Synopses & Reviews
Review
"I was impressed by the range of approaches represented: the book suggests an inclusive approach that I found welcome. ... a fine and useful book." --Dr. Fullove, New York State Psychiatric Institute, NYC
"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, PhD, Northwestern University Medical School
"All therapists will find this text a useful resource in their work. The volume is not only for those who work primarily with persons with addictions, but for all therapists, who at some time will encounter patients struggling with addictions or family members of persons with addictions. Psychotherapy and Substance Abuse is a wide-ranging text, covering adolescents through the elderly, and cutting across a number of theoretical frameworks and approaches. The book contains much practical information, such as dealing with relapse, brief treatment, and persons in rehabilitation programs. It belongs on the shelf of every practitioner." --Donald K. Freedheim, Ph.D., Associate Professor of Psychology, Case Western Reserve University, Former editor, Psychotherapy; Founding editor, Professional Psychology
"Dr. Washton has assembled an impressive group of internationally renowned experts/authors in the theory and practice of treatment of patients with addictive disorders. All therapists interested in learning about how to approach addicted patients in individual, group, family, and network approaches will be richly rewarded by studying this book. It is full of wise and easily applicable pearls of how to conduct treatment of patients with addictive disorders. The book is likely to be of value to students and experienced clinicians who are eager to learn more about addictive disorders as well as to addictive experts. It will also be a valuable reference work for therapists who work with patients with addictive disorders. Dr. Washton has been a leader in picking successful approaches to addicted patients that are tailored to patients. He has made an important contribution to the addiction field in understanding treatment approaches to alcohol and cocaine addiction, and this book is an important addition to his work. Treatment in the addiction field has shifted to greater emphasis on outpatient care. It is essential to those providing treatment in a variety of settings to master the skills, attitudes, and knowledge to provide the best treatment for addicted patients. This book helps generalists and specialists alike develop expertise in this crucial area. The chapters are clearly written, well-integrated, and comprehensive regarding modern treatment techniques. ." --Richard J. Frances, M.D., Director, Dept. of Psychiatry, Hackensack Medical Center, and Professor of Clinical Psychology, UMDNJ--New Jersey Medical School
"The most comprehensive and detailed exploration of diagnostic and treatment approaches for persons afflicted by various levels of substance use. Non-biased, sensitive and humane in its appeal to novice and experienced clinicians. Superb for graduate and doctoral courses in the addictions. Washton has integrated major and minor theoretical and treatment approaches in a masterful way. All the material is dynamic, creative, and practical. I haven't run across another book like it! The material empowers the clinician by way of its wisdom, and the client, directly and indirectly, by way of the respect shown for the persons impacted by substance abuse and the integrity of the treatment approaches." --Noah Young, Ph.D., Pepperdine University, Graduate School of Education and Psychology; also a full-time clinical supervisor at the Tarzana Treatment Center and Psychiatric Hospital; Course: Psychoactive Substance Abuse Evaluation and Treatment, graduate level, 25 students
Synopsis
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\m-\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 the practical knowledge they need to cope with these developments.
Synopsis
Because substance abuse is common among persons seeking mental health services, it is important for mental health professionals who don't specialize in substance abuse to be able to ascertain the possible involvement of alcohol or drug abuse when assessing a client. 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 accessibly written for nonspecialists working in mental health facilities, hospitals, private practice, or other clinical settings, though specialists, too, will find many chapters of practical utility.
About the Author
Arnold M. Washton, PhD, 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.
Table of Contents
I. BASIC ISSUES AND PERSPECTIVES
1. Overcoming Countertransference and Other Attitudinal Barriers in the Treatment of Substance Abuse, John E. Imhof
2. Clinical Assessment of Psychoactive Substance Use, Arnold M. Washton
3. Is Psychotherapy Effective for Substance Abusers, Richard A. Rawson
4. Treatment Strategies for Comorbid Disorders: Psychopathology and Substance Abuse, Ann Bordwine Beeder and Robert B. Millman
5. Psychotherapy for Addictive Behavior: A Stage-Change Approach to Meaning Making, Howard J. Shaffer and Melissa Robbins
6. Integrating Psychotherapy and 12-Step Approaches, Joan Ellen Zweben
7. Rational Emotive Behavior Therapy and Two Self-Help Alternatives to the 12-Step Models, F. Michler Bishop
8. Addiction as a "Self-Medication" Disorder: Application of Ego Psychology to the Treatment of Substance Abuse, Susan Lyden Murphy and Edward J. Khantzian
II. CLINICAL STRATEGIES AND TECHNIQUES
9. Motivational Interviewing: Increasing Readiness for Change, Stephen Rollnick and Michelle Morgan
10. Working with Addicts in Private Practice: Overcoming Initial Resistance, Debra Rothschild
11. Brief Treatment, Reid K. Hester and Thomas H. Bien
12. Solution-Focused Brief Therapy with Substance Abusers, Insoo Kim Berg
13. Relapse Prevention: Intervention Strategies for Mental Health Clients with Comorbid Addictive Disorders, Dennis C. Daley and Judith A. Lis
14. Psychotherapy in Later-Stage Recovery, Jerome David Levin
15. Structured Outpatient Treatment, Ruby Malik, Arnold M. Washton, and Nannette Stone-Washton
16. Structured Inpatient Treatment: A Coping-Skills Training Approach, Ronald M. Kadden and Christopher R. Penta
17. Treating Chemical-Dependent Couples and Families, Douglas Stellato-Kabat, Joanna Stellato-Kabat, and James Garrett
18. Group Psychotherapy with Substance Abusers and Family Members, Marsha Vannicelli
III. SPECIAL POPULATIONS AND CONSIDERATIONS
19. Network Therapy, Marc Galanter
20. Dual Diagnosis: Outpatient Treatment of Substance Abusers with Coexisting Psychiatric Disorders, Lisa Director
21. Adolescent Chemical Dependence: Assessment, Treatment, and Management, Robert Margolis
22. Special Population and Considerations: The Elderly, Sheldon Zimberg
23. HIV and AIDS, Mark G. Winiarski
24. The Role of Incest Issues in Relapse and Recovery, Enid B. Young
25. Women and Minorities in Treatment, Barbara C. Wallace
Index