Introduction to Multivariate Measurement for Measurement of Addiction
The sun was thought to revolve around the earth for 1500 years. It was not until a European astronomer named – Nicolaus Copernicus first created a modern heliocentric theory about the solar system that we began to change our thinking. This insight absolutely meant a major change in astronomy and physics. Any model or perspective of recovery provides the integrity and importance of your own position, often excluding other explanations. For example, recovery models and theories are: biological, psychological, social, cultural and spiritual views that all can explain human behavior. Unfortunately, these views can "blind" their followers to other interpretations until a new insight is reached that solves the remaining problems unresolved. It is my hope that the 7-Dimension model for the measurement of drug recovery is a step toward the "Copernicus" type of paradigm replacement.
Because of human behavior, it is so complicated to understand why individuals continue to use and / or abuse themselves with substance and / or malnutrition behavior for the purpose of developing self-reliant behavioral patterns and / or injury or self-harm is often difficult to achieve. Many researchers prefer to talk about risk factors that may contribute, but not enough to cause addiction. They point to a flexible biological psychological approach involving multidimensional relations of genetics, biochemistry, psychology, social culture and spiritual influence.
Risks / Participation Causes / Impact:
1. Genetics (family history) – is known to play a role in causing sensitivity to such biological options as metabolism and sensitivity to alcohol and / or other drugs or addictive behaviors.
2. Biochemistry – Detection of morphine-like substances called endorphins (runners hair, etc.). And so-called "pleasure course" – mesocorticolimbic dopamine pathway (MCLP). This is a brain center or a potential anatomical site that describes addiction, as alcohol and other drugs stimulate producing euphoria – which will be the goal to be achieved (tolerance – loss of control – withdrawal).
3. Psychological factors – developmental personality, sensitivity to stress and desire for tension, and symptom of depression from various psychiatric disorders and life-threatening experiences.
Our current healthcare system aims to focus on urgent care rather than chronic illnesses. It focuses on physical syndrome models, as only signs of treatment response or performance are specific symptoms diminishing. Consumers' health is increasingly dependent on a multidimensional model that takes into account the number of biological domains that affect patient treatment. Basic meta-analysis studies also indicate predictive levels of life-changing change to predict the output and importance of them for treatment planning across a uniform model that has had little empirical support. Detailed analysis is also subject to a comprehensive multidimensional assessment process, together with the possible help of interdisciplinary treatment group approach. Behaviorists have found that disorder is primarily physical or mainly psychological by nature, it is always a disturbance of all men – not just the body or the mind.
The American Society of Addiction Medicine (ASAM)
The American Drugs Association (2003), "Patients Location Criteria for Treating Drug-Related Disorders, 3rd Edition," has set the standard of drug addiction to recognize a multidimensional, life psychological assessment process . ASAM developed the following six issues specifically for the drug sector with the aim of providing medical decision-making decisions regarding patient care:
1. Acute poisoning and / or withdrawal symptoms
2. Biological Conditions and Complications
3. Emotional / Behavioral and Complications
4. Treatment Acceptance / Resistance
5. Returning / Resume Use Options
6. Recovery Environment
The ASAM dimensional demarcation was developed to evaluate the severity of illness (alcohol abuse / drugs). Serious disease levels are then used to determine the relevance of the type and strength of treatment to facilitate guidance in one of the four stages of care. The measure would involve asking if the daily life of the patient has a significant deterioration to disturb or distract from the outcome, recovery and / or stability of the therapeutic goals and efforts.
Seven Dimensional Model
In 2004, the Addictions Recovery Measurement System (ARMS) was published – describing the following seven biological cure for progress. As can be seen below, ASAM (severity of illness) does not compete with the seven "lifestyle" issues, but adds depth to describing / recurrence – 7th dimension. Each of the seven issues has personalized food criteria:
1. Social / Cultural – Case
2. Medical / Physical – Dimensions
3. Mental / Emotional – Dimension
4. Education / Training – Case
5. Spiritual / Religious – Dimensions
6. Legal / Financial – Dimension
7. Delivery / relapse – Cases
a. Acute poisoning and / or withdrawal symptoms
b. Biological Conditions and Complications
c. Emotional / Behavioral and Complications
d. Treatment Acceptance / Resistance
e. Returning / Resume Usability
f. Recovery Environment
Note: These seven issues are defined in the book entitled Poly-behavioral Addiction and Addictions Recovery Measurement System (Slobodzien, 2005).
The 7-Dimension Recovery Model is not based on an expanded version of ASAM issues. As stated above, it was initially designed to evaluate patient performance by evaluating medical activity. The research can prove effective as a general model for recovery, from all diseases, disabilities and disabilities. The multidimensional evaluation and treatment process involves the interlinking of multiple dimensional biological and mental methods – taking into account the effects of the reaction and the existence of each dimension that interacts with each other at the same time. Due to the complexity of human nature, treatment questions need to be the initial adaptation and guideline of an individual treatment plan based on a comprehensive psychological assessment that defines particular problems, goals, goals, strategies and timetables to achieve the goals and goals of treatment.
Life-style drugs can affect multiple domain names and often work with varied treatment. Benefits of treatment include a reduction in the use and effects of chemicals or a deficiency, reduced frequency and severity of backlash and recovery in psychological and social activity. Real progress requires time, commitment and discipline in thinking about it, organizing it, working on the program, and monitoring the successes that are made to prevent relapse. It also requires appropriate interventions and stimulating methods for each progressive area of the individual.
7. Dimension is a nonlinear, dynamic, non-hierarchical model that emphasizes interaction between many risk factors and local factors that resemble major accidents and chaos theory in predicting and explaining addictive behavior and relapse. Many impacts turn on and operate under high conditions and affect the global multidimensional role of a person. The process of recovery involves interaction between background factors (eg family history, social support, year of possible consequences and concurrent pathological psychiatry), physiological states (eg physical withdrawal), intellectual processes (eg automation, desire, motivation, crime offense, outcome expectations) and caring ability (Brownell et al., 1986; Marlatt & Gordon, 1985). In order to simply say that, small changes in individual personality behavior can lead to profound qualitative changes globally, and patterns of the global system arise only through many small relationships. Clinical Utility The 7-Dimension Recovery model is in its ability to assist healthcare professionals to quickly gather detailed information about a person's personality, background, substance abuse, passion, self-efficacy and ability to handle prospects, diagnosis, treatment planning and production measures.
The 7-dimensional hypothesis is that it is multidimensional synergistic resistance that individuals develop into some form of treatment in one dimension of life because the effects of individual addiction have interactions between people in many dimensions. Maintaining a single dimension is insufficient. Traditionally, drug abuse has not been able to meet the multicompetitive negative effects of an individual who has many drugs (eg nicotine, alcohol and obesity, etc.). Behavioral drugs have a negative relationship with each other and with methods for improving general practice. They tend to encourage tobacco, alcohol and other drugs, help to increase violence, reduce activity and promote social isolation. Most therapists currently assess other dimensions for diagnosing a dual diagnosis or diagnosis, or assessing participation that may play a role in the primary addiction of the individual. The 7 Dimensions & # 39; The theory is to think of a multidimensional treatment area that addresses potentially many addictions that are defined for each individual lifetime of the individual, as well as developing specific goals and goals for each dimension.
7 – The Case & # 39; The theory promotes synergistic positive effects that can turn and release the human spirit when an individual way of life is an increase in home health care. Transparency between mental and multidimensional life progress, determine the deepest self-determination and behavioral changes. The underlying 7-point theory indicates that the combination of individuals & # 39; increase and balance of many life-threatening sizes can cause synergistic development, resilient and mental positive, individualized homework. Like the combination of alcohol and drugs (eg, valium), interacting effects (non-complementary, multiply) effects, which can develop into addiction or imbalance lifestyle, positive effects on treatment and effective results are the result of a coherent relationship with the "Higher Power" .
7 – Dimension model recognizes that family genetics, and life psychosocial, historical and developmental state factors are difficult and sometimes impossible to change within individuals. Standardized, high-performance philosophical recovery system includes a life psychological disease model that emphasizes intellectual behavioral patterns in trying to change malicious thinking and improve the ability and behavior of an individual to solve problems and a sustained recovery plan. Many healthcare workers of recovery services have a genetic history of addiction. They have suffered and suffer from past experiences of living (eg physical, sexual and emotional violence, etc.). They often suffer from psychosocial confrontations (eg occupational stress, family / problems, etc.) emotions (eg anger, anxiety, bitterness, fear, guilt, sadness, loneliness, depression and inferiority, etc.) that already strengthen their self-esteem. Complex communication of these factors can understand the person with much deeper mental health problems that include self-hatred, self-punishment, self-denial, low self-esteem, low self-esteem and a few self-esteem, with total (sometimes hidden) negative self-esteem.
The 7-dimensional model combines multidimensional validity of the range of individual individual problems to identify positive strength-related factors, with behavioral contests and symbolic "like" economies to accomplish this task. Force analysis is a process in which an individual's behavior is evaluated to determine which are the main forces that control addictive behaviors and which are the key pillars that inhibit addictive behavior. An effort is made to identify the positive strengthening factors to treat those forces in order to increase the likelihood of individuals experiencing social recovery. Kurt Lewin (1947), who originally developed the Force Field Theory, argued that the issue is being held in balance by the interaction of two opposing forces – those that seek to promote change (driving forces) and those who try to maintain the position decision. Every social event occurs at a given frequency in a particular social context, and the frequency of the event depends on the forces that work to increase the event as well as forces that work to reduce the event. At each point, there is a "semi-constant balance" as the incidence of social events will be the same as long as it is either a change in the number or strength of the forces that work to enhance the social event or any change in the forces that work to reduce the event. Balance is changed in both directions by increasing the frequency or intensity of driving or restraint, and then creating a corresponding increase or decrease in the person's "addictive" behavior.
The long-term goal is the maximum performance of the health authorities, not only without disease or symptom surgery. In the short term, the goal is to change the healthcare system to meet and take into account multidimensional healthcare professionals. 7 – The case model deals with low self esteem – "addiction – corporate denominator" by helping individuals establish values, set and achieve goals and monitor success.
Furthermore, when we consider the addiction to be an unequal lifestyle that operates within semi-stable equilibrium clusters, ideology 7 suggests that supernatural psychological symmetry occurs when individuals & # 39; Many life-effectiveness factors are raised in the home healthcare system. This bilateral mental connection causes chaos and increases resilience to bring individual harmony, ease and productivity. ARMS takes an objective viewpoint spiritually by evaluating an individual positive and / or negative mental / religious dimension of attitude towards confidential attitude (eg RAI is able to analyze a very unhealthy cool body spiritually with rigid and intolerance of religious and militant orthodoxy, pursued by some terrorists, etc.). RAI test results are also integrated into plan scheduling.
The 7-Dimensions model also promotes twelve step-by-step groups like alcohol and drugs, along with spiritual and religious recovery as a necessary way to maintain success. International Organization of Abuse of Alcohol and Alcohol Use of the Latest Research Research on such active collaboration with AA / NA as critical factor responsible for sustained recovery
7-Dimension Model is not a requirement to be a panacea for ill treatment of drug advancement and consequences , but it's a step in the right direction to get doctors to change how they practice, by changing the treatment system to record evidence of successful interventions. The challenge for those interested in evaluating food assessments to improve their quality of care is to incorporate a system that will standardize their assessment strategies, treatment plans and clinical treatment. By carefully monitoring standardized systems to achieve the baseline performance plan of the treatment plan of the treatment plan, they will be able to evaluate the effectiveness of treated treatment treatments.
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Arthur Aron, Ph.D., Professor, Psychology, New York State University, Stony Brook, Helen
Fisher, Research Professor, Anthropology, Rutgers University of New Brunswick, NJ,
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