Addictive Disorders-CPY 603 Summer Semester: 2012 Course Syllabus

Instructor: Anthony J. Schefstad, PhD, LCSW, MA Cell Number: 407-462-6210 E-mail: [email protected] Office Hours: Available by appointment. Time 6:45- 9:15; Tuesday Cornell Social Sciences Building

Required Textbook

Fisher, G.L. & Harrison, T. (2009, 2005, 2000). Substance Abuse: Information for School Counselors, Social Workers, Therapists, and Counselors (4th edition). Allyn and Bacon: Boston. ISBN 9780205591763 (Cost New: $41.99)

Miller, W. & Rollnick, S. (1991). (2nd Ed) Motivational Interviewing: Preparing people to change addictive behavior. Guilford Press. ISBN: -10:1-57230-563-0 13-973-1-57230-563-2 (hardcover) (Cost New: $43.29).

Course Description

This course includes research and theories of substance use and abuse as well as principles and practice for assessment, diagnosis, and treatment of substance abuse and addiction. The diversity of addictions is studied including dual diagnoses and interrelationship of addictive modalities. Students will develop specific strategies for working with addictive clients, knowledge about referrals resources, and promotion of responsible behavior.

Course Structure

The instructional format of the Addictive Disorder course utilizes a combination of short-lectures, discussion, role-plays, experiential activities, guest speakers and panels, and round table student presentations. It is taught in a seminar format. Be sure to complete the assigned reading before each class. Videotapes will further supplement class presentations. Due to the shortened summer semester, students will be required to complete additional work outside of scheduled class meetings. Class discussions are an important part of CPY 603. You are encouraged to engage in class dialogue by sharing your own experiences and perspectives. Your class participation will affect your grade.

Course Objectives

Upon successful completion of this course, a student will be able to do the following: 1. Demonstrate significant understanding for how counselor and consultant characteristics and behaviors influence helping processes with addictive disorders, including such variables as age, gender, ethnic differences, verbal and nonverbal behaviors, and personal characteristics, orientations, and skills (CACREP II.K.5.a); 2. Develop a therapeutic relationship through essential interviewing and counseling skills with the addictive disordered person (CACREP II.K.5.b); 3. Establish appropriate counseling goals and design intervention strategies appropriate to addictive disorder (CACREP II.K.5.b); 4. Conceptualize client presentation and select appropriate counseling interventions through the use of counseling theories and a consistent model(s) of counseling addictive disordered persons (CACREP II.K.5.c); 5. Understand how developmental crises, disability, exceptional behavior, addictive behavior, psychopathology, and situational and environmental factors affect both normal and addictive disordered persons (CACREP II.K.3.c.);

Revised 5-12 1 6. Implement individual, couple, family, group, and community strategies for working with diverse populations and ethnic groups to address addictive disorders (CACREP II.K.2.c, II.K.2.e); 7. Utilize group counseling methods, including group counselor orientations and behaviors, appropriate selection criteria and methods, and methods of evaluation of effectiveness among addictive disorders (CACREP II.K.6.d); 8. Recognize approaches used for various types of group work, including task groups, psycho educational groups, and therapy groups among addictive disorders (CACREP II.K.6.e); 9. Make maximum use of supervision, peer consultation, professional journals, research, seminars, workshops, and/or other activities or affiliations that contribute to personal and professional growth and increase counseling effectiveness (CACREP II.D, II.K.8.e); 10. Write accurate, succinct intake reports, progress notes, and closing reports; 11. Maintain appropriate professional boundaries (CACREP II.K.5.b); 12. Apply the ethical standards of ACA and related entities in addition to other applications of ethical and legal considerations in professional counseling (CACREP II.K.1.h, II.K.2.f, II.K.6.g); 13. Evaluate client outcome and successfully terminate the counselor-client relationship (CACREP II.K.5.b); 14. Articulate an understanding of advocacy processes to address institutional and social barriers that impede access, equity, and success for clients (CACREP II.K.1.g, II.K.2.d); 15. Describe professional counseling identity including professional role, function, and relation to other human service providers (CACREP II.K.1.b, II.K.2.

Policies and Procedures:

Confidentiality – In order to provide safety for individuals in the class and to protect the confidentiality of clients and class members: All case material will be presented anonymously (without identifying information) to protect the right to privacy of each client. Students will not discuss cases outside class session. Material presented by class peers, including others’ personal information, reactions, etc. should be considered confidential and will be referred to only while in class or privately with one another.

Respect for Individual Differences – The Department of Graduate Studies in Counseling endorses a learning climate that represents diversity and individual differences and encourages the open-minded exploration of differences among individuals. We do not expect all graduates of our program to think the same way, but we do expect that while they are students they will be accepting of differences and strive to understand how other peoples’ perspectives, behaviors, and world views are different from their own.

Attendance Policy – Attendance is required of all students. If it is impossible to attend class, notify me as early as possible. Your final grade will be lowered one half of a letter grade for each unarranged absence, and one letter grade for more than any two absences, excused or otherwise. Students are responsible for all assignments, lectures, announcements, and class discussions even when not present. Make-up tests will not be given after an exam has been administered unless it has been previously arranged b y the professor and student, or in certain circumstances. If you have a conflict with an exam date, speak with the professor at least seven days prior to the test. During the summer vacation, family trips and one day spontaneous trips occur. These things are healthy. To make up for one miss, a list of movies is attached. Please view and review a movie. Your review must be a minimum of five pages. Use your own format for the review. Please link themes from the movie to concepts from reading material and class discussion. Only one movie “make-up” is allowed. Class will start on time and time agreements for class breaks will be honored. Tardiness on the part of one person disrupts the flow of learning for fellow students. Please be prepared to begin and/or resume class as agreed. Penalty for late work: Students will forfeit one letter grade (approximately 10% of the possible points) for any assignments turned in beyond the announced deadline. Deadline is the end of class time the date the paper is due. In some occasions the professor may extend this to electronic submission to 12:00 midnight the day the class is scheduled. Please submit hard copies to the Professor.

Revised 5-12 2 Instructor Availability – If, at anytime, you wish to discuss any issue related to the class with the professor, particularly those related to your performance in this class, please do not hesitate to contact me. I am willing to arrange an appointment time with you. Please contact as early as possible if you think you something can be done to make this course a successful and rewarding learning experience for you. Your suggestions and ideas are always welcome, both during class and outside of class.

Method of Evaluation and Grading – Final grades will be based on a point accumulation basis. Students earn points via exams, papers, journals, outside class assignments, book reviews and participation, and other assignments. Points will be converted into a percentage score. Grades will be assigned as follows: A = 94-100% of total points B- = 80-83% of total points A- = 90-93% of total points C+ = 77-79% of total points B+ = 87-89% of total points C = 74-76% of total points B = 84-86% of total points C- = 70-73% of total points

Incomplete Policy – Please refer to the Graduate Studies Catalogue for additional details. Students who are unable to complete course requirements within the time limitations of the semester are responsible for initiating an arrangement with the professor prior to the end of the term in order to receive an “incomplete.” A contract for completion must be submitted in writing specifying deadline dates. If the incomplete is not resolved by the end of the following term, the grade will convert to “F.” The contract can be located on the counseling program website (see “Forms and Publications” link).

Academic Honor Code – Membership in the student body of Rollins College carries with it an obligation, and requires a commitment, to act with honor in all things. In addition, the counseling profession provides guidelines of ethical behavior. Because academic and professional integrity is fundamental to the pursuit of knowledge and truth and is the heart of the academic life of Rollins College, it is the responsibility of all members of the College community to practice it and to report apparent violations. The following pledge is a binding commitment by the students of Rollins College:

The development of the virtues of Honor and Integrity are integral to a Rollins College education and to membership in the Rollins College community. Therefore, I, a student of Rollins College, pledge to show my commitment to these virtues by abstaining from any lying, cheating, or plagiarism in my academic endeavors and by behaving responsibly, respectfully and honorably in my social life and in my relationships with others.

This pledge is reinforced every time a student submits work for academic credit as his/her own. Students shall add to all papers, quizzes, tests, lab reports, etc., the following handwritten abbreviated pledge followed by their signature:

On my honor, I have not given, nor received, nor witnessed any unauthorized assistance on this work.

Material submitted electronically should contain the pledge; submission implies signing the pledge.

Students with Disabilities – Rollins College is committed to equal access and does not discriminate unlawfully against persons with disabilities in its policies, procedures, programs or employment processes. The College recognizes its obligations under the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990 to provide an environment that does not discriminate against persons with disabilities. If you are a person with a disability and anticipate needing any type of academic accommodation in order to participate in this class, please make appropriate advance arrangements with the Rollins College Disability Services Coordinator located in the Thomas P. Johnson Student Resource Center.

Use of Computers in Class – Use of lap top computers may be used during didactic/formal class presentations. Please discontinue computer lap top use during small group and experiential learning times. There are occasions when lap top computers use can be disruptive to your colleagues. Please use your best counseling observation/mindfulness skills to determine if such is the case.

Revised 5-12 3

Self Disclosure – Although it is likely that you will be asked to disclose thoughts and feelings that are personal in nature in class, please remember that you are in charge of what you choose to disclose in front of classmates. You do not have to reveal any information that you choose not to reveal. I consider confidential any information that you disclose within your journals and papers or privately in conversations with me. Many students completing this class are emotionally impacted by the experience. Please feel free to consult with me along the way if you need further clarification or to process your experiences.

Required Assignments and Learning Experiences (possible points)

Final Examination (15 points) Week 10.

There will be a final in class exam worth 15 points. The format will be multiple guess, true or false and case vignette. The professor will have final determination between a disputed response(s) if there is (are) a conflict between sources.

Interview Recovering Person (20 points) Due by week 4.

Students will be expected to complete an interview, structured as an “Assessment”, with a recovering individual. “Recovering from what”, you might ask. “An addictive disorder”, I would respond. Subheadings: Please gather information from the following domains: Medical, Employment/School, Alcohol/Drug Use, Family, Legal, and Psychiatric. Please look for “role impairment” as identified in the Diagnostic Statistical Manual IV TR. Once you have obtained information in these domains ask them “How they achieved their recovery status and what are they doing to maintain it”.

Outside Meeting(s) and Reaction Paper (20 Points) due by week 8.

Students will be expected to attend three Alcoholics Anonymous or Narcotics Anonymous meetings. Students may also attend a Rational Recovery, Women for Sobriety, Overeaters Anonymous, Gamblers Anonymous, Sexual Addiction Anonymous, Adult Child of an Addict/Alcoholic (ACOA) meeting, Al- Anon or Nar-anon meeting to meet one (1) of the required three (3). Students are to write 3-5 page reaction paper. These 3-5 pages are for all three meetings combined. You do not have to write a reaction paper for each meeting you attend. Remember, students must, however, attend at least two AA or NA meetings. Attendance must take place during the current summer semester.

This paper will be 15 points. Points will be awarded or deducted based on grammar, syntax and writing skill. One point per grammatical error will be deducted. To allow differences in philosophical opinions no points will be deducted for academic expression regarding philosophical content. Subheadings: Pre- meeting thoughts/feelings. Arrival: The Setting: The Sharing: The Closing: The Ride Home.

Journaling (20 Points)

Students will be expected to choose something that they will “quit”, “give-up”, “go without” and journal their reaction to what they have chosen. This will be shared with the professor and if the student would care too, excerpts may be shared in class. Often, class will begin with the following question, “What have you learned from your journaling this week?” Gaps of two or more days will result in loss of one point per every two days not recorded. This may be handwritten or typed. Due to the size of the class, the professor will randomly collect a portion or all of the class’s journals and return them the following week. Students are responsible to continue their journaling even when the professor has collected their journal for the week. This process will be repeated during the semester. In addition, all journals will be collected on the 9th class meeting. This task will begin the day after class begins and will end on the 9th class meeting. This process may be both burdensome and enlightening. The professor may challenge and support your entries in written feedback in your journals as it relates to the addiction process you personally describe. Please disclose only what you are comfortable in sharing with the professor. The rules of confidentiality will apply with your journals.

Revised 5-12 4 Chapter Review (15)

Miller, W. & Rollnick, S. (1991). (2nd Ed) Motivational Interviewing: Preparing people to change addictive behavior. Guilford Press.

Outline for review is attached. Please select a chapter from section 1 through 12 and apply it to your second chapter selection from 15-25.

Personal Story Paper (10 Points) Due by week 5.

Students will select two personal stories from either Alcoholics Anonymous or Narcotics Anonymous texts or comment. Paper should be between 3-5 pages in total. Subheadings: Rationale for selecting story. What was learned from this story? How would you use this story when working with a client? Identify any similar pathogenesis of addiction between the two stories.

Regarding Papers

All reaction papers should double spaced, 12 pica, with one inch margins. All academic papers should follow APA guidelines including citations and references. All papers with the exception of the Journal should be typed. Papers handed in late will be reduced (See above) Due date is the end of the class period the date paper is due. Family medical emergencies will be the only exceptions. Please know that due to the large class sizes it will be important for you to honor the page limitations. This professor will deduct 5 points if papers exceed the ceiling limit of the assignment

Extra Credit

Any Paper may be handed in early (at least one week prior its due date) for an additional 2 points.

Make Up Class

If you miss a class you may choose a video on the attached list to view and write a minimum of a 5 page review. This is a one time option.

Schedule of Classes and Assignments:

# Date Topic Area Reading/Assignments Due 1 5/15 The NASA Experiment Experiential Exercise From the Disease Model to Bio-psycho-Social Stages of Use American Society of Addiction Medicine (ASAM) Review of Syllabus Drug Classification Video: Charles Kuralt, CBS Sunday Morning: The Backstretch 2 5/22 What is Addiction/Dependence? Required: Fisher and Harrison Ch1-3 Models of Addiction Recommended Readings: Brower, K. et al. Prochaska and DiClemente’s Stages of Change Treatment Implications of Chemical The Substance abuse interview Dependency Models: An Integrative Approach.

Jividen, J. Learning about AA and myself. Student Focus.

Linton, J.M. (2005). Mental health counselors and substance abuse

Revised 5-12 5 treatment: Advantages, difficulties, and practical issues to solution- focused interventions. Journal of Mental Health Counseling, 27(4), 297-310.

Prochaska, J. (2003). Enhancing motivation to change. American Society of Addiction Medicine, Chevy Chase Maryland.

Vaillant, G. (2003) Natural History of Addiction and Pathways to Recovery. American Society of Addiction Medicine.

Walker, J. (2006). Journal writing and recovery. Substance Abuse Letter 3 5/29 The Substance Abuse Interview Required: Fisher and Harrison 5,6 Assessment Tools: Screening vs Diagnosing Gathering Alcohol and Drug Abuse Data Recommended: Barnes, H. N. (1987). Presenting the Diagnosis Presenting the diagnosis: Working with Negotiating Treatment denial. Alcoholism for the Primary Care Physician. Barnes, Aronson, Delbanco (eds), Springer-Verlag: New York.

Bigby, J. (1987). Negotiating treatment and monitoring recovery. Alcoholism for the Primary Care Physician. Barnes, Aronson, Delbanco (eds), Springer-Verlag: New York.

Conigliaro, J, Reyes, C.D., Parran, T.V., & Schulz, J.E. (2003). Principles of screening and early intervention. Principles of Addiction Medicine, American Society of Addiction Medicine, Chevy Chase, Maryland.

De Jong, R. & Berg, K. (2001). Co- Constructing Cooperation with mandated clients. Journal of Social Work, 46(4), 361- 374. 4 6/5 Interview with Recovering Person Due Fisher & Harrison, Chapter 7, 11,12 Family Sculpting Kruzich, J.M., Friesen, B.J., Williams- Murphy, T., & Longley, M.J. (2002). Voices of african american families: Perspectives on residential treatment. Journal of Social Work, 47, 4, 461-470.

Wegscheider, S. (1976). No one Escapes from a Chemically Dependent Family.

Interview Recovering Person Due 5 6/12 Opioid Replacement Therapy Required: 2, Fisher and Harrison Drug Classification Recommended: Joseph, H., Stancliff, S., & Prescription vs. Illicit Drug Use Langrod, J (2000). Methadone maintenance treatment (MMT): A review of historical and

Revised 5-12 6 Video: “Methadone: Where We Are” clinical issues. The Mount Sinai Journal of Agonist Treatment: Methadone Medicine, 67, 5 & 6, 347-364.

Personal Story Paper Due 6 6/19 Introduction to Family Intervention “Creating Fisher & Harrison, Chapter 7. a Crisis for Change” History of Interventions Intervention Handout Bring letter for Intervention Intervention– In Class Marchman Act Manual: To Be Provided The Marchman Act: Helping Others When they do not want help. 7 6/26 Alcoholics Anonymous, Chapter 5 “How It Works”. Self Help Groups Adult Children and Co-Dependency Davis, D. & Jansen, G (1998). Making Meaning of Alcoholics Anonymous for Social Workers: Myths, Metaphors, and Realities. Journal of Social Work, 43, 2, 169-182.

Fisher & Harrison, Chapter 12. Fisher & Harrison, Chapter 10.

McCrady, B.S., & Share, D. (2003). Recent research into twelve step programs. Principles of Addiction Medicine, American Society of Addiction Medicine, Chevy Chase, Maryland.

Smith, D., Buxton. M., Bilal, R., & Seymour, R. (1993). Cultural points of resistance to the 12-step recovery process. Journal of psychoactive drugs, Vol.25 (1). 8 7/3 Relapse Prevention Clark, W.H. (2003). Ethical issues in HIV/AIDS addiction treatment. Principles of addiction medicine. American Society of Addiction Medicine, Chevy Chase, Maryland Required: Fisher & Harrison, Chapter 5. Fisher & Harrison, Chapter 9 Fisher & Harrison, Chapter 13

Outside Meeting(s) and Reaction Paper Due 9 7/10 Dual Diagnosis National Association of Social Workers Eating Disorders (NASW Press), Alcohol, Tobacco & Other Compulsive Disorders Drugs Newsletter (Spring 2004). Gay Special Groups affirmative practice: A model of practice for treatment with substance abusing gay, lesbian, bisexual, and transgender clients.

Fisher & Harrison Chapter 4. Fisher & Harrison, Chapter 14. Final Journals Due Chapter Review Due 10 7/17 Final Cumulative Exam Class Summary and Final Exercises

Revised 5-12 7 Bibliography

Alateen: hope for Children of Alcoholics. Al-Anon Family Headquarters, Inc.: New York.

Alcoholics Anonymous (1939, 1955, 1976). Alcoholics Anonymous World Services, Inc.: New York.

Alcoholism Treatment Quarterly, (1985-86). Vol. 2, Nos. 3, 4. “Treatment of Black Alcoholics”.

Anderson, Daniel J. (1981). The Psychopathology of Denial. Hazelden: MN.

Arredondo, R. & Springer, N. (1994). Hispanic-Americans. ASAM. 1-7.

Assessing Alcohol Problems: A Guide for Clinicians and Researchers (1995). NIAA Treatment Handbook Series 4. U.S. Department of Health and Human Services. NIH Publication No. 95-3745.

Barnes, H. (1987). “Presenting the Diagnosis: Working with Denial”. Alcoholism for the Primary Care Physician, Barns, Aronson, Delbanco (Eds). Springer-Verlag: New York.

Barrett, Curtis & Clippinger, Don (1997). Winners: The Story of Alcohol and Drug Abuse Programs in the Horse Racing Industry. Daily Racing Form Press: Hightstown, New Jersey.

Bell, Peter & Evans, Jimmy (1981). Counseling the Black Client: Alcohol Use and Abuse in Black America. Hazelden: MN.

Bigby, J. (1987). “Negotiating Treatment and Monitoring Recovery”. Alcoholism for the Primary Care Physician. Barnes, Aronson, Delbanco (Eds), Springer-Verlag: New York.

Bissell, Leclair & Royce, James E. (1987). Ethics for Addiction Professionals. Hazelden: MN.

Black C. (1985). Repeat After Me. M.A.C. Printing and Publications: Denver.

Black, C. () It Will Never Happen To Me.

Black, C. () My Daddy Loves Me: My Daddy Has a Disease.

Blume, S. (1994). Women and Addictive Disorders. ASAM, 1-16.

Brown, L. (1994). African Americans. ASAM. 1-6.

Bryant, Simon T. (1997). Know Smoking: The Whole Truth about Smoking and Quitting. Middle May Publishing, Inc.: Calgary, Alberta Canada.

Chappel, J. (1991). The Use of Alcoholics Anonymous and Narcotics Anonymous by the Physician in Treating Drug and Alcohol Addiction. (In) Comprehensive Handbook of Drug and Alcohol Addiction. Miller, N. (Ed). Chapter 58, 1079-1088.

De Jong, R. & Berg, K. (2001). C0-Constructing Cooperation with mandated clients. Journal of Social Work, 46(4), 361-374.

Eells, Mary Ann W. (1986). Interventions with Alcoholics and Their Families. Nursing Clinics of North America, 21, 3.

Estroff, T. (2001). Manual of adolescent substance abuse treatment. American Psychiatric Publishing: Washington, D.C.

Evans, David G. (1983). A Practitioner’s Guide to Alcoholism and the Law. Hazelden: Center City, MN.

Revised 5-12 8

Fisher, G.L. & Harrison, T. (2000, 2005). Substance Abuse: Information for School Counselors, Social Workers, Therapists, and Counselors (3rd edition). Allyn and Bacon: Boston.

Flores, Philip J. (1997). Group Psychotherapy with Addicted Populations: An Integration of Twelve-Step and Psychodynamic Theory. (2nd Ed). Haworth Press: New York.

Flores, Philip J. (1997). Group Psychotherapy with Addicted Populations 2nd Ed. Haworth Press: New York.

Gold. M. (1984). 800-Cocaine and the Crack Epidemic. Bantam Books: New York.

Graham Schultz, Mayo-Smith, Ries, Wilford (2003). Principles of addition medicine (3rd ed). American Society of Addiction Medicine: Chevy Chase, Maryland.

Johnson, V. Everything you need to know about chemical dependence, Part I Chapter 3.

Johnson, V.E. (1990). Everything you wanted to know about chemical dependence, Hazelden, USA.

Johnson, Vernon E. (1980). I’ll Quit Tomorrow. Harper and Row: San Francisco.

Johnson, Vernon E. (1986). Intervention: How to help someone who doesn’t want help. Johnson Institute Books, MN.

Ketcham, K. & Pace. N. (2003) Teens under the influence: The truth about kids, alcohol, and other drugs: How to recognize the problem and what to do about it. Ballantine Books: New York.

Kinney, Jean & Leaton, Gwen (1982). Understanding Alcohol: Alcohol and its abuses- A complete guide to alcohol problems and their treatment. Moseby: New York.

Kruzich, J., Friesen, F., Williams-Murphey, T. & Longley, M.J. (2002). Voices of African-american families: perspectives on residential treatment. Journal of the National Association of Social Workers, 47(4), 461-470.

Kurtz, Ernest (1979). Not God: A History of Alcoholics Anonymous. Hazelden: MN.

Living Sober, (1975). Alcoholics Anonymous World Services.

Milgram, Gail G. & Griffin, Thomas (1986). What, When, and How to Talk to Students About Alcohol and Other Drugs: A Guide for Teachers. Hazelden: MN

Miller, N.S. (1995). Addiction Psychiatry. Wiley-Liss: New York.

Miller, W. & Rollnick, S. (1991). “Motivational counseling with alcoholic couples”, Chapter 16 In Motivational Interviewing: Preparing people to change addictive behavior. Guilford Press. Miller, W. & Rollnick, S. (1991). Motivational Interviewing: preparing people to change addictive behavior, Guilford Press: New York, New York.

Monograph Series (1979). U.S. Department of Health, Education, and Welfare, Public Health Service Publication No.: (ADM): 80-762. National Institute on Alcohol Abuse and Alcoholism. Project MATCH Monograph Series. Volume 1,

Morse, R. (1984). Elderly Patients. ASAM. 1-6.

Narcotics Anonymous (1982, 1984, 1987). World Services Office, Inc: Nan Nuys, CA.

Revised 5-12 9

Narcotics Anonymous Basic Text

National Institute on Alcohol Abuse and Alcoholism. Project MATCH Monograph Series. Volume 2, Motivational Enhancement Therapy Manual. U.S. Department of Health and Human Services, NIH Publication No. 94-3723.

Office for Substance Abuse Prevention. Cultural Competence for Evaluators: A Guide for alcohol and Other Drug Abuse Prevention Practitioners Working with Ethnic/Racial Communities. Orlandi, M., Weston, R., & Epstein, L. (Eds). DHHS Publication No. (ADM) 92-1884.

Payte, J. (1991) A Brief History of Methadone in the Treatment of Opioid Dependence: A Personal Perspective. Journal of Psychoactive Drugs, 23, 2, 103-107.

Pohl, M. (1994). Lesbians and Gay Men. ASAM, 1-7.

Powell, David J. (1993). Clinical Supervision in Alcohol and Drug Abuse Counseling. Lexington Books: New York.

Prochaska, J., DiClemente, C. & Norcross, J (1992). In Search of How People Change: Applications to Addictive Behaviors, American Psychologist, 1102-1114.

Rogers Ronald L. & McMillin, Chandler S. (1989) Don’t Help: A positive Guide to Working with the Alcoholic. Bantam Books: New York.

Rousso, J. (1995). From abstinence to sobriety: Psychotherapy and the recovering alcoholic. Alcoholism Treatment Quarterly, 12(4), 71-78

Scanlan, L. (2007). The horse god built: The untold story of Secretariat, the world’s greatest racehorse. Thomas Dunne Books: S. Martin’s Press. New York.

Schefstad, A. & Tiegel, S. (1997). An Invisible Population and Its Visible Problem: Alcohol and Substance Abuse Among Horsecare Workers. Alcoholism Treatment Quarterly, 15(4), 1-16.

Schefstad, A. J. (1995). The backstretch: Some call it home. (Dissertation). Bell & Howard Company: Michigan.

Schefstad, A., Tiegel, S. & Jones, A. (1999). Treating a Visible Problem within a Hidden Population: A Working Sports EAP in the Horse Racing Industry. Employee Assistance Quarterly, 14(4), 17-32.

Schuckit, M. C. (1995). Educating Yourself About Alcohol and Drugs: A People’s Primer. Plenum Press: New York.

Siegel, Michele, Brisman, Judith, & Weinshel, Margot (1988). Surviving an Eating Disorder: Strategies for Family and Friends. Harper & Row: New York.

Spradley, James P. (1970). You Owe Yourself a Drunk: Ethnography of Urban Nomads. Little Brown and Company: Boston.

Stevens, S. J. & Morral, A. R (2003) Adolescent substance abuse treatment in the United States: Exemplary models from a national evaluation study. The Haworth Press: New York.

Survey Measurement of Drug Use: Methodological Studies, (1992). National Institute on Drug Abuse. Turner, C.F., Lessler, J.T. & Gfroerer, J.C. (Eds). DHHS Publication No.) ADM) 92-1929.

Revised 5-12 10 Twelve Step Facilitation Therapy Manual. U.S. Department of Health and Human Services, NIH Publication No. 94-3722.

Wegscheider, S. (1976). No Escapes from a Chemically Dependent Family.

Wegscheider-Cruise, S. () Another Chance.

Woititz, J. (). Adult Children of Alcoholics.

Wright, R. S & Wright D.G. (1993). Creating and maintaining the Drug Free Workforce. McGraw-Hill: New York.

Zweben, J & Sorenson, J (1988). Misunderstandings About Methadone. Journal of Psychoactive Drugs, 20, 3, 275-281.

Revised 5-12 11 Rollins College Masters Degree in Counseling

CPY 603: Addictive Disorders

INFORMED CONSENT FOR JOURNAL & CLASS DISCUSSION

I understand that some class discussion will be assisted by appropriate self- disclosure regarding my quitting behavior. I also understand that I am responsible for determining my level of self-disclosure with my colleagues. In addition, I understand that the completion of a personal journal is a requirement of CPY 603: Addictive Disorders for the Rollins College Masters Degree in Counseling.

I understand that all of the information I submit will be read only by the professor, A.J. Schefstad, PhD, LCSW, MA and will be treated with the strictest confidentiality in accordance with the ethical and the legal guidelines of the profession. I understand I will be randomly placed in one of three quit approaches. For research purposes the outcome of the quit attempt group will be reported in aggregate fashion

I acknowledge the above limitations of confidentiality.

Name: ______Date: ______

Signature: ______

Revised 5-12 12 Disclosure: Many of these films have explicit language and nudity. The professor does not, in all cases, condone nor endorse the content, the explicitness nor depiction of these movies. The professor has not previewed all of these movies. Please view at your own risk and discretion.

28 Days – (2000, Sandra Bullock) A big-city newspaper columnist is forced to enter a drug and alcohol rehab center after stealing a limousine and crashing it into a house. Good clips to demonstrate physical features of dependency and effects of substance use on family members.

Affliction – (1997, Nick Nolte) A deeply troubled small town cop investigates a suspicious hunting death while events occur that cause him to mentally disintegrate. He is haunted by memories of a childhood terrorized by his drunken abusive father. Accurate portrayal of the association of alcohol use and increased domestic violence and physical abuse.

Barfly – (1987) Based on the book by the heavy-drinking writer Charles Bukowski; about a man (Mickey Rourke) who spends his life in seedy L.A. bars that falls in love with an alcohol dependent women (Faye Dunaway) and finds some success in writing but drinks it away.

Basketball Diaries – (1995) Based on the semi-biographical book by Jim Carroll, a young man (Leonardo DiCaprio) from a tough neighborhood with a wonderful potential career in basketball wrestles with his inability to control his drug use. This is a violent but always moving story.

Basquiat– (1996) Portrait of artist Jean-Michel Basquiat (an Andy Warhol protégé) and his addiction to and eventual death from heroin.

Better Living Through Circuitry – (2000) A look at the “Rave scene” and use of Ecstasy (MDMA).

Black Tar Heroin: The Dark End of the Street (1999) HBO cable documentary that shows the devastating effects of heroin on young users.

Blow – (2001, Johnny Depp) Traces the explosion of cocaine use and the violent business that supports it. Based in part on real cases, this movie demonstrates both the big business aspect of cocaine trafficking and the impact that this drug has on the lives of users.

Children Underground (2001) A Disturbing portrait of runaway children in Romania: Depictions of their use of inhalants.

Christiane F. - (1981) A teenager gets involved in the Berlin drug scene of the 1970s. Good portrayals of heroin, sedative and LSD use. David Bowie performs in it as well.

Clean and Sober- (1988, Michael Keaton, Morgan Freeman) A hotshot real-estate agent deals with his cocaine dependence.

Cocaine Fiends, The- (1935) Similar to “Reefer Madness, this is a 1930s propaganda movie which helps to show the way substance abuse has been perceived/portrayed over time.

Corner, The - A 6-part HBO series depicting the effects of heroin and cocaine on an inner-city community.

Country Girl, The – (1954, Grace Kelly, Bing Crosby). Grace Kelly won an Oscar for her portrayal of the wife of an alcoholic actor.

Days of Wine and Roses- (1962) Man (with drinking problem) meets women (with drinking problem). Good depiction of the effects of alcoholism on a relationship.

Revised 5-12 13 Drugstore Cowboy – (1989, Matt Dillon, Heather Graham, cameo by William S. Burroughs) A gritty, sometimes stark portrait of a group of young friends trying to survive while in Portland Oregon’s heroin scene.

Drunks- (1995, Richard Lewis, Faye Dunaway, Dianne Weist, Calista Flockhart, Amanda Plummer) A fairly good portrayal of 12-step programs.

Fear and Loathing in Las Vegas – (1998) Hunter S. Thompson, the oddball journalist (played by Johnny Depp) and his “attorney” (Benicio del Toro) travel to Las Vegas for a series of psychedelic escapades; good demonstrations of the acute effects of LSD and cocaine.

Fiona (1998) Gritty, documentary-like portrayal of a prostitute and the role of illicit drugs in that sub-culture.

Gia- (1998) Angelina Jolie as a 1970s supermodel who becomes involved with the Studio 54 scene. Good depictions of cocaine and other drug use.

Go Ask Alice (1973) With William Shatner and Andy Griffith. Based on the actual diary of a teenage girl. Portrays LSD use and a “bad trip.”

Gridlock’d – (1997, Tupac Shakur, Tim Roth). After a friend overdoses, two guys decide to kick their drug habits and attempt to enroll in a government detox program. Their efforts are hampered by seemingly endless red tape, as they are shuffled from one office to another while being chased by drug dealers and the police.

Hoosiers – (1986) Dennis Hopper plays an alcoholic with potential to be more if he could lose the bottle. Excellent stimulus for discussion of motivational interviewing - progression of an individual through precontemplation, contemplation, and steps toward abstinence.

Human Traffic- (1999) The Cardiff club scene in the 90's: five best friends deal with their relationships and their personal demons during a weekend. Starting Friday afternoon, with preparations for clubbing, we follow the five from Ecstasy-induced fun through a booze-laden comedown early Saturday morning followed by the weekend's aftermath.

Jo Jo Dancer – (1986) Richard Pryor revisits his life, from growing up in a brothel as a child and struggling to beat the long odds to become a top rated comedian. However, his success brings new problems as he develops a tragic pattern of substance abuse that begins to screw up his life. One can find brief clips that can be relevant to an overview on substance use.

Kids- (1995, Chloë Sevigny) A disturbing portrayal of teenage life, AIDS, and the Kids of New York City. Controversial in its content, the film exposes the grim reality of a group of skate- boarders in the space of 24 hours. Use of marijuana, inhalants, alcohol, and other substances.

Lady Sings the Blues (1974) Diana Ross portrays Billie Holiday. Good portrayal of the consequences of addiction.

Last Call (2002) Showtime cable movie with Jeromy Irons as F. Scott Fitzgerald. Nice depiction of consequences of alcoholism.

Leaving Las Vegas – (1995) An alcohol dependent man (Nicolas Cage) goes to Las Vegas to drink himself to death; he forms an uneasy friendship and non-interference pact with a woman of the streets (Elisabeth Shue); great demonstration of the shakes.

Lost Weekend, The – (1945) Ray Milland as an alcoholic in 1940s New York. An attempt, though stylized, to show DTs. A better depiction of the struggle with dependence. Won four

Revised 5-12 14 Academy Awards.

Man With the Golden Arm, The – (1955) Frank Sinatra won the Best Actor Oscar as an opioid- dependent musician/card dealer who stops using drugs and slowly is drawn back. Has a 1950s Hollywood portrayal of going “Cold Turkey.”

My Name is Bill W. - (1989, James Woods, James Garner) A rendition of the origins of A.A.

Panic in Needle Park, The – (1971, Al Pacino). Stark portrayal of life among a group of heroin addicts who hang out in "Needle Park" in New York City. A homeless girl who finds in her relationship with a young addict. She becomes addicted too, and life goes downhill for them both as their addiction deepens, eventually leading to a series of betrayals. Graphic shots of heroin use.

Permanent Midnight- (1998) Ben Stiller as a Hollywood screenwriter whose life is affected by heroin and cocaine dependence. Excellent portrayals of drug use and early recovery themes; based on the true story of the creator of the 1980s TV show “Alf.”

Postcards from the Edge – (1990) Big name stars depict Carrie Fisher's autobiography of the progression of substance use to dependency and its impact on relationships.

Rebound: The Legend of Earl the Goat- (1996) About a promising basketball player (Don Cheadle) whose career is stopped by heroin dependence.

Reefer Madness- (1936) A very campy propaganda movie. Best used as an illustration of the political nature of substances throughout history.

Requiem for a Dream- (2000, Ellen Burstyn) A somewhat unrealistic portrait of three young adults using heroin and cocaine and the mother of one of them who develops a problem with prescription stimulants.

Rush – (1991) Jason Patric and Jennifer Jason Leigh portray narcotic agents who become addicts themselves. Somewhat dreary but an overall accurate portrayal of the impact of narcotic dependency.

Scarface- (1983, Al Pacino) A look at the cocaine cartels of the 1970s. Extremely violent.

The Secret Life of Zoey (2002) Lifetime cable movie starring Mia Farrow as the mother of a teenage girl who is abusing prescription medications. Good depiction of denial in families where addiction is present.

Seven-Per-Cent Solution, The – (1976, Alan Alda) Sherlock Holmes attempts to get rid of his cocaine addiction by getting treatment from Sigmund Freud. Wonderful potential for clips including cocaine intoxication and psychosis, and portrayal of classic psychoanalytic therapy. Students love this movie making it a great choice for movie club.

Sid and Nancy- (1986, Gary Oldman) The story of Sid Vicious and his girlfriend and their addiction to heroin.

Small Town Ecstasy (2002) HBO cable movie with some insight into the “Rave” scene and the use of Ecstasy (MDMA).

Traffic – (2000, Benicio del Toro) A graphic and often violent description of the black market activities supporting the heroin trade in Southern California and Northern Mexico.

Revised 5-12 15 Traffik- (1989) The BBC version on which the Hollywood version was based. Slower moving and longer. Looks at the heroin trade in Britain and Europe.

Trainspotting – (1996, Ewan McGregor) The story of a group of young friends caught up in heroin dependence in the UK. The movie has some of the most graphic and emotionally accessible descriptions of a heroin high.

The Trip (1967) Written by Jack Nicholson. Stars Peter Fonda and Dennis Hopper. Some reasonable portrayals of hallucinogenic experience.

Under the Influence- (1986, Andy Griffith) A long-time alcoholic’s drinking begins to have a devastating effect not only on his personal life but on his family as well.

Wasted (2002) MTV cable movie depicting two high school seniors and their struggle with heroin addiction.

When a Man Loves a Woman – (1994, Meg Ryan, Andy Garcia) A female with alcohol dependence experiences a change in attitude to her life, her children, and especially her husband after going through detox. Nicely portrays the impact on alcohol dependency on a marriage.

Revised 5-12 16 Chapter Review Format (Please limit to 10 narrative pages)

The following guide is to assist the reviewer format a review of the chapter selected. You are to develop your own headings and such using the suggestions below. I. Introduction: A. Introduce your review appropriately. Identify the author, the title, the main topic or issue presented in the book and the author's purpose in writing the chapter. B. Explain Relationships. Establish your position as the reviewer (your thesis about the author's thesis). As you write, consider the following questions:

 What type of article is this? (Is it a memoir, a treatise, a collection of facts, an extended argument, etc.? Is the article a documentary, a write-up of primary research, a position paper, etc.)?

 Who is the author? What does the preface or foreword tell you about the author's purpose, background, and credentials? What is the author's approach to the topic (as a journalist? a historian? a researcher?)?

 What is the main topic or problem addressed? How does the work relate to a discipline, to a profession, to a particular audience, or to other works on the topic? Who’s the audience for this book?

 What is your critical evaluation of the work (your thesis or stance)? Why have you taken that position? What criteria are you basing your position on? C. Provide an Overview. What are the author’s basic premises for writing this chapter? What issues are raised, or what themes emerge? What situation(s) provide a basis for the author's assertions? List any background information that is relevant to the chapter and should be placed here rather than in a body paragraph. II. Evaluate the chapter. This is the heart of your chapter review. You should discuss a variety of issues here:  How clearly is the chapter written?

 Did the author achieve his/her goal? How did he/she do? Did she/he fall short?

 What are the author's most important points? List at least two examples of how the author proved or did not prove points he/she was trying to make.

 What possibilities does the chapter suggest for the reader?

 What did the chapter leave out?

 How the chapter compares to others on the subject?

 What personal experiences do you have relating to the subject?

Revised 5-12 17  What did you like best about the chapter? What did you like least about the chapter? Make sure that you distinguish your personal views from that of the author. III. Conclusion. Tie together any issues raised in the review and provide a concise comment on the chapter and whether or not you would recommend this chapter to someone else. There is, of course, no set formula, but a general rule of thumb is that the first one-half to two-thirds of the review should summarize the author's main ideas while the remainder of the report should evaluate the chapter.

Revised 5-12 18