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Psychotherapy and Substance Abuse: A Practitioner's Handbook (Guilford Substance Abuse) / Edition 1

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Overview

One of the most prevalent and troublesome health care problems in the United States today, substance abuse is particularly rampant among persons seeking mental health services. Never before has it been so important for mental health professionals who do not specialize in substance abuse to be able to ascertain the possible involvement of alcohol or drug abuse when assessing a client. Addressing a critical void in the literature, this practical new volume provides all the information general psychotherapists and mental health clinicians need to properly identify, assess, treat, and/or refer a client who is using psychoactive substances. Unlike other resources on the treatment of substance abuse, this volume is written specifically for nonspecialists working in mental health facilities, hospitals, private practice, or other clinical settings that are not specialized chemical dependency programs.

Particularly timely, the book takes into account the developments that have significantly changed substance abuse treatment. First is the extraordinary prevalence of alcohol and drug abuse among individuals seeking mental health services--whether or not substance abuse is the presenting complaint. Second, there is recent acknowledgment that no single approach to treatment is superior to others, which has been accompanied by an increased appreciation for the role of psychotherapeutic approaches, especially with patients who are difficult to treat. Finally, managed care and other third-party payers now require that psychotherapists be able to properly identify and assess patients who may be using psychoactive substances. An invaluable resource, this volume provides nonspecialists with thepractical knowledge they need to cope with these developments.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: John S. Lyons, PhD (Northwestern University Feinberg School of Medicine)
Description: This edited book provides a series of contributions on the role of various types of psychotherapeutic styles and techniques in the identification and treatment of substance abuse. The book is broken into three basic sections: Basic Issues and Perspectives, Clinical Strategies and Techniques, and Special Populations and Consideration.
Purpose: The book is intended to provide mental health practitioners in various clinical settings with sufficient information to detect, refer, and possibly treat individuals with substance-related disorders. Many individuals who seek mental health services have problems with substances, and a working knowledge of this area is an important skill for all mental health practitioners.
Audience: It is aimed at mental health practitioners with a limited knowledge about the nature and treatment of substance-related disorders.
Features: The book has many practical suggestions for assessment, including a standard assessment form, and provides many examples of clinical strategies using case vignettes.
Assessment: This is a very well written book that, through its many contributors, provides a fairly substantial and comprehensive discussion of the complexities of using psychotherapeutic strategies with persons with substance-related disorders. The book makes a consistent and outstanding effort to integrate psychotherapeutic strategies into other common services (i.e., 12-step) for this population. This book achieves its goals of providing practitioners with useful information to improve their ability to treat individuals with substance-related disorders.
John S. Lyons
This edited book provides a series of contributions on the role of various types of psychotherapeutic styles and techniques in the identification and treatment of substance abuse. The book is broken into three basic sections: Basic Issues and Perspectives, Clinical Strategies and Techniques, and Special Populations and Consideration. The book is intended to provide mental health practitioners in various clinical settings with sufficient information to detect, refer, and possibly treat individuals with substance-related disorders. Many individuals who seek mental health services have problems with substances, and a working knowledge of this area is an important skill for all mental health practitioners. It is aimed at mental health practitioners with a limited knowledge about the nature and treatment of substance-related disorders. The book has many practical suggestions for assessment, including a standard assessment form, and provides many examples of clinical strategies using case vignettes. This is a very well written book that, through its many contributors, provides a fairly substantial and comprehensive discussion of the complexities of using psychotherapeutic strategies with persons with substance-related disorders. The book makes a consistent and outstanding effort to integrate psychotherapeutic strategies into other common services (i.e., 12-step) for this population. This book achieves its goals of providing practitioners with useful information to improve their ability to treat individuals with substance-related disorders.
Booknews
Sections on basic issues and perspectives, clinical strategies and techniques, and special populations provide general psychotherapists and mental health clinicians with information for identifying, assessing, treating, and referring clients using psychoactive substances. Topics include integrating psychotherapy and 12-step approaches and the role of incest issues in relapse and recovery. Written especially for therapists working in clinical settings that are not specialized chemical dependency programs. Annotation c. Book News, Inc., Portland, OR (booknews.com)

3 Stars from Doody
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Product Details

  • ISBN-13: 9780898628388
  • Publisher: Guilford Publications, Inc.
  • Publication date: 6/15/1995
  • Series: The Guilford Substance Abuse Series
  • Edition number: 1
  • Pages: 500
  • Product dimensions: 6.36 (w) x 9.40 (h) x 1.12 (d)

Meet the Author

Arnold M. Washton, Ph.D., is an addiction psychologist currently in private practice in New York City and Princeton, New Jersey. He is also Clinical Professor of Psychiatry at NYU School of Medicine. The author of several books, Dr. Washton has specialized in treating addictions for more than two decades.

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Table of Contents

1 Overcoming Countertransference and Other Attitudinal Barriers in the Treatment of Substance Abuse 3
2 Clinical Assessment of Psychoactive Substance Use 23
3 Is Psychotherapy Effective for Substance Abusers? 55
4 Treatment Strategies for Comorbid Disorders: Psychopathology and Substance Abuse 76
5 Psychotherapy for Addictive Behavior: A Stage-Change Approach to Meaning Making 103
6 Integrating Psychotherapy and 12-Step Approaches 124
7 Rational Emotive Behavior Therapy and Two Self-Help Alternatives to the 12-Step Model 141
8 Addiction as a "Self-Medication" Disorder: Application of Ego Psychology to the Treatment of Substance Abuse 161
9 Motivational Interviewing: Increasing Readiness for Change 179
10 Working with Addicts in Private Practice: Overcoming Initial Resistance 192
11 Brief Treatment 204
12 Solution-Focused Brief Therapy with Substance Abusers 223
13 Relapse Prevention: Intervention Strategies for Mental Health Clients with Comorbid Addictive Disorders 243
14 Psychotherapy in Later-Stage Recovery 264
15 Structured Outpatient Treatment 285
16 Structured Inpatient Treatment: A Coping-Skills Training Approach 295
17 Treating Chemical-Dependent Couples and Families 314
18 Group Psychotherapy with Substance Abusers and Family Members 337
19 Network Therapy 357
20 Dual Diagnosis: Outpatient Treatment of Substance Abusers with Coexisting Psychiatric Disorders 375
21 Adolescent Chemical Dependence: Assessment, Treatment, and Management 394
22 The Elderly 413
23 HIV and AIDS 428
24 The Role of Incest Issues in Relapse and Recovery 451
25 Women and Minorities in Treatment 470
Index 493
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