SlideShare verwendet Cookies, um die Funktionalität und Leistungsfähigkeit der Webseite zu verbessern und Ihnen relevante Werbung bereitzustellen. Wenn Sie diese Webseite weiter besuchen, erklären Sie sich mit der Verwendung von Cookies auf dieser Seite einverstanden. Lesen Sie bitte unsere Nutzervereinbarung und die Datenschutzrichtlinie.
SlideShare verwendet Cookies, um die Funktionalität und Leistungsfähigkeit der Webseite zu verbessern und Ihnen relevante Werbung bereitzustellen. Wenn Sie diese Webseite weiter besuchen, erklären Sie sich mit der Verwendung von Cookies auf dieser Seite einverstanden. Lesen Sie bitte unsere unsere Datenschutzrichtlinie und die Nutzervereinbarung.
INTRODUCTION Description of addiction Analysis of issues One strategy of wellnessCounsellor Strengths and Challenges Self care plan References
DESCRIBE ADDICTION maintaining a relationship with something despite the known negative consequences.(Ngawaka-Nathan,2012)obsessive thinking and compulsive need for drugs, alcohol, food, sex, or anything despite the resulting negative consequences.(Recovery Connection,2005-2012)It is, at root, a SPIRITUAL concern, because it represents a misdirected attempt to achieve wholeness, to experience inner completeness and satisfaction(Weil, 2004)
ALCOHOLISM AND DRUG ADDICTION ACT 1966 alcoholic means a person whose persistent and excessive indulgence inalcoholic liquor is causing or is likely to cause serious injury to his health or is a source of harm, suffering, or serious annoyance to others or renders him incapable of properly managing himself or his affairsDrug addicts: addiction to intoxicating, stimulating, narcotic, or sedative drugs is causing or is likely to cause serious injury to his health or is a source of harm, suffering, or serious annoyance to others or renders him incapable of properly managing himself or his affairs. (Parliament Counsel Office, 2008)
DSM-IV CRITERIA FOR SUBSTANCE ABUSE Tolerance, as defined by either of the following: A need for markedly increased amounts of alcohol to achieve intoxication or desired effect or markedly diminished effect with continued use of the same amount of alcohol. Withdrawal, as defined by either of the following: The characteristic withdrawal syndrome for alcohol (refer to DSM-IV for further details) or Alcohol is taken to relieve or avoid withdrawal symptoms. Alcohol is often taken in larger amounts or over a longer period than was intended. There is a persistent desire or there are unsuccessful efforts to cut down or control alcohol use. A great deal of time is spent in activities necessary to obtain alcohol, use alcohol or recover from its effects. Important social, occupational, or recreational activities are given up or reduced because of alcohol use.Alcohol 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 alcohol (e.g., continued drinking despite recognition that an ulcer was made worse by alcohol consumption). (American Psychiatric Association, 2000)
ISSUES“addiction is no respecter of person. It doesn’t matter whether you are working class or middle class; young or old; male or female, or married or single. Addictions canaffect anyone of us and the way they do so varies between individuals”(Medic8,n.d) Once an addict, always an addict Health Family
ONCE AN ADDICT, ALWAYS AND ADDICT 1. Frustration and internal pain, that leads to anxiety and a demand for relief of these symptoms 2. Fantasizing about using alcohol and drugs or behaviours to relieve the uncomfortable symptoms 3. Obsessing about using drugs and alcohol and how his or her life will be after the use of substances 4. Engaging in the addictive activity, such as using substances in order to gain relief (acting-out) 5. Losing control over the behaviour (substance use) 6. Developing a feeling of remorse, guilt, and shame, that lead to feelings of dissatisfaction 7. Making a promise or resolve to oneself to stop the behaviour or substance use 8. After a period of time, the pain returns, and the addict will again begin to experience the fantasies of using substances (Recovery Connection,2005-2012)
HEALTHAlcoholism is a major health problem and ranks with cancer and heart diseaseas a threat to health. The alarming rates at which drug addiction is on the rise make it a massive threat in its own right Use of alcohol and drugs is one of the leading causes of death and injury among teenagers and young adultsAround one in three adults drink at levels that put them at risk of developinga number of related health conditions, including alcoholism and liver disease (Lehmann,2012)
HEALTH It impairs memory and thinking ability, ranging from one-time "blackouts," in which the person cannot remember a night of hard drinking, to permanent brain damage and dementia (confusion and memory loss). It raises the risk of cancers of the lip, mouth, neck, oesophagus, stomach, pancreas, and breast In men, it can cause impotence (inability to have an erection). In women, it can cause infertility (inability to have a baby). (Human Diseases and Conditions,2012)
FAMILY Family members avoid sharing subjects that might lead to more pain they often wind up avoiding genuine connection with each other.(Dayton,n.d) Denial towards the addictioncodependent person may not realize that they are reinforcing their loved one’s addiction with their “supportive” behavior.(The Recovery Place,2010) which in turn is enabling their addiction
THE ADDICT(The role of the family in addiction and recovery,n.d)
12 STEP PROGRAM 1. We admitted we were powerless over alcohol—that our lives had become unmanageable. 2. Came to believe that a Power greater than ourselves could restore us to sanity.3. Made a decision to turn our will and our lives over to the care of God as we understood Him. 4. Made a searching and fearless moral inventory of ourselves. 5. Admitted to God, to ourselves, and to another human being the exact nature of our wrongs. 6. Were entirely ready to have God remove all these defects of character. 7. Humbly asked Him to remove our shortcomings. 8. Made a list of all persons we had harmed, and became willing to make amends to them all. 9. Made direct amends to such people wherever possible, except when to do so would injure them or others. 10. Continued to take personal inventory and when we were wrong promptly admitted it. 11. Sought through prayer and meditation to improve our conscious contact with God, as weunderstood Him, praying only for knowledge of His will for us and the power to carry that out. 12. Having had a spiritual awakening as the result of these Steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs.
IMPLEMENTING 12 STEP PROGRAM Self Help Groups Open group Closed meetings Participation meetings Step meetings Big Book Meetings
CHALLENGESThe difficulty in treating addicted people due to factors such as relapses, poor impulse control, emotional reactivity, and/or lying to protect their addiction The lack of knowledge (techniques) on how best to treat them Negative personal as well as professional experiences working with addicts Counter-transference for ex-addicted counsellors Changes in public policy (Miller, 2005)
STRENGTHS Knowledge of own limitationsAcknowledgement of ones own past Multicultural competency
SELF CARECounsellors “work in a demanding field that consistently exposes themselves to the dysfunctional behavior of humans that can be discouraging, disheartening and stressful”(Miller, 2005)
TE WHARE TAPAWHA Wa i r u a WhanauShower after sessions to wash away Spend time with whanau whenever the counselling possible Sit in calm quiet space with no Talk to whanau, just to talk thoughts Go on a date Karakia/Prayer
TE WHARE TAPAWHA Hinengaro TinanaRead books, magazines, something Go for a walk/exercise that interests you Food Do puzzles, jigsaws Sleep Playing games
CONCLUSION Description of addiction Analysis of issues One strategy of wellnessCounsellor Strengths and Challenges Self care plan References