Treatment Models In Aod Dependence

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Treatment models in AOD dependence Introduction This paper will explore the more traditional approach of the disease model in the treatment of AOD dependence. This model will be compared to the newer treatment approaches of harm reduction and motivational interviewing. The current literature regarding these three approaches will be reviewed in terms of the strengths and shortcomings of each. Some conclusions will then be drawn regarding efficacy and applicability to the writer’s current AOD counselling practice. It needs to be acknowledged that substance use is both fundamental and normative to the human condition; it has always been and continues to be part of ordinary human behaviour (APS 2005). On the one hand, alcohol and other drugs can be “prestige commodities”, while on the other, their use seems to permit almost “universal stigma and marginalization” (Room 2005:143). “Psychoactive substance use occurs in a highly charged field of moral forces” (Room 2005:152) and this permeates approaches to treatment. The Disease Model Traditionally treatment approaches have centred upon the disease model of addiction. This approach perceives the substance user to have a biological predisposition to addiction and the inability to control their behaviour (APS 2005). More recently some studies (i.e. Milran & Ketcham 1981) have indicated the hereditary disease component in predisposing neurotransmitter systems to respond to certain drugs, overriding the normal mechanisms of self-control (in Miller 1998). The disease model supports medical approaches like pharmacological interventions, or abstinence through community based 12-step approaches, such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) (APS 2005). AA & NA Demystified The philosophical underpinning of 12-step approaches like AA and NA asserts that true addiction is an illness (disease
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