A long-standing debate has roiled over whether addicts have a choice over their behaviors. The disease creates distortions in thinking, feelings, and perceptions, which drive people to behave in ways that are not understandable to others around them. Simply put, addiction is not a choice. Addictive behaviors are a manifestation of the disease, not a cause.
—Dr. Raju Hajela, former president of the Canadian Society of Addiction Medicine
A common misconception is that addiction is a choice, and addicts are often labeled as individuals who lack morals, willpower, or responsibility. However, addiction is a clinical disorder that must be treated with the support of a health care professional. Although many people who are exposed to potentially addictive substances and behaviors continue life unaltered by their experiences, some people are fueled by these experiences and spiral out of control.
In your role as the psychiatric-mental health nurse practitioner, you must be prepared to not only work with these individuals who struggle with addiction but also help them and their families overcome the social stigmas associated with addictive behavior.
This week, you will assess a research article on psychotherapy for clients with addictive disorders. You also examine therapies for treating these clients and consider potential outcomes. Finally, you will discuss how therapy treatment will translate into your clinical practice.
Students will:
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.)
- For reference as needed
Wheeler, K. (Ed.). (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing.
- Chapter 9, “Motivational Interviewing”
- Chapter 19, “Psychotherapeutic Approaches for Addictions and Related Disorders”
AllCEUs Counseling Education. (2017, November 4). 187 models of treatment for addiction | Addiction counselor training series [Video]. YouTube. https://www.youtube.com/watch?v=eQkA0mIWx8A
Addictive disorders can be particularly challenging for clients. Not only do these disorders typically interfere with a client’s ability to function in daily life, but they also often manifest as negative and sometimes criminal behaviors. Sometimes clients with addictive disorders also suffer from other mental health issues, creating even greater struggles for them to overcome.
In your role, you have the opportunity to help clients address their addictions and improve outcomes for both the clients and their families.
To prepare for NRNP 6645 Week 8 Assignment Psychotherapy for Clients With Addictive Disorders:
In a 5- to 10-slide PowerPoint presentation, address the following. Your title and references slides do not count toward the 5- to 10-slide limit.
Submit your Assignment. Also, attach and submit PDFs of the sources you used.
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Week 8 Assignment Rubric
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Submit your Week 8 Assignment draft and review the originality report.
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Week 8 Assignment
Addictive Disorders manifest via deficits in regulating emotions, self-esteem, relationships, and self-care, leading to the inability to abandon detrimental substances or behaviors. Often, causal factors for addictive disorders include biological, psychosocial, cultural, and social factors. According to Khantzian (2020), environmental influences such as traumatic abuse, peer pressure, safety, and parenting may increase individual susceptibility to addiction. With much emphasis regarding addictive disorders resting on substance abuse and gambling, various psychoanalytical psychotherapy is one of the most profound interventions for treating and preventing addiction.
Psychoanalytical/psychodynamic psychotherapy assumes that essential psychological factors lead to addictive behaviors and activities (Khantzian, 2020). In a retrospective study by Mooney et al. (2019), the researchers evaluate the applicability of psychoanalytical psychotherapy in treating and preventing gambling addiction. Therefore, the research targets patients struggling with compulsive addiction seeking treatment at the National Problem Gambling Clinic (NPGC) in London. According to Mooney et al. (2019), psychodynamic therapy is crucial in exposing unconscious patterns by enabling patients to reflect, clarify, and confront interpersonal conflicts, wishes, and defenses that strengthen addiction.
The research revealed that psychodynamic psychotherapy successfully treated patients’ addiction problems by imparting a sense of intrinsic awareness while reducing depression and anxiety. However, researchers acknowledged that various limitations hampered the study’s precision and validity of the conclusion. For instance, investigators identified a lack of scholarly literature, data disparities, and research model as the major drawbacks for the study. Therefore, it is essential to evaluate scholarly evidence to justify the applicability of psychodynamic psychotherapy in addressing addiction.
Although insufficient scholarly evidence compromises the determination to render psychodynamic psychotherapy effective in treating addiction, some studies support this approach. Verma & Vijayakrishnan (2018) argue that this therapeutic approach helps patients better understand themselves, their unconscious desires, motivations, and conflicts. On the other hand, Whitman & Olesker (2021) contend that psychoanalytic approaches play a significant role in treating opiate, alcohol, and marijuana dependence patients. Finally, Khantzian (2020) supports the topic by arguing that psychodynamic psychotherapy enables change agents to identify, target, modify and eliminate causal factors for addiction. Undoubtedly, these sources are scholarly because they are peer-reviewed, organized, and published in reputable databases to provide additional insights into the topic.
Khantzian, E. (2020). Psychodynamic psychotherapy for the treatment of substance use disorders. Textbook Of Addiction Treatment, 383-389. https://doi.org/10.1007/978-3-030-36391-8_26
Mooney, A., Roberts, A., Bayston, A., & Bowden?Jones, H. (2019). The piloting of a brief relational psychodynamic protocol (psychodynamic addiction model) for problem gambling and other compulsive addictions: A retrospective analysis. Counselling And Psychotherapy Research, 19(4), 484-496. https://doi.org/10.1002/capr.12251
Verma, M., & Vijayakrishnan, A. (2018). Psychoanalytic psychotherapy in addictive disorders. Indian journal of psychiatry, 60(Suppl 4), S485–S489. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_16_18
Whitman, L., & Olesker, W. (2021). Introduction – Addiction: A ubiquitous problem. The Psychoanalytic Study of The Child, 74(1), 227-233. https://doi.org/10.1080/00797308.2020.1859302
Select Grid View or List View to change the rubric’s layout
Excellent90%–100%
Good80%–89%
Fair70%–79%
Poor0%–69%
Develop a 5- to 10-slide PowerPoint presentation on your selected research article discussing a therapeutic approach for treating clients, families, or groups with addictive disorders. •Provide an overview of the article you selected, including: What population (individual, group, or family) is under consideration? What was the specific intervention that was used? Is this a new intervention or one that was already used? What were the author’s claims? 18 (18%) – 20 (20%)The presentation thoroughly and accurately defines the considered population.
The specific intervention used is fully and accurately described. The description clearly indicates whether the intervention is new or whether it was already studied.
The response includes a thorough and accurate description of the author’s claims.
16 (16%) – 17 (17%)The presentation defines the considered population.
The specific intervention used is described. The description indicates whether the intervention is new or whether it was already studied.
The response includes a description of the author’s claims.
14 (14%) – 15 (15%)There is an incomplete definition of the considered population.
The specific intervention used is partially or inaccurately described.
The response includes a partial or inaccurate description of the author’s claims.
0 (0%) – 13 (13%)There is an incomplete definition of the considered population, or it is missing.
The specific intervention used is partially or inaccurately described, or is missing.
The response includes a partial or inaccurate description of the author’s claims, or is missing.
o Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your clients. If so, how? If not, why? 23 (23%) – 25 (25%)The presentation includes a thorough and accurate review of the findings of the selected article.
The response fully addresses whether or not the outcomes will translate into practice with clients.
20 (20%) – 22 (22%)The presentation includes a review of the findings of the selected article.
The response addresses whether or not the outcomes will translate into practice with clients.
18 (18%) – 19 (19%)The presentation includes a somewhat inaccurate or incomplete review of the findings of the selected article.
The response partially or inaccurately addresses whether or not the outcomes will translate into practice with clients.
0 (0%) – 17 (17%)The presentation includes an inaccurate and incomplete review of the findings of the selected article, or is missing.
The response partially or inaccurately addresses whether or not the outcomes will translate into practice with clients, or is missing.
• Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article. 23 (23%) – 25 (25%)The presentation includes a thorough and accurate explanation of the whether the limitations of the study might impact your ability to use the findings presented in the article. 20 (20%) – 22 (22%)The presentation includes an explanation of the whether the limitations of the study might impact your ability to use the findings presented in the article. 18 (18%) – 19 (19%)The presentation includes a somewhat inaccurate or incomplete explanation of the whether the limitations of the study might impact your ability to use the findings presented in the article. 0 (0%) – 17 (17%)The presentation includes an inaccurate or incomplete explanation of the whether the limitations of the study might impact your ability to use the findings presented in the article, or is missing.•Use the Notes function of PowerPoint to craft presenter notes to expand upon the content of your slides. 9 (9%) – 10 (10%)The Notes function of the presentation is appropriately used to comprehensively expand upon the presentation slides. 8 (8%) – 8 (8%)The Notes function of the presentation is adequately used to expand upon the presentation slides. 7 (7%) – 7 (7%)The Notes function of the presentation is utilized but notes are vague or contain small inaccuracies. 0 (0%) – 6 (6%)The Notes function of the presentation partially or inaccurately expands upon the presentation slides, or is not included.• Support your response with at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is scholarly. References are included on your last slide. PDFs of sources are included with submission. 9 (9%) – 10 (10%)The presentation is strongly supported with at least three peer-reviewed, evidence-based, scholarly sources. References are included on the last slide. PDFs of sources are included with submission. 8 (8%) – 8 (8%)The presentation is supported with at least three peer-reviewed, evidence-based, scholarly sources. References are included on the last slide. PDFs of sources are included with submission. 7 (7%) – 7 (7%)The presentation is supported with two or three peer-reviewed, evidence-based, scholarly sources. Accurate references may not be included on the last slide. PDFs of sources may be missing. 0 (0%) – 6 (6%)The presentation is supported with resources peer-reviewed, evidence-based, scholarly sources, or the sources are missing.Written Expression and Formatting – Style and Organization: Slides are clear and not overly crowded. Sentences in presenter notes are carefully focused—neither long and rambling nor short and lacking substance. 5 (5%) – 5 (5%)Slides are clear, concise, and visually appealing. Sentences in presenter notes follow writing standards for flow, continuity, and clarity. 4 (4%) – 4 (4%)Slides are clear and concise. Sentences follow writing standards for flow, continuity, and clarity 80% of the time. 3.5 (3.5%) – 3.5 (3.5%)Slides may be somewhat unorganized or crowded. Sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. 0 (0%) – 3 (3%)Slides are unorganized and/or crowded. Sentences follow writing standards for flow, continuity, and clarity < 60% of the time.Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation 5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errors. 4 (4%) – 4 (4%)Contains 1 or 2 grammar, spelling, and punctuation errors. 3.5 (3.5%) – 3.5 (3.5%)Contains 3 or 4 grammar, spelling, and punctuation errors. 0 (0%) – 3 (3%)Contains many (? 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Total Points: 100Also Read: NRNP 6645 Week 6 Supportive and Interpersonal Psychotherapy
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