DOCUMENT RESUME ED 073 395 CG 007 833 AUTHOR Gazda, George M., Ed. TITLE Proceedings of a Symposium on the Useof Group Procedures in the Prevention andTreatment of DI-ug and Alcohol Addiction. INSTITUTION Georgia Univ., Athens. Georgia Centerfor Continuing Education. PUP DATE 72 UCTE 145p. EERS PRICE MF-$0.65 HC-$6.58 DESCRIPTORS Alcohol Education; *Alcoholism;Conferenc eports; *Drug Abuse; Drug Addiction; DrugEducatic * Group Activities; *Group Counseling; GroupExperience; Group Guidance; Health Education;*Socially Deviant Behavior; Symposia ABSTRACT The theme of the fifth annual Symposiumon Group Procedures was "The Use of GroupProcedures in the Prevention and Treatment of Drug and Alcohol Addiction."Symposium participants included professionals in counseling;clinical, school, and educational psychology, psychiatry,and social work. In addition, invitations were sent tomembers of government, law enforcement, and the judiciary. The symposium consisted of the following sessions:a group therapy session; psychodrama interventionwith drug addicts; behavior modification with alcoholics;a values-oriented approach to drug abuse prevention education;a game of confrontation with a view to changing the life style of thehard core addict; and theuse of fantasy ant gestalt therapy withdrug addicts. (WS/Author) FILMED FROM BESTAVAILABLE COPY c.> Proceedings ofa Symposium on the Use of Group Procedures in the Prevention andTreatment of Drug and Alcohol Addiction S NT. Of HI DUCA II(A\'Elf Afik Of FICE Of UPICAIION Tiii' iimf NTrif.'tit The University of Georgia i.i , irgiitI lilt, ill (of .4 College of Education .IAltlr i,,t,Po, , Center for Continuing Education A SYMPOSIUM ON THE USE OF GROUPPROCEDURES IN THE PREVENTION AND TREATMENTOF DRUG AND ALCOHOL ADDICTION LA t'r\ t-r-N Proceedings CD C:1 A SYMPOSIUM ON THE USE OFGROUP PROCEDURES LAJ IN THE PREVENTION AND TREATMENT OF DRUG AND ALCOHOLADDICTION Edit -d by G orge M. Gazda Profe;,;or of Education Department of Counseling andStudent Personnel Services University of Georgia and Consulting Professor Department of Psychiatry, MedicalCollege of Georgia Academic Program Coordinators ;eorge M. Gazda Charles Bishop Jan Cooper Center for Continuing EducationCoordinator Paul Kea Sponsored by College of Education and Institute of Government University of Georgia Athens, Georgia 1972 CONTENTS PREFACE vii ACKNOWLEDGMENTS i GROUP THERAPY SESSION Ray Johnson and Diane Bell PSYCHODRAMATIC INTERVENTIONWITH DRUt, ADDICTS: RATIONALE, DEMONSTRATION, ANDDISCUSSION Richard Korr 20 BEHAVIOR "f0DIFICATION WITHALCOHOLICS Ken Swift and Vitali Rozynko 46 VALUES-ORIENTED APPROACH TO DRUGABUSE PREVENTION EDUCATION George Demos and Herbert Brayer 74 THE GAPE: CONFRONTATION WITHA VEIW TO CHANGING THE LIFE STYLE OF THE HARD COREADDICT Ed Lasher 93 THE USE OF FANTASY AND GESTALTTHERAPY WITH DRUG ADDICTS Wilson Van Dusen 120 V PREFACE "The Use of Group Procedures in thePrevention and Treatment of Drug and Alcohol Addiction" was the themeof the fifth annual Symposiumon Group Procedures. This symposium was co-sponsored by theCollege of Education and the Institute of Government of theUniversity of Georgia. This symposium, like thefour earlier symposia,was organized for the following purposes: 1. To facilitate the dialogueamong educators and members of the helping professions from other disciplin-s whichis prerequisite to reaching a cooperative working relationshipor "team approach" in the fielq of group work. 2. To provide interested professionalswith the opportunity to obstrvt, interact with, and challengesome of the leading proponents of the more recent, promising, and/or controversialapproaches in the field of group work--in this instance as group procedureswere applied to the prevention and treatment of drug addiction. 3. To recognize the need formore and better research in the field of group work. 4. To provide a forum for presenting anddebating issues of ethical con- cern in group work. The symposium participantswere invited to represent the several dis- ciplines within the helping professionsincluding counseling, clinical, school, and educational psychology,psychiatry, and social work. In addi- tion, special invitationswere sent to members of government, law enforce- ment, and the judiciary. There were over 500 participants fromover 20 states in attendance. Consistert ,with the purposes of the symposium,the consultants were chosen from among the most renownedin their speciality. Ray Johnson, M.D., and Diane Bell, R.N., presenteda group therapy session with individuals receiving a combination of group therapyand methadone. Richard Korn, Ph.D., presented a psychodramatic approachto the treatment of addiction. Ken Swift, M.S., and Vitali Rozynko, Ph.D.,used behavior modification in their rationale and treatment procedure withalcoholics. Ed Lasher, M.Ed., uti- lized the "Game" as he demonstratedits application to groups of formir drug isers. Wilson V.n Dusen, Ph.D., demonstratedthe use of fantasy and Gestalt therapy .with former drugusers. The use of preventative procedureswa il- lustrated by Geo-,_;t Demos, Ph.D., andHerbert Brayer, n.s. The full of the symposium cannot be fully reproducedin this proceedings, but at the expense of theliterary style of the consultants,we tried to maintain the spontaneity ofthe presentations and interactions. vii ACKNOWLEDGMENTS There were many individuals who assisted with the 1972Symposium. I am especially grateful to Dean Joseph A. Willams of he College of Educa- tion and to Jan Cooper and Charles Bishop of theInstitute if Government for their financial support. The consultants were very cooperative andac- commodating in the performance of their roles andin interacting with die participants. Paul Kea and the Center for Continuing Educationstaff were excellent hosts. Richard Lane and his staff were instrumentalin preparing the copy for the proceedings. To all these individuals and especially to the students of my Group Clunselingcourse who handled many of the details of the Symposium, I am personally grateful. The invited participants as usualwere very cooperative and involved in the program. I appreciate their interest and invite themto return for 1973. G. M. Gazda Symposium Coordinator ix i CROVh T:TRAPY SESSIO% Dr. Rav Johnson, Psychiatrist and Miss Diane B(11, Ile -ad Nurse Drig Dependeic ''nit Cra0v Memorial HosIlital Atlanta, C,org:a Dr. Johnson: Dian, why don't You got me off the spot by t,Ilin4 7 boy you got involved with the Drug Dependence Unitat Grady? Miss Bell: About two years ago I was a nurse working in eh..,m,rg(ncy room, and then were a lot of older nurses working ther=, too. A doctor, another psychiatrist ,forking up on th,eighth floor, decid,s1 that 1,, =:as c,o- ing to recruit some drug addicts. ask( c: me to go down to the ,m,rg.n(y room to get their mcCiadonc. We' discussed this by word of mouth, ofcours. ; but ,!hen the patients came down to pickup their methadone, the older nurs.s said, "We're not going to have anythingto do with them, co you can ak, it." It seemed that nobody (Ise wanted to do it,so I did it. Th,n a job cam, open, They necd,d a clinic, becausewe had mot., and more patients appivim; for the trlatment. When I was asked to talc.the job, I did, because T had found out that these people weren't just addicts. They were people, too. Dr. Johnson: There is a similarity between this and thereason I started working in the Drug Dependence Unit. I had worked in the in-patient s(rvice at Grady for yea-s as liaison between psychiatryand the rist of the hospital, but they hired somebody to do the consultservice on a full -time basis, so they didn't really needm to do what I thought I really liked to do--be involved with the medical and surgicalservices simoltan(ously. The only spot they had open was in the Drug DependenceUnit, and it really has been a heck of a lot more enjoyabl( working therethan anywh. re(1s(in the lospital. I have really enjoyed it. When I was free to choose, I really wasn't having much fun; but when t:ley stuckme into a spot where I didn't have any choice, it was fun. Miss B(11: I was wondering if the people would like to knowa little bit more about the= unit. It officially op. ned August - 1970, and we had eight patients at that time. Two of those eight people will by withu; tonight in our group. Now we have an enrollment of fifty-one on -1,inte- nance, and each week we probably sec between twenty and thirty peoplwho are trying to withdraw and detoxify. The clinic has grown from one senior drug abuse counselor, one part-time psychiatrist,and one nurse to four nurses, four counselors, two psychiatrists, and lots and lots ofassistants and volunteer pe-Ple. Dr. Johnson: What about the history of this group? I took it on with You in July of 1971, but you had been meetinga long time before I came on the scent,. Will you say something about that? Miss Bell: At first the groups that started when we startedon metha- done treatment were mandatorygroups. You had to be thin, or Is you weren't on the payroll--that type of thing. These were led by the psychia- trist who was in charge of the clinic at that time. Croup therapy was kind of a new thing to most of the patients, and it wasn'tvery effectivc ini- tially. A lot of people didn't like to come. We suggested to the clinic 1 at tl at time that peopi 1ot inter, .-tin "..ht grodpq, 0t hit I did not -ant r. In hfl.t, 1 tri,d :-a%s t.' t av out of johtv-on: t o' 1 T b hacn' t p a for q it. s s i on I n ,.. Of- tI r. r ..f th. 'antCa : an. , kn.), r, ii N. anryit-01' .; tart d orkin out a lot of tle. a I e.