CHEMICAL DEPENDENCE 67 23. List Reasons Why Substance Abuse Is Attrac tive (2 3) A. Today's clinical contact focused on developing a list of reasons why the client finds substance abuse attractive. B. The client was assisted in identifying specific reasons why he/she finds substance abuse to be attractive (e. g., self-medica tion of mental illness symptoms, novelty seeking, euphoria). C. The client's list of reasons why substance abuse is attractive was processed with the clinician. D. The client has not developed a list of why substance abuse is attractive for him/her and w as redirected to do so. 24. List Negative Impact of Substance Abuse (24) A. The client was asked to list all of the negative consequences that have resulted from his/her substance abuse. B. The client's list of the ways substance abuse has had a negativ e impact was processed, and each negative impact was reinforced with him/her. C. The client's list of the negative impact of his/her substance abuse was processed, and the shortness of the list was confronted as denial on his/her part. D. The client has not completed his/her list of the negative impact of his/her substance abuse and was redirected to do so. 25. Assign First Step Paper (25) A. The client was assigned to complete an Alcoholics Anonymous First Step paper and to share it with a group and the therapist. B. The client has completed a First Step paper; it was reviewed and noted to reflect that chemical dependence has dominated and controlled his/her life. C. The client has failed to complete a First Step paper and was redirected to do so. 26. Reinforce Breakdown of Denial (26) A. The client was reinforced for any statement that reflected acceptance of his/her chemical dependence and acknowledgment of the destructive consequences that it has had on his/her life. B. The client was noted to have decreased his/her level of denial as evidenced by fewer statements that minimize the amount of his/her alcohol/drug abuse and its negative impact on his/her life. 27. Require More Learning about Chemical Dependence (27) A. The client was required to lear n more about chemical dependence and the recovery process. B. The client was asked to attend didactic lectures, read, or view films related to chemical dependence and the process of recovery. C. The client was asked to identify in writing several key poi nts attained from his/her media about chemical dependence. D. Key points from the media that were noted by the client were processed in individual sessions. E. The client has become more open in acknowledging and accepting his/her chemical dependence; th is openness was noted and reinforced. 