger amounts or over a longer period than was intended.
7. There is a persistent desire or unsuccessful efforts to cut down or control substance use.
8. A great deal of time is spent in activities necessary to obtain the substance, use the substance, or recover from its effects.
9. Important social, occupational, or recreational activities are given up or reduced because of substance use.
10. The substance use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the substance.
11. Craving or a strong desire or urge to use a specific substance.
Severity specifiers:
Moderate: 2-3 criteria positive
Severe: 4 or more criteria positive
Specify if:
With Physiological Dependence: evidence of tolerance or withdrawal (i.e., either Item 4 or 5 is present)
Without Physiological Dependence: no evidence of tolerance or withdrawal (i.e., neither Item 4 nor 5 is present)
Course specifiers (see text for definitions):
Early Full Remission Early Partial Remission
Sustained Full Remission Sustained Partial Remission
On Agonist Therapy In a Controlled Environment
Length of time of being in remission Amount of symptoms
Early ? less than 12 months Partial ? some symptoms present but not all
Sustained ? 12 months or more Full ? No signs or symptomsDescription of the addict (1-2 paragraphs) or up to 1 page
Joe Shmo is a caucasian heterosexual male with two children who lives in Westchester, New York. Joe Shmo has been using heroin for the past 5 years. He shoots heroin at least 5 times daily.
Theories (minimum 2-3 pages)
Heading for the Model 1
Connect at least 2 key concepts of the model to the person?s addiction
According to Thombs and Osborn (Yr), the disease model states, ????.?. (page #).
A citation or two
Heading for the Model 2
Connect at least 2 key concepts of the model to the person?s addiction
According to Mcneece and DiNittto (Yr), the Family Systems Theory states, ????.?. (page #).
A citation or two
Last paragraph (1 page)
The diagnosis
Based on my observations of Joe Shmo, I believe he has a heroin use disorder severe with physiological dependence. Joe Shmo also has a cocaine use disorder moderate without physiological dependence. He has met the criteria for failure to fulfill his role obligations by losing custody of his children. He drives his car while under the influence, he has given up his professional football career in favor of getting high, and he has established a tolerance to heroin. Joe Shmo also experiences withdrawal when too much time has passed since using heroin. At the end of the episode, Joe Shmo entered detox and rehab. He is now in early partial remission. Joe Shmo is on agonist therapy as he is now taking buprenorphine in place of heroin.
Don?t forget the reference page.
