Psychotherapy In Chemical Dependence Treatment A Practical and Integrative Approach,9780534261184

Psychotherapy In Chemical Dependence Treatment A Practical and Integrative Approach

by ;
ISBN13: 9780534261184
ISBN10: 0534261183
Format: Paperback
Pub. Date: 1997-07-30
Publisher(s): Cengage Learning
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Summary

Univ. of Southern Mississippi, Hattiesburg. Text addressing problems, techniques, and practicalities of chemical dependency treatment. Includes: assessment, relapse issues, and aftercare. For students and practitioners. Softcover.

Table of Contents

INTRODUCTION 1(14)
The Chemical Dependence Treatment Field 1(2)
Reasons for Optimism 3(2)
Common Myths About Chemical Dependence Treatment 5(10)
PART ONE A MODEL FOR CHANGE 15(130)
1 AN INTEGRATIVE MODEL OF CHEMICAL DEPENDENCE TREATMENT
15(30)
The Transtheoretical Model
16(3)
Stages and Processes of Change
19(6)
Drug Abuse, Dependence, and Addiction
25(1)
Definition and Classification
26(3)
Common Pathways and Rewards in Addiction
29(3)
The Inheritance of Drug Addiction
32(3)
Psychosocial Factors in the Etiology and Transmission of Addictions
35(2)
Study and Discussion Questions
37(1)
WORKSHEET 1.1 Stages of Change Inventory
38(3)
WORKSHEET 1.2 Processes of Change Inventory
41(4)
2 PRACTICAL DECISIONS IN ASSESSMENT AND REFERRAL
45(48)
The Clinical Interview
45(2)
Critical Decisions in Intake and Assessment
47(1)
Intake
48(4)
What to Do About a Client Who Appears Drunk or High
50(1)
Practical Concerns
51(1)
The Mental Status Examination
52(4)
Areas of Mental Functioning
52(1)
Principles Governing the Mental Status Examination
53(3)
Referral to Structured Treatment
56(4)
Inpatient Treatment Versus Outpatient Treatment
57(2)
The Value of Abstinence from All Drugs
59(1)
Conditions for Referral to a Structured Setting
60(1)
Assessment
60(7)
Deciding About Treatment Options
62(1)
Avoiding Pitfalls in Concurrent Treatment
63(2)
Two Case Histories
65(2)
Study and Discussion Questions
67(2)
WORKSHEET 2.1 Addiction Severity Index (ASI)
69(9)
WORKSHEET 2.2 Indicators of Specific Drug Abuse
78(2)
WORKSHEET 2.3 Chemical Dependence Assessment Inventories
80(13)
3 CASE CONCEPTUALIZATION, TREATMENT PLANNING, AND TREATMENT
93(31)
Locating the Client in the Chemical Dependence Process
94(2)
Drug Alteration of Instinctual and Social Drives
95(1)
Structured Treatment and Concurrent Psychotherapy: A Case History
96(7)
Developmental Concerns and Personality Dynamics
97(1)
Critical Therapy Decisions
98(1)
Conceptualizing This Client's Intrapersonal Dynamics
99(1)
Treatment Planning
100(3)
Critical Decision Point: Inpatient or Outpatient Referral?
103(1)
Outpatient Treatment Referral
103(1)
Inpatient Treatment Referral
103(1)
Treatment Planning Issues for Outpatient and Inpatient Settings
104(4)
Setting Goals
104(1)
Working with a Treatment Center
105(1)
Concurrent Therapy with Outpatient Clients
106(2)
Treatment: Weeks 1-6
108(14)
Some Dos and Don'ts of Treatment
109(3)
Suicide and Crisis Intervention
112(4)
Week 1 of Treatment
116(1)
Week 2 of Treatment
116(3)
Treatment: Weeks 6-16
119(1)
Struggling to Not Breathe
120(1)
Thawing Out
120(1)
Burying Relapse Triggers
121(1)
The First Lapse or Relapse
122(1)
Study and Discussion Questions
123(1)
4 MAINTENANCE, RELAPSE, AND RELAPSE PREVENTION
124(21)
Relapse as a Problem of Sobriety, Not Treatment
124(1)
The Relapse Dynamic
125(8)
Reasons for Optimism-and Pessimism
126(2)
Relapse Risk Factors
128(1)
Theories About the Etiology of Relapse
128(2)
Risk and Relapse Models
130(3)
Critical Factors in Relapse Prevention
133(2)
Assessing Client's Coping Skills and Resources
133(2)
Goals, Motivation, and Emotion in Relapse
135(1)
Relapse Assessment and Referral
135(2)
Evaluating Treatment in the Face of Relapse
137(1)
Aftercare
137(4)
Study and Discussion Questions
141(4)
PART TWO CHEMICAL DEPENDENCE PRACTICE CONCERNS 145(90)
5 INDIVIDUAL TREATMENT
145(27)
Directive Therapies in Chemical Dependence Treatment
145(3)
The Therapeutic Alliance
146(1)
Psychological Separation and Individuation
147(1)
Therapy with Dual-Diagnosis Clients
148(9)
Treatment Issues with Dual-Diagnosis Clients
150(2)
General Rules for Working with Dual-Diagnosis Clients
152(5)
Rational-Emotive Therapy in Chemical Dependence Treatment
157(4)
The ABCs of Rational-Emotive Therapy
158(1)
Strengths for Chemical Dependence Treatment
159(2)
Gestalt Therapy in Chemical Dependence Treatment
161(8)
Key Concepts of Gestalt Therapy
163(6)
Study and Discussion Questions
169(1)
WORKSHEET 5.1 Dysfunctional Personality Styles and Approaches
170(2)
6 FAMILY DYNAMICS AND TREATMENT
172(21)
Family Chemical Dependence Therapy
173(1)
Criteria for Success
173(1)
Family Dysfunction
174(9)
Enabling and Denial
176(1)
Adaptation and Community Standards
177(1)
Family Structure
177(1)
Assessing Family Functioning
178(5)
Family Systems Theory
183(1)
Early, Middle, and Late Stage Family Treatment
183(5)
Early Abusive Stage
184(2)
Middle Dependent Stage
186(1)
Late Deteriorative Stage
187(1)
Family Week in Structured Treatment
188(2)
Preparation and Ground Rules
188(1)
Anger, Pain, and Learning
189(1)
Study and Discussion Questions
190(3)
7 CHILDREN AND ADULT CHILDREN OF ALCOHOLICS AND OTHER DRUG ABUSERS
193(22)
Treatment Concerns
194(3)
Attachment and Individuation Among ACOAs
197(3)
Treating ACOAs from Severely Dysfunctional Families
200(1)
Role Development Among ACOAs
200(5)
Patterns of Severe Dysfunction
203(1)
Changing Dysfunctional Role Stereotypy
204(1)
Codependence
205(5)
Phases of Codependence Treatment
208(1)
Family Therapy and Codependence
209(1)
Study and Discussion Questions
210(1)
WORKSHEET 7.1 Children of Alcoholics Screening Test (CAST)
211(2)
Children of Alcoholics Life-Events Schedule
213(2)
8 GROUP TREATMENT
215(20)
Therapist Considerations
216(2)
Client Considerations
218(3)
Group Work with Difficult Clients
219(2)
Stages of Group Action
221(9)
Stage 1: Early Group Treatment
221(3)
Stage 2: The Middle Stage
224(2)
Stage 3: Ongoing Treatment
226(4)
Alcoholics Anonymous and 12-Step Group Treatment
230(4)
The 12 Steps
230(1)
Concerns About 12-Step Programs
231(1)
Stages and 12-Step Programs
232(2)
Study and Discussion Questions
234(1)
References 235(19)
Name Index 254(3)
Subject Index 257

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