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