b. Advise - state concern, recommend change c. Assess - determine willingness change d. Assist - if ready help make change e. Arrange - reinforce change with follow-up 4. Effective intervention involves discussing motives for a. Drinking b. Engaging in alternative activities (eg life goals) 5. Helps to address avoiding alcohol to cope with stress and give alternative coping strategies 75 C. Asking why people drink helps (SLIDE 38) 1. Identify individuals at risk a. Coping risk heavy alcohol use and risk problems (directly) → ↑ ↑ b. Enhancement risk heavy alcohol use (directly) risk problems (indirectly) → ↑ → ↑ 2. Can guide intervention, assist in use and harm ↓ a. Provide feedback about risk of different motives b. Coping - provide alternatives to negative mood ↓ c. Enhancement - provide alternatives to positive mood ↑ D. Three cases (all 18 yo males, starting college, drinking makes going out more fun): 1. Tom says - like feeling, like getting high, it's exciting, pleasant, less (SLIDE 39) a. Type: social/enhancement b. Risk: intermediate c. Traits: sensation seeking, impulsivity may play a role ↑ ↓conscientiousness, ↑ d. Discuss: associated enhancement motives, impact alcohol use on life goals e. Suggest: alternatives to positive affect ↑ 2. Rich say - helps enjoy a party, celebrate, fit in with friends, to be liked, sociable (SLIDE 40) a. Type : social/conformity b. Risk: lower
b. Advise - state concern, recommend change c. Assess - determine willingness change d. Assist - if ready help make change e. Arrange - reinforce change with follow-up 4. Effective intervention involves discussing motives for a. Drinking b. Engaging in alternative activities (eg life goals) 5. Helps to address avoiding alcohol to cope with stress and give alternative coping strategies 75 C. Asking why people drink helps (SLIDE 38) 1. Identify individuals at risk a. Coping → ↑ risk heavy alcohol use and ↑ risk problems (directly) b. Enhancement → ↑ risk heavy alcohol use (directly) → ↑ risk problems (indirectly) 2. Can guide intervention, assist in ↓ use and harm a. Provide feedback about risk of different motives b. Coping - provide alternatives to ↓ negative mood c. Enhancement - provide alternatives to ↑ positive mood D. Three cases (all 18 yo males, starting college, drinking makes going out more fun): 1. Tom says - like feeling, like getting high, it's exciting, pleasant, less (SLIDE 39) a. Type: social/enhancement b. Risk: intermediate c. Traits: ↑ sensation seeking, ↓conscientiousness, ↑ impulsivity may play a role d. Discuss: associated enhancement motives, impact alcohol use on life goals e. Suggest: alternatives to ↑ positive affect 2. Rich say - helps enjoy a party, celebrate, fit in with friends, to be liked, sociable (SLIDE 40) a. Type : social/conformity b. Risk: lower
MotivationsAlcoholUse2.docx