By Robert J. Meyers, William R. Miller
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Additional info for A Community Reinforcement Approach to Addiction Treatment
Meyers & J. E. Smith, 1995, pp. 38-39. Copyright 1995 by Guilford Press, New York. Adapted with permission. CRA Functional Analysis for Nondrinking Behavior Nondrinking behavior Who are you usually with when you (activity)? 1. What are you usually thinking about right before you (activity)? 1. What is the nondrinking activity? Short-term consequenc 1. What do you dislike about (activity) with (who)? 2. Where do you usually (activity)? •Wr&faM. 2. What are you usually 2. How often do you feeling physically right engage init?
9 years, 83% were male, 57% were married or cohabiting, and 46% were employed. 1 drinking days per month. Participants were randomly assigned to one of three treatment groups. Those in the ‘‘traditional’’ (control) group received educational information describing Jellinek’s (1960) view of alcoholism and were counseled concerning personal and social problems. Although total abstinence was stressed for members of the traditional group and disulﬁram use was encouraged, they did not receive any special disulﬁram assurance procedures, and their signiﬁcant others joined the clients only for the initial session.
4. Label your feelings. 5. Give an understanding statement. 6. Accept partial responsibility. 7. Oﬀer to help. In presenting these steps we point out that the ﬁrst three should look familiar, as they provided the framework for formulating goals and strategies on the treatment plan. Steps 4 and 5 are seen as complementary, since one is a comment about the client’s feelings, while the understanding statement introduces empathy. Additionally, clients are encouraged to make a partial responsibility statement as a way of acknowledging a role in creating the problem.
A Community Reinforcement Approach to Addiction Treatment by Robert J. Meyers, William R. Miller