MENANGANI RELAPS DENGAN TEKNIK TERAPI TINGKAH LAKU DAN KOGNITIF (CBT)

Handling Relaps Using Cognitive Behaviour Therapy (CBT)

Authors

  • Amin Al Haadi Shafie Universiti Sains Islam Malaysia
  • Azad Athahiri Anuar Fakutli Pendidikan, Universiti Malaya, Kuala Lumpur
  • Norsayyidatina Che Rozudi Fakulti Pendidikan dan Pembangunan Manusia, Universiti Pendidikan Sultan Idris
  • Wan Ahmad Zakry Wan Kamaruddin Kolej Permata Insan, Universiti Sains Islam Malaysia
  • Nurul Ashikin Miskam Universiti Sains Islam Malaysia
  • Musa Mohamad Kolej Permata Insan, Universiti Sains Islam Malaysia

DOI:

https://doi.org/10.33102/abqari.vol13no1.55

Keywords:

CBT, relapse, drugs, efficacy, prevention

Abstract

Drug abuse has been declared as the number one enemy of the country since 1983. Various efforts have been conducted by the government to help address the problems of drug abuse. The increasing number of drug addicts is not only due to the number of new drug addicts, but also relapse cases. Relapse is caused by 'Triggers' in which the addict feels 'Craving' for drugs. 'Trigger' can be: (1) people, (2) place, (3) situation and (4) drugs itself. There are techniques to help in address the problem of relapse according to the cognitive behavior Therapy. This technique is called 'Relapse Prevention Techniques' (RP) which involving seven (7) steps. The Seven steps are: (1) Identify the level of motivation of the clients, (2) Identify risk situations, (3) change the lifestyle, (4) Identify the client’s process of relapse, (5) identify when the clients made irrelevant decisions (6)Identify  cognitive factors related to relapse and (7) Management of risk situations.

 

Keywords: CBT, relapse, drugs, efficacy, prevention.

 

 

Abstrak

Penyalahgunaan dadah telah di istiharkan sebagai musuh nombor satu negara sejak tahun 1983. Pelbagai usaha dan kempen kerajaan telah dijalankan untuk membantu menangani masalah penyalahgunaan dadah ini. Peningkatan bilangan penagih dadah bukan hanya disebabkan bilangan penagih dadah bertambah, tetapi juga bertambahnya bilangan mereka yang menjadi penagih berulang. Penagihan berulang ini disebabkan masalah relaps yang dihadapi oleh mereka yang sudah berhenti dari menyalahguna dadah.  Terdapat beberapa  faktor pencetus atau triger dimana penagih  terasa ’Craving’ teringin untuk  menagih atau memgambil dadah kembali. Triger boleh berbentuk: (1) orang, (2) tempat, (3) situasi dan (4) barang. Terapi kognitif tingkah laku memperkenalkan Teknik Pencegahan Relaps (Relapses Prevention) yang melibatkan tujuh langkah  iaitu: (1) Mengenalpasti tahap motivasi klien, (2) Mengenalpasti situasi berisiko, (3) Mengubah gaya hidup, (4) Mengenalpasti proses relaps klien, (5) Mengenalpasti situasi klien membuat keputusan yang tidak releven, (6) mengeal pasti faktor kognitif yang berkaitan dengan relaps dan (7) pengurusan situasi berisiko.

 

Kata Kunci: CBT, relaps, dadah, efikasi, pencegahan. 

Downloads

Download data is not yet available.

References

Agensi Anti Dadah KeBangsaan. (2015). Retrieved from https://www.adk.gov.my/orang-awam/statistik-dadah/.

Alexander, D;E. & Gwyther, R;E .(1995). Alcoholism in adolescents and their families – family-focused assessment and management. Pediatric Clinics of North America 42(1):217-234.

Andruzzi, A. (2015). How to stop enabling my drug addicted husband. Retrieved from http://drug.addictionblog.org/how-to-stop-enabling-my-drug-addicted-husband/

Bandura, A. (1977). Social learning theory. Englewood Cliffs, NJ: Prentice-Hall.

Beck J., S. (2011). Cognitive behavior therapy: Basics and beyond. 2nd ed. New York, NY: The Guilford Press.

Budney, A.J., & Higgins, S.T. (1998). National Institute on drug abuse therapy manuals for drug addiction: manual no. 2: A community reinforcement plus vouchers approach: Treating cocaine addiction. NIH Pub. No. 98–4309. Rockville.

Capuzzi, Capuzzi. D. & Gross, D.R. (2003). Counselling and psychotherapy, theories and intervention. 3rd ed. Upper Saddler River, NJ: Merrill/Prentice Hall.

Childress, A.R., Hole, A.V., Ehrman, R.N., Robbins, S.J., McLellan, A.T., O’Brien, C.P. (1993). Cue reactivity and cue reactivity interventions in drug dependence. NIDA Research Monograph; 137:73–95.

Ghose, T. (2013). Hey Parents, Don’t Tell Your Kids You Did Drugs. Retrieved from https://www.livescience.com/27350-parents-talking-drugs-with-kids.html

Gladding, S.T.(2004). Counseling: A Comprehensive Profession. Upper Saddle River, NJ; Pearson Prentice Hall.

Jackson, B.R. (2014). An overview of the relaps prevention (RP) model. Retrieved from http://m.breining.edu/JAD14BRJ.pdf

Kleinschmidt, K. (2015). The effective of substance abuse on marriage. Retrieved from http://www.livestrong.com/article/236828-the-effects-of-substance-abuse-on-arriage/.

Marlatt, G A. (1994). Addiction, mindfulness, and accept ance. In S.C . Hayes, N.S. Jacobson, V.M.Follette , & M.J.Dougher (Eds.). Acceptance and Change: Content and Context in Psycho-therapy. Reno, NV: Context Press.

Marlatt, G.A. & Gordon, J.R. (1985). Relapse prevention: Maintenance strategies in the treatment of addictive behaviors. New York: Guilf or d Press.

Miller, W. & Rollnick, S. (2001). A entrevista motivacional: Preparando as pessoas para mudança. Porto Alegre: Artes Médicas.

National Institute on Drug Abuse. (2012). Cognitive-behavioral therapy. Retrieved from https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/evidence-based-approaches-to-drug-addiction-treatment/ behavioral.

Prochaska, J. O. & DiClemente, C. C. (1986). Toward a comprehensive model of change. In W. R. Miller & N. Heather (Eds.). Treating addictive behaviors: Processes of change. New York: Plenum Press.

Rachman, S. (1997). The evolution of cognitive behaviour therapy. In D. Clark & C. Fairburn (Eds.) The Science and Practice of Cognitive Behaviour Therapy. Oxford: Oxford University Press.

Roberts, D. (2015), How to fight those addiction triggers. Retrieved from https://www.thefix.com/content/triggers-addiction-dawn-roberts0318.

Sack, D (2012). Why relapse isn’t sign failure. Retrieved from https://www.psychologytoday.com/blog/where-science-meets-the-steps/201210/why-relapse-isnt-sign-failure

Salleh, Mohamad Johdi. (2012). Permasalahan penagihan dadah: Tinjauan di pusat serenti selangor. Universiti Malaysia, Terengganu, Terengganu: International Seminar on Community Development - SAPKO 2012

Sidqi Muhammad Jamil al-‘Attar ,‘Aun al-Ma‘bud Syarh Sunan Abi Daud. (1994). Nayl al-awtar sharh mutaqa al akhbar. Vol. 8. Beirut: Darul Fikr.

Skinner, B. F. (1938). The behavior of organisms: An experimental analysis. New York: Appleton-Century.

Published

2019-01-18

How to Cite

[1]
Shafie, A.A.H., Anuar, A.A., Che Rozudi, N., Wan Kamaruddin, W.A.Z., Miskam, N.A. and Mohamad, M. 2019. MENANGANI RELAPS DENGAN TEKNIK TERAPI TINGKAH LAKU DAN KOGNITIF (CBT): Handling Relaps Using Cognitive Behaviour Therapy (CBT). ‘Abqari Journal. 13, 1 (Jan. 2019), 39–47. DOI:https://doi.org/10.33102/abqari.vol13no1.55.