Do you know about - Addictions recovery estimation & the Seven Dimensions Model
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Introducing a Multidimensional saving determination Model for Addictions
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The sun was opinion to revolve colse to the earth for 1500 years. It wasn’t until a European astronomer named - Nicolaus Copernicus first formulated a modern heliocentric theory of the solar theory that we began to change our thinking. This understanding finally ushered in a major paradigm shift in astronomy and physics. Every model or viewpoint for saving maintains the integrity and significance of its own position, often to the exclusion of other explanations. For example, there are saving models and theories for: biological, psychological, social, cultural, and spiritual viewpoints that can all illustrate human behavior. Unfortunately, these viewpoints may thus “blind” their adherents to alternative interpretations until some new understanding is achieved that resolves the problems left unsolved. It is my hope that the 7 – Dimensions model for addictions saving determination is a step towards a “Copernicus” type paradigm shift.
Because human behavior is so complex, an effort to understand the reasons individuals continue to use, and/ or abuse themselves with substances and/ or maladaptive behavioral addictions to the point of developing self-defeating behavior patterns and/ or other life-style dysfunctions or self-harm is enormously difficult to achieve. Many researchers therefore prefer to speak of risk factors that may contribute, but not be sufficient to cause addictions. They point to an eclectic bio-psychosocial arrival that involves the multi-dimensional interactions of genetics, biochemistry, psychology, socio-cultural, and spiritual influences.
Risk Factors / Contributory Causes / Influences:
1. Genetics (family history) – is known to play a role in causing susceptibility through such biological avenues as metabolic rates and sensitivity to alcohol and/ or other drugs or addictive behaviors.
2. Biochemistry – the discovery of morphine-like substances called endorphins (runners high, etc.) and the so-called “pleasure pathway” – the mesocorticolimbic dopamine pathway (Mclp). This is the brain center or potential anatomic site underlying addictions at which alcohol and other drugs stimulate to produce euphoria – which then becomes the desired goal to attain (tolerance – loss of control – withdrawal).
3. Psychological Factors – developmental personality traits, vulnerability to stress, and the desire for tension and symptom reduction from various thinking condition problems and traumatic life experiences.
Our gift healthcare theory is set up to focus on acute care rather than lasting illnesses. It focuses on a Unitary Syndrome model in which the sole label of medicine response or success is specific symptom-reduction. Healthcare consumers are increasingly advocating for a multidimensional model that takes into catalogue an array of life-functioning domains that sway outpatient medicine progress. Evidenced-based meta-analysis studies also purport the prognostic power of life-functioning variables to predict outcome as well as their significance for medicine planning over a unitary model that has had little empirical support. accurate pathology is also dependent on a thorough multidimensional appraisal process along with the potential help of a multidisciplinary medicine team approach. Behavioral medicine practitioners have come to comprehend that although a disorder may be primarily physical or primarily psychological in nature, it is all the time a disorder of the whole someone – not just of the body or the mind.
American society of Addiction medicine (Asam)
The American society of Addiction Medicine’s (2003), “Patient Placement Criteria for the medicine of Substance-Related Disorders, 3rd Edition”, has set the thorough in the field of addiction medicine for recognizing a multidimensional, bio-psychosocial appraisal process. Asam industrialized the following six dimensions specifically for the addictions field with the intent to supply clinicians with decision-making guidelines for outpatient placement of care:
1. Acute Intoxication and/ or retirement Potential
2. Biomedical Conditions and Complications
3. Emotional/ Behavioral Conditions and Complications
4. medicine Acceptance / Resistance
5. Relapse / continued Use Potential
6. saving Environment
The Asam dimensional delineations were industrialized to correlate severity of illness (alcoholism/ drug addiction). The severity of illness level is then used to determine the match to type and intensity of medicine to help guide placement into one of four levels of care. The dimensional assessments would involve asking if the patient’s daily living activities were significantly impaired to interfere with or distract from abstinence, recovery, and/ or stability medicine goals and efforts.
Seven Dimensions Model
In 2004, the Addictions saving determination theory (Arms), was published – describing the following seven life-functioning therapeutic performance dimensions for enlarge outcome measurements. As can be seen below, the Asam (Severity of Illness) dimensions do not compete with the seven “Life-functioning” dimensions, but rather add depth in describing the Abstinence/ Relapse – 7th Dimension. Each of the seven dimensions has individualized appraisal criteria:
1. Social/ Cultural – Dimension
2. Medical/ physical - Dimension
3. Mental/ Emotional - Dimension
4. Educational/ Occupational - Dimension
5. Spiritual/ Religious - Dimension
6. Legal/ Financial - Dimension
7. Abstinence/ Relapse - Dimension
a. Acute Intoxication and/ or retirement Potential
b. Biomedical Conditions and Complications
c. Emotional/ Behavioral Conditions and Complications
d. medicine Acceptance / Resistance
e. Relapse / continued Use Potential
f. saving Environment
Note: These seven dimensions have been delineated in the book entitled, Poly-behavioral Addiction and the Addictions saving determination theory (Slobodzien, 2005).
The 7 – size saving model is not based upon an wide version of the Asam dimensions. As noted above, it was initially designed to part outpatient enlarge by assessing therapeutic life-functioning activities. Researched may prove it to be sufficient as a generalized model for recovery, from all pathological diseases, disorders, and disabilities. It’s multidimensional assessment/ medicine process includes the internal interconnection of multiple dimensions from biomedical to spiritual - taking into catalogue the effects of feedback and the existence of each size mutually influencing each other simultaneously. Because of the complexity of human nature, medicine enlarge needs to be initially tailored and guided by an individualized medicine plan based on a comprehensive bio-psychosocial appraisal that identifies specific problems, goals, objectives, methods, and timetables for achieving the goals and objectives of treatment.
Life-style addictions may sway many domains of an individual's functioning and often want multi-modal treatment. Goals of medicine include reduction in the use and effects of substances or achievement of abstinence, reduction in the frequency and severity of relapse, and revision in psychological and public functioning. Real enlarge requires time, commitment, and discipline in thinking about it, planning for it, working the plan, and monitoring the successes made to forestall relapse. It also requires thorough interventions and motivating strategies for each enlarge area of an individual’s life.
7 - Dimensions is a nonlinear, dynamical, non-hierarchical model that focuses on interactions in the middle of multiple risk factors and situational determinants similar to catastrophe and chaos theories in predicting and explaining addictive behaviors and relapse. multiple influences trigger and control within high-risk situations and sway the global multidimensional functioning of an individual. The process of relapse incorporates the interaction in the middle of background factors (e.g., family history, public support, years of potential dependence, and co morbid psychopathology), physiological states (e.g., physical withdrawal), cognitive processes (e.g., self-efficacy, cravings, motivation, the abstinence violation effect, outcome expectancies), and coping skills (Brownell et al., 1986; Marlatt & Gordon, 1985). To put it simply, small changes in an individual’s behavior can follow in large qualitative changes at the global level and patterns at the global level of a theory emerge solely from numerous little interactions. The clinical utility of the 7 – Dimensions saving model is in its potential to support condition care providers to speedily regain detailed information about an individual’s personality, background, substance use history, affective state, self-efficacy, and coping skills for prognosis, diagnosis, medicine planning, and outcome measures.
The 7 - Dimensions hypothesis is that there is a multidimensional synergistically negative resistance that individual’s make to any one form of medicine to a single size of their lives, because the effects of an individual’s addiction have dynamically interacted multi-dimensionally. Having the former focus on one size is insufficient. Traditionally, addiction medicine programs have failed to adapt for the multidimensional synergistically negative effects of an private having multiple addictions, (e.g. Nicotine, alcohol, and obesity, etc.). Behavioral addictions interact negatively with each other and with strategies to improve comprehensive functioning. They tend to encourage the use of tobacco, alcohol and other drugs, help growth violence, decrease functional capacity, and promote public isolation. Most medicine theories today involve assessing other dimensions to identify dual pathology or co-morbidity diagnoses, or to correlate contributing factors that may play a role in the individual’s former addiction. The 7 Dimensions’ theory is that a multidimensional medicine plan must be devised addressing the potential multiple addictions identified for each one of an individual’s life dimensions in increasing to developing specific goals and objectives for each dimension.
The 7 - Dimensions’ theory promotes a synergistically inescapable follow that can ignite and set free the human spirit when an individual’s life functioning dimensions are elevated in a homeostatic system. The reciprocity in the middle of spirituality and multidimensional life functioning progress, make the deepest intrinsic self-image and behavioral changes. The underlying 7 - Dimensions theory purports that the composition of an individuals’ elevated and balanced multiple life-functioning dimensions can produce a synergistically tenacious, resilient, and spiritually inescapable private homeostasis. Just as the composition of alcohol and drugs (for example valium) when taken together produce a synergistic follow (potency effects are not added together, but multiplied), and can make into an addiction or unbalanced life-style, inescapable medicine effectiveness and prosperous outcomes are the follow of a synergistic association with “The Higher Power.”
The 7 – Dimensions model acknowledges that family genetics, and bio-psychosocial, historical, and developmental conditioning factors are difficult and sometimes impossible to be changed within individuals. The standardized performance-based Addictions saving determination theory doctrine incorporates a bio-psychosocial disease model that focuses on a cognitive behavioral perspective in attempting to alter maladaptive thinking and improve a person’s abilities and behaviors to solve problems and plan for sustained recovery. Many healthcare consumers of addiction saving services have a genetic pre-dispositional history for addiction. They have suffered and continue to suffer from past traumatic life experiences (e.g. Physical, sexual, and emotional abuse, etc.) and often gift with psychosocial stressors (e.g. Occupational stress, family/ marital problems, etc.) leaving them with intense and confusing feelings (e.g. Anger, anxiety, bitterness, fear, guilt, grief, loneliness, depression, and inferiority, etc.) that reinforce their already low self-esteem. The complex interaction of these factors can leave the private with much deeper thinking condition problems fascinating self-hatred, self-punishment, self-denial, low self-control, low self-respect, and a severe low self-esteem condition, with an comprehensive (sometimes hidden) negative self-identity.
The 7 – Dimensions model combines a multidimensional force field pathology of an individual’s unique problems to identify inescapable drive prognostic factors, with behavioral contracting, and a token-“like”- economy point theory to achieve this task. Force field pathology is a process whereby an individual’s behavior is assessed to determine which are the key military driving the addictive behaviors and which are the key military restraining the addictive behaviors. A plan is implemented to identify the inescapable drive restraining factors to somehow manipulate those military in order to growth the likelihood of fascinating an individual’s behavior in a pro-social saving direction. Kurt Lewin (1947) who originally industrialized the Force Field theory argued that an issue is held in equilibrium by the interaction of two opposing sets of military – those seeking to promote change (driving forces) and those attempting to enunciate the status quo (restraining forces). Any given public event occurs at a given frequency in a given public context, and the frequency of the event is dependent upon military acting to growth the event as well as military acting to decrease the event. At any given point in time, there is a “semi-stable equilibrium” whereby the frequency of the public event will remain the same so long as there is neither change in the whole or drive of the military acting to growth the public event nor any change in the military acting to decrease the event. equilibrium is altered in either direction by increasing the frequency or intensity of the driving or the restraining military and thereby creating a corresponding growth or decrease in the rate of an individual’s “addictive” behaviors.
The long-term goal is the health-consumer’s top optimal functioning, not merely the absence of pathology or symptom reduction. The short-term goal is to change the condition care theory to adapt and assimilate to a multidimensional condition care perspective. The 7 – Dimensions model addresses the low self-esteem - “addiction - coarse denominator” by helping individuals make values, set and achieve goals, and monitor prosperous performance.
Additionally, when we consider that addictions involve unbalanced life-styles operating within semi-stable equilibrium force fields, the 7 - Dimensions doctrine promotes that there is a supernatural-like spiritually synergistic follow that occurs when an individuals’ multiple life functioning dimensions are elevated in a homeostatic human system. This bilateral spiritual connectedness reduces chaos and increases resilience to bring an private harmony, wellness, and productivity. The Arms takes an objective perspective on spirituality by assessing an individual’s inescapable and/ or negative spiritual/ religious size with the Religious Attitudes catalogue (e.g., the Rai is capable of identifying very unhealthy cult-like spirituality with the rigid, and intolerant religious and militant orthodoxy, practiced by some terrorists, etc.). Rai test results are also integrated into the prognostication scoring system.
The 7 – Dimensions model also promotes Twelve Step saving Groups such as Alcoholics and Narcotics Anonymous along with spiritual and religious saving activities as a important means to enunciate outcome effectiveness. The National make of Alcohol Abuse and Alcoholism’s most recent research findings regard such active involvement with Aa/ Na as the crucial factor responsible for sustained recovery
Conclusion
The 7 – Dimensions Model is not claiming to be the panacea for the ills of addictions medicine enlarge and outcomes, but it is a step in the right direction for getting clinicians to change the way they practice, by changing medicine factory systems to concentrate evidence-based research findings on sufficient interventions. The challenge for those concerned in conducting outcome evaluations to improve their potential of care is to concentrate a theory that will standardize their appraisal procedures, medicine programs, and clinical medicine practices. By diligently following a standardized theory to regain base-line outcome statistics of their medicine program effectiveness despite the outcome, they will be able to correlate the effectiveness of subsequent medicine interventions.
For more info see:
Poly-Behavioral Addiction and the Addictions saving determination theory (Arms)
at: [http://www.geocities.com/drslbdzn/Behavioral_Addictions.html]
References
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American society of Addiction Medicine’s (2003), “Patient Placement Criteria for the
Treatment of Substance-Related Disorders, 3rd Edition, Retrieved, June 18, 2005, from:
http://www.asam.org/
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Fisher, research professor, agency of anthropology, Rutgers University, New Brunswick, N.J.;
Paul Sanberg, Ph.D.,professor, neuroscience, and director, center of Excellence for Aging and
Brain Repair,University of South Florida College of Medicine, Tampa; June 2005, the Journal of
Neurophysiology
Gorski, T. (2001), Relapse stoppage In The Managed Care Environment. Gorski-Cenaps Web
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Morgan, G.D.; and Fox, B.J. Promoting Cessation of Tobacco Use. The doctor and Sports medicine. Vol 28- No. 12, December 2000.
Slobodzien, J. (2005). Poly-behavioral Addiction and the Addictions saving determination theory (Arms), Booklocker.com, Inc., p. 5.
U.S. agency of condition and Human Services. Salutary population 2010 (Conference Edition). Washington, Dc: U.S. Government Printing Office; 2000.
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