ADD 5258 Capella University Substance Use Disorder Theory Selection Paper Theoretical Analysis (4–5 pages). This section of the project is due in Unit 5. T

ADD 5258 Capella University Substance Use Disorder Theory Selection Paper Theoretical Analysis (4–5 pages). This section of the project is due in Unit 5. To complete this section, you need to:

Discuss the tenets of the approach you selected and how it fits with your own personal characteristics and beliefs about how people change.
Discuss the usefulness of the approach with group counseling for addictive behavior.
Discuss ethical considerations, including in assessment and preparation of clients for placement in a group.
Discuss cultural considerations when using this approach.
Theoretical Analysis (4–5 pages). This section of the project is due in Unit 5. To complete this section, you need to:
Discuss the tenets of the approach you selected and how it fits with your own personal characteristics and beliefs about how people change.
Discuss the usefulness of the approach with group counseling for addictive behavior.
Discuss ethical considerations, including in assessment and preparation of clients for placement in a group.
Discuss cultural considerations when using this approach..
Theoretical Analysis (4–5 pages).
Theoretical Practice (5–7 pages).

APA formatting: Resources and citations must be formatted according to APA style and formatting. See the APA Style and Formatting guide.

Reference list: A minimum of seven peer-reviewed references.

double-spaced pages.

Font and font size: Times New Roman, 12 point. Running head: THEORY SELECTION
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Theory Selection
Katherine Frew
Capella University
ADD 5258 u02a1
THEORY SELECTION
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Theory Selection
Substance Use Disorder is defined by the use of illicit and psychoactive drugs, which is
often maladaptive use of the drug during significant distress. It is highly important to emphasize
the pharmacological and psychosocial treatments. Cognitive Behavioral Therapy is the most
effective with hand-in-hand use of pharmacological treatments to understand the effectiveness of
dealing with SUD and the relapse rate, which is evident among clients dealing with SUD.
CBT focuses on the exploration of the individual’s cognitive process that is leading to
self-destructive behavior. The client and the therapist usually work together to identify
maladaptive behaviors, and the formulation of coping strategies to deal effectively with potential
stressors. (Hartney, n.d.) Motivational interviewing focuses on the therapist showing empathy for
the client’s situation or events. The therapist will then determine the discrepancy between their
current thoughts (what are they doing) and what they aspire to do (what are their goals).
Understanding that the client might be resistant to change, the therapist provides an alternative
pattern of thinking that is beneficial. (Patterson, 2020) Solution-focused therapy focuses on
understanding that change always occurs naturally and gradually. Formal interventions tend to
bring about natural change and doesn’t replace the maladaptive ones. When the clients are
resistant to change it becomes difficult to help these clients during the therapeutic
process. (Iveson, 2002)
For my final project, the theory I have selected is Solution-focused therapy or (SFBT)
Solution-focused brief therapy helps the client to focus on the ways to solve a problem rather
than focusing solely on the problem and magnifying its consequences. It is considered to be a
future-oriented therapy that emerged out of the field of family therapy during the 1980s by Steve
de Shazer and Insoo Kim Berg; they argued that most of the therapies focus on the problem,
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issues, and the symptoms related to the disorder, and believed that rather than discussing the
problems it is more effective to focus on a quick problem-solving method to therapy (Berg &
Simon, 2015). It focuses on saving time that is often spent on long therapy sessions and focuses
on the implementation of a solution as soon as possible. Other important assumptions are:
1. Change is certain and constant.
2. The therapist focuses on what is changeable or is possible to change.
3. Clients resistant to change cannot be helped effectively without motivation to change.
4. Therapy is considered to be short term but with long term solution-oriented goals.
5. Therapy is focused upon the client’s future and not on the clients’ past. (Berg & Simon,
2015)
When focusing on group leadership it is important to view the group as a type of family
system that is directed towards developmental goals and is driven by emotions and actions. To
understand the structure of the group, it is important to understand the culture that exists in the
group and depending on that, one can develop a group leadership model. Group organizational
culture is defined as a process that involves the members of the group and how it handles
problems that arise. For instance, a group culture that promotes flexibility and openness will
often welcome creative methods to solve a problem or involve the use of unique solutions. The
quality or type of relationship that the group leader has with the other members describes their
ability to create an open and healthy relationship in the group environment. (O’Mara & Demask,
2003)
A solution-focused therapy approach might consider identifying the skills and qualities
that are required to make a leader effective and competent. Competency in terms of relationships
with the members of the group, predicts the effectiveness of group leadership. Leaders who do
THEORY SELECTION
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not develope a strong relationship consistently with members, often find it difficult to create
unity in the group with a shared vision. Solution-focused theory can help the group leader
develop methods that can help clients and leaders to enhance their rapport and goals of the
individuals and the group. (Berg & Simon, 2015)
When dealing with addictive behavior, SFBT can involve the following factors that might
be relevant to the treatment:
1. The problem that has motivated the client to seek help from the therapist.
2. A diagnosis
3. Medication Assisted Therapies
4. Symptoms that are currently prevalent and most troublesome.
5. Identifying the support for the client (friends, family, other health professionals)
6. The type of treatment that is suited best for the clients
7. How often the group will meet and the types treatment that will be provided in the group.
8. Group as well as individual objectives and goals.
9. How the progress of the group will be measured.
10. The group will focus on the clients’ strengths.
11. Understanding the barriers to the effectiveness of treatment and progress. (Trepper, et al.,
2011)
While treatment of individuals in groups based on SFBT the important assumptions are that
formal interventions help to understand how the changes among individuals occur naturally. The
basic underlying assumption of SFBT is that change is inevitable, and both the therapist and the
clients help each other to look for instances when problems do and don’t occur. The therapist
then helps the client to focus on the exceptional qualities and amplifies them. For example, the
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instances when the client did not get high even though he or she wanted to. The client then
develops the skills and qualities to resist the use of a substance rather than the therapist telling
them about their deficits and what skills they need to develop. This makes the therapeutic
process and the nature of the change free flowing without self- resisting barriers. (Cheung, 2010)
An SFBT therapist assumes that brief interventions usually have a long-lasting impact. In
today’s world of increasing need for healthcare and effective treatments in substance use
disorders, cost-effective programs and brief, short-term interventions are mostly preferred. When
interventions are brief it aids for the implementation of shorter methods because longer sessions
make the client less motivated to continue treatment and therapy. Lastly, individuals who are
identified to be at risk of substance abuse disorder at an early stage, then SFBT could be
beneficial to prevent further disruption in terms of family, community, and job ties. (Cheung,
2010)
The third assumption of SFBT is that ‘belief in change leads to change’, that is, once the
client enters into treatment, then changes occurs during the sessions, and initially when the client
was reluctant to consider change, they will start to believe in the change that occurs. Clients who
are not ready to change often are described through low motivating behavior and denial
problems. Engaging in ‘change talks’ helps the client to understand that the therapist is honoring
their problem and the client gradually begins to welcome change through the therapeutic process.
This can be initiated by welcoming their personal goal for treatment and the main focus is not on
their substance abuse disorder. (Cheung, 2010)
The success of treatment depends on the therapist’s qualities. The therapist should also
focus on time management because clients do not want to waste their time. Welcoming the
personal goals and strategies can reduce the length of sessions.
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CBT can develop the personal model by managing the psychological distress through
time to time review of the strategies which is beneficial for the management of recovery
programs. CBT involves the management of treatment through self-exploration and unlearning
the distorted cognitions, problematic behaviors, and unhealthy patterns of thinking. CBT
modules which can help in the personal model are CBT and breathing training sessions,
recognition of ANTS (automatic negative thinking style), cognitive restructuring and cognitive
distortions, and by understanding the power of perceptive skills. (Padesky & Mooney, 2012)
Motivational interviewing is helpful in developing the personal model by the
involvement of open-ended questions in interviewing sessions that helps the clients to understand
their problems through flexibility; involvement of valid and appropriate affirmations; involving
the client in reflective skills, thereby helping them to understand the power of introspection.
‘Change talk’ helps them to explore their maladaptive thoughts and required skills and abilities to
make the change a gradual and natural process but not a forced one. (Patterson, 2020)
SFBT is beneficial in the personal model since the sessions are brief, therefore they are
beneficial for creating a lasting impact upon the client regarding the processes and management
techniques learned throughout the therapeutic sessions and they can implement
themselves. Since SFBT involves formal intervention techniques that focus on bringing about
change that is natural, the maladaptive patterns of thought are not replaced but a new set of
healthy thinking styles are formulated by through focusing on the required skills and abilities for
recovery. (Cheung, 2010)
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Bibliography
Berg, I. K., & Simon, J. K. (2015). Solution-Focused Brief Therapy With Long-Term Problems.
Retrieved 5 2, 2020, from http://0to10.net/sflong.pdf
Cheung, S. (2010). Solution-Focused Brief Therapy. Retrieved 5 2, 2020, from
https://onlinelibrary.wiley.com/doi/10.1002/9781444310238.ch14
Cognitive Behavioral Therapy. (n.d.). Retrieved 5 7, 2019, from

David, D. (2015). Rational Emotive Behavior Therapy (REBT). Retrieved 4 28, 2020, from
https://onlinelibrary.wiley.com/doi/abs/10.1002/9781118625392.wbecp077
Hartney, E. (n.d.). Cognitive Behavioral Therapy for Addictions. Retrieved 5 2, 2020, from
About.com: http://addictions.about.com/od/addictiontreatment/a/Cognitive-BehavioralTherapy-For-Addiction.htm
Iveson, C. (2002). Solution-focused brief therapy. Advances in Psychiatric Treatment, 8(2), 149156. Retrieved 5 2, 2020, from https://cambridge.org/core/journals/advances-inpsychiatric-treatment/article/solutionfocused-brieftherapy/b8198b18ddee77f9d39a09fdbcc0ce15
NIDA. (n.d.). DrugFacts: Treatment Approaches for Drug Addiction … Retrieved from
https://www.drugabuse.gov/publications/drugfacts/treatment-approaches-drug-addiction
O’Mara, E. M., & Demask, M. P. (2003). A Model for Training Master’s Level Addiction
Counselors in Group Process. Journal of Teaching in The Addictions, 2(2), 83-96.
Retrieved 5 2, 2020, from https://eric.ed.gov/?id=ej843901
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Padesky, C. A., & Mooney, K. A. (2012). Strengths-based cognitive-behavioural therapy: a fourstep model to build resilience. Clinical Psychology & Psychotherapy, 19(4), 283-290.
Retrieved 5 2, 2020, from https://onlinelibrary.wiley.com/doi/full/10.1002/cpp.1795
Patterson, E. (2020). Motivational Interviewing. Retrieved from Drugabuse.com:
https://drugabuse.com/treatment-therapy/motivational-interviewing/
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