Becoming an Addictions Counselor: A Comprehensive Text

by Myers, Peter L.; Salt, Norman A.

• ISBN13: 9780763707958
• ISBN10: 0763707953
• Format: Paperback
• Copyright: 2000-01-01
• Publisher: Jones & Bartlett

Summary

Becoming an Addictions Counselor: A Comprehensive Text is the only addictions counseling text to address knowledge, skills, and attitudes. An experiential learning approach is encouraged with structured activities and exercises, and its devotion to significant coverage of ethics, treatment planning and case management. The text also covers mentally ill chemical abusers, individual, group, and family counseling skills, and clinical treatment issues.

Table of Contents

Preface	xv
Acknowledgments	xviii
Introduction to Addictions Treatment	1	(52)
Basic Characteristics	1	(4)
The Focus	1	(1)
The Client	2	(1)
Practice Dimensions	2	(1)
The Counseling Relationship	3	(2)
Effectiveness of Treatment	5	(1)
Getting into Treatment	5	(6)
Desperation	5	(1)
Compulsory Treatment	6	(1)
Natural Recovery	6	(2)
Motives for Change	8	(3)
Uniqueness of the Field	11	(1)
Treatment Settings	12	(11)
Recent Changes in Treatment Settings	13	(2)
Case in Point: Funding and Treatment	15	(1)
Types of Treatment Facilities	15	(4)
Methadone-Maintenance Treatment	19	(1)
Case in Point: Methadone and Other Drugs	20	(2)
Tell me about your agency.	22	(1)
Models of Treatment and Recovery	23	(6)
What's the system?	24	(1)
Self-Help Models	25	(2)
What goes on in those meetings?	27	(1)
Inpatient Rehabilitation	27	(1)
Therapeutic Community	28	(1)
Models of Emotion	29	(2)
The Disease Model	31	(2)
A Progressive Disease	32	(1)
Relapse	32	(1)
Counseling Approaches	33	(9)
Thinking about Counseling	33	(1)
Affect Management	34	(1)
Behavioral Change	35	(1)
Cognitive Change	35	(1)
Integration of Affect, Behavior, and Cognition	36	(2)
The ABCs of Problems	38	(1)
Stages of Change	38	(2)
Motivational Interviewing	40	(2)
Addictions Treatment Comes of Age	42	(1)
References	43	(10)
A Skills Approach to Counseling Addicts	53	(28)
Attitudes	53	(6)
When I first heard the word...	54	(1)
Words can hurt.	55	(1)
Do I have attitudes?	55	(1)
Case in Point: It's matter of attitude.	56	(1)
Categories of Attitudes	57	(1)
Sponsoring	57	(1)
Twelve-Stepping	58	(1)
Case in Point: The Start of Something Big	58	(1)
The Counseling Mystique	58	(1)
Limited Perspective	59	(1)
Individual Addictions Counseling Skills	59	(1)
Counseling Formats	60	(1)
Tailoring Counseling Skills for Addicted Clients	61	(1)
Engagement Skills	62	(1)
Active Listening Skills	63	(15)
Paraphrasing or Restating	63	(1)
Reflecting	63	(1)
Simplifying	64	(1)
Summarizing	64	(1)
Reinforcing	65	(1)
Am I a good listener?	66	(1)
Reframing	66	(1)
Leading Skills	66	(3)
That's a leading question!	69	(1)
Counselor Self-Disclosure	69	(1)
Do you know who I am?	70	(1)
Influencing Skills	71	(1)
Interpretation	71	(1)
Confrontation	71	(2)
How do I influence people?	73	(1)
Timing	74	(1)
Process Recording	75	(3)
References	78	(3)
Group Treatment of Addiction	81	(30)
Introduction	81	(1)
Group Culture	82	(2)
Are you all together?	83	(1)
Developing Awareness of the Group Process	84	(2)
Process or Content?	85	(1)
Intervening in the Group Process	86	(3)
Involving Marginal Members	86	(1)
Case in Point: Countering Isolation	87	(1)
Encouraging Peer Leadership in the Group	87	(1)
Case in Point: Peer Leadership	88	(1)
Helping the Group Understand the Group Process	88	(1)
Developing Group Intimacy	89	(2)
It made me who I am.	89	(1)
Blowing My Image	90	(1)
Keeping the Group on Task	91	(2)
Staying on the Issue	91	(1)
Staying in Routine	91	(2)
Helping Group Members Explore Roles	93	(5)
Case in Point: Different Faces for Different Places	93	(1)
Personal Roles Enacted in Groups	94
Roles That Facilitate the Group's Work	6	(91)
How do I see this group?	97	(1)
In my family...	98	(1)
Helping the Group Deal with Defensive Behavior	98	(2)
Thinking through Defensive Behavior in Groups	98	(1)
Case in Point: Coming from a Different Place	99	(1)
Defense against Emotion	100	(2)
Formulating Treatment Plans for Group Members	102	(5)
Planning Formats	103	(2)
Impediments to Change	105	(1)
Roles	105	(1)
Process	105	(1)
Client Mix	106	(1)
Defenses	106	(1)
Case in Point: Throwing a Bone	107	(1)
Group Processing Recording	107	(1)
How was group today?	107	(1)
References	108	(3)
Ethics and Confidentiality	111	(30)
Introduction	111	(2)
Easier Said Than Done	112	(1)
Gray Areas	113	(1)
Supervision and Consultation	114	(1)
Case in Point: An Nuacceptable Excuse	115	(1)
Boundaries	115	(1)
Legal Issues	116	(10)
Confidentiality	116	(1)
Duty to Warn	117	(1)
Duty to Report	117	(1)
Case in Point: Eliza Fell through the Cracks	117	(1)
Informed Consent	118	(1)
Disclosure and Redisclosure	119	(1)
Case in Point: I can't give you that information.	120	(1)
Legally Incompetent Clients	120	(1)
Clinical Discussion	121	(1)
What's the right thing to do?	121	(1)
Subpoenaed Information	122	(1)
Medical Emergency	122	(2)
Statistical Aggregates	124	(1)
Qualified Service Organizations	124	(1)
Should I tell?	124	(1)
Training	124	(1)
Pending Legislation	125	(1)
I'm wearing two hats.	125	(1)
Financial Ethics	126	(1)
The ``Checkbook Diagnosis''	127	(1)
Representation of Services	127	(2)
Competence	129	(3)
Impairment	129	(1)
Lack of Preparedness	129	(2)
Lack of Responsibility	131	(1)
Professional Growth	132	(1)
Nondiscrimination	133	(1)
Objectivity	134	(1)
Can't Handle That God Stuff	135	(1)
An Ethical Treatment System	135	(2)
References	137	(4)
Case Management-from Screening to Discharge	141	(32)
The Marriage of Case Management and Counseling	143	(1)
Screening	144	(5)
Engaging	145	(1)
Screening Tools	145	(4)
What do these people need?	149	(1)
Assessment	149	(5)
Intake	150	(1)
Biopsychosocial Assessment	151	(1)
Components of Biopsychosocial Assessment	151	(1)
What's the best way to ask?	152	(1)
Diagnosis	152	(2)
Treatment Planning	154	(5)
Treatment Planning Process	155	(3)
What do we want to do here?	158	(1)
Okay, how are we going to do this?	158	(1)
Are these good objectives?	159	(1)
Progress Notes	159	(2)
Resources and Services	161	(3)
Impediments to Treatment	164	(4)
Physical and Mental Abuse	164	(1)
Ethnicity and Social Class	165	(1)
Self-Assessment	165	(1)
Criminal Offenses	165	(3)
References	168	(5)
Considering Client Populations	173	(28)
Introduction	173	(1)
Age	174	(5)
Childhood	174	(1)
Adolescence	174	(3)
Middle-Aged and Elderly	177	(2)
Sexuality	179	(1)
Gender	179	(1)
Homosexuality	179	(1)
Mentally III Chemical Abusers	180	(16)
Myriads of Dual Diagnoses	182	(1)
Issues of Medication	182	(3)
Diagnostic Issues	185	(2)
Schizophrenia	187	(2)
Mood Disorders	189	(1)
Case in Point: ups and Downs	190	(1)
Personality Disorders	191	(1)
Antisocial Personality Disorder	191	(1)
Borderline Personality Disorder	192	(2)
Post-Traumatic Stress Disorder	194	(1)
Attention-Deficit Hyperactivity Disorder	194	(2)
References	196	(5)
Clinical Treatment Issues	201	(32)
Introduction	201	(1)
Denial: A Multifaceted Phenomenon	202	(2)
Denial by Chemically Dependent Individuals	204	(7)
Motives for Treatment	204	(2)
Labels and Stereotypes	206	(1)
Social Standing	206	(2)
Fear	208	(1)
Fear of Exposure	208	(1)
Fear of Rejection	208	(1)
Fear of Change	209	(1)
Impaired Memory	209	(1)
Underdeveloped Social and Emotional Skills	210	(1)
Neurological Impairment	210	(1)
Case in Point: Do I Know you?	211	(1)
Denial by Members of the Addict's Social Network	211	(2)
Recurring Denial	213	(1)
Case in Point: It wasn't me!	213	(1)
Emotional Issues of the Counseling Relationship	214	(17)
Transference	215	(2)
Positive Transference	217	(1)
Negative Transference	217	(1)
Countertransference	218	(1)
Positive Countertransference	218	(1)
Negative Countertransference	219	(1)
Case in Point: Everything's fine.	220	(2)
Loss, Grief, and Regrets	222	(1)
Case in Point: Sam's Story	222	(1)
Is it OK if I feel this way?	223	(1)
Setting Limits and Boundaries	224	(1)
Personal Space	225	(1)
Case in Point: What is that supposed to mean?	225	(1)
How would you feel?	226	(1)
Physical Contact	227	(1)
Intangible Boundaries	227	(2)
Skills in Setting Limits	229	(1)
Should I or shouldn't I?	230	(1)
References	231	(2)
Family, Community, and Cultural Systems	233	(54)
Social Systems	233	(1)
The Family as a System	234	(6)
In my family...	234	(1)
Status, Power, and Authority	235	(1)
Elements of the System	235	(1)
Definitions of Relationships	236	(1)
Conflict	237	(1)
Styles of Communication	237	(1)
Family Belief System	238	(1)
Harm to Nonaddicted Family Members	239	(1)
Expectations of Treatment	239	(1)
Privacy and Boundaries	240	(1)
Enabling, Codependency, and Roles in Families	240	(8)
Stress and Trauma	241	(1)
Family Roles	242	(1)
Scapegoating	242	(1)
Popular Views	243	(1)
Case in Point: Codependent or Mentally Ill?	243	(1)
Other Disorders	244	(1)
Cultural Patterns	244	(1)
Assessment of Addictive Family Roles	244	(2)
How do I describe this family?	246	(1)
Addiction or Cultural Norm?	247	(1)
Charting the Family	248	(7)
The Genogram	250	(1)
Case in Point: Extended Families	251	(1)
The Family Map	251	(1)
Clinical Case: Hanna and Her Family	252	(2)
How do you relate?	254	(1)
Family Intervention Skills	255	(8)
Family Education	256	(1)
Family Self-Understanding	257	(1)
Individuation and Personal Growth	258	(1)
Intervention Skills and Techniques	259	(1)
Sober Family Living Skills	260	(3)
Community Systems	263	(5)
Outreach Work	263	(1)
Case in Point: A Different Culture	264	(1)
Strengths and Weaknesses	265	(1)
A Professional Network	265	(1)
Community Profiles	266	(1)
Case in Point: A Drinking Community	266	(2)
Cultural Systems	268	(10)
Research	269	(1)
Cultural Competence	269	(5)
Ethnic Subgroups and Acculturation	274	(1)
Biculturalism and Code-Switching	275	(1)
Acculturative Stress	276	(1)
Suspended Ethnicity	276	(1)
What's the neighborhood like?	277	(1)
References	278	(9)
APPENDIX A Resources	287	(8)
Selected Journals	287	(3)
Web Resources	290	(5)
APPENDIX B Self-Help Groups	295	(6)
Alcoholics Anonymous	295	(2)
Smart Recovery	297	(4)
Index	301