By Robert J. Meyers, William R. Miller
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Additional info for A Community Reinforcement Approach to Addiction Treatment
2. What are you usually 2. How often do you feeling physically right engage init? before you (activity)? ^W*w,irt*w)f. 2. What do you dislike about (activity) (where) "%&«, 3. When do you usually (activity)? 3. What are you usually feeling emotionally right before you 3. What do you dislike about (activity) (when)? 9t 4 jmc*»C *A *&&&§** eA 3. How long does it usually last? /ffen£ 3 Jiearzt. 1. What are the positive results of your (activity) in each of these areas: a. Interpersonal c. Emotioi 4.
Some viewed it as a coercive weapon used by doctors to force sobriety on patients, taking away their feelings of choice and control. Others viewed disulﬁram use as a crutch which implied that they lacked character or will power. Since negative feelings toward disulﬁram could have been partially responsible for a lack of disulﬁram compliance, Azrin added motivational procedures to help clients view disulﬁram in a positive manner. While describing the disulﬁram program to clients, counselors made an eﬀort to describe the medication as a chemical time-delay device which gave the client time to think over a decision rather than to act impulsively.
2. It is viewed by family members as a commitment to change, which in turn elicits their support. 3. It prevents the reliance on drinking as a coping strategy, and instead gives the client the opportunity to substitute new coping behaviors. 42 The Treatment 4. It aﬀords the client some practice in setting and achieving manageable goals, which then works to enhance self-esteem and conﬁdence. 5. In the event that the client experiences diﬃculty in maintaining sobriety during this monitored period, it provides valuable information regarding troublesome areas.
A Community Reinforcement Approach to Addiction Treatment by Robert J. Meyers, William R. Miller