Group Psychotherapy with Addicted Populations An Integration of Twelve-Step and Psychodynamic Theory

ISBN-10: 0789035308
ISBN-13: 9780789035301
Edition: 3rd 2007
Authors: Philip J. Flores
List price: $118.95 Buy it from $100.03
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Description: This is the newly revised edition of the classic text, that provides the reader with proven strategies for defeating alcohol and drug addiction through group psychotherapy.

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Book details

List price: $118.95
Edition: 3rd
Copyright year: 2007
Publisher: Routledge
Publication date: 10/22/2007
Binding: Paperback
Pages: 792
Size: 6.25" wide x 8.50" long x 1.75" tall
Weight: 2.596
Language: English

This is the newly revised edition of the classic text, that provides the reader with proven strategies for defeating alcohol and drug addiction through group psychotherapy.

Foreword
Theoretical Models
Interpersonal Neurobiology and Addiction: An Attachment Theory Perspective
Interpersonal Neurobiology
The Neurophysiology of Attachment
Interdisciplinary Research and Attachment Theory: A Source for Informing Addiction Treatment
Contributions from Child Development Studies
Contributions from the Neurosciences
Reward Deficiency Syndrome
Attachment and Animal Research
Contributions of the Relational Perspective to Group Psychotherapy
Attachment Theory As a Theoretical Basis for Understanding Addiction
Attachment Theory and Self-Psychology
Attachment Styles and Secure Attachment
Ainsworth and the Strange Situations
Implications for Treatment
Implications for Addiction Treatment
Summary of Treating Addiction As an Attachment Disorder
The Disease Concept and Group Psychotherapy
Abstinence: Is it Necessary?
Paradigm Shift
Specific Implications of Group Therapy and the Disease Concept
Addiction, Abstinence, and the Disease Concept
Psychodynamic Theory and the Relational Models
Character Pathology and Addiction
Contributions of Object-Relations Theory and Self-Psychology
Margaret Mahler's Theory of Normal Development
Ego Psychology and Object-Relations Theory
Mahler's Stages of Normal Development
Beyond the Ego: Kohut's Self-Psychology
Definition of Terms
The Self-Medication Hypothesis and Affect Regulation
Application for Therapy: Corrective Emotional Expression
Addiction As an Attempt at Self-Repair
Self-Esteem Vulnerabilities
The Reparative Approach
Alcoholics Anonymous and Twelve-Step Programs
Misconceptions About Alcoholics Anonymous
Values, Science, and AA
Philosophy of Science and the Limits of Rationality
The Self-Help Movement
Alcoholics Anonymous: Its Historical Roots
AA-Why and How It Works: An Interpretation of AA
Pragmatism: Its Influence on AA
Existential View of AA
AA-How it Works: A Phenomenological Perspective
The Self-Attribution of Alcoholism
Honesty, Denial, and the Need for Others
AA: A Self-Psychology Perspective
AA: A Treatment for Shame and Narcissism
Higher Power As an Attachment Object
Addiction Treatment In The Group
Different Models of Group Psychotherapy
Some Models of Group Psychotherapy
Psychological Levels of Intervention
Specific Applications for Addictions Treatment
Preparing the Chemically Dependent Person for Group Therapy
Selection and Composition
Implications of Research Findings
Therapeutic Alliance and Cohesion in Group
Pre-Group Preparation: Increasing Treatment Retention and Reducing Dropouts
Recommendations for Entry into a Therapy Group
Present and Gain Acceptance of the Contract
Interactional Group Psychotherapy
Yalom's Basic Tasks
The Model-Setting Participant
Interpersonal Honesty and Spontaneity
Establishment of the Group Norms
The Norm of Self-Disclosure
Procedural Norms and Antitherapeutic Norms
Importance of Group
The Here-and-Now Activation and Process Illumination
Interpersonal Theory of Behavior
Sullivan's Interpersonal Theory of Psychiatry
Examples of Yalom's Here-and-Now Focus
Integration of Modern Analytic Approach
Conclusion
Modifications of Yalom's Interactional Model
Treatment Considerations and Group Therapy
Recommendations for Group Psychotherapy
Protocol
Early and Later Stage Treatment
Therapist Attributes and Special Considerations for Affect Attunement
Careseeking, Affect Attunement, and Psychotherapy
Group Therapy and ACOA
Addiction and the Family
Common Identified Characteristics of ACOA
ACOA and Shame
Alcoholics Anonymous and Group Psychotherapy
Co-Occurring Disorders and Group Psychotherapy: An Attachment Theory Perspective
Addiction-The Cart or Horse of Mental Illness?
Cross-Addiction
The Relationship Between Mental Health and Addiction
Axis I Disorders
Axis II: Character Pathology and Addiction
Borderline Personality Organization and Pathological Narcissism
Kernberg's Borderline Pathology
Kernberg's Description of Supportive Psychotherapy
Narcissistic Personality Disorder
Dynamics of Multiple Addictions
Integration of Divergent Treatment Philosophies
The Relational Models: An Integration
The Leader in Group Therapy
Values of the Group Leader
The Therapist As a Person
Qualities of the Group Leader
Guidelines and Priorities for the Group Leader
Roles of the Group Leader
Focus of the Group Leader
Characteristics of the Group Leader
The Therapeutic Process: Therapists' and Patients' Contributions
The Alliance and Addiction: Special Considerations
Group Leadership Functions
The Implications for Conducting a Successful Therapy Group
Alcoholism Treatment Outcome Studies
Patient Characteristics Related to Types of Therapy
Specific Group Strategies and Requirements
Recommendations
Convergence of Therapist and Patient Characteristics
Clinical Applications
Diagnosis and Addiction Treatment
Avoidant Society: Cultural Roots of Impaired Attachment
Criterion Definitions of Addiction
Drug Groups
Drug Dependence and the Drug Groups
Neuropsychological Impairment
Stages of Change Model
Relapse Prevention
Interpersonal Neurobiology, Motivation, and Stages of Change Model and Brain Impairment
Early Stage Group Treatment: Confrontation, Intervention, and Relapse
Special Problems of the Addicted Patient
The Use of Therapeutic Leverage
Confrontation
Intervention
Relapse and Recovery
Early Stage versus Later Stage Relapse
Therapist versus Patient's Contributions to Relapse
Later Stage Relapses
Relapse Prevention
Inpatient Groups and Middle Stage Treatment
Yalom's Recommendations for Inpatient Groups
Composition of the Inpatient Groups
Yalom's Strategies and Techniques of Leadership
Agenda Rounds
Difficulties with Agenda Rounds
The Special Circumstances of Inpatient Therapy Groups Within the Hospital
Leader's Transparency About Alcohol and Drug Use
The Group Contract
Simultaneous Membership in Other Groups
The Special Problems of Confidentiality on an Inpatient Unit
Active Outreach
Group Members Who Relapse and Come to Group
Attending Group Under the Influence
Summary Recommendations for Inpatient Group Therapy
Late Stage Group Treatment: Conflict, Repair, and Reunion
Paradigm Shift
The Concurrent Treatment of Addiction and Character Pathology
Later Stage Treatment Strategies
Yalom's Model and Self-Psychology
Treatment of Internal Structural Deficits
Treatment of Introjections
Later Stage Treatment: Conflict, Repair, and Reunion
Attachment, Addiction, and the Working Alliance
Research and the Therapeutic Alliance
The Alliance: What Is it and Why Is it Important?
Attachment, the Therapeutic Alliance, and Negative Process
Transference in Groups
Definition of Transference
Transference Possibilities in Group
Modification of Transference Distortions in Groups
Types of Transference in Groups
Common Types of Acting Out Transference
Abuse of Transference
Countertransference
Projective Identification
Pathways for Psychological Change
Addiction and Countertransference
Resistance in Group
Resistance: A Definition
Group Resistance and the Work of Wilfred Bion
The Leader's Influence on the Basic Assumptions
Resistance to Intimacy in Groups
Resistance to Immediacy
Resistance to Feelings in Group
Special Considerations of Resistance to Addiction
The Group Leader's Effect on Group Resistance
The Curative Process in Group Therapy
Yalom's Curative Factors
Curative Factors in Group
Existential Factors
Curative Factors in AA
Curative Factors Operating in Different Types of Therapy Groups
Mechanisms of Change and Cure in Group Therapy
The Curative Process
Working Through with the Addicted Patient
Stages of Cure in a Therapy Group
Addiction and Goals of Termination
Conclusion
References
Index

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