The Effects of Alcohol and Substance Use on a Couple System

2018 ◽  
Vol 26 (3) ◽  
pp. 341-350
Author(s):  
Elizabeth Molla ◽  
Eman Tadros ◽  
Michelle Cappetto
Keyword(s):  
Substance Use ◽  
Behavioral Therapy ◽  
Couple System ◽  
Mental Health Systems ◽  
Major Depressive ◽  
Alternative Means ◽  
Therapy Interventions ◽  
The Relationship ◽  
Patterns Of Interaction

This case study aims to analyze the effects of alcohol and substance use on a couple system. An African American, heterosexual couple was selected for analysis due to dual alcohol and substance use negatively impacting their relationship in addition to generalized anxiety and major depressive disorder. The reliance of alcohol and substance use to cope with relational stressors and mental health systems was detrimental to the relationship. The clients initially presented with trust issues stemming from infidelity; throughout the course of treatment, it became apparent the alcohol and substance use was hindering the couple’s ability to repair trust and meet their other clinical goals. The couple struggled to find alternative means of coping outside of alcohol and substance use, exacerbating their toxic patterns of interaction. This study displays how cognitive behavioral therapy interventions can be implemented within alcohol and substance abuse context to create change in a couple system.

Substance Use and Self-Harm: Case Studies From Patients Admitted to an Urban Hospital Following Medically Serious Self-Harm

2017 ◽  
Vol 27 (14) ◽  
pp. 2201-2210 ◽  
Author(s):  
Elsie Breet ◽  
Jason Bantjes
Keyword(s):  
Substance Use ◽  
Case Study Research ◽  
Urban Hospital ◽  
Adaptive Function ◽  
The Past ◽  
Multiple Case ◽  
Self Harm ◽  
The Relationship ◽  
Analyze Data

Few qualitative studies have explored the relationship between substance use and self-harm. We employed a multiple-case study research design to analyze data from 80 patients who were admitted to a hospital in South Africa following self-harm. Our analysis revealed, from the perspective of patients, a number of distinct ways in which substance use is implicated in self-harm. Some patients reported that substance intoxication resulted in poor decision making and impulsivity, which led to self-harm. Others said substance use facilitated their self-harm. Some participants detailed how in the past their chronic substance use had served an adaptive function helping them to cope with distress, but more recently, this coping mechanism had failed which precipitated their self-harm. Some participants reported that substance use by someone else triggered their self-harm. Findings suggest that there are multiple pathways and a host of variables which mediate the relationship between substance use and self-harm.

Acousmatic Approaches to the Construction of Image and Space in Sound Art

2015 ◽  
Vol 20 (2) ◽  
pp. 148-159 ◽  
Author(s):  
Peter Batchelor
Keyword(s):  
Current Trend ◽  
Image Space ◽  
Sound Art ◽  
Concert Hall ◽  
Spatial Sound ◽  
Alternative Means ◽  
Acousmatic Music ◽  
Relationship Of ◽  
The Relationship

This article considers ideas of image and space as they apply to acousmatic music and to sound art, establishing overlaps and compatibilities which are perhaps overlooked in the current trend to consider these two genres incompatible. Two issues in particular are considered: compositional (especially mimesis and the construction of image, and what shall be termed ‘ephemeral narrative’) and presentational (in particular multichannel speaker deployment). While exploring several relevant works within this discussion, by way of a case study the article introduces the author’s GRIDs project – a series of four multichannel sound sculptures united in their arrangement in geometric arrays of many (in some cases potentially hundreds of) loudspeakers. These permit, by virtue of being so massively (and geometrically) multichannel, the generation of extremely intricate spatial sound environments – fabricated landscapes – that emerge directly from an acousmatic compositional aesthetic. Owing to their alternative means of presentation and presentation contexts, however, they offer very different experiences from those of acousmatic music encountered in the concert hall. So the latter part of this article explores the various ways in which the listener might engage with constructed image space within these sound sculptures, along with the relationship of the audio content of each with its visual and situational setup – that is, its environment.

Model-Consistent Cognitive Behavioral Therapy Supervision: A Case Study of a Psychotherapy-Based Approach

2016 ◽  
Vol 30 (2) ◽  
pp. 120-130 ◽  
Author(s):  
Scott H. Waltman
Keyword(s):  
Experiential Learning ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Public Mental Health ◽  
Cognitive Behavioral ◽  
Mental Health Systems ◽  
Training Outcomes ◽  
Intensive Training ◽  
Community Clinician

There is a great need for training in cognitive behavioral therapy (CBT) for community clinicians who work in public mental health systems where resources are low and demands are high. Researchers have found that simply attending intensive CBT workshops will not result in adherent or competent CBT being delivered, rather ongoing CBT supervision/consultation has been found to be associated with the best training outcomes. Psychotherapy-based approaches to supervision have recently received some attention for their value in providing experiential learning. What follows is a case example of a community clinician who had little previous training in CBT and following an intensive training and 16 weeks of CBT supervision had substantial gains in her CBT adherence and competency ratings. Recommendations such as the value of experiential learning are discussed.

scholarly journals Linking African and Western models through integration of trickster folktales in the application of Cognitive Behavior Therapy for depression

2020 ◽  
Vol 16 (2) ◽  
pp. 146
Author(s):  
Esther N. Nzewi
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Interpersonal Relationships ◽  
Behavioral Therapy ◽  
Cross Cultural ◽  
Cognitive Behavioral ◽  
Major Depressive ◽  
Therapeutic Techniques ◽  
The Cross

The unique re-entry challenges of African psychologists trained in western universities is evolving strategies for applying general clinical theories and therapeutic techniques in ways that are clinically effective and culturally sensitive. This case study presents the cross-cultural application of Cognitive Behavioral Theory (CBT) for the treatment of Major Depressive Disorder (MDD) with a 12-year-old Nigerian adolescent. Cultural relevance is enhanced by the integration of culture-based trickster folktales in the cross-cultural application of CBT.The strategies for identifying major themes, contents, contexts, the characteristics of the villains and victims, nature of interpersonal relationships, emotions, behavior and consequences in trickster folktales are described. The case study further demonstrates how these components of trickster folktales are used for the implementation of core therapeutic techniques of Cognitive Behavioral Therapy (CBT). The outcomes are discussed in terms of the benefits of the therapeutic application of CBT, efficacy of modified CBT in nonwestern countries, and client’s characteristics important in the treatment of Major Depressive Disorder with culturally modified CBT in adolescents.

scholarly journals Adapting Psychotherapy for Comorbid Substance use and Bipolar Disorder in Older Sexual Minorities: A Case Study

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 998-999
Author(s):  
Sarah Nanami Morehouse ◽  
Kirenia Brunson ◽  
Ashley Stripling ◽  
Jodie Maccarrone ◽  
Jessica Choe ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Substance Use ◽  
Progress Monitoring ◽  
Suicide Attempts ◽  
Behavioral Therapy ◽  
Dually Diagnosed ◽  
Short Term ◽  
Booster Sessions ◽  
Mood Stabilization

Abstract Approximately 65 to 95% of individuals with bipolar disorder (BD) are diagnosed with an additional psychiatric condition (Kessler, 1999). Alcohol, the most commonly abused substance amongst individuals with BD (Xiao et al., 2016), has been linked to significant increases in suicide attempts, disability, hospitalizations, and mortality (Baldessarini et al., 2008; Goldberg et al., 1999; Mitchell et al., 2007; Nery & Soares, 2011). Despite these ill effects, little is known about how to effectively treat, or adapt existing treatment appropriately, for the growing numbers of individuals who are dually diagnosed with BD and alcohol use disorder (AUD) and hold the identity of lesbian, gay, bisexual, transgender, or queer (LGBTQ) in late life. Thus, the purpose of this study is to demonstrate how treatment was adapted to a self-identified gay man with comorbid BD and AUD from a relational, culturally sensitive perspective while simultaneously implementing two short-term interventions: cognitive behavioral therapy (CBT) and a behavioral substance use program. In line with Knight & Poon’s (2008) Contextual Life Span Theory for Adapting Psychotherapy with Older Adults (CALTAP) and a multicultural lens that incorporates relevant research on older LGBTQ individuals, modifications were made to the content, structure, language, and duration of therapy while cultivating a safe and empathic space. Idiographic data and progress monitoring measures suggests treatment resulted in substance use and distress reduction, as well as mood stabilization. However, additional booster sessions may be advantageous given the risk for substance abuse relapse and the compounding effect it may exert on persons with BD.

Linguistic Interactions: A Therapeutic Consideration for Adults With Aphasia

2008 ◽  
Vol 17 (3) ◽  
pp. 93-98
Author(s):  
Lynn E. Fox
Keyword(s):  
Clinical Outcomes ◽  
Social Contexts ◽  
Interaction Models ◽  
Social Communities ◽  
Wernicke's Aphasia ◽  
Communication Challenges ◽  
Therapeutic Consideration ◽  
Patterns Of Interaction ◽  
Structural Language

Abstract Linguistic interaction models suggest that interrelationships arise between structural language components and between structural and pragmatic components when language is used in social contexts. The linguist, David Crystal (1986, 1987), has proposed that these relationships are central, not peripheral, to achieving desired clinical outcomes. For individuals with severe communication challenges, erratic or unpredictable relationships between structural and pragmatic components can result in atypical patterns of interaction between them and members of their social communities, which may create a perception of disablement. This paper presents a case study of a woman with fluent, Wernicke's aphasia that illustrates how attention to patterns of linguistic interaction may enhance AAC intervention for adults with aphasia.

The Relationship Between News Media Outreach Activities and Pick-up of Key Messages in Print News Stories: Case Study of MMWRs on Tobacco Topics

2008 ◽  
Author(s):  
Stephen Babb ◽  
Judy Berkowitz ◽  
Joel London ◽  
Lance D. Potter ◽  
Terry Savage
Keyword(s):  
News Media ◽  
News Stories ◽  
Print News ◽  
The Relationship
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