| |
| |
| |
Introduction | |
| |
| |
The Importance of Theory | |
| |
| |
A Possible Roadmap to Theory Utilization | |
| |
| |
A Word about Evidence-Based Treatments | |
| |
| |
Case Study: The Case of Michael | |
| |
| |
Multicultural Issues in Substance Abuse Counseling | |
| |
| |
Summary | |
| |
| |
References | |
| |
| |
| |
Basic Concepts of Substance Abuse and Addictions Counseling | |
| |
| |
| |
Terms, Models, and Ethical Issues in Substance Abuse and Addiction | |
| |
| |
Introduction | |
| |
| |
The Scope of Substance Abuse and Addiction | |
| |
| |
Basic Terminology of Addiction | |
| |
| |
Models of Addiction | |
| |
| |
Ethical and Legal Issues Related to Substance Abuse and Addiction | |
| |
| |
Other Ethical and Legal Issues | |
| |
| |
The NAADAC Code of Ethics | |
| |
| |
Summary | |
| |
| |
References | |
| |
| |
| |
Substance Classifications, Effects, and Associated Dangers | |
| |
| |
Introduction | |
| |
| |
Physiological and Pharmacological Aspects Related to Substance Abuse and Addiction | |
| |
| |
Mechanisms of Action | |
| |
| |
Routes of Administration | |
| |
| |
How the Brain Becomes Addicted: A Theory | |
| |
| |
Additional Terminology | |
| |
| |
Substance Classifications, Effects, and Dangers | |
| |
| |
Central Nervous System Depressants | |
| |
| |
Central Nervous System Stimulants | |
| |
| |
Opiates | |
| |
| |
Hallucinogens | |
| |
| |
Marijuana | |
| |
| |
Inhalants | |
| |
| |
Federal Drug Administration Schedule of Substances | |
| |
| |
Summary | |
| |
| |
References | |
| |
| |
| |
Assessment, Diagnosis, and Treatment Planning | |
| |
| |
Introduction | |
| |
| |
Evaluation and Diagnosis | |
| |
| |
Screening for Substance Use Problems | |
| |
| |
Assessment | |
| |
| |
Substance Abuse Screening and Assessment Protocol: An Example | |
| |
| |
Assessment Feedback | |
| |
| |
Substance-Related Diagnoses | |
| |
| |
Substance Use Disorders | |
| |
| |
Substance-Induced Disorders | |
| |
| |
Dual Diagnosis | |
| |
| |
Diagnostic Changes on the Horizon: DSM-V and Substance Use Disorders | |
| |
| |
Treatment Planning | |
| |
| |
Treatment Settings | |
| |
| |
The Treatment Plan | |
| |
| |
Do a Client Map | |
| |
| |
Sample Do a Client Map | |
| |
| |
Summary | |
| |
| |
References | |
| |
| |
| |
Theoretical Approaches Supported by Empirical Evidence | |
| |
| |
| |
Motivational Interviewing | |
| |
| |
Introduction | |
| |
| |
A Bit of History | |
| |
| |
Goals of Ml | |
| |
| |
Influences on Ml | |
| |
| |
Ways to Implement Ml | |
| |
| |
The Major Tenets of Motivational Interviewing: Basic Overview | |
| |
| |
Ml Spirit | |
| |
| |
Principles of Ml | |
| |
| |
The Four Key Processes of Ml | |
| |
| |
Application of Motivational Interviewing | |
| |
| |
Increasing Importance | |
| |
| |
Resolving Ambivalence | |
| |
| |
Enhancing Confidence | |
| |
| |
Strengthening Commitment | |
| |
| |
Motivational Interviewing in the Treatment of Diverse Populations | |
| |
| |
Case Study: Using Ml with the Case of Michael | |
| |
| |
Strengths, Limitations, and Ethical Issues Related to MI | |
| |
| |
References | |
| |
| |
| |
Cognitive Behavioral Therapy | |
| |
| |
Introduction | |
| |
| |
The Major Tenets of Cognitive Theory: Brief Overview | |
| |
| |
Cognitive Schemas | |
| |
| |
Automatic Thoughts | |
| |
| |
Cognitive Distortions | |
| |
| |
Cognitive Models of Substance Abuse and Addiction | |
| |
| |
Complete Cognitive Model of Substance Use | |
| |
| |
Application of Cognitive Therapy with Substance Abuse Problems | |
| |
| |
Therapeutic Relationship | |
| |
| |
Assessment | |
| |
| |
Session Structure | |
| |
| |
Cognitive-Based Techniques | |
| |
| |
Behavior Theory, Counseling, and Techniques | |
| |
| |
Behavioral Techniques | |
| |
| |
Cognitive Behavioral Therapy Examples | |
| |
| |
Cognitive Behavioral Therapy in the Treatment of Diverse Populations | |
| |
| |
Case Study: Using Cognitive Behavior Therapy in the Case of Michael | |
| |
| |
Strengths, Limitations, and Ethical Issues Related to Cognitive Behavioral Therapy | |
| |
| |
References | |
| |
| |
| |
Relapse Prevention in the Treatment of Substance Abuse and Addiction | |
| |
| |
Introduction | |
| |
| |
The Major Tenets of Relapse Prevention: Brief Overview | |
| |
| |
What Is a Relapse? | |
| |
| |
Recovery and Its Relation to Relapse | |
| |
| |
REBT and Relapse | |
| |
| |
Application of Relapse Prevention in the Treatment of Substance Use | |
| |
| |
Relapse Prevention Goals and Style | |
| |
| |
Relapse Management | |
| |
| |
Behavioral Chain Analysis: Breaking Down What Happened | |
| |
| |
Emerging Relapse Prevention Strategies | |
| |
| |
Relapse Prevention in the Treatment of Diverse Populations | |
| |
| |
Case Study: Using Relapse Prevention Strategies in the Case of Michael | |
| |
| |
Strengths, Limitations, and Ethical Issues Related to Relapse Prevention | |
| |
| |
References | |
| |
| |
| |
Applying Group Theory in the Treatment of Substance Abuse and Addiction | |
| |
| |
Introduction | |
| |
| |
The Major Tenets of Group Therapy: Brief Overview | |
| |
| |
Inpatient vs. Outpatient Addictions Group Counseling | |
| |
| |
Therapeutic Factors | |
| |
| |
Stages of Group Therapy | |
| |
| |
Application of Group Therapy with Substance Abuse and Addiction Problems | |
| |
| |
Working with Client Defenses | |
| |
| |
Other Considerations in Substance Abuse Group Counseling | |
| |
| |
Common Substance Abuse and Addiction Group Formats | |
| |
| |
Other Techniques | |
| |
| |
Substance Abuse and Addiction Group Counseling through the Lens of Theory | |
| |
| |
Mutual Support Groups | |
| |
| |
The Range of Mutual Help Groups | |
| |
| |
Incorporating Mutual Group Attendance into Therapy | |
| |
| |
Group Therapy in the Treatment of Diverse Populations | |
| |
| |
Case Study: Using Group Therapy in the Case of Michael | |
| |
| |
Strength, Limitations, and Ethical Issues Related to Group Therapy | |
| |
| |
References | |
| |
| |
| |
Applying Family Systems Approaches in the Treatment of Substance Abuse and Addiction | |
| |
| |
Introduction | |
| |
| |
The Major Tenets of Family Therapy: Brief Overview | |
| |
| |
Boundaries | |
| |
| |
Homeostasis | |
| |
| |
Subsystems | |
| |
| |
Rules | |
| |
| |
Bowen Systems Family Theory | |
| |
| |
Does Bowen's Work Have Any Empirical Support? | |
| |
| |
Characteristics of the Addicted Family | |
| |
| |
The Addicted Family | |
| |
| |
Family Roles | |
| |
| |
Enabling | |
| |
| |
Codependency | |
| |
| |
Application of Family Therapy with Substance Abuse Problems and Addiction | |
| |
| |
Bowen Systems Family Therapy | |
| |
| |
Techniques and Strategies | |
| |
| |
Sequential Family Addictions Model | |
| |
| |
Other Family Therapy Approaches | |
| |
| |
Family Systems Therapy in the Treatment of Diverse Populations | |
| |
| |
Case Study: Using Family Systems Therapy in the Case of Michael | |
| |
| |
Strengths, Limitations, and Ethical Issues Related to Family Therapy | |
| |
| |
References | |
| |
| |
| |
Theoretical Approaches with Less Empirical Support | |
| |
| |
| |
Solution-Focused Therapy in the Treatment of Substance Abuse and Addiction | |
| |
| |
Introduction | |
| |
| |
The Major Tenets of Solution-Focused Therapy: Brief Overview | |
| |
| |
Underlying Assumptions | |
| |
| |
Role of the Solution-Focused Clinician | |
| |
| |
Theory of Change | |
| |
| |
Criteria for Effective Counseling Outcomes | |
| |
| |
Application of Solution-Focused Therapy with Substance Abuse and Addiction Problems | |
| |
| |
Solution-Focused Based Techniques | |
| |
| |
Solution-Focused Therapy in the Treatment of Diverse Populations | |
| |
| |
Case Study: Using Solution-Focused Therapy in the Case of Michael | |
| |
| |
Strengths, Limitations, and Ethical Issues Related to Solution-Focused Therapy | |
| |
| |
References | |
| |
| |
| |
Adlerian Therapy in the Treatment of Substance Abuse and Addiction | |
| |
| |
Introduction | |
| |
| |
The Major Tenets of Adlerian Theory: Brief Overview | |
| |
| |
Lifestyle | |
| |
| |
The Importance of Goals | |
| |
| |
The Tasks of Life | |
| |
| |
Social Interest: The Heart of Healthy Human Functioning | |
| |
| |
Application of Adlerian Therapy with Substance Abuse and Addiction Problems | |
| |
| |
Goals of Adlerian Therapy | |
| |
| |
Interpretation | |
| |
| |
Reorientation and Change | |
| |
| |
Adlerian-Based Techniques | |
| |
| |
Case Study | |
| |
| |
Adlerian Therapy in the Treatment of Diverse Populations | |
| |
| |
Case Study: Using Adlerian Therapy in the Case of Michael | |
| |
| |
Strengths, Limitations, and Ethical Issues Related to Adlerian Therapy | |
| |
| |
References | |
| |
| |
| |
Gestalt Therapy in the Treatment of Substance Abuse and Addiction | |
| |
| |
Introduction | |
| |
| |
The Major Tenets of Gestalt Therapy: Brief Overview | |
| |
| |
Figure/Ground | |
| |
| |
Contact | |
| |
| |
Gestalt Cycle of Experience | |
| |
| |
Awareness | |
| |
| |
Here and Now | |
| |
| |
The Creative Stance and the Role of the Gestalt Clinician | |
| |
| |
Paradoxical Principle of Change | |
| |
| |
Criteria for Effective Counseling Outcomes | |
| |
| |
Application of Gestalt Therapy with Substance Abuse and Addiction Problems | |
| |
| |
Clemmens's Addictive Cycle Model | |
| |
| |
Working with the Person-Drug Relationship | |
| |
| |
Multiphasic Transformation Process | |
| |
| |
Gestalt-Based Techniques | |
| |
| |
Gestalt Therapy in the Treatment of Diverse Populations | |
| |
| |
Case Study: Using Gestalt Therapy in the Case of Michael | |
| |
| |
Strengths, Limitations, and Ethical Issues Related to Gestalt Therapy | |
| |
| |
References | |
| |
| |
| |
Existential Therapy in the Treatment of Substance Abuse and Addiction | |
| |
| |
Introduction | |
| |
| |
The Major Tenets of Existential Therapy: Brief Overview | |
| |
| |
Dasein (Being-in-the-World) | |
| |
| |
Self-Transcendence | |
| |
| |
Authenticity | |
| |
| |
View of Human Nature | |
| |
| |
The Four Givens of Existence | |
| |
| |
Existential Psychodynamics | |
| |
| |
Process of Existential Therapy | |
| |
| |
Application of Existential Therapy with Substance Abuse and Addiction Problems | |
| |
| |
Development of Maladaptive Behavior | |
| |
| |
Goals of Existential Therapy with Substance Abuse and Addiction | |
| |
| |
Existential Techniques | |
| |
| |
Existential Therapy in the Treatment of Diverse Populations | |
| |
| |
Case Study: Using Existential Therapy in the Case of Michael | |
| |
| |
Strengths, Limitations, and Ethical Issues Related to Existential Therapy | |
| |
| |
References | |
| |
| |
Index | |