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Articles By Terence T. Gorski |
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New
Gorski Article Online On Friday, October 4, 1996 at the 10th Annual Dual Disorder Conference in Las Vegas, Nevada Terence T. Gorski presented a paper and publicly debated G. Alan Marlatt on the issue of whether addiction is a disease. Here, for the first time anywhere, are Mr. Gorski's edited lecture notes that were prepared for this presentation. |
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New
Gorski Article On Line An Article By Terence T. Gorski (6-10-01)
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Relapse
Prevention In The Managed Care Environment This article describes why relapse prevention is a critical component for managed care programs who are serious about cost containment. |
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Does
Relapse Mean Treatment Failure This article challenges three mistaken beliefs that often prevent treatment professionals from dealing effectively with relapse prone clients. These beliefs are: (1) Relapse is self-inflicted; (2) Relapse is an indication of treatment failure; and (3) Once relapse occurs the patient will never recover. (Get a low-cost pamphlet that teaches recovering people to challenge the common Mistaken Beliefs About Relapse) |
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Adolescent
Relapse Prevention This article describes the differences between adolescent and adult substance abusers that can lead to relapse and present practical suggestions for marching the unique needs of adolescent substance abusers to relapse prevention strategies in order to decrease the rate of relapse. |
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Sentencing
Children As Adults Should children be tried in adult courts and sentenced to adult prisons? Gorski doesn't believe that they should. This article explains why. |
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Cocaine,
Craving, And Relapse By Terence T. Gorski (5-23-01) This article describes the basics dynamics of cocaine relapse a process that progresses through three stages, setups, trigger events, and a self-reinforcing craving cycle. Guidelines are provided for preventing craving and effectively managing craving if it is activated. |
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Best Practice
Principles This article describes the basic research-based principles upon which the GORSKI-CENAPS Model of treatment is based. The article is divided into two parts. Part one describes the best scientific understanding of the nature of substance use disorders. Part two describes the best scientific understanding of the principles that govern the effective treatment of substance use disorders. A listing of the references from which these principles were derived is listed at the end of the article. |
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Levels
of Relapse Warning Recovery from chemical dependence occurs at five levels – abstinence, situation change, behavior change, emotional change, and personal belief change. An excellent article for use as a client handout. |
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Spirituality
& Relapse There is a relationship between spirituality and relapse. This article defines spirituality, explores how both mystical and non-mystical forms of spirituality can work in harmony to promote recovery and avoid relapse. An excellent article for use as a client handout. |
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Prescription
Drugs And Relapse This article describes the special problems encountered by people in recovery from alcoholism or drug dependence when they need medical treatment that requires the use of pain medication or other potentially addictive medications. Six clear and easy to understand guidelines are provided that could save people's sobriety. This is an excellent article for use as a client handout. |
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Understanding
Relapse This article describes the process of relapse in clear and easy to understand language. It is an excellent article to use as a handout for clients or family members. |
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How
To Develop A Relapse Prevention Plan This article describes in clear and easy to understand language how to develop a relapse prevention plan. It is an excellent article to use as a handout for clients or family members. |
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Stopping
Drug Use During Pregnancy: A recent Supreme Court ruling decided that hospital workers cannot constitutionally test maternity patients for illegal drug use without their consent for the purpose of alerting the police to a crime. This decision made it clear that pregnant women who are suspected of using illegal drugs that might harm their unborn baby still retain their civil rights. The good news is that we can help drug abusing pregnant women, their unborn children, and their families without violating their civil rights. Medical intervention programs that identify and motivate pregnant women to get substance abuse treatment work better than enforcement programs that entrap pregnant women into arrest and prosecution for drug law violations. Medical intervention programs can be set up by training obstetricians to diagnose substance abusing patients, intervening in their addiction, and coordinating prenatal care with appropriate substance abuse treatment. Outcomes are best when these medical intervention programs are supported by community-based treatment and sober residential centers that provide treatment for the women during their pregnancy and for the a period of three to six months after delivery. |
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Student
Assistant Programs vs. Drug Testing (03-22-01) Is it a good idea to rely on random drug testing to reduce the incidence of drug abuse in our schools. A recent ruling by an Oklahoma Appeals Court may force us to rethink the answer. They found that randomly drug testing all kids in extra-curricular activities violates the Fourth Amendment's protection against unreasonable searches. This isn’t necessarily bad. Well designed Student Assistance Programs (SAP's) are far more effective than drug testing in preventing and helping kids who have problems with alcohol and drugs. |
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Post
Incarceration Syndrome (PICS) and Relapse
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This
article describes the symptoms of the Post Incarceration Syndrome (PICS) that
contribute to relapse and recidivism in many released inmates. The
symptoms are described and the implications for communities and addiction and
mental health treatment professionals are discussed.