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| Preface | |
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| The Definition and Prevalence of Addiction: Impacts on the Family and the Nation | |
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| Learning Objectives | |
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| Introduction | |
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| Addiction-A Working Definition | |
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| Helping Clients and Families Understand | |
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| Clinical Definitions-Can We Agree? | |
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| Now to Complicate Matters... | |
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| Addiction-Prevalence and Impacts | |
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| An Accurate Count-Is It Possible? | |
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| How Much Does It All Cost? | |
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| Impacts of Chemical Addictions | |
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| Impacts of Process Addictions | |
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| The Final Calculations | |
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| Skill Builder | |
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| Skill Builder Responses and Answers | |
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| References | |
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| Helping Clients and Families Understand Addictions: Etiological Theories and Models | |
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| Learning Objectives | |
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| Introduction | |
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| Theory, Theory, Theory...Why Can't We Just Wing It? | |
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| Moving from Moral to Multifaceted-A Discussion of Addiction Theories | |
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| Why Don't They Just Stop?-The Moral Model of Addictive Disorders | |
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| Clinical Case Example | |
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| Summary and Integration | |
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| I Can't Help It-I Have a Disease: The Physiological Theory of Addiction | |
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| The Disease/Medical Model | |
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| Support for the Physiological Theory: The Impact of Genetics | |
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| Clinical Case Example | |
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| Summary and Integration | |
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| Numbing Out-The Psychological Theory of Addictive Disorders | |
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| The Influence of Behavioral Theory | |
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| Hiding the Hurt: The Self-Medication Hypothesis | |
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| Living the Lifestyle: The Addictive Personality | |
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| Clinical Case Example | |
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| Summary and Integration | |
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| "Where'd You Learn to Drink Like That?"-The Influence of the Environment on Addictive Disorders | |
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| Sociological Theory | |
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| Social Learning Theory | |
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| Summary and Integration | |
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| Which Came First, the Chicken or the Egg?-The Biopsychosocialspiritual Approach to Addictive Disorders | |
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| Spirituality and Addiction | |
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| Clinical Case Example | |
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| Summary and Integration | |
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| Conclusions | |
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| Skill Builder | |
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| Skill Builder Responses and Answers | |
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| References | |
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| Family Addictions Assessment | |
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| Learning Objectives | |
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| Introduction | |
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| The Clinical Family Addictions Assessment Interview | |
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| Six Clinical Family Addiction Assessment Phases | |
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| Drug Detection Testing and Specialty Assessment Instruments | |
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| Drug Detection Testing | |
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| Specialty Assessment Instruments | |
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| Therapeutic Feedback | |
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| Sincere Accomplishment Reviews and Compliments | |
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| When Perceptions Don't Match | |
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| Summary | |
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| Skill Builder | |
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| Skill Builder Responses | |
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| References | |
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| The Sequential Family Addictions Counseling Model | |
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| Learning Objectives | |
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| Introduction | |
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| Why Family Counseling? | |
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| What Is Family Counseling? | |
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| Common Family Therapy Terms and Constructs | |
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| Equifinality | |
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| Homeostasis | |
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| Family Roles | |
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| Family Boundaries | |
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| Domestic Violence and Addicted Families | |
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| The Model | |
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| General Model Overview | |
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| The Change Model and Motivational Interviewing | |
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| Solution-Focused Therapy | |
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| Cognitive-Behavioral Family Therapy | |
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| Structural Family Counseling | |
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| Extended Family Systems Counseling | |
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| Modified Intergenerational Family-of-Origin Therapy | |
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| Summary | |
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| Psychodynamic Object Relations Family Therapy | |
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| Conclusion | |
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| Skill Builder | |
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| Skill Builder Responses | |
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| References | |
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| Special Topics in Counseling Addicted Families | |
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| Learning Objectives | |
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| Introduction | |
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| Social Justice | |
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| Stigmatization and Discrimination toward Addicted Families | |
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| Ignorance Is No Excuse | |
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| Multicultural Topics | |
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| Self-Assessment | |
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| Multicultural Family Addictions Counseling | |
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| Multicultural Resources | |
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| Life-Threatening Behaviors | |
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| Suicide | |
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| Substance-Related Familial Violence | |
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| Conclusion | |
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| Skill Builder | |
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| Skill Builder Responses | |
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| References | |
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| Final Comments | |
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| Index | |