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Psychotherapy In Chemical Dependence Treatment A Practical and Integrative Approach

by: Buelow, George; Buelow, Sidne

Psychotherapy In Chemical Dependence Treatment A Practical and Integrative Approach

by: Buelow, George; Buelow, Sidne

ISBN 13:
9780534261184
ISBN 10:
0534261183
Format: Paperback
Copyright: 07/30/1997
Publisher: 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.

INTRODUCTION

(14)

The Chemical Dependence Treatment Field

(2)

Reasons for Optimism

(2)

Common Myths About Chemical Dependence Treatment

(10)

PART ONE A MODEL FOR CHANGE

(130)

1 AN INTEGRATIVE MODEL OF CHEMICAL DEPENDENCE TREATMENT

(30)

The Transtheoretical Model

(3)

Stages and Processes of Change

(6)

Drug Abuse, Dependence, and Addiction

(1)

Definition and Classification

(3)

Common Pathways and Rewards in Addiction

(3)

The Inheritance of Drug Addiction

(3)

Psychosocial Factors in the Etiology and Transmission of Addictions

(2)

Study and Discussion Questions

(1)

WORKSHEET 1.1 Stages of Change Inventory

(3)

WORKSHEET 1.2 Processes of Change Inventory

(4)

2 PRACTICAL DECISIONS IN ASSESSMENT AND REFERRAL

(48)

The Clinical Interview

(2)

Critical Decisions in Intake and Assessment

(1)

Intake

(4)

What to Do About a Client Who Appears Drunk or High

(1)

Practical Concerns

(1)

The Mental Status Examination

(4)

Areas of Mental Functioning

(1)

Principles Governing the Mental Status Examination

(3)

Referral to Structured Treatment

(4)

Inpatient Treatment Versus Outpatient Treatment

(2)

The Value of Abstinence from All Drugs

(1)

Conditions for Referral to a Structured Setting

(1)

Assessment

(7)

Deciding About Treatment Options

(1)

Avoiding Pitfalls in Concurrent Treatment

(2)

Two Case Histories

(2)

Study and Discussion Questions

(2)

WORKSHEET 2.1 Addiction Severity Index (ASI)

(9)

WORKSHEET 2.2 Indicators of Specific Drug Abuse

(2)

WORKSHEET 2.3 Chemical Dependence Assessment Inventories

(13)

3 CASE CONCEPTUALIZATION, TREATMENT PLANNING, AND TREATMENT

(31)

Locating the Client in the Chemical Dependence Process

(2)

Drug Alteration of Instinctual and Social Drives

(1)

Structured Treatment and Concurrent Psychotherapy: A Case History

(7)

Developmental Concerns and Personality Dynamics

(1)

Critical Therapy Decisions

(1)

Conceptualizing This Client's Intrapersonal Dynamics

(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

Amazon no longer offers textbook rentals. We do!

Psychotherapy In Chemical Dependence Treatment A Practical and Integrative Approach

Psychotherapy In Chemical Dependence Treatment A Practical and Integrative Approach

9780534261184

0534261183

Summary

Table of Contents

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