Family Solutions for Substance Abuse: Clinical and Counseling Approaches

by McCollum, Eric E; Trepper, Terry S

• ISBN13: 9780789006233
• ISBN10: 0789006235
• Format: Paperback
• Copyright: 2001-04-04
• Publisher: Routledge

Summary

Use goal-oriented techniques for successful family therapy with substance abusers! Family therapy is an essential core competency for substance-abuse counselors, according to the Substance Abuse and Mental Health Services Administration. Family Solutions for Substance Abuse: Clinical and Counseling Approaches delivers the information and techniques you need to effectively treat addicts and their families. By understanding and changing the dynamics of the family system, you will be better able to guide your clients to adopt strategies and behaviors that sustain recovery and maintain healthy relationships. Family Solutions for Substance Abuse provides clear models of diagnosis and intervention for families, whether that means couples, teenagers and their parents, or Mom, Dad, and the kids. The theoretical background on family systems will help you understand the context of the client's addiction and the way it affects and is affected by other family members. Numerous case studies and figures bring the expert advice and theory into the practical realm so you can choose the best strategies for helping the shattered family heal. Family Solutions for Substance Abuse will teach you useful therapeutic skills and strategies, including: understanding interdependence joining with different family members negotiating goals and contracts dealing with family violence assessing motivation handling relapses ending treatment Treating addictions is notoriously difficult for even the most skilled therapist working with the most motivated client. Using the techniques in Family Solutions for Substance Abuse offers you and your clients a better chance at success, because addicts whose families share their treatment are much more likely to stay in counseling and remain clean and sober.

Author Biography

Terry S. Trepper, Ph.D. is Director of the Family Studies Center, Professor of Psychology, and Professor of Marriage and Family Therapy at Purdue University Calumet in Hammond, Indiana.

Table of Contents

Why Work with Families in Substance Abuse Treatment?	1	(11)
``Like a Zoom Lens...''	3	(4)
What This Book Is About	7	(4)
Understanding the Family in Context: Family Systems Theory and Practice	11	(28)
Wendy Snyder
Interdependence: The Family and Individual Development	12	(1)
Systems Theory: The Basis for Understanding Interdependence	13	(3)
Human Systems in Perspective: Family, Culture, and Society As Context	16	(6)
Major Schools of Family Therapy	22	(4)
Goals and Techniques: What and How Family Therapists Help People Change	26	(4)
Family Therapy Misunderstood: The Issues of Parent Blame, Biologically Based Disorders, and the Disease Model of Addiction	30	(3)
Family-Centered Treatment in a Variety of Settings	33	(6)
What Makes a Difference in Treatment?	39	(16)
Client Contributions	40	(8)
The Therapeutic Relationship	48	(2)
Hope and Expectancy	50	(2)
Therapy Models	52	(1)
A Final Word	52	(3)
Working with Families: Basic Skills	55	(32)
Power Dynamics in Family Therapy	56	(1)
Emotional Intensity in Family Therapy	57	(1)
Learning to Join with Families	58	(6)
Moderating Intensity	64	(2)
The REM Approach to Working with Conflict	66	(3)
Domestic Violence and Safety	69	(13)
Using Goals to Frame Counseling	82	(1)
Attending to Process	83	(2)
Summary	85	(2)
Assessing Motivation	87	(32)
What Is Motivation?	88	(7)
Visitors	95	(8)
Complainants	103	(5)
Customers	108	(5)
Working with Visitors and Complainants in the Same Family	113	(3)
Summary	116	(3)
Negotiating a Contract for Therapy	119	(20)
A vision of the Future	120	(3)
Making Goals Measurable	123	(2)
Resolving Conflicting Goals	125	(9)
Contract Problems	134	(5)
Problem and Solution Sequences	139	(20)
Defining Problem Sequences	141	(9)
Solution Sequences	150	(6)
Summary	156	(3)
The Ups and Downs of Change	159	(22)
Making Change Bigger	161	(11)
when Change Gets Derailed	172	(6)
Troubleshooting Relapse Work	178	(1)
Summary	179	(2)
Ending Treatment	181	(28)
Structure of the Sessions	182	(1)
Difference Punctuating Interventions	182	(8)
Strategies to maintain Change	190	(5)
Plan for Posttreatment Change	195	(5)
Termination Interventions	200	(1)
Booster Sessions	201	(6)
Termination	207	(2)
Reference	209	(8)
Index	217