My study guide

Sex addiction is officially recognized as a mental disorder.

False

Substance abuse treatment in the U.S. is integrated within the healthcare system

False

The DSM-IV uses the term addiction instead of dependence.

False

The French drinking pattern was called by Jellinek, Epsilon.

False

The Jellinek curve depicts only the Gamma variety of alcoholism

False

This text examines diverse theoretical frameworks from a strengths perspective.

True

The highest level of alcohol use is found among:

21 year olds

According to the American Lung Association (2006), approximately ______ non- smokers die each year from lung cancer caused by exposure to secondhand smoke.

3,000

Women make up approximately ___% of AA membership (as of 2004).

35

Binge drinking is defined for males as ________ drinks on one occasion.

5 or more

The percentage of persons who are severely mentally ill that can even drink alcohol or use drugs at a moderate level without consequences is

5%

What percent of those with eating disorders misuse alcohol or other drugs?

50%

What percentage of patients treated at mental health centers have problems with alcohol and other drugs?

60 percent

What percentage of female jail inmates meet the criteria for substance abuse?

68%

Self-change or "natural recovery" occurs with what percent of persons who quit smoking altogether?

80-90%

In AA, newcomers may spend entire days in meeting after meeting; it is routinely suggested that they attend ______ meetings in 90 days.

90

Smoking is directly responsible for approximately what percentage of lung cancer death according the American Lung Association (2006)?

90%

Women caring for minor children (prior to incarceration in prison) make up approximately what percent of all women offenders?

90%

About 90% of the world's heroin comes from?

Afghanistan

Approximately 40% of the entire alcohol advertisement budget is targeted to

African Americans

Of the following prescribed drugs, the one least likely to be associated with getting high is

Antabuse

Aversion treatment derives from the ______________ school.

Classical conditioning/behaviorism *

Which country is considered the world's leading producer of cocaine?

Columbia

When a tolerance that develops for one drug generalizes to another drug in the same pharmaceutical class, this is called

Cross-tolerance

Technological advances often exceed a people's ability to handle it. What was the turning point for alcohol?

Distillation

A drug used experimentally to treat trauma victims is

Ecstasy

"The myth of the 'model minority'" is a term applied to Native Hawaiians.

False

12 Step groups and 12-Step facilitation are one and the same.

False

A key trait of the family "lost child" is perfectionism.

False

A person in the "contemplation" stage exhibits little or no ambivalence about making a change

False

AA was founded in 1950

False

According to the text concerning shopping addiction, the key factor is materialism.

False

According to the text, beating on a punching bag decreases aggression and anger.

False

Alcohol is mentioned 3 times in the 12 Steps.

False

Alcoholics Anonymous requires people to believe in God.

False

Among adolescents, the rate of alcohol use is much higher among males.

False

An intervention approach, if it is truly effective, will work well universally.

False

Bill W. was a surgeon from Akron, Ohio who had a drinking problem.

False

If the client is unmotivated for change, family counseling is premature

False

In the text, therapists are advised to focus on male authority in Asian American families and female authority in Appalachian families.

False

It is illegal for law enforcement to take the money and property of persons "involved" in a drug crime without the owners' being convicted, indicted, or arrested for a particular crime.

False

It is unusual for first-time, nonviolent, low-level drug offenders to be subject to the mandatory minimum sentencing requirements.

False

Moderation Management is a spiritually based program.

False

People with learning differences do best in the group treatment modality.

False

School surveys exaggerate the drinking and drug use rates of minorities in that age group

False

The War on Drugs has resulted in the incarceration of 1 million men and women in the United States.

False

The consequences of immigration are about the same for the same ethnic group.

False

The lowest rates of binge drinking are in the Midwest.

False

The practice of AA members introducing themselves by their first names and then saying, "and I'm an alcoholic," is a counter-therapeutic reinforcement of a negative label, according to the text.

False

The process of brain maturation is complete at age 18.

False

The social worker working in the casino was able to successfully resolve her ethical conflict

False

The stages of change model is a linear process.

False

The suicide rate for pathological gamblers is lower than for any other addictive disorder

False

The text favors use of the terms chief enabler and codependent for the partner of a substance misuser.

False

The text recommends total abstinence as the best criterion by which to measure treatment success.

False

The treatment center at Valdres, Norway subscribed to a motivational enhancement model of treatment.

False

There is no correlation between the availability of gambling and the rate of gambling addiction

False

Transgender clients should not be allowed to continue the use of hormones when they are prescribed.

False

Whereas bulimics suffer more from anxiety, anorexics are inclined toward depression.

False

Women are much more likely than men to be encouraged, cajoled, or browbeaten by partners into entering treatment for their addiction.

False

This cultural/historical group encouraged complete abstinence from alcohol consumption:

Followers of Islam

Which country of the following has the highest total per capita consumption in liters of pure alcohol?

Germany

The G in CAGE stands for

Guilt feelings about drinking

A family that exhibits a lack of cohesion and social support, where each member is protected by a wall of defenses, would be considered ________.

Isolated

Which national group is singled out in the text for their healthy enjoyment of good wine?

Italians

The term "Hispanic" or "Latino" describes a population that includes the following subgroups except

Jamaicans

According to data from the National Survey on Drug Use and Health (2006), in the 18 to 25 age group, which of the following substances had the highest usage?

Marijuana

This drug activates the very receptors in the brain involved in the increase of appetite:

Marijuana

Which drug accounts for more emergency room visits than any other illicit drug, according to a survey released by the National Association of Counties (2006)?

Meth

___________ is used to block withdrawal symptoms and reduce cravings and is distributed in clinics/hospitals in the US and Britain.

Methadone

Serotonin is an example of a

Neurotransmitter

According to Kalant, the only drug that causes addiction in the majority of users is

Nicotine

According to the text the most addictive drug of the following is

Nicotine

According to the text, the rituals of anorexia are closely related to

OCD

Heroin is a synthetic derivative of

Opium

The following is a legacy from the Puritans according to the text:

Religiosity by the state

Which class of medications has become the first line of treatment to combat depression?

SSRI's

Cocaine use as coca leaf chewing originated with:

South American indigenous peoples

Which national or indigenous population introduced marijuana into the "New World"?

The Spaniards

The phenomenon associated with aging in which the drinker loses his/her ability to handle alcohol is

Tolerance Reversal

A majority of people with drinking problems self-recover with no formal treatment

True

A transgendered person may be sexually attracted to males, females, or both.

True

About half as many elderly persons drink as young persons.

True

According to research studies, there is no convincing evidence that prenatal cocaine exposure is associated with developmental toxic effects that are different in severity, scope, or kind from the sequelae of multiple other risk factors.

True

Acupuncture is especially effective early in treatment

True

Adolescent girls surpass boys in use of prescription drugs.

True

Adult males are more likely to report current illicit drug use than females.

True

Alcohol is the most commonly used substance by persons with severe mental illness

True

As Kalant states, the only drug that causes addiction in the majority of users is nicotine.

True

As indicated in the text, there are similarities in the teachings and sayings of AA and harm reduction.

True

Bisexual identity is a separate identity in itself.

True

CAGE assesses both past and current drinking problems.

True

Compared to men, women become intoxicated more readily even at the same body weight.

True

Data from school surveys indicate that drug use is higher among Indian youth than among other adolescent groups

True

Deaths of Ecstasy users may be caused by the consumption of large quantities of water.

True

During Prohibition, distilled beverages became preferred over beer.

True

Eating disorder; trauma disorder; childhood sexual abuse, rape, and domestic violence are highly correlated to eating disorders.

True

Harm reduction is the approach known for its pragmatism.

True

Harm reduction strategies for alcohol misuse are based on the premise that alcohol use ranges across a continuum, starting with no consequences for use and ending with devastating consequences for use.

True

Heavy drinking is significantly less prevalent among Latina women than among Latino men.

True

Hispanic males are significantly less likely than Caucasian patients to complete treatment or attend detoxification programs.

True

In Iowa, and increasingly in other states, meth is listed as the drug of choice among female but not for male inmates.

True

In narrative therapy group settings, the purpose of the groups is to explore and remove problem-dominated personal and stories that describe the individuals as inadequate.

True

In recent years, drug convictions are the largest single category of federal convictions.

True

Internet gambling is the fastest-growing segment of the gambling market.

True

It is never too early to begin preparing family members of alcoholics/addicts for the changes they need to make.

True

Male family members of cocaine addicts have been found to be more difficult to engage in family counseling than female partners.

True

Men are much more likely to be pathological or problem gamblers than are women.

True

Mental health treatment receives better financial reimbursement than substance abuse treatment.

True

Moderation Management derives its membership largely through the Internet.

True

Moderation Management is not intended for people who experience significant withdrawal symptoms when they stop drinking.

True

Most anxiety symptoms in substance misusers are gone within a few days or weeks of abstinence.

True

Motivational strategies have been found to work well with persons with co-occurring disorders.

True

One problem with traditional family treatment approaches, according to the text, is to view children of alcoholics through a deficit lens.

True

People with disabilities are less likely to enter or complete substance misuse treatment.

True

Project MATCH is criticized by researchers for its lack of a control group.

True

Rapid detox was presented in the text as of questionable long-term value in getting people off heroin.

True

Recent research seems to refute earlier claims that marijuana use is a cause of lung cancer.

True

Related to compulsive buying is hoarding, or the refusal to throw anything away.

True

Restorative justice has its roots in both ancient tribal and modern (Mennonite) practices.

True

SMART is an offshoot of Rational Recovery.

True

Studies show multiracial adolescents have high rates of smoking and drinking.

True

The CRAFT approach to family treatment and Al-Anon's are somewhat contradictory

True

The Native American Church uses peyote as a sacramental food and curative for substance misuse

True

The anti-treatment backlash was related in part to the writings of critics who did not subscribe to the disease model

True

The bulk of money related to the war on drugs is diverted into military and law enforcement operations.

True

The family hero, according to Wegscheider, often grows up to enter the helping professions.

True

The highest level of alcohol use occurs in the early 20s.

True

The initial response of the traditional Asian family to alcohol problems may be to ignore it.

True

The risk of suicide in young gay males is associated with religious fundamentalism in his background.

True

The same primitive reward system in the brain is central to the development of both excessive eating and chemical addiction

True

The second leading cause of death for Latinos is AIDS.

True

The suicide rate for pathological gamblers is higher than that of any other addictive disorder.

True

The technique of "externalizing the problem" is most closely associated with narrative therapy.

True

The teen drug of choice is alcohol.

True

There is evidence to indicate that AA is an extremely useful approach for alcoholics trying to stop drinking.

True

To control binge drinking, the text recommends lowering the drinking age from 21 to 18 or lower

True

When given a choice, people tend to choose the goal that is most appropriate for the severity of their problems.

True

Yodanis (2004) documented that the rate of wife and partner violence is higher in nations where women have a lower level of equality.

True

Which of these is not an opiate?

Valium

Motivational interviewing was developed by _____________ as he demonstrated his motivational techniques to Norwegian student interns.

William Miller *

The preferred treatment for eating disorders described in the book is

a combination of pharmaceutical and cognitive interventions *

The recommendation of the book regarding drug control is

a middle road

A major criticism of AA noted in the text is

a. AA's refusal to modernize its concepts b. lack of welcome to drug addicts c. viewing alcoholism and drug addiction as the same disease d. a and b

found to be successful in revealing alcohol problems

a. AUDIT b. TWEAK c. CAGE d. all of the above

Which of the following may reduce the "harms" of compulsive gambling for women?

a. Decreasing the accessibility of gambling venues, for example from shopping centers, malls, grocery stores, and hotels b. Holding women individually accountable for coping with the problems they have caused themselves and others c. Involving compulsive gamblers, financial institutions, gambling operators, and government to work on solutions together. d. Both a and c *

Abuse of which of these substances is the leading risk factor for death among youths?

alcohol

Bulimics tend to share which of the following characteristics

a. a likely history of childhood sexual abuse b. a tendency to abuse alcohol c. the tendency to have overweight family members d. all of the above

A key theme of African American families of which the counselor should be aware is

a. a network of extended family ties. b. reciprocity in providing aid. c. the personal connection between family and therapist. d. all of the above

According to the text, a serious public policy problem is

a. a whole generation of "crack babies." b. the incarceration of mothers who used drugs while pregnant. c. the poor nutrition and health that d. B and C above *

Visitors who want to attend a twelve-step group in the community should

a. attend an open meeting

The harm reduction model stresses

a. availability of the substance or other agent b. recognition of individual variation in response to the substance or other agent c. understanding of the person-in-the-environment configuration d. all of the above

Advice to prevent a hangover is to:

a. avoid darker drinks b. drink lots of liquids such as water c. don't drink much d. all of the above

As stated in the text, addiction is an illness of the:

a. body b. mind c. soul d. all of the above

The following statement, according to the text, is true

a. brain degeneration may be reversed to some extent with therapy. b. psychological counseling can alter brain chemistry. c. Schick Shadel does not rely on Twelve Step programming. d. all of the above *

The American experiment with "prohibition - the noble experiment":

a. caused corruption of police and politicians b. was successful in reducing alcohol consumption c. glamorized crime d. a and c

The lesson that we can learn from Shane Butler's insightful analysis of treatment in Ireland is the need for:

a. compatibility between societies belief system and publicly instituted policy b. integration of theory and practice c. a return to Catholic principles d. a and b

The following is not a goal of motivational interviewing:

a. compliance from the client b. challenging resistance c. confrontation d. all of the above *

According to the book, the following is a theme in the history of substance abuse and addiction:

a. cultural traditions breed different reactions to the same drug b. America has had a love/hate relationship with alcohol c. increased drug potency tends to be associated with prohibition d. all of the above

The drug court movement promotes what action with individuals whose legal problems are related to their addiction?

a. decarceration - treatment in the community b. incarceration - treatment in the prison system c. requirement to serve out the remainder of prison term, in case of relapse d. none of the above

Among the criteria listed by DSM-IV for pathological gambling are all except

being a young to middle-aged male

The idea of family has come to include which familial arrangements?

a. divorced singles with children b. never-married adults with children c. gay or lesbian families d. all of the above

According to the text, which of the following behaviors cannot become addictive?

a. drug/alcohol use b. eating c. shopping d. none of the above

A problem with methadone maintenance clinics in the United States is that

a. federal and state regulations are strict and exacting b. most operate illegally c. they are usually only found in larger cities d. both a and c

A strong risk factor for smoking is

a. having friends who smoke. b. dropping out of school. c. having a risk-taking personality. d. all of the above *

An innovative program in Canada used the principles of harm reduction to design a shelter-based project that provides which of the following?

a. health care b. daily living assistance c. one standard drink of alcohol hourly on demand during waking hours d. all of the above

Which of the following negative health behaviors in women are shown to have a high correlation with the experience of severe violence?

a. high risk sexual behavior b. multiple sex partners c. suicide attempts d. all of the above

What were the two most significant developments in Irish treatment history?

a. introduction of the AA model b. adoption of harm reduction strategies c. closing down treatment centers d. a and b

Box 2.1 describes a treatment center in Norway that

a. is based on a 12 Step approach.

Solution-focused therapy

a. is based on behavioral therapy techniques. b. sees the person as the problem. c. relies on diagnostic labels from the DSM. d. none of the above. *

Which of the following is a reason why women are less likely than men to enter treatment?

a. lack of family support b. obligation of child-rearing c. lack of gender specific treatment programs d. all of the above

Which of the following is a serious issue in the health care system for pregnant drug-abusing women?

a. lack of money b. legal threats c. fear of health professionals d. all of the above

Which of the following is a reason that a person with coexisting disorders might use a substance?

a. loneliness b. boredom c. insomnia d. all of the above *

Advice from CSAT for working with Asian American families includes

a. making the first appointment with the head of the family. b. recognizing that there is respect for expertise in this group. c. providing a thorough treatment plan. d. all of the above

As an effort of harm reduction, the text favors

a. mandatory minimum sentencing to enhance treatment possibilities. b. the seizing of assets used in crime. c. drug-free zones to protect children. d. none of the above

Persons who are dually diagnosed with substance misuse and mental disorders can expect the following (compared to persons with just substance misuse problems)

a. more homelessness b. less often contracting sexually transmitted diseases c. more incarceration d. a and c

Which of the following approaches rest on the assumption that clients have abilities, possibilities, strengths and competencies?

a. motivational interviewing b. narrative therapy c. solution-focused therapy d. all of the above *

Compared to men, women who have problems with substance misuse

a. often have a history of sexual abuse from childhood. b. suffer from low self-esteem. c. are more apt to have a serious mental disorder. d. all of the above

In the 12 Steps, alcohol is mentioned

a. one time.

The following concept or notion was derived from Bill W.:

a. powerlessness b. carrying the message to other persons c. seeking divine guidance d. all of the above

Typical warning signs of Internet addiction include which of the following?

a. preoccupation with the Internet b. jeopardized relationships c. lying behavior d. all of the above

Early American colonists used alcohol for which of the following?

a. protection against disease b. as a solvent c. as an antiseptic d. all of the above

Because continued smoking (like drinking) changes the brain, quitting is likely to bring about

a. psychosis b. depression c. irritability d. b and c *

The following is a method used in solution-focused therapy:

a. scaling questions b. the miracle question c. coping questions d. all of the above *

The following is a risk factor for an eating disorder among girls:

a. stress and trauma b. susceptibility to media ads and images c. substance misuse d. all of the above

Miller and Rollnick recommend with regard to substance use assessment, that

a. that the counselor avoid the role of expert.

Alcoholism is described in this book as an illness because:

a. the concept recognizes alcoholism as a medical problem b. it is non-victim blaming c. it is non-judgmental d. all of the above

Drinking and drug use rates among Native Americans and Alaska Natives vary by:

a. tribe b. rural c. urban d. all of the above

Which of the following is a type of groups found in specialized AA meetings

a. veterans b. elders c. Native Americans d. all of the above

To understand the pain connected with addictive and compulsive behavior, one must:

a.focus on harm of substance misuse b.understand the pleasure side of the activity c.emphasize character weakness d.all of the above

Mandatory minimum sentences apply to everything that has to do with the substances listed below except:

alcohol

The most commonly used substance by persons with severe mental illness is

alcohol

The third leading cause of death after heart disease and cancer is

alcohol misuse

The inability to feel pleasure is known as

anhedonia

Which of the following have been found to be more related to anorexia than bulimia?

anxiety and obsessivneess

According to the text, generalizations about family role traits—hero, scapegoat, etc.

are helpful in engaging family members in systems work.

The __________ political family made their money through selling illicit alcohol directly to people at the highest levels of organized crime?

b. Kennedy

The "new" addictions therapist should have a strong background in

b. mental health counseling

Which of the following is not a technique for enhancing motivation?

break through denial *

The National Institute of Justice (2006), in its review of research findings on drug court effectiveness made the following recommendations for improving the retention rate:

c. counseling sessions that include family members

Philadelphia physician Benjamin Rush is known for recommending:

c. medical treatment for chronic "inebriates."

A "seamless" treatment program means:

c. providing simultaneous treatment for a person with coexisting disorders

Breweries popped up in the Midwest related to the arrival of

c. the Germans

According to the DSM-IV what term or terms replace(s) the word addiction?

dependence

2The slower metabolism, lower body mass, and decrease in an enzyme called alcohol dehydrogenase applies to which population and helps drive down their tolerance level?

elderly people

Legal threats to pregnant women who are using drugs during pregnancy have resulted in

fewer women obtaining prenatal care

Those who survive head injuries often do not suffer from:

hypersomnia

Erik Erikson's stage of development pertaining to adolescence was

identity vs.role diffusion

Using a holistic basis for measurement, which of the following is considered a standard measurement for successful treatment outcomes?

improvement that might include moderate drug/alcohol use

In working with Latin American families, the therapist should

incorporate recognition of the impact of a toxic social environment as a contributor to substance abuse problems

A major focus in motivational interviewing is to help clients:

increase willingness to change *

According to the text, motivational enhancement therapy

is both cognitively based and client centered

According to Carol Gilligan, Erikson's conceptualization for young life was:

lacking in concern for female developmental issues.

Substance use disorders are NOT especially prevalent in individual's with____________?

low IQ

In Colonial times the tavern was criticized because of which factor with which it was associated:

male drunkenness

Emergency rooms today are reporting that around one-quarter of the drug-related emergency room admissions are for overdoses of _______ and over-the-counter drugs.

marijuana

The prefrontal cortex of the brain reaches full maturity soon after age

mid-20's

The behavior most clearly associated with the temperance movement was:

moderation of drinking

A national sample found that ______ persons who suffered from a pathological gambling disorder also had problems with alcohol

most

With reference to traumatic brain injury

motivational interviewing techniques have been successful in treatment.

The following is closely associated with narrative therapy:

naming the problem in collaboration with the client *

Which of the following are NOT typical symptoms defined by the DSM-IV to diagnose substance dependence

nervous facial tics

Which one of these is not a depressant?

nicotine

Collaborative case management refers to

offering a menu of supports and services

According to the U.S. Department of Justice (2006), around _____ of inmates in the federal prison are serving time for drug related crime.

one-half

The average lifetime duration for bulimia and binge eating disorder is

over 8 years *

What approach is not considered in the text to be strengths-based?

problem-focused therapy

In Colonial America strong drink was thought to:

protect against disease

In situations of domestic violence, the counselor is advised by the text authors to

refer the violent partner to a batterers' group.

The text recommends from a harm reduction perspective to control college binge drinking through

restricting the marketing of alcohol products

According to Miller and Rolnick, a formal assessment (such as strengths-based assessment)

should be avoided as part of motivational work

According to the text, principles of motivational intervention are derived from the findings primarily from

social psychology

A behavior pattern of compulsive substance abuse is the definition of

the concept of addiction

A major problem in the addictions professions, according to Laura Kaplan is

the problem of dual relationships

Protective factors among young, low-income, Mexican American women include

the responsibility of providing family connection and care of the children

According to classical family systems theorists, the drug addict is viewed as______________.

the symptom carrier

When assets of suspected drug dealers are seized, according to the text,

the whole family may suffer grievous loss

According to Rapp et al. (2003) of the strengths-based school,

there is little relationship between a client's initial stage of motivation and later treatment success.*

The traditional treatment system commonly involves a continuum of care that includes all of the following except:

treatment on demand *

Which of the following is not a tenet of a strengths-based approach?

urinalysis testing

Which of the following treatment modalities was not highly rated in empirical research for effectiveness?

use of educational tapes, lectures, and films

________ are the fastest growing population in prison.

women