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Practicing Harm Reduction Psychotherapy, Second Edition: An Alternative Approach to Addictions / Edition 2

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Overview

This acclaimed clinical guide, now substantially revised and updated, has helped thousands of clinicians put the proven principles of harm reduction into practice with therapy clients who have substance use problems. Written by pioneers in the field, the book shows how to do effective therapeutic work with people still using alcohol or other drugs. It provides clear guidelines for conducting comprehensive assessments, making collaborative treatment decisions, and implementing interventions that combine motivational, cognitive-behavioral, and psychodynamic strategies. The focus is reducing drug-related harm while also addressing co-occurring psychological and emotional difficulties. Detailed clinical illustrations are featured throughout.

New to This Edition
*Reflects over a decade of research advances and the tremendous growth of harm reduction clinical practice and training.
*Section on applications, with chapters on community-based settings, harm reduction groups, and working with families and friends.
*Chapters on biological and psychodynamic aspects of treatment.
*Expanded discussions of trauma, cultural sensitivity, and ethics.
*Supplemental resources and training information at the authors' website: www.harmreductiontherapy.org.

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Editorial Reviews

From the Publisher

"This pioneering book presents an integrated, realistic psychotherapeutic approach for individuals with substance use problems. The second edition develops the treatment model in great detail and provides a wide range of valuable harm reduction resources--for example, guidelines for combining psychotherapy with medication for patients with serious comorbidity. An excellent practical reference for general mental health practitioners and addiction specialists."--Linda Carter Sobell, PhD, ABPP, and Mark B. Sobell, PhD, ABPP, Center for Psychological Studies, Nova Southeastern University

"The substance abuse treatment community in the United States ignored this evidence-based approach for way too long. This important book shows how practitioners can treat clients at the precise point where they are capable of making changes. It features examples, case studies, and valuable information on applying harm reduction principles in group work, supervision, and other contexts, in addition to individual psychotherapy. This is a 'must read' for anyone in the field of addictive disorders."--Robert J. Meyers, PhD, Emeritus Research Associate Professor of Psychology, University of New Mexico; Director, Robert J. Meyers, PhD, and Associates

"The second edition of Practicing Harm Reduction Psychotherapy is a book whose time has come. Harm reduction is finally recognized as a basic concept that needs to inform the treatment of all clients with substance use problems, particularly those who have co-occurring disorders. Denning and Little clearly position harm reduction as a current, integrated, nondogmatic, client-centered treatment approach."--Shulamith Lala Ashenberg Straussner, DSW, LCSW, Silver School of Social Work, New York University

"Denning and Little have earned an international reputation for their research and clinical practice. Highlighting the principle of 'doing patients no harm,' the authors explain the theoretical background of harm reduction psychotherapy and describe how to conduct it. The book is packed with vivid, intriguing examples. I recommend it to a broad readership of mental health professionals and students."--Hendrik G. Roozen, PhD, Novadic-Kentron Treatment Services and Erasmus University Medical Center, The Netherlands

Alcohol and Alcoholism

"The real strength in this book lies in its optimism that it is possible to treat 'extremely damaged individuals'...the principle of excluding no-one from treatment is most welcome."--Alcohol and Alcoholism
Addiction

"An essential tool for the modern practitioner who treats any patient using drugs."--Addiction
Clinical Psychology Review

"Accessible to a wide array of practitioners....[Combines] discussion of research and theory with clinical case application....The book delivers on its promise of presenting an approach that is an alternative to the status quo in American SUDs treatment services."--Clinical Psychology Review
Canadian Journal of Counselling

"Introduces the reader to a new and innovative way to view addictions and provides a nontraditional approach to the treatment of individuals with substance abuse difficulties....A must read for all mental health and substance abuse practitioners."--Canadian Journal of Counselling
American Journal of Psychiatry

"This is a great book that has radical reform implications for treating drug users."--American Journal of Psychiatry
Addiction

"An essential tool for the modern practitioner who treats any patient using drugs."--Addiction
Journal of Studies on Alcohol

"This well-written book....[would be] useful in training graduate students in the integration of addictions treatment into everyday clinical practice—a useful skill to possess given the high rates of addictive disorders in the general population."--Journal of Studies on Alcohol
American Journal of Psychiatry

"This is a great book that has radical reform implications for treating drug users."--American Journal of Psychiatry (on the first edition)

Addiction

"An essential tool for the modern practitioner who treats any patient using drugs."--Addiction (on the first edition)

Journal of Studies on Alcohol

"This well-written book....[would be] useful in training graduate students in the integration of addictions treatment into everyday clinical practice--a useful skill to possess given the high rates of addictive disorders in the general population."--Journal of Studies on Alcohol (on the first edition)

Clinical Psychology Review

"Accessible to a wide array of practitioners....[Combines] discussion of research and theory with clinical case application....The book delivers on its promise of presenting an approach that is an alternative to the status quo in American SUDs treatment services."--Clinical Psychology Review (on the first edition)

Canadian Journal of Counselling

"Introduces the reader to a new and innovative way to view addictions and provides a nontraditional approach to the treatment of individuals with substance abuse difficulties....A must read for all mental health and substance abuse practitioners."--Canadian Journal of Counselling (on the first edition)

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Product Details

  • ISBN-13: 9781462502332
  • Publisher: Guilford Publications, Inc.
  • Publication date: 11/9/2011
  • Edition description: Second Edition
  • Edition number: 2
  • Pages: 366
  • Sales rank: 668,737
  • Product dimensions: 6.20 (w) x 9.00 (h) x 1.30 (d)

Meet the Author

Patt Denning, PhD, one of the primary developers of harm reduction psychotherapy, is Director of Clinical Services and Training at the Harm Reduction Therapy Center (HRTC) in San Francisco, which she founded with Jeannie Little in 2000. HRTC provides a full range of mental health services to dually diagnosed individuals and trains hundreds of professionals each year. Dr. Denning has worked in community mental health and private practice since 1975, specializing in differential diagnosis, psychopharmacology, psychotherapy with seriously disturbed patients, HIV, and substance use disorders. She is a Diplomate Fellow in psychopharmacology and a certified addiction specialist through the American Psychological Association's College of Professional Psychology.

 
Jeannie Little, LCSW, is Executive Director of HRTC. Since 1994, Ms. Little has developed harm reduction treatment services for multidiagnosed clients, beginning at Healthcare for Homeless Veterans and then in private practice and at HRTC. A certified group psychotherapist, she specializes in group treatment of substance use disorders and dual diagnosis. Ms. Little is a trainer in the areas of dual diagnosis, group treatment, and professional development of staff who work in a variety of social service and housing settings. She is coauthor, with Patt Denning and Adina Glickman, of a book for the general public, Over the Influence: The Harm Reduction Guide for Managing Drugs and Alcohol.

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Table of Contents

I. Setting the Stage
1. Why Practice Harm Reduction Psychotherapy?
2. What Is Harm Reduction Psychotherapy and Whom Is It For?
II. Harm Reduction Psychotherapy as an Integrated Treatment
3. Assessment as Treatment
4. Developing a Treatment Plan
5. The Fundamentals of Harm Reduction Psychotherapy
6. The Psychodynamic Matrix of Harm Reduction Psychotherapy
7. Motivational and Cognitive-Behavioral Contributions to Harm Reduction Psychotherapy
8. The Role of Biology in Harm Reduction Psychotherapy
III. Applications
9. Harm Reduction Psychotherapy in Community-Based Settings
10. Harm Reduction Psychotherapy in Groups
11. The Power of Connection: Working with Families and Friends of Drug Users
12. What Does It Take to Practice Harm Reduction Psychotherapy?
Appendix A. Differential Diagnosis
Appendix B. Harm Reduction Supervision, Edith Springer
Appendix C. Additional Resources
Appendix D. Recommended Readings

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