Learning the Language of Addiction Counseling

Learning the Language of ADDICTION COUNSELING......Page 4
Contents......Page 10
Preface......Page 20
Acknowledgments......Page 22
Objectives......Page 24
Addiction Counseling Influences......Page 25
Addiction Research......Page 26
Managed Care Organizations......Page 27
Theories of Addiction......Page 31
Sociocultural Models......Page 32
Biopsychosocial Model......Page 33
Harm Reduction Model......Page 35
Summary......Page 36
Case Study 1.2......Page 37
Suggested Readings......Page 38
Development of a Theoretical Framework for Addiction Counseling......Page 39
Dangers in Developing a Theoretical Framework and Recommendations......Page 41
Theoretical Choice for Case Presentations......Page 43
Psychoanalytic/Adlerian......Page 44
Case Study 2.1......Page 47
Existential/Person-Centered/Gestalt......Page 48
Control Theory/Reality Therapy......Page 50
Behavior Therapy......Page 51
Case Study 2.5......Page 52
Case Study 2.6......Page 53
Suggested Readings......Page 54
Objectives......Page 55
Interviewing Clients......Page 56
Interviewing Significant Others......Page 62
Behavioral Observations......Page 63
Physiological Instruments......Page 64
Psychometric Instruments......Page 65
Broad Overview......Page 67
Adults......Page 71
Adolescents......Page 72
Age Factors......Page 73
Diagnosis......Page 74
Case Study 3.1......Page 77
Suggested Readings......Page 78
Objectives......Page 80
Historical Struggles between the Fields......Page 81
Problems with Diagnosing......Page 83
Types of Dual Diagnosis......Page 84
Gambling......Page 85
Violence......Page 86
Sex......Page 87
Personality Disorders......Page 88
Anxiety Disorders......Page 89
Addiction Treatment......Page 90
Treatment Modifications and General Guidelines......Page 91
Changing Confrontation Style......Page 92
Self-Help Groups......Page 93
Questions......Page 95
Case Study 4.2......Page 96
Suggested Readings......Page 97
Crisis Intervention......Page 99
Short-Term Counseling......Page 101
Common Addiction Recovery Crises......Page 102
Case Study 5.1......Page 104
Individual Therapy......Page 105
Genuine Counseling......Page 106
Treatment Plans......Page 108
Case Study 5.2......Page 110
Types of Groups......Page 112
Stages of Group Development......Page 115
Group Leader Techniques......Page 118
Specific Issues......Page 119
Therapist Self-Care......Page 120
Exercise 5.3......Page 122
Family Therapy......Page 123
Types of Addictive Families/Developmental Stages......Page 124
Basic Concepts of Addiction Family Counseling......Page 125
Techniques......Page 126
Codependency......Page 127
Children of Alcoholics......Page 128
Case Study 5.4......Page 129
Documentation Resources......Page 130
Group Resources......Page 131
Sobriety Resources......Page 132
Sexual Issues......Page 133
Rape......Page 134
Sexual Abuse......Page 135
Exercise 6.1......Page 140
Sexual Orientation (Gay, Lesbian, Bisexual, and Transgender [GLBT])......Page 141
HIV/AIDS......Page 145
Transmission......Page 146
Counseling Approaches......Page 147
Exercise 6.3......Page 151
Domestic Violence......Page 152
Diagnosis/Assessment......Page 153
Treatment Approaches......Page 156
Related Issues......Page 159
Case Study 6.5......Page 161
Eating Disorders......Page 162
Anorexia Nervosa......Page 163
Bulimia Nervosa......Page 165
Assessment......Page 167
Treatment......Page 168
Summary......Page 169
Suggested Readings......Page 170
Counselor Approaches......Page 173
Facilitation of Discussion......Page 174
Enabling Behavior......Page 175
Creation of a Trustworthy Atmosphere......Page 176
Relapse Prevention Models......Page 177
Gorski’s Center for Applied Sciences (CENAPS) Model......Page 178
Marlatt and Gordon’s Relapse Prevention Model......Page 179
Marlatt and Gordon’s Relapse Prevention Model......Page 182
TIPS for Coping with Stressful Situations......Page 186
Case Study 7.1......Page 187
Case Study 7.2......Page 188
Case Study 7.4......Page 189
Dual Diagnosis......Page 190
Questions......Page 191
Suggested Readings......Page 192
Suggestions for Counselors......Page 194
Alcoholics Anonymous......Page 196
Types of Meetings......Page 199
Use in Counseling......Page 200
Strengths......Page 201
Limitations......Page 202
Women for Sobriety......Page 204
Use in Counseling......Page 205
Limitations......Page 206
Basic Concepts......Page 207
Strengths......Page 208
Basic Concepts......Page 209
Limitations......Page 210
Use in Counseling......Page 211
Self-Management and Recovery Training (SMART Recovery®)......Page 212
Basic Concepts......Page 213
Matching Self-Help Groups to Meet Client Needs......Page 214
Questions to Ask......Page 215
Assessing a Group’s Personality......Page 217
Helping a Client Find a Sponsor/Mentor......Page 218
Guidelines for a Healthy/Unhealthy Sponsor/Mentor......Page 220
Online Meetings/Discussion Groups......Page 221
Questions......Page 222
Exercise 8.1......Page 223
Exercise 8.5......Page 224
Alternatives to 12-Step Programs......Page 225
Addiction Support Group Information......Page 226
Positive Psychology......Page 227
Client Resilience......Page 228
Stages of Change Model......Page 229
Motivational Interviewing......Page 231
Historical Development......Page 234
Attitudes......Page 235
Screening......Page 236
Theoretical Orientation and Interventions......Page 237
Difficulties: Obstacles, Resistance, and Types of Clients......Page 242
Evaluation of Effectiveness......Page 244
Case Study 9.1......Page 245
Case Study 9.2......Page 246
Suggested Readings......Page 247
Resources (Exercises/Tools)......Page 248
Objectives......Page 250
Defining Multicultural......Page 251
Poverty......Page 252
American History of Cultural Diversity......Page 253
Multicultural Competence......Page 254
Creation of a Dialogue-Friendly Atmosphere......Page 255
Assessment, Treatment, and Aftercare Issues......Page 257
Gender......Page 258
Case Study 10.1......Page 264
Race/Ethnicity......Page 265
Case Study 10.2......Page 269
Case Study 10.3......Page 271
Case Study 10.4......Page 273
Exercise 10.2......Page 275
Disability......Page 276
Adolescents......Page 280
The Elderly......Page 286
Homeless......Page 289
Questions......Page 291
Suggested Readings......Page 292
Ethical Issues......Page 294
Confidentiality......Page 295
Case Study 11.1......Page 296
Dual Relationships......Page 297
Exercise 11.2......Page 300
Crossover Area between Legal and Ethical Concerns......Page 301
Typical Addiction-Related Testimony......Page 302
Case Study 11.4......Page 305
Wounded Healer Theoretical Framework......Page 306
Recognition of Problems: Leaving versus Staying......Page 308
Case Study 11.5......Page 309
Guidelines to Realistic Self-Care......Page 310
Importance of Commitment to Self-Care......Page 314
Exercise 11.7: Self-Care through the Senses......Page 315
Examination of Own Use History......Page 316
Knowledge of Own Limitations......Page 318
Danger Spots (Addicted Counselors)......Page 319
Danger Spots (Nonaddicted Counselors)......Page 320
Exercise 11.10 (for Addiction Counselors in Addiction Recovery)......Page 321
Questions......Page 322
Suggested Readings......Page 323
Objectives......Page 324
Personal Reactions......Page 325
Gathering Information......Page 326
Supervision......Page 327
Credentialing......Page 328
Case Presentation Method......Page 329
Case Presentation......Page 332
Case Study 12.1......Page 333
Exercise 12.2: Theory and Techniques......Page 334
Suggested Readings......Page 335
References......Page 338
Author Index......Page 370
Subject Index......Page 378