1. 1
Addiction Disease Model
The objectives of this lesson plan is to
examine addiction as a disease.
Begin by asking for a show of hands on
how many clients believe addiction to
alcohol and other substances (prescribed
or not) is a disease.
2. 2
Addiction Disease Model
Ask clients why they think people
experiment with drugs and alcohol.
Engage clients in sharing some ideas they
may have about why drug experimentation
escalates and how this can lead to the
cycle of addiction.
3. 3
Addiction Disease Model
Information on Pages 1 through 3 can be
found on the internet link below:
http://school.discoveryeducation.com/lessonpla
4. 4
Addiction Disease Model
Addiction is the physiological dependence
on a drug, i.e., the getting and finding ways
and means to get and use more alcohol/drugs
despite the negative consequences.
Obsession is the persistent disturbing
preoccupation with an often unreasonable idea or
feeling. The mental aspect of when our minds are
consumed with thoughts of getting and using more.
5. 5
Addiction Disease Model
Compulsion is to use alcohol or other drugs
regardless of negative or adverse
consequences. The acting out of the
obsessive and/or intrusive thoughts. The
physical aspect.
Definitions on pages 4 & 5 can be found
on the internet link below:
http://www.merriam-webster.com/
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Addiction Disease Model
Self-centeredness is the spiritual aspect of
addiction which is when we are driven by the
hopeless trap of obsession and compulsion.
Leaving us to have little to no consideration
for ourselves or others. Being consumed
with our using only. Nothing and no one else
matters. For our survival we are trapped in
denial or our inability to see the truth. We
rationalize an justify our existence.
9. 9
The cycle of addiction charts on pages 7
and 8 can be found on the link below:
http://www.google.com/images?
rlz=1T4ADRA_enUS362US362&q=cycle
%20of
%20addiction&um=1&ie=UTF-8&source=og
&sa=N&hl=en&tab=wi
10. 10
Addiction Disease Model
Disease means any departure from
health presenting marked symptoms;
malady; illness; disorder.
Symptom means subjective evidence
of disease or physical disturbance;
broadly : something that indicates the
presence of bodily disorder.
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Addiction Disease Model
Malady - 1 : a disease or disorder of the
animal body.
2 : an unwholesome or disordered
condition.
Disorder - 1 : to disturb the order of
2 : to disturb the regular or normal functions
of
12. 12
Addiction Disease Model
Definitions on pages 10 & 11 can be
found on the internet link below:
http://www.merriam-webster.com/
13. 13
Addiction Disease Model
Most people who have severe alcohol
problems meet the criteria for Substance
Dependence as presented in the DSM-IV
(explain). These criteria include:
A. A pattern of compulsive use marked by a
loss of control over the ability to regulate use
or to abstain.
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Addiction Disease Model
B. Tolerance marked by both the need for
larger amounts of alcohol to achieve the
desired effect and a diminished perceived
effect with the same amount.
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Addiction Disease Model
C. Withdrawal marked by the development
of a specific withdrawal syndrome upon the
cessation of use or the use of the same or
similar type of drug to relieve or avoid the
withdrawal syndrome.
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Addiction Disease Model
D. Substance-induced organic mental
disorders that result from the toxic effects of
chronic alcohol and drug poisoning to the
brain.
DSM IV places a heavy weighting upon the
pattern of compulsive use as the primary
factor distinguishing between abuse and
dependence. This pattern of compulsive use
is marked by the following signs and
symptoms:
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Addiction Disease Model
1. Craving: A strong desire to use the
substance.
2. Loss of control over use: The tendency to
use larger quantities of the substance than
intended and to use the substance for longer
periods of time than intended.
3. Inability to abstain: The persistent desire
to cut down or control accompanied by the
failure to be able to so in spite of past
attempts.
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Addiction Disease Model
4. Addiction Centered Lifestyle: The
increased amount of time spent in seeking
and using alcohol and other drugs resulting in
the centering of major life activities around
alcohol and drug use.
5. Addictive Lifestyle Losses: The tendency
to give up or reduce the frequency of
involvement in important life activities to
accommodate the increased amount of time
spent in drug seeking and using.
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Addiction Disease Model
6. Continued use in spite of problems The
tendency to continue to use alcohol and
drugs in spite of problems. (Or adverse
effects such as losing a job, friends, and
family, or getting a divorce, becoming
physically ill, knowing the fatality rate.
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Addiction Disease Model
It is appropriate to describe people with
severe alcohol problems that meet the
DSM IV criteria of substance dependence
as having a disease. In these cases there
is clear evidence of a syndrome (a clearly
identifiable pattern of signs and
symptoms) and a disorder (clear evidence
that those signs and symptoms have
created both functional and structural
impairment.
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Addiction Disease Model
The information on pages 13 through 20
can be found on the internet link below:
http://www.tgorski.com/gorski_articles/disea
se_model_of_addiction_010704.htm
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Addiction Disease Model
Ask clients if they ever said they were
addicted to something such as candy,
television, video games? Discuss the
implications of their statement(s) with regard
to alcohol, substance abuse and addiction.
Ask clients how they feel about addiction as
a disease. Is alcoholism as well as
substance abuse a disease?
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Addiction Disease Model
Elicit feedback on their thoughts of their
own alcohol and/or drug use and how it
compares to the cycle of addiction.
End the lesson by showing a raise of hands
as to how many view addiction to alcohol
and other substances as a disease.
24. 24
Addiction Disease Model
More information on the Cycle of Addiction
can be found on this site:
http://school.discoveryeducation.com/lesso
nplans/programs/addiction/
Slight edits were made by Antoinette Williams