This week, you will assess a research article on psychotherapy for clients with addictive disorders. You also examine therapies for treating these clients and consider potential outcomes. Finally, you will discuss how therapy treatment will translate into your clinical practice.

Open attachment for instruction 

Commentary: Elders, Others and Addiction: Do They Care
and Want to Understand

Edward J. Khantzian, MD

I decided to write the following piece after I lectured to a
group of senior citizen. It turned out to be a remarkably
gratifying experience for the audience and for myself. In part I
think it was successful because I touched on a nerve of the
attendees, one that is of concern to so many these days, given
the tragic scourge of addiction that has cut such a wide swath
throughout our society. I covered a lot, namely the scope and
reasons for the epidemic, the psychodynamics of addiction,
and the challenges we face politically, socially, and the price
tag to address the needed remedies. Admittedly my audience of
lay people was at least upper-middle class and well educated,
but I still worried if my perspective and some of the clinical
issues I raised would miss the mark because they would not be
aligned with their interests, concerns and priorities. It turned
out they were deeply engaged, including a keen interest in the
extent and nature of addiction problems and what it would
entail to !x them. Although it was likely not a person there was
not on Medicare, their questions and comments revealed,
beyond their lot in life, that their concerns about addiction
issues touched most of them, either personally, their families
or friends.

I was recently asked to speak to a group of seniors. I was
much surprised by the turnout of 250 citizens. The group
sponsoring the lecture is committed to life-long learning for
seniors andmy lecturewas one of a series to address “hot-button
issues.” I had planned to speak aboutmy experience, spanning 5
decades, of working with individuals who had succumbed to
addictive disorders focusing on the theme of “why some
individuals aremore vulnerable than others.”But the day before
and the day of my presentation I began to panic about my
audience and what the scope of my presentation should be.

This talk is generally well received, especially given the
mounting concerns about the scourge of addiction throughout
our society, and usually consists of clinicians, counselors and
educators. My audience this day was different—the seniors.
So I panicked a bit—wouldmy audience be responsive to or be
interested in my psychodynamic and psychiatric perspective
on vulnerability to addiction? Beyond the usual issues I cover
in this talk, I realized for it to be meaningful for this audience I
had to at least make reference to social, cultural, and biological

contexts of addiction, and not least of all was the epidemic of
addiction and the role of opiate drugs. Also, I wondered
whether I should avoid or tone down technical issues about
addiction and the psychodynamics of addictive vulnerability
to which I usually refer. To put it less tactfully, should I
“dumb-down” my talk? About this last concern—no need to
worry, I diluted little from my usual presentation and

Assignment: Psychotherapy for Clients With Addictive Disorders

Addictive disorders can be particularly challenging for clients. Not only do these disorders typically interfere with a client’s ability to function in daily life, but they also often manifest as negative and sometimes criminal behaviors. Sometime clients with addictive disorders also suffer from other mental health issues, creating even greater struggles for them to overcome. In your role, you have the opportunity to help clients address their addictions and improve outcomes for both the clients and their families.

Photo Credit: Getty Images

To prepare:

· Review this week’s Learning Resources and consider the insights they provide about diagnosing and treating addictive disorders. As you watch the 
187 Models of Treatment for Addiction video, consider what treatment model you may use the most with clients presenting with addiction.

· Search the Walden Library databases and choose a research article that discusses a therapeutic approach for treating clients, families, or groups with addictive disorders.

The Assignment

Address the following.

Provide an overview of the article you selected.

· What population (individual, group, or family) is under consideration?

· What was the specific intervention that was used? Is this a new intervention or one that was already studied?

· What were the author’s claims?

· Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own clients. If so, how? If not, why?

· Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article. 

· Support your response with at least three other peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Provide references to your sources on your last slide. Be sure to include the article you used as the basis for this Assignment.