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Smoking Recovery Program
The Addiction Cycle
Session 2



Rationale

Since cigarette smoking is legal and does not appear to make life unmanageable many smokers can deny the negative impact of smoking and minimize the seriousness of their habit. Vast amounts of research have shown cigarette smoking as both physically and psychologically addicting. In spite of the research many smoking cessation programs direct attention only to the behavioral aspects of smoking. Understanding the addiction cycle and the many forces which influence behavior breaks through ambivalence about smoking and is essential to a long lasting recovery.

Objectives

  • To understand the difference between abuse and addiction.
  • To receive information and personally identify with stages of the addiction cycle.
  • To identify feelings that chemical dependency creates.
  • To be able to describe ways in which cigarette smoking affects the social, emotional, mental, physical and spiritual aspects of the individual's life.

Activities

  • Lecture presentation will provide participants with data regarding the addiction cycle.
  • In a large group discussion, participants will review and provide personal examples of ways cigarette smoking affects all areas of life using the "Whole Person Wheel" model.
  • In small group setting participants will explore their addictive patterns and the negative feelings associated with these patterns.
  • List reasons and feelings associated with stopping smoking.

Group Process Topics

    1. What are times you always smoke?
    2. What is the most difficult hurdle you anticipate?
    3. What social situations enhance your desire to smoke?
    4. Describe your smoking ritual
      1. Where do you keep your cigarettes?
      2. Where do you smoke most often?
      3. What hand do you use?
      4. Where do you buy cigarettes and what quantity?
    5. How do you associate frustration with smoking?
    6. How many areas of our life are influenced by smoking?

     

ADDICTION

Treatment Approach: Smoking as an Addiction.

  • Denial
  • Compulsive Use - Loss of Control
  • Withdrawal Symptoms
  • Persistent Use Despite Contraindication
  • Individual and Social Costs
  • Potentially Life Threatening
  • Infringes on rights of Others

HOLISTIC

As outgrowth of addiction treatment model,
program adopts "holistic" "addiction cycle" approach,
treating the "Total" person for total well-being;
  • Social
  • Emotional
  • Mental/Intellectual
  • Will/Self Efficacy
  • Physical
  • Spiritual

ECLECTIC

Program Incorporates:
  • Rational Emotive Therapy . . to refute and break denial
  • Behavior Modification . . Homework/Classwork exercises
  • Education . . film/lecture.
  • Experiential Exercises . . Stress Management, Muscle Relaxation, Rehearsing

RELAPSE

Cues for Relapse
  • Social
  • Situational
  • Cognitive
  • Physiological


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TWELVE STEPS TOWARDS ACCEPTANCE
STEP ONE: "We Admitted We Were Powerless Over Nicotine -- That Our Smoking Behavior Had Become Unmanageable."
STEP TWO: "We Came to Believe That a Power Greater Than Ourselves Could Restore Us to Sanity."
STEP THREE: "We Made a Decision to Turn Our Will and Our Lives Over to The Supreme Power, According to Our Understanding."
STEP FOUR: "We Made a Searching and Fearless Moral Inventory of Ourselves."
STEP FIVE: "We Admitted to The 'Supreme Power', to Ourselves, and Another Human Being The Exact Nature of Oour Wrongs."
STEP SIX: "We Were Entirely Ready to Have The 'Supreme Power' Remove All These Defects of Character".
STEP SEVEN: "We Humbly Asked The 'Supreme Power' to Remove Our Shortcomings."
STEP EIGHT: "We Made a List of All Persons We Had Harmed, and Became Willing to Make Amends to Them All."
STEP NINE: "We Made Amends to Such People Whereever Possible, Except When to Do So Would Injure Them or Others."
STEP TEN: "We Continued to Take Personal Inventory and When We Were Wrong Promptly Admitted It."
STEP ELEVEN: "We Sought Through Study and Meditation to Improve Our Conscious Contact With Our "Power", According to Our Understanding, Seeking Only Knowledge of The Will and Power to Carry That Out".
STEP TWELVE: "Having Had a Personal Awakening as The Result of These Steps, We Tried to Carry This Message to Smokers, and to Practice These Principles In All Our Affairs."

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