Tj -345 -14.25 TD -0.0909 Tc 0.7338 Tw (And later when moderating you\222ll have some non) Tj 237.75 0 TD -0.246 Tc 0 Tw (-) Tj 4.5 0 TD -0.058 Tc 0.2455 Tw (drinking days each week. ) %PDF-1.2 % Tj 204.75 0 TD 0 Tc 0 Tw ( ) Tj -204.75 -13.5 TD ( ) Tj ET endstream endobj 45 0 obj 9243 endobj 43 0 obj << /Type /Page /Parent 34 0 R /Resources << /Font << /F0 6 0 R >> /ProcSet 2 0 R >> /Contents 44 0 R >> endobj 47 0 obj << /Length 48 0 R >> stream [2] The MM limits and guidelines were derived from the work of Dr. Martha Sanchez-Craig. MM's program for change is based primarily on cognitive restructuring and behavioral self-control . (harm reduction, in which any reduction in use is a positive step); moderation management, some people can use in a controlled fashion-- but only those not dependent on substances, and without co-occurring disorders). PDF Moderation Analysis: Issues and Guidelines \223Don\222t say, \221I can\222t do it.\222 People make mistakes.) Like Alcoholics Anonymous, Moderation Management is made up of loosely-affiliated fellowship support groups for people struggling with maintaining their sobriety. PDF Moderation Guidelines Summary Document - Trinity College Dublin Tj 124.5 0 TD 0 Tc 0 Tw ( ) Tj -366.75 -13.5 TD ( ) Tj ET endstream endobj 26 0 obj 8949 endobj 24 0 obj << /Type /Page /Parent 5 0 R /Resources << /Font << /F0 6 0 R /F2 16 0 R >> /ProcSet 2 0 R >> /Contents 25 0 R >> endobj 28 0 obj << /Length 29 0 R >> stream Moderation can be used within an improvement cycle: before assessment. Tj -387.75 -13.5 TD -0.0249 Tc 0.132 Tw (Quantities are expressed in terms of customary standard) Tj 268.5 0 TD -0.246 Tc 0 Tw (-) Tj 4.5 0 TD -0.0467 Tc 0.1967 Tw (sized drinks. What Are Alcohol Moderation Management Programs? Moderation Management (MM) Founded by Audrey Kishline in 1994, MM is a program that provides an alternative to most traditional alcohol abuse recovery support groups, such as the prominent Alcoholics Anonymous (AA), a 12-Step spiritual program that asks its members for complete abstinence in recovery. Tj -291.75 -14.25 TD -0.0988 Tc 0.5488 Tw (The blood level also varies according to weight and sex, with heavier people getting lower ) Tj 0 -13.5 TD -0.148 Tc 0.773 Tw (levels from a given intake, and men lower levels than women. Tj 244.5 0 TD -0.1183 Tc 0.4933 Tw (These limits are) Tj 75.75 0 TD -0.071 Tc 0.821 Tw ( mostly) Tj 36 0 TD -0.0633 Tc 0.0633 Tw ( the same as ) Tj -356.25 -13.5 TD -0.0986 Tc 0.2861 Tw (those set forth by t) Tj 89.25 0 TD -0.0776 Tc 0.4943 Tw (he US government\222s National Institute for Alcohol Abuse and ) Tj -89.25 -13.5 TD 0.0246 Tc 0 Tw (Alcoholism) Tj 55.5 0 TD 0.224 Tc -0.224 Tw (. A check) Tj 320.25 0 TD -0.246 Tc 0 Tw (-) Tj 5.25 0 TD -0.1185 Tc 0.4935 Tw (list includes ) Tj -350.25 -14.25 TD -0.0278 Tc 0.1432 Tw (timing \(time of day, day of week, seasons, etc\), places, activities, particular people, ) Tj 402 0 TD -0.015 Tc 0 Tw (things) Tj 29.25 0 TD 0 Tc ( ) Tj -431.25 -13.5 TD -0.0375 Tc 0.4125 Tw (directly or indirectly related to work, money) Tj 212.25 0 TD -0.153 Tc 0.903 Tw ( issues) Tj 31.5 0 TD -0.0117 Tc 0.3867 Tw (, your physical state, r) Tj 106.5 0 TD -0.0765 Tc 0.0765 Tw (elations with ) Tj -350.25 -13.5 TD -0.0145 Tc 0.1645 Tw (others \(including spouse/significant other, parents, in) Tj 254.25 0 TD -0.246 Tc 0 Tw (-) Tj 5.25 0 TD -0.0471 Tc 0.0471 Tw (laws, and children\), p) Tj 102.75 0 TD -0.0818 Tc 0.0818 Tw (articular feeling ) Tj -362.25 -14.25 TD 0.056 Tc 0 Tw (states) Tj 26.25 0 TD -0.1062 Tc 0.5228 Tw (, and major life events. Tj -230.25 -13.5 TD -0.0578 Tc 0 Tw (www.secularsobriety.org.) Under \223Live Meetings\224 on the home page is a listing a face) Tj 378.75 0 TD -0.246 Tc 0 Tw (-) Tj 4.5 0 TD -0.168 Tc (to) Tj 9 0 TD -0.246 Tc (-) Tj 5.25 0 TD -0.3075 Tc 0.3075 Tw (face ) Tj -397.5 -14.25 TD -0.1191 Tc 0.4191 Tw (meetings in a few areas. ) The positive effects of a) Tj 149.25 0 TD -0.0998 Tc 0.5498 Tw (lcohol are pretty much limited to moderate intakes in line ) Tj -149.25 -13.5 TD -0.083 Tc 0.708 Tw (with the MM guidelines. Tj 357 0 TD -0.138 Tc 0.3255 Tw ( And a habit ) Tj -379.5 -13.5 TD -0.0414 Tc 0.0414 Tw (of drinking) Tj 53.25 0 TD -0.0649 Tc 0.3863 Tw ( larger amounts blunts the ability to feel the positive effects of smaller amounts. ) Tj 93 0 TD 0 Tc 0 Tw ( ) Tj -381.75 -14.25 TD ( ) Tj 0 -13.5 TD -0.0713 Tc (Learning) Tj 42.75 0 TD -0.042 Tc 0.292 Tw ( Skills for Non) Tj 70.5 0 TD -0.246 Tc 0 Tw (-) Tj 4.5 0 TD 0.021 Tc (Drinking) Tj 43.5 0 TD -0.1334 Tc 0.6334 Tw ( During Your \22330) Tj 85.5 0 TD -0.078 Tc 0 Tw (\224) Tj ET 86.25 611.25 251.25 0.75 re f BT 337.5 613.5 TD 0 Tc ( ) Tj -251.25 -13.5 TD ( ) Tj 0 -14.25 TD -0.0893 Tc 0.4227 Tw (As well as planning ahead for how you will manage drinking after the \22330\224, it\222s a time to ) Tj 0 -13.5 TD -0.1044 Tc 0.5544 Tw (learn skills for the many occasions in the future when you will choose not to drink.) Moderation of course has the advantages a) that you can still enjoy alcohol, albeit under controlled circumstances, b) that in learning moderation you will learn some self-control skills useful elsewhere in your life, and c) that you can still fit comfortably into social situations involving drinking. Tj 407.25 0 TD -0.123 Tc -0.252 Tw ( In ) Tj -407.25 -13.5 TD -0.1187 Tc 0.4103 Tw (general, it will be best to make it a rule not to drink when in the grip of ) Tj 343.5 0 TD -0.0388 Tc 0.0388 Tw (negative emotions.) These results are in line with findings in the strategic management domain (Aguinis, Edwards, and Bradley 2017) and suggest that a substantive proportion of published moderation effects under investigation might be biased downward (because of the widespread use of the means method) and/or underpowered (because of moderation analysis in small . Tj 3 0 TD -0.291 Tc 0.291 Tw ( It) Tj 9.75 0 TD 0 Tc 0 Tw ( ) Tj -426 -13.5 TD -0.1968 Tc 0.1968 Tw (can be) Tj 30 0 TD -0.0294 Tc 0.2794 Tw ( hard to get started, but there are a number of big benefits:) Tj 279 0 TD 0 Tc 0 Tw ( ) Tj -309 -14.25 TD ( ) Tj 18 -14.25 TD /F3 12 Tf -0.27 Tc (\267) Tj 5.25 0 TD /F4 12 Tf 0 Tc -0.336 Tw ( ) Tj 12.75 0 TD /F0 12 Tf -0.0833 Tc 0.3512 Tw (You may well feel demoralized by your lack of control over drinking, and feel ) Tj 0 -14.25 TD -0.0645 Tc 0.3145 Tw (powerless relative to your drinking habit. Not for alcoholics, chronic drinkers or those who experience significant withdrawal symptoms when they stop drinking. Tj 405.75 0 TD 0 Tc 0 Tw ( ) Tj -405.75 -14.25 TD ( ) Tj 0 -13.5 TD -0.0458 Tc 0.2333 Tw (Habitual drinking at a certain time of day is another common trigger. K) Tj 134.25 0 TD -0.1035 Tc 0.5074 Tw (eeping a drinking diary is a great tool for that. The urge ) Tj 0 -13.5 TD -0.0611 Tc 0.4702 Tw (might say, for instance, that tonight is a special occasion and y) Tj 300 0 TD -0.0623 Tc 0.1694 Tw (ou can just have a drink or ) Tj -300 -14.25 TD -0.1347 Tc 0.4159 Tw (two and then go back to your \22330.\224 ) Tj 171.75 0 TD -0.12 Tc 0.495 Tw (Answer the urge back with the statement) Tj 195.75 0 TD -0.336 Tc 0 Tw (:) Tj 3 0 TD 0 Tc ( ) Tj 3.75 0 TD -0.078 Tc (\223) Tj 4.5 0 TD 0 Tc ( ) Tj 3.75 0 TD 0.168 Tc (E) Tj 6.75 0 TD -0.0703 Tc 0.0703 Tw (ach time ) Tj 44.25 0 TD -0.246 Tc 0 Tw (I) Tj 3.75 0 TD 0 Tc ( ) Tj -437.25 -13.5 TD -0.1015 Tc 0.3515 Tw (refuse an urge ) Tj 70.5 0 TD -0.246 Tc 0 Tw (I) Tj 3.75 0 TD -0.0674 Tc 0.4424 Tw ( get stronger and stronger in dealing with it.) So ) Tj 147.75 0 TD -0.2844 Tc 0 Tw (think) Tj 24 0 TD 0.0672 Tc -0.0672 Tw ( about) Tj 30 0 TD -0.12 Tc 0.12 Tw ( area) Tj 23.25 0 TD -0.168 Tc 0 Tw (s) Tj 4.5 0 TD 0.096 Tc -0.096 Tw ( such as:) Tj 41.25 0 TD -0.0639 Tc 0.5139 Tw ( your inner feelings, relationships ) Tj -270.75 -14.25 TD -0.0129 Tc 0.2629 Tw (with others, work issu) Tj 105.75 0 TD -0.0972 Tc 0.6329 Tw (es, physical health, your finances, any legal issues) Tj 240 0 TD -0.082 Tc 0.382 Tw (, and spare time or ) Tj -345.75 -13.5 TD -0.0754 Tc 0.4254 Tw (recreation. During the waiting, you can \223urge surf.\224 That is, ) Tj -41.25 -14.25 TD -0.0233 Tc 0.2108 Tw (urges typically rise and fal) Tj 126.75 0 TD -0.1447 Tc 0.6269 Tw (l like waves, and you can make a game of seeing the urge rise, ) Tj -126.75 -13.5 TD -0.0693 Tc 0.3693 Tw (crest, and then inevitably subside. ) Tj 164.25 0 TD 0 Tc 0 Tw ( ) Tj -164.25 -13.5 TD ( ) Tj 0 -13.5 TD -0.0487 Tc 0.0487 Tw (Your Drinking Rules) Tj ET 86.25 666.75 100.5 0.75 re f BT 186.75 669 TD 0 Tc 0 Tw ( ) Tj -100.5 -14.25 TD ( ) Tj 0 -13.5 TD -0.026 Tc -0.724 Tw (Now ) Tj 26.25 0 TD -0.1031 Tc 0.5531 Tw (that you\222ve figured out your over) Tj 159 0 TD -0.246 Tc 0 Tw (-) Tj 4.5 0 TD -0.1042 Tc 0.5729 Tw (drinking triggers and how to manage them, it\222s ) Tj -189.75 -14.25 TD -0.0955 Tc 0.3872 Tw (time to set down a list that will be a big part of your life going forward. The Link Between PTSD and Substance Abuse About PTSD and substance abuse Moderation guidance | The University of Edinburgh There you) Tj 185.25 0 TD -0.246 Tc 0 Tw (r) Tj 3.75 0 TD 0 Tc ( ) Tj -434.25 -13.5 TD -0.246 Tc (r) Tj 3.75 0 TD -0.0771 Tc 0.418 Tw (ule might be to use one or more of the stronger drinking) Tj 268.5 0 TD -0.246 Tc 0 Tw (-) Tj 4.5 0 TD -0.0629 Tc 0.3129 Tw (control techniques like ) Tj -276.75 -14.25 TD -0.0231 Tc 0.7731 Tw (alternating non) Tj 71.25 0 TD -0.246 Tc 0 Tw (-) Tj 4.5 0 TD -0.0227 Tc 0.2102 Tw (alcoholic beverages, or settling int) Tj 165 0 TD 0.1245 Tc 0.2505 Tw (o the situ) Tj 44.25 0 TD -0.0818 Tc 0.4568 Tw (ation for a time before) Tj 107.25 0 TD -0.249 Tc 0.624 Tw ( your ) Tj -392.25 -13.5 TD -0.0376 Tc 0.0376 Tw (first drink.) Tj 239.25 0 TD 0 Tc 0 Tw ( ) Tj -239.25 -13.5 TD ( ) Tj 0 -13.5 TD -0.1209 Tc 0.5495 Tw (If you\222re passed the severity test for ) Tj 175.5 0 TD -0.153 Tc -0.597 Tw (trying ) Tj 31.5 0 TD -0.1567 Tc 0 Tw (moderatio) Tj 48.75 0 TD -0.0518 Tc 0.8018 Tw (n, you may) Tj 53.25 0 TD 0.042 Tc -0.042 Tw ( also) Tj 22.5 0 TD -0.1052 Tc 0.3552 Tw ( want to look at the ) Tj -331.5 -14.25 TD -0.1035 Tc 0.1035 Tw (various p) Tj 43.5 0 TD -0.0738 Tc 0.0738 Tw (ros and cons) Tj 60 0 TD 0.627 Tc -0.627 Tw ( of) Tj 12.75 0 TD 0.4785 Tc -0.4785 Tw ( both) Tj 24.75 0 TD -0.066 Tc 0.066 Tw ( moderation ) Tj 60.75 0 TD -0.276 Tc 0 Tw (and) Tj 17.25 0 TD 0.1098 Tc -0.1098 Tw ( abstinence) Tj 54 0 TD 0 Tc 0 Tw (.) Tj 43.5 0 TD 0 Tc 0 Tw ( ) Tj -324.75 -13.5 TD ( ) Tj 0 -14.25 TD 0.028 Tc -0.028 Tw (Group Support) Tj ET 86.25 624.75 71.25 0.75 re f BT 157.5 627 TD 0 Tc 0 Tw ( ) Tj -71.25 -13.5 TD -0.0555 Tc 0.2805 Tw (Many find contact and discussion with others working on the sa) Tj 306.75 0 TD -0.0413 Tc 0.0413 Tw (me kind of problems ) Tj -306.75 -13.5 TD 0.0013 Tc 0 Tw (extremely) Tj 47.25 0 TD -0.0905 Tc 0.5191 Tw ( helpful. Get them well in mind for the time later when you\222ll ) Tj -126.75 -14.25 TD -0.0597 Tc 0.0597 Tw (start to drink again. ) Tj 54 0 TD -0.078 Tc (\224) Tj 4.5 0 TD 0 Tc ( ) Tj 3 0 TD ( ) Tj -230.25 -14.25 TD ( ) Tj 0 -13.5 TD -0.0747 Tc 0.5033 Tw (\223Avoidance\224 involves keeping away from things that ) Tj 258.75 0 TD -0.0591 Tc 0.8091 Tw (give you) Tj 40.5 0 TD -0.0136 Tc 0.1636 Tw ( drinking urges. BT 86.25 39 TD 0 0 0 rg /F0 12 Tf -0.0492 Tc 0.1742 Tw (Guide to Moderation Management Steps of Change) Tj ET 86.25 36.75 248.25 0.75 re f BT 334.5 39 TD 0 Tc 0 Tw ( ) Tj 186.75 0 TD (6) Tj 6 0 TD ( ) Tj -441 684.75 TD -0.168 Tc (M) Tj 10.5 0 TD -0.0186 Tc 0.2061 Tw (any people who bring over) Tj 128.25 0 TD -0.246 Tc 0 Tw (-) Tj 4.5 0 TD -0.0916 Tc 0.5202 Tw (drinking under control on their own just tape) Tj 214.5 0 TD -0.0156 Tc 0.0156 Tw (r down their ) Tj -357.75 -13.5 TD -0.1209 Tc 0.3709 Tw (drinking over time. PDF Moderation in Management Research: What, Why, When, and How - Springer PDF Guide to Moderation Management Steps of Change Tj 84.75 0 TD 0 Tc 0 Tw ( ) Tj 3 0 TD ( ) Tj -51.75 -13.5 TD -0.0475 Tc 0.2475 Tw (4. You might, for instance, telephone a friend, go for a ) Tj 0 -14.25 TD 0.306 Tc 0 Tw (dri) Tj 13.5 0 TD -0.0501 Tc 0.1438 Tw (ve, do some housework, or any other positive activity.) Tj 3 0 TD ( ) Tj -290.25 -15 TD /F3 12 Tf -0.27 Tc (\267) Tj 5.25 0 TD /F4 12 Tf 0 Tc -0.336 Tw ( ) Tj 12.75 0 TD /F2 12 Tf -0.096 Tc 0 Tw (Sipping) Tj 36 0 TD /F0 12 Tf 0 Tc ( ) Tj 3 0 TD -0 Tc 0 Tw (small amounts slowly to k) Tj 126 0 TD -0.036 Tc 0.336 Tw (eep the pace of intake down) Tj 134.25 0 TD 0 Tc 0 Tw (.) The fact is, the urge will go away if you just outwait it ) Tj 377.25 0 TD 0 Tc 0 Tw (\226) Tj 6 0 TD -0.084 Tc 0.084 Tw ( so ) Tj -383.25 -13.5 TD -0.0938 Tc 0 Tw (mentally) Tj 41.25 0 TD -0.085 Tc 0.46 Tw ( settle down to outwait that urge. Tj 96 0 TD 0 Tc ( ) Tj -96 -13.5 TD ( ) Tj 164.25 -13.5 TD -0.1242 Tc 0.8742 Tw (Support for Abstinence) Tj ET 250.5 183.75 111 0.75 re f BT 361.5 186 TD 0 Tc 0 Tw ( ) Tj -254.25 -15 TD /F3 12 Tf -0.27 Tc (\267) Tj 5.25 0 TD /F4 12 Tf 0 Tc -0.336 Tw ( ) Tj 12.75 0 TD /F0 12 Tf -0.0613 Tc 0.8113 Tw (Alcoholics Anonymous) Tj ET 125.25 168.75 113.25 0.75 re f BT 238.5 171 TD -0.0982 Tc 0.5073 Tw (. Tj 207 0 TD 0 Tc 0 Tw ( ) Tj -288.75 -15 TD /F3 12 Tf -0.27 Tc (\267) Tj 5.25 0 TD /F4 12 Tf 0 Tc -0.336 Tw ( ) Tj 12.75 0 TD /F0 12 Tf -0.01 Tc 0.26 Tw (Secular Organization for Sobriety) Tj ET 125.25 140.25 161.25 0.75 re f BT 286.5 142.5 TD 0 Tc 0 Tw (. ) The urge of) Tj 62.25 0 TD -0.1412 Tc 0.5162 Tw (ten seems to be saying that it won\222t leave you ) Tj -191.25 -14.25 TD -0.1612 Tc 0.7028 Tw (alone until you give in. Tj 211.5 0 TD -0.078 Tc 0 Tw (\224) Tj 4.5 0 TD -0.0728 Tc 0.287 Tw ( Lastly, you can bring to mind ) Tj -290.25 -13.5 TD 0.8227 Tw (your long) Tj 45.75 0 TD -0.246 Tc 0 Tw (-) Tj 4.5 0 TD -0.1084 Tc 0.4084 Tw (term objective of getting your ove) Tj 163.5 0 TD -0.246 Tc 0 Tw (r) Tj 3.75 0 TD (-) Tj 4.5 0 TD 0 Tc 0.3744 Tw (drinking under control) Tj 107.25 0 TD 0 Tc 0 Tw (,) Tj 3 0 TD ( ) Tj 3.75 0 TD -0.168 Tc (to) Tj 9 0 TD -0.082 Tc 0.2695 Tw ( enjoy a healthier ) Tj -345 -14.25 TD -0.0524 Tc 0.5524 Tw (and more satisfying life.) One step builds on another ) Tj 0 -13.5 TD -0.096 Tc 0.096 Tw (until at ) Tj 36 0 TD -0.0761 Tc 0.4261 Tw (the end you have a powerful set of tools for managing your drinking behavior. a form of harm reduction for those struggling who do not have an alcohol use disorder. Tj 42 0 TD -0.0421 Tc 0.2467 Tw ( An NIAAA study comparing outcomes for persons grouped by severity ) Tj 350.25 0 TD 0.015 Tc -0.015 Tw (showed ) Tj -392.25 -13.5 TD -0.0844 Tc 0.5344 Tw (clearly the importance of that factor.)
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