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Analysis of an Aa Recovery Story: It Might Have Been Worse Sample

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Social Influence:High parental outlooks: were put on him: “the aspiration to win was instilled in me. ” Having idealised his household ( a “fine” 1 ) . he followed what they told and showed him. and from early age. worked in all his trim clip. after school and during holidaies as he took on his parents’ slogan. “Keep busy ; ever have something constructive to make. ” This continued in grownup age when he kept busy and endeavoring to travel up the ladder of professional success. Through his difficult working he became manager of a big bank.

As his household was rather community-oriented. so was he. and he besides became manager of several civic administrations. Social conformity: When his work led him into more and more societal activities. he observed his friends who seemed to imbibe without harmful effects. With his sense of belonging. his coveted result was to be similar to friends as an of import trait of his personality was that he “disliked being different” .

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First he had friends in his group rank of leisure activities ; subsequently on. he had imbibing friends. for whose company he neglected his kids.

Progression of habit-forming behavior:Measures and frequence: He started by imbibing on occasion. while basking golf-playing. cocktail hr. good intelligence or after difficult yearss. concerns or force per unit areas. Then imbibing became utility to other pleasances and inordinate. His societal and leisure activities. golf. hunting and fishing took 2nd topographic point to it. He went on to forenoon drinks. “at first merely two. so bit by bit more. ” Drinking became prevailing. Compulsion: “Drink planning became more of import than any other programs. ” Alcohol was the precedence in his life. Plagued with tenseness. feelings of humiliation. guilt. compunction. anxiousness. depression. weakness. he was despairing with the emotional anguish. “Hangovers were ever with me… cold workout suits. edgy nervousnesss. deficiency of sleep”…

Out of control behavior:Disregard of duties in favor of imbibing: He became careless. sometimes returning to work when he shouldn’t have. demoing how confused he was. He worried his concern associates. He humiliated his kids who stopped conveying friends place. and his married woman who threatened to go forth him. Invitations to socialize with friends became fewer. He was aching his household. work co-workers and friends in order to be able to imbibe every bit much as possible. Sometimes he would wake up after blackouts. non cognizing how he’d got back place. recognizing he had driven his auto. “I was populating in changeless fright that I would acquire caught while driving…Blackouts were a changeless concern. ” He made many failed efforts to halt. and broken promises. Attempts at hiding imbibing: he would travel to topographic points where he would be ( or believed he would be as subsequently on he realised people knew about his alcohol addiction ) anon. . mousing drinks. doing alibis to travel out. etc… “The following stairss were bottle concealment and alibis for trips in order to imbibe without restraint. ”

Recovery:Change: Rock underside followed a household crisis and an ultimatum issued by his girl. “It’s AA – or else! ” In the AA plan. his emotions changed to trust and alleviation. his behavior to ‘getting active’ assisting. which he reckons suited him good. taking back his pre-drink community duties. etc. Spiritualty: He went for the AA plan without reserves. making all he was told. There his conformity served him good. He made the observation that to decline the religious plan would be the effect of a bias: “The fact that AA is a religious plan didn’t raise any bias in my head. I couldn’t afford the luxury of bias. ”


Social Learning Theory

Social Influence. As in the procedure noted by A. Bandura ( 1977 ) . this adult male learned by detecting and copying his parents. paying attending to them as theoretical accounts. Retaining information. he was capable of copying early in life. acquiring “work of all sorts after school and during vacations” . While working at them he tried to happen what would appeal to him as a life work. demoing he had the internal motive to make those occupations. Conditioned early to work hard. he became manager of a big bank and manager in “many of import establishment holding to make with civic life. ” Once his aspirations achieved. he started detecting his friends – larning through patterning – seeing them imbibing without evident bad effects. He joined the imbibing on occasion. so daily. the combined enjoyment of company and intoxicant holding had a positive reinforcing consequence. “Positive reinforcing effects are critical for set uping self-administration behaviour. which leads to the hypothesis that positive support is the cardinal to drug dependence” ( Wise. 1988 ) .

Progression of habit-forming behavior: Drinking became associated with the positive reinforcing consequence of the societal wages and pleasance of playing golf with friends and sharing cocktail hr. Drinking. foremost conditioned by those associations. became the chief component of wages. and the societal activities became alibis for imbibing. It is likely that his high place and demanding work involved emphasis. “If these nerve-racking occasions of usage become frequent plenty. it is likely that an intoxicant usage upset will develop. ” ( Maisto. Carey. and Bradizza. 1999 ) . He drank as a response to emotional disturbances. to nerve-racking state of affairss ( difficult twenty-four hours at work. concerns. etc. ) . and was negatively reinforced by them. He describes the barbarous rhythm of backdowns conveying fright and tenseness. doing him to utilize for immediate alleviation. negatively reenforcing his imbibing. “While initial drug usage may be motivated by the positive affectional province produced by the drug. continued use leads to neuroadaptation to the presence of drug and to another beginning of support. the negative support associated with alleviating negative affectional effects of drug expiration. ” ( Russell. 1976 ) . More stress came with frights that blackouts caused.

Out of control behavior: He learned to hide imbibing from negative support. to avoid his friends and wife’s reactions. His habit-forming behaviors were likely reinforced by his married woman empty menaces to go forth.

Recovery: When he did acquire into AA recovery. he learned by detecting and copying. making everything he was told. From his first meeting with an AA member. he learned by patterning and vicarious experience. every bit good as cognitively.

Self-EfficacySocial influence. It is likely that this man’s early experiences of work and the observation of his family’s aspirations contributed to his self-efficacy in his “ambition to succeed” . ensuing in great success in his work life.

Progression of habit-forming behavior: “Frequently habit-forming behaviors are exhibited under conditions perceived as nerve-racking. ” His self-efficacy degree was probably to hold lowered with his failed efforts at halting. They could hold brought on an Abstinence Violation Effect ( AVE ) as described in Marlatt and Gordon’s ( 1980. 1985 ) .

Out-of-control behavior: “People fright and avoid endangering state of affairss they believe exceed their coping abilities. ” That adult male developed his concealment behavior as a effect of state of affairss he expected non to be able to get by with.

Recovery: “Situational factors affect substance use” ( Maisto. Carey and Bradizza. 199. p. 118 ) : the state of affairs of ruined birthday party and daughter’s ultimatum caused the stone underside and the concluding determination to halt the imbibing. Goldman. Del Boca and Darkes ( 1999 ) argue that “expectancies have a causal ( mediational or procedure ) influence on drinking” . That man’s expectancies changed. following the AA plan. “It was a great alleviation to cognize I didn’t have to imbibe any more” . He stopped anticipating he would hold to as he had been earlier.

Self-Control Theories

Self-Regulation:Social conformity: Gailliot et Al. ( 2007 ) . cited in A. C. Moss and K. R. Dyer. gave support to that theory showing that “our ability to exert self-denial may be linked to blood glucose levels” . That man’s energy was depleted at the terminal of the twenty-four hours. and following Sokoloff’s impression ( 1973 ) . his encephalon most likely lacking energy at cocktail hr. socializing hr. Progression of habit-forming behavior: Baumeister ( 2003 ) “self-regulation operates as a limited resource. akin to strength or energy. particularly in so far as it becomes depleted after use–leaving the depleted ego later vulnerable to unprompted and undercontrolled behaviours ( including increased ingestion of intoxicant ) ” . This fits good with the description of the development of the habit-forming behavior of that adult male. As the manager of a big bank and of several civic establishments. it can be assumed that he was in a high-pressured occupation.

“People in high-pressured occupations can go ‘functioning alcoholics’ . ” So he was. at least for a sustained period of his dependence. able to modulate his behavior during the twenty-four hours while he worked. Then. as described in Baumeister’s theory. his resource of energy going depleted at the terminal of the twenty-four hours. after work he became unable to go on to modulate it. so his imbibing developed more and more as he wasn’t able to modulate his consumption. The development of that man’s alcohol addiction tantrums in with Baumeister’s theory that “the development of habit-forming behavior may affect a gradual decrease in one’s ability to exert control. ” Out-of-control behavior: As self-regulation is an ability to suppress inappropriate responses and to trip appropriate responses. it does demo in this man’s careless cape at work. with household duties and in blackouts. His behavior became out of character as he’d been so responsible up to the clip dependence took over his life.

Inhibitory DysregulationHarmonizing to that theory. chronic usage of drugs or intoxicant effects neurological harm in the orbito-frontal cerebral mantle and the anterior cingulated cerebral mantle. Those parts of the encephalon are in the wages system ; they cut down the ability to suppress rewarding behaviors. This does non account for the societal influence subject in this man’s life but it does for the patterned advance of his dependence. as he became less and less able to suppress the imbibing behavior while he got the wages of pleasance or the reduction of his emphasis. That portion of the encephalon is besides affected in some other upsets of compulsive behaviors such as OCD patients ( Modell et al. . 1992 ) .

When they are affected. there is trouble suppressing certain ideas and inappropriate behaviors. Lubman. Yucel and Pantelis ( 2004 ) explain therefore that “some addicted persons are unable to command their drug usage when faced with potentially black consequences” That would account for out-of-control behaviors such as traveling back to imbibing even though his physical and mental wellness were deteriorating. he was threatened to lose his married woman and household life. etc. However if. as the theory warrants. the determination devising is damaged as unprompted responses can non be easy controlled. the recovery phase is non accounted for. unless there could be self-generated instant healing. as in that instance the adult male made a really good determination after holding those Centres impaired.

Comparing and contrasting theories

The Social Learning Theory is the one which can account for most of that man’s narrative. The subject of difficult work learned from the parents by observation and imitation is consistent with it. Self-Efficacy goes with it: built in childhood with experiences of diverse occupations was the anticipation of success that went along with his aspiration. The four SLT defined by Bandura ( 1969 ) are present in that man’s narrative ( cited in Psychological Theories of Drinking and Alcoholism. p. 113 ) : 1 ) differential support: the stimulation status being the scene of pleasant fortunes as golf. fishing. etc… ; 2 ) vicarious acquisition: by observation of others. Modelling is a “major beginning of acquisition of imbibing patterns” . The observation of his friends imbibing without evident injury was plenty to overrule his old sentiment against imbibing 3 ) cognitive procedures: anticipations of behavioral results of pleasance with friends and activities. 4 ) mutual determinism: “As the single alterations his behavior. the environment alterations in response which in bend affects the individual’s future behavior. ” It is seen in his concealment behavior and traveling to stumble. etc. as a reaction to holding been caught imbibing by his married woman ; he would be after stumble merely to be able to imbibe freely.

His bantering gag about his married woman acquiring “more narrow-minded” was likely how he perceived her when he was in active dependence. And in fact she besides likely became more tense and fearful excessively. this in bend would hold caused him to respond in imbibing even more. Bandura ( 1969 ) “emphasizes stress decrease as a major pharmacological action of intoxicant and. hence. as a major agent of negative support. ” However the SLT does non wholly use to the sudden AA recovery. Arguably there could hold been some ( conceal? ) larning go oning during the active dependence. through the negative effects. which eventually led to the determination to give up but it doesn’t history for the sudden absence of backdowns and the “knowing” that he wouldn’t demand to imbibe any more. However. the continuance of recovery is consistent with Marlatt and Gordon’s thought ( 1985 ) that “The acquisition of cognitive schemes in a self-management plan can ensue in alterations in habit-forming behavior to new. more adaptative behavior coming under the control of cognitive procedures of consciousness and determination devising. ” That was this man’s instance in AA. Self-Efficacy was defined by DiClemente. Prochaska and Gibertini ( 1985 ) as “the grade to which one feels competent or capable of executing an action” .

As a cognitive procedure. it is likely be a witting procedure. That man’s self-efficacy might hold been high refering his work life but as his imbibing progressed it became low refering his ability to get by with nerve-racking state of affairs. so he imbibe on them. “Bandura hypothesized that intoxicant jobs resulted at least partially from shortages in accomplishments to pull off or get by with nerve-racking events without the usage of intoxicant. ” Then alcohol becomes a stressor itself. The memory of the emphasis seems to be taken off at first but the effects of imbibing become stressing in themselves. hence the ‘reciprocal determinism’ . The emphasis decrease consequence does non last with the effects of intoxicant. It is like a mirage which grows as emphasiss grow with intoxicant usage. Expecting he was non traveling to be able to get by with state of affairss ( such as confronting his household ) resulted in maladaptive header behaviors ( such as be aftering trips to imbibe ) . Self-Efficacy does non account for the sudden halt in imbibing as recovery happened when it was likely at its lowest point. When an single decides to take on the AA plan. or even any plan of recovery. he/she can frequently be at their lowest degree of Self-Efficacy.

The Self-Regulation Theory involves procedures that are non witting like Self-Efficacy does. The failure to suppress inappropriate responses can go on wholly out of the consciousness of the individual. What an person does during blackouts is a good illustration of that. It means the individual won’t be able to trip appropriate responses. It fails to explicate the sudden recovery and alter the topic had when he accepted the AA plan: he had merely had his stone underside and harmonizing to that theory. he would hold run out of mental energy and been unable to trip the appropriate response he so had. It could be argued though that at that point he could hold become cognizant of his inability to modulate himself to the point that he gave up seeking and allow his household and accordingly his AA friends make the determinations for him.

The Inhibitory Dysregulation Theory: largely applies at the developmental phase. when the encephalon wages tract is bit by bit changed. and the dependence “turbo charges” it. It besides accounts for the patterned advance on measure and frequence and the out of control behavior. in peculiar the compulsion side of it. with the troubles suppressing ideas of imbibing and planning to imbibe. The obsessional and compulsive side of alcohol addiction is really close to OCD’s in which those same Centres are affected. However as for the three other theories examined here. it fails to account for the instant fillet and the AA recovery.


Bandura. A. ( 1977 ) . cited in T. Moss and K. R. Dyer. Psychology of Addictive Behaviour. 2010. Palgrave Macmillan. Basingstoke. Ch. 3. p. 64.

Baumeister R. F. ( 2003 ) Ego Depletion and Self-Regulation Failure: A Resource Model of Self-Control ALCOHOLISM: CLINICAL AND EXPERIMENTAL RESEARCH Vol. 27. No. 2 February 2003 Cleveland. Ohio.

DiClemente. Prochaska and Gibertini ( 1985 ) . Self-Efficacy and the phases of self-change of smoke. Cognitive Therapy and Research. 9. 181-200 ( in T. Moss and K. R. Dyer. Psychology of Addictive Behaviour. Ch 3. 2010. Palgrave Macmillan. Basingstoke. )

Einstein A. ( viewed on 12 March 2012 at: )hypertext transfer protocol: //thinkexist. com/quotation/nothing_truly_valuable_arises_from_ambition_or/145959. hypertext markup language

Gailliot et Al. ( 2007 ) . cited in A. C. Moss and K. R. Dyer. Psychology of Addictive Behaviour. 2010. Palgrave Macmillan. Basingstoke. Ch. 4. p. 71.

Goldman M. S. . Del Boca F. K. and Darkes J. Alcohol Expectancy Theory: The Application of Cognitive Neuroscience in K. E. Leonard and H. T. Blane. Psychological Theories of Drinking and Alcoholism. 1999. Guilford Press. USA. Chapter 6. p. 218.

Hilgard and Bower. 1975. p. 599. in K. E. Leonard and H. T. Blane. Psychological Theories of Drinking and Alcoholism. 1999. Guilford Press. USA. Chapter 4. p. 107.

Lubman D. I. . Yucel M. . & A ; Pantelis C. Addiction. a status of compulsive behavior? Neuroimaging and neuropsychological grounds of repressive dysregulation. University of Melbourne. Victoria. 2004

Maisto S. A. . Carey K. B. and Bradizza C. M. . ( 1999 ) in in K. E. Leonard and H. T. Blane. Psychological Theories of Drinking and Alcoholism. 1999. Guilford Press. USA. Chapter 4. p. 113.

Marlatt and Gordon’s ( 1980. 1985 ) . in S. Curry. G. A. Marlatt. and J. R. Gordon. Abstinence Violation Effect: Validation of an Attributional Concept With Smoking Cessation. Journal of Consulting and CK mcal Psychology. 1987. Vol. 55. No. 2. 145-149 University of Washington

Modell. J. G. . Glaser. F. B. . Cyr. L. & A ; Mountz. J. M. ( 1992 ) Obsessive and compulsive features of hungering for intoxicant inintoxicant maltreatment and dependance. Alcoholism: Clinical and Experimental Research. 16. 272–274.

Russell. 1976. in George F. Koob. Drug Addiction: The Yin and Yang of Hedonic Homeostasis. Neuron. Vol. 16. 893–896. May. 1996. Cell Press. Scripps Research Institute. Department of Neuropharmacology. La Jolla. California

Wise. ( 1998 ) . in George F. Koob. Drug Addiction: The Yin and Yang of Hedonic

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