By Robert J. Meyers, William R. Miller
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Additional info for A Community Reinforcement Approach to Addiction Treatment
What are you usually thinking about right before you drink? 1. What do you usually drink? Sro. Short-term positive consequences Long-tern consequei 1. What do you like about drinking with (who)? 1. What are the negative results of your drinking in Tfcf eknts •$ 'IK a. Interpersonal fa/mif. 2. What are you usually 2. How much do you feeling physically right usually drink? before you drink? &-*?. te&t. 2. What do you like about drinking (where)! 3. What are you usually feeling emotionally before you drink?
These are the thoughts, physical sensations, and emotions that set the stage for the drinking episode. Imagine, for example, that this client reports feeling physically exhausted but very pleased with himself on these Saturdays when he has worked so hard. His thoughts are along the line of, ‘‘I need to relax’’ and ‘‘I deserve a little bit of fun after CRA Functional Analysis for Drinking Behavior (Initial Assessment) Short-term positive consequences Long-term negative consequences 1. What do you usually drink?
The severity of the alcohol problem can often be gleaned from this, and progress can be monitored by referring back to these data throughout treatment. If the client has already given this information in the course of generally describing the episode, we simply review it brieﬂy right after discussing the triggers, so that the link between the triggers and the drinking is emphasized. 2), the client reported drinking about seven to eight bottles of beer during a three-hour period. The last part of the CRA functional analysis examines the consequences of the drinking behavior.