The Basics
This is the FCT-R phase in which Relapse and Addiction Beliefs occur.
What is Phase 2/Restructuring?
During the game, the practitioner takes on this role.
What is the Host?
During instructions, the practitioner should clearly explain expectations for ______ _______.
What is positive communication
After reviewing the provided answers, name 2 questions the practitioner can ask to facilitate further discussion.
What is:
"What do you think about this?"
"Have you heard any of this before?"
"Did any surprise you?"
The practitioner introduces Relapse Beliefs to the family using this game-show title.
What is "What Do You Believe About Relapse?"
*Or Addiction, when completing Addiction Beliefs
Who should participate in this activity?
Who is the whole family?
Family members create what to show where they stand on each belief statement.
What are True and False signs?
Name 2 examples of positive communication specifically mentioned in the training materials.
I-statements
Summarizing
Listening non-defensively
*The practitioner should be specific about what positive communication looks like rather than simply telling the family to "communicate positively"
Everyone chooses True except one family member. The lone family member looks uncomfortable and says "Nevermind. I will just go with it."
What could the practitioner do?
What is help the family member gather their thoughts and support them in expressing their perspective?
When reviewing answers, this is one important difference between Addiction Beliefs and Relapse Beliefs.
what is Relapse Beliefs uses the answer key, while all of the provided Addiction Belief statements have the answer false.
Name the TWO primary purposes of Relapse/Addiction Beliefs?
1. Provide a safe environment for the family to honestly communicate their beliefs about relapse/addiction to each other.
2. Provide recovery education about current beliefs from the field of (substance abuse) recovery.
Put these three steps in the correct order:
A. True and False groups debate each other
B. Family members select True and False
C. True and False groups discuss why they chose their answer
B - C - A
During the debate, the practitioner should monitor for these three types of problematic communication.
What is shaming, blaming, and negativity.
At the end of Relapse Beliefs, a family member says: "There is another belief about relapse that causes arguments in our family often."
What would you do?
What is allow/include the family's additional belief in the activity and facilitate discussion around it.
The game is finished, the winner has been announced, and everyone has celebrated. What remains for the practitioner to complete?
what is feedback and homework that flows logically from the activity?
Finish the sentence: The primary goal of the activity is NOT to determine _________.
What is who is right or wrong?
T/F: The True and False groups should be given approximately 7 minutes to discuss their position before debating.
What is FALSE?
They have 5 minutes or less.
During the debate, Mom says:
"You're ridiculous. You always make excuses for your addiction."
The practitioner responds: "Is there a different way we could say that?"
What skills is the practitioner demonstrating?
What is reframing/redirecting?
If all family members are on one side (true or false), the practitioner may choose to do what?
what is play the opposing side?
Find the 2 mistakes:
Practitioner reads a belief statement and tells the family the correct answer. Family members then debate it. At the end, the practitioner announces whoever had the most correct answers as the winner.
What is
The practitioner revealed the answer before allowing the family to select/discuss/debate their beliefs.
The winner should be based on positive communication - not the number of answers that matched the answer key.
T/F: Relapse Beliefs and Addiction Beliefs are two separate activities but are functionally carried out the same way.
What is true?
F Member: Correct Belief Answer: +Communication:
Mom 13 8
Dad 9 14
Person in Recovery 8 16
Who "Wins"?
Who is the person in recovery with 16 positive communication points?
A family member makes a blaming statement. The practitioner stops them and asks them to try again. The family member successfully redoes the interaction using positive communication.
How should this affect the score?
what is the family member can earn an additional point?
*Successful "redos" can earn additional positive-communication points
During a Relapse Beliefs discussion, Mom says: "Every relapse proves I can't trust you. You tell us you're changing and then screw everything up again."
You already know from previous FCT-R work that:
- Feeling blame is one of this person's triggers.
- Trust is a major family issue.
- The family has previously learned reflective listening.
What would you do next?
- Recognize the blaming/negative communication
- Slow down/redirect
- Use previously TCTS communication skills
- Invite a redo
- Avoid taking sides
- Prompt reflective listening
- Use existing knowledge about there family's triggers and dynamics
Spot the Issue:
During Addiction Beliefs, the practitioner primarily monitors how the person in recovery communities and awards most of the communication points to them.
what is the activity involved the whole family, and positive communication should be monitored/reinforced across all family members?