This book presents an innovative model for the treatment of clients wi th alcohol and substance abuse problems. For the first time, the goals and methods of harm reduction are incorporated into a multidimensiona l psychotherapeutic approach. Denning demonstrates that traditional, a bstinence-based approaches are inappropriate for many persons who seek help for psychological or emotional problems, and shows how effective therapeutic work can be conducted even with individuals who are still using drugs. The focus is on reducing the damage done by drug use whi le respecting each client's needs, priorities, and life choices. A com prehensive clinical rationale is provided, and readers are taken step by step through assessment and treatment. Intervention strategies are described in depth, illustrated with extended case examples.