Contents

Disclaimer

Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breastfeeding.

Show Summary Details
Page of

(p. 164) Seemingly Irrelevant Decisions (SIDs) 

(p. 164) Seemingly Irrelevant Decisions (SIDs)
Page of

PRINTED FROM OXFORD CLINICAL PSYCHOLOGY ONLINE (www.oxfordclinicalpsych.com). © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Clinical Psychology Online for personal use (for details see Privacy Policy and Legal Notice).

date: 21 October 2020

Many of the ordinary, mundane decisions that are made every day seem to have nothing at all to do with using alcohol or drugs. Although they may not involve making a direct choice of whether or not to use, they can move you, one small step at a time, closer to relapse.

Common SIDs include the following:

  • ■ Whether or not to keep alcohol/drugs/paraphernalia in the house.

  • ■ Whether or not to offer a former using buddy a ride home.

  • ■ Whether or not to go to a certain part of town.

  • ■ Whether or not to go to a party to see old using friends.

  • ■ Whether or not to tell a friend that you have quit using or keep it a secret.

  • ■ Whether or not to make plans for the weekend.

Practice Exercise

Review the following story and identify as many SIDs as possible:

Kim had been clean for 4 weeks. She was driving home after work and instead of taking her usual route home, she chose to take a longer more “scenic route.” While driving, she reached into her purse and found that she was out of cigarettes. She decided to drive around and look for a store where she could buy cigarettes. Along this route, she drove past a bar she had frequented in the past and where she had bought and used cocaine. She decided to stop in momentarily and get a pack of cigarettes. She enters the bar and goes to the cigarette vending machine. Reaching into her purse, she realizes that she left her credit card at home and she has no cash in her wallet. She looks around the bar to see if she knows anyone. Amid the clacking of billiard balls, she hears her name, “Kim!” Turning toward the sound, she (p. 165) recognizes an old using buddy. Her “friend” instantly turns to the bartender and says, “Give my friend a drink, I haven’t seen her in so long!” Kim decides that since her problem was with cocaine, it would be fine to have one beer. Debating only a second, Kim sips her first taste of foaming beer. After several more beers, her friend “happened” to have a gram of cocaine and thus a relapse ensued.

  • ■ When did you think Kim first got into trouble?

  • ■ What were the decisions that Kim made that may have seemed irrelevant at the time?