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Untreated Change Behavior 9

Edith Cowan University

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1.0 Introduction

Research on self-change or natural recovery in the addictions as mentioned by Klingemann, Sobell, and Sobell (2009) has turned out to be more and more important, simply because self-change has become a pathway to recovery and these cases can generally offer details about behaviour change mechanisms. Even though numerous studies have examined the outcome and predictors of treatment for disorders associated with use of alcohol, there are a number of salient issues that are yet to be solved. For instance, scores of many patients taking part in outcome evaluations have experienced one or more prior episodes of care. As a result, evaluations of treatment effects are essentially rooted in studies of people who are yet to respond to prior episodes of treatment.

as an improvement in the condition of patient devoid of effective treatment. Therefore the focus of the paper will be on untreated behaviour change affecting with review to different group of persons such as alcohol and drug users, aboriginals, gamblers and so forth.Klingemann (2001), many people with alcohol-related problems do not look for assistance from either self-help groups or specialist treatment services. Spontaneous remission has been defined by Moos and Moos (2006). According to (Prochaska & Velicer, 1997)The purpose of this essay is to describe untreated change and discuss some of the factors, which are involved in instigating and supporting behaviour change amongst individuals who prefer the pathway of untreated behaviour change. Basically, change can be defined as a phenomenon that takes place over time. Change in behavior is normally interpreted as an event, like quitting drinking, smoking or overeating

2.0 Discussion

2.1 Self-Change

Figlie et al. (2005) posit that problems attributed to alcohol use are prevalent as compared to those brought about by abuse of the other illicit drugs all together. Imperatively, the use of alcohol increases during early adulthood as well as adolescence with males having more alcohol-related problems as compared to their females. In spite of the high incidence of alcohol problems, only 25% of individuals with these problems look for helps from mutual-help groups like the Alcoholics Anonymous (AA) or professionals. As mentioned by Tucker and Simpson (2011), alcohol problems can result in psychosocial or mental problems. For people who seek treatment, they normally experience positive changes such as abstinence. Problem drinking cessation can be gradual or abrupt, and treatment as observed by Tucker and Simpson (2011) seems to help consolidate changes attributed to extratherapeutic factors as well as in supporting continuous improvement. In view of this, occurrences of self-change connote that a number of people facing the addiction problems can make informed decisions as well as come up with resolution strategies (Klingemann H. , et al., 2012).

Self-change existence point that a person does not lose the ability to choose; therefore, particular factors can make decisions more challenging, however, they do not make a person ‘unable’ to decide. The higher occurrence of self-change amongst people with lesser problem severity points out that a crucial role is played by dependence severity (that is to say, individuals with less severe problems that are inclined to recover without treatment). With regard to self-change incidence, a number of studies such as Klingemann and Carter-Sobell (2007) have sufficiently exhibited that people normally change drinking and drug use habits, perceived to be problematic by themselves or others. Simultaneously, Peele, Brodsky, and Arnold (1992) noted that the rates of recovery are exceedingly sensitive to measurement and that the rates of incidence depend on how the boundary is drawn between naturally occurring processes and events as well as treatment interventions.

2.2 Cognitive Change

Coleman, Cole, and Wuest (2010) study provides evidence that symptom change is predicted by cognitive change, and that it is not specific effect of the treatment. According to Coleman, Cole, and Wuest (2010), cognitive change is active amongst the untreated group and this exhibits that cognition is a factor in spontaneous remission or amelioration of symptoms and induced remission for treatment. Imperatively, there exists no clear evidence explaining that the processes of therapy or techniques used by therapists are associated with changing cognition. Researchers have used different expressions so as to detail recovery from abuse of alcohol devoid of intervention: self-change, spontaneous remission, untreated remission and natural resolution. Australian aboriginal people lack access to treatment, but through natural recovery they have been able to overcome the alcohol problems (Brady, 1993).

2.3 Natural Recovery

According to Brady (1993) the ‘natural recovery’ phenomenon challenges the alcoholism metaphor as Australian aboriginals are inclined to present for problems related to alcohol at a later stage as compared to other Australians, normally with multifaceted comorbidities. According to Wilson, Stearne, Gray, and Saggers (2010), structured treatment programs are commonly utilized for aboriginals having alcohol-related problems. In this case, treatment may take place in primary residential or community settings or healthcare. Some of the programs as outlined by Wilson, Stearne, Gray, and Saggers (2010) include cognitive behavioral therapies, withdrawal management, inpatient detoxification, brief interventions, among others. Even though there are informal examples of programs which seem to be realizing some success in decreasing consumption of alcohol amongst aboriginal Australians, only a few of these programs have been assessed formally.

2.4 Accessibility of Interventions

As stated by Moos and Moos (2006), higher relapse and lower remission rates amongst people who are reluctant to seek treatment cannot generalize to people having problems associated with alcohol, but are yet to seek help. Such people could have less severe problems as well as more social and personal resources, which may help them start and maintain natural recovery. Ability to access low intensity, convenient interventions as indicated by Laudet (2007) can improve the process of self-change and allow people to realize and sustain remission. There are a number of issues to address such a examining closely the role of earlier attempts at self-change in the process of remission/relapse as well as clarifying whether peoples’ attributions concerning maintenance as well as triggering factors for seeking help and reducing consumption of alcohol play more crucial role as compared to epiphenomenal role in natural and treated remission (Miller & Heather, 2013; Miller & Carroll, 2012; Galizio & Maisto, 2013).

2.5 Self-recognition

The notion that people with alcohol-related problems can overcome their addiction with no professional help has been rebuffed as mere assertions by social care and treatment professionals, and also by some members of the public. People who get help for their alcohol drinking problem are more inclined to be abstinent after eight years as compared to people who do not seek treatment. Circumstances that normally result in alcohol abuse self-changers involve actions which promote alcohol drinking self-recognition, concerns about health, as well as role transitions (Burke, 2015; Sue, Wing, Sue, & Sue, 2015). Self-recognition of life problems such as alcohol drinking and gambling needs a role transition, which plays a crucial role in natural recovery from these problems

4.0 Conclusion

In conclusion, the essay has talked about untreated change and also discussed some of the factors that are involved in prompting and supporting behaviour change amongst people who prefer the pathway of untreated behaviour change. As mentioned in the essay, self-change is not an exceptional phenomenon, and it has enabled scores of people such as aboriginals to overcome their addictive behaviour such as alcohol drinking. The success rates of self-change as evidenced in the essay are nearly to those of professional treatment. The perceptions of people concerning the accessible treatment programmes as well as their own daily techniques are amongst the factors, which define whether professional advice or self-change is required. A low possibility of stigmatisation as well as improved social support, in addition to improved self-efficacy belief at a personal level, can increase the likelihoods of remission for alcohol abusers and other addicts. The social reaction to problems related to addiction and perceptions on how to solve the can impact the success chances when people attempt to change on their own.


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