Deck 34: Support Groups to Promote and Sustain Recovery

Question 1

Which of the following is true of Shirley Kishline, the person who founded Moderation Management?

A) She killed two people in an alcohol-related accident prior to starting MM.
B) She killed two people in an alcohol-related accident after founding MM.
C) She now advocates a computer-based treatment process.
D) She suggested that involvement in Alcoholics Anonymous was useless.

Answer 1

She killed two people in an alcohol-related accident after founding MM.

Question 2

The Secular Organization for Sobriety holds that each of the following is true EXCEPT

A) it is possible for many people to learn to be social drinkers again.
B) tolerance causes the individual to crave chemicals.
C) chemical use is a learned habit.
D) SUDs rest on the denial of use as a learned habit and tolerance causing cravings.

Answer 2

it is possible for many people to learn to be social drinkers again.

Question 3

At the "open" meeting

A) the individual is encouraged to discuss his or her progress in the 12-step program.
B) one or two volunteers will speak about the program and visitors are encouraged to ask questions.
C) each group member is expected to stand up and confess his or her shortcomings.
D) a designated topic is discussed in detail, with members joining the discussion as they desire.

Answer 3

one or two volunteers will speak about the program and visitors are encouraged to ask questions.

Question 4

One core belief of Alcoholics Anonymous is that

A) the individual is hopelessly addicted to alcohol.
B) the person is powerless over alcohol.
C) their perception of their substance use is more accurate than others'.
D) members not make attending meetings an important goal in their first year of recovery.

Question 5

Narcotics Anonymous

A) provides exactly the same program as Alcoholics Anonymous.
B) differs from Alcoholics Anonymous in one major area: the all­inclusive term "addict."
C) is a subgroup of Alcoholics Anonymous that reports to the same home office.
D) does not place the same message on "carrying the message" to those who still are addicted as does Alcoholics Anonymous.

Question 6

The research pool addressing Alcoholics Anonymous and its success

A) consistently supports the claim that it is effective.
B) is rather limited.
C) is based on mandatory participation in research studies.
D) suggests that those ordered to attend by the courts tend to take longer to benefit from the group than voluntary members.

Question 7

Which of the following statements is true in regards to the first 3 years of AA's founding?

A) There were so many success stories from members that the movement exploded onto the therapeutic scene.
B) It was widely embraced by therapists, but success stories could not be made public because of the emphasis on anonymity.
C) There were only a few success stories.
D) Physicians rushed to refer their alcohol-dependent patients to the new movement.

Question 8

One factor that seems to predict a successful outcome

A) is the group leader taking responsibility for identifying group members who require special assistance when they are in danger of relapsing.
B) is maintaining an exclusive focus on material in the Big Book and not discussing personal problems.
C) is the open discussion of group meetings with coworkers, etc.
D) is active participation in meetings.

Question 9

Alcoholics Anonymous (AA) has been described as having

A) a near exclusive dominance in the addictions field.
B) virtually no detractors.
C) a clear advantage over other treatment groups, as proven by research.
D) been approved by the courts as having no religious bias.

Question 10

The court system in various states has ruled that

A) there is no violation of the person's religious freedom since 12-step groups do not mention a God by name.
B) that enforced attendance is illegal because AA is a religious movement.
C) that the ends justify the means, and if there is a violation of the individual's rights, they are outweighed by the benefits to the individual and society by the person's recovery from alcohol and drugs.
D) as long as there is appropriate emphasis on anonymity, there is no problem.

Question 11

The financial contribution of each member of Alcoholics Anonymous

A) cannot exceed $1,000 per year.
B) is established on the basis of his or her annual income.
C) is small compared with the contributions from local businesses.
D) is a tithe (10 percent of annual income).

Question 12

Another premise of Alcoholics Anonymous is that

A) there is only one "Higher Power."
B) once you have finished step five, you no longer have to examine your personal failings.
C) everybody has a desire to establish a relationship with a "Higher Power."
D) the stress of modern living contributes to feelings of inadequacy on the part of the individual, who then turns to alcohol.

Question 13

The Rational Recovery movement

A) draws heavily on psychoanalytic theory in their attempt to assist the person.
B) draws heavily on family systems theory in its attempt to assist the member.
C) draws heavily upon the cognitive-behavioral schools of therapy.
D) work toward helping the individual learn to control his or her drinking.

Question 14

McPherson, et. al., have described Alcoholics Anonymous as

A) being over-rated in its effectiveness.
B) an essential element of treatment.
C) a program that causes many people to reject it because of the length of time it would take to work through all 12 steps.
D) a form of mind control.

Question 15

One of the challenges to the traditional 12-step program holds that

A) these programs place too much emphasis on the individual's psychosocial growth.
B) the Big Book repeatedly references people who have "recovered" from alcohol dependence, in spite of what group members often say.
C) making a lifelong committment to 12-step involvement is appropriate for all recovering persons.
D) its emphasis on anonymity is appropriate but too strongly enforced.

Question 16

Which of the following is true regarding the spokesperson for Alcoholics Anonymous?

A) He or she is elected by the group at a meeting.
B) He or she is appointed by the president of that specific group.
C) There is no designated spokesperson for all of AA.
D) He or she must have a well established history of recovery.

Question 17

The Alcoholics Anonymous program is based on the premise that

A) alcoholism is a spiritual disease.
B) once the person is abstinent, it is necessary to identify the cause of the person's alcoholism.
C) alcoholics as a group tend to be focused on pleasing others too much.
D) it is a time-limited program, and the individual should expect to outgrow the need to attend the group meetings.

Question 18

Steps four through nine of the AA 12-step program have been identified as

A) a period in which the person searches for the root causes of his or her addiction.
B) stages of change.
C) the period in which the individual is allowed to take pride in his or her accomplishments.
D) a period of special pain for the recovering person as he or she faces problems without alcohol.

Question 19

Kaskutas, et. al., found that in the first year of participation in AA

A) there was an inverse relationship between number of meetings attended and length of abstinence.
B) there was no relationship between the number of meetings attended and the length of the person's abstinence.
C) those who attended more meetings were more likely to abstain.
D) there was a positive correlation between financial contributions and abstinence.

Question 20

It has been estimated that people attend a 12-step group at least once each year in the U.S.

A) 500,000
B) 1 million
C) 5 million
D) 8 million

Question 21

Discuss some of the criticisms and challenges to the traditional 12-step movement.

Question 22

Discuss some of the outcomes of studies evaluating the effectiveness of Alcoholics Anonymous.

Question 23

AA members are limited to donating no more than to the organization annually.

A) an unlimited amount
B) $10,000
C) $1,000
D) 10 percent of their annual income

Question 24

One of the three factors that have been found to determine the success of AA is

A) the average number of people who come to each meeting in a chapter.
B) the amount of friends one makes in the chapter.
C) the location of the meeting being in a house of worship.
D) the frequency with which the individual attends meetings.

Question 25

What percent of substance abuse rehabilitation programs utilize some kind of 12­step group model similar to AA?

A) Around 95 percent
B) Less than 50 percent
C) About 10 percent
D) 33 percent

Question 26

What are the four central goals for adults with SUDs according to the Self-Management and Recovery Training
(SMART) program?

Question 27

Explain the rationale for the establishment of Women for Sobriety (WFS). How does it differ from the standard 12-
step program?

Question 28

What percentage of those who join AA will abstain from alcohol for the rest of their lives?

A) 20 percent
B) 5 percent
C) 75 percent
D) 50 percent

Question 29

Describe the relationship between Alcoholics Anonymous and religion.

Question 30

Which program rejects the 12­step style, instead maintaining there are multiple paths to recovery?

A) AA
B) LifeRing
C) Faith­based recovery
D) Women for Sobriety (WFS)