glad that I got caught,” Val reported. “I’ve been to the funerals of two friends who died from heroin. My life was on the wrong track.” In residential treatment, Val was prescribed a medication called Suboxone, a combination of buprenorphine (an opiate substitute that reduces cravings) and naloxone (a medication that blocks the positive effects of heroin). The physician and psychologist at the residential treatment facility hope that it will help her reduce her opioid use (see Fiellin et al., 2014).
“I’m not sure what I’m going to do when I get out of here,” reported Val. “My mom wants me to come back home, but I can’t go back. Everyone I know uses. I need a clean break.”
Discussion Questions
1 According to Carl Rogers, what three necessary and sufficient factors might the therapist provide to help Val overcome her substance use problems.
2 How might a behavior therapist attempt to help Val with her opioid use disorder?
3 How might a cognitive therapist attempt to help Val with her opioid use disorder?
4 How might an interpersonal therapist attempt to help Val with her opioid use disorder?
5 How might a family systems therapist attempt to help Val with her opioid use disorder?
6 How might a psychodynamic therapist attempt to help Val with her opioid use disorder?
References
Fiellin, D. A., Schottenfeld, R. S., Cutter, C. J., Moore, B. A., Barry, D. T., & O’Connor, P. G. (2014). Primary care–based buprenorphine taper vs maintenance therapy for prescription opioid dependence: A randomized clinical trial. JAMA Internal Medicine, 174(12), 1947–1954.
This case study accompanies the textbook: Weis, R. (2021). Introduction to abnormal child and adolescent psychology (4th ed.). Thousand Oaks, CA: Sage. Answers appear in the online instructor resources. Visit https://sagepub.com. This case is based on interviews conducted by Paul Grondahl for the Albany Times Union.
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