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Chemical Dependency Counseling: A Practical Guide 3rd Revised edition [Mīkstie vāki]

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  • Formāts: Paperback / softback, 744 pages, height x width: 280x216 mm, Illustrations
  • Izdošanas datums: 06-Dec-2007
  • Izdevniecība: SAGE Publications Inc
  • ISBN-10: 1412957001
  • ISBN-13: 9781412957007
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  • Formāts: Paperback / softback, 744 pages, height x width: 280x216 mm, Illustrations
  • Izdošanas datums: 06-Dec-2007
  • Izdevniecība: SAGE Publications Inc
  • ISBN-10: 1412957001
  • ISBN-13: 9781412957007
Citas grāmatas par šo tēmu:
Perkinson (Keystone Treatment Center, Canton, South Dakota) presents this updated text for upper level undergraduates and above preparing to counsel the chemically dependent at all levels of treatment. Advice is supported by case studies and covers the main topics of: first counselor-patient contact, drugs, first hours of treatment, the biophysical interview, treatment plans, individual treatment, group therapy, individual assignments, the five steps to treatment, special problems, genetic links to addiction and other studies, adolescent treatment, family programs, clinical staff, characteristics of a good counselor, and discharge practices. About half the text comprises appendices containing examples, reproducible materials, and additional insights. Annotation ©2008 Book News, Inc., Portland, OR (booknews.com)

The world's leading treatment manual for chemical dependency counselors, Chemical Dependency Counseling: A Practical Guide, Third Edition, uses straightforward language, engaging case studies, and step-by-step instructions for all phases of patient care at all levels of treatment. Covering the gamut of treatment issues, this volume is the comprehensive guide for professionals and providers who work with the chemically dependant in a variety of settings.

Recenzijas

"The author takes us into a complete journey beginning with the first contact with the client followed by assessment and formation of a therapeutic alliance through developing a treatment plan and delivering counselling to the individual as well as group sessions, to the final step of writing discharge notes as well!" -- Atul Ambekar 20090220

Preface xv
Acknowledgments xviii
The First Contact
1(18)
Treatment Works
2(1)
The Motivational Interview
3(2)
How to Develop the Therapeutic Alliance
5(4)
How to Do a Motivational Interview
5(1)
Example of a Motivational Interview
6(3)
Questions to Ask the Adult Patient
9(2)
Natural History of Addiction
11(1)
Risk Factors
11(1)
How to Diagnose an Addiction Problem
12(1)
How to Intervene
13(1)
How to Assess Motivation
14(1)
The Stages of Motivation
14(1)
Motivating Strategies
15(4)
The Drugs
19(16)
CNS Depressants
19(1)
CNS Stimulants
19(1)
The Hallucinogens
20(1)
The Reinforcing Properties of Drugs
20(1)
Tolerance and Dependence
20(1)
Cross-Tolerance
21(1)
Alcohol
21(1)
Alcohol-Induced Organic Mental Disorders
21(2)
Alcohol Intoxication
21(1)
Alcohol Amnestic Disorder (Blackout)
22(1)
Wernicke-Korsakoff Syndrome
22(1)
Alcohol Idiosyncratic Intoxication
22(1)
Alcohol Withdrawal
22(1)
Alcohol Withdrawal Seizures
23(1)
Alcohol Withdrawal Delirium (Delirium Tremens)
23(1)
Sedatives, Hypnotics, and Anxiolytics
23(1)
Opioids
24(1)
Cocaine and Amphetamines
25(3)
Pattern of Use
26(1)
The Stimulant Abstinence Syndrome
27(1)
Phencyclidine (PCP)
27(1)
Hallucinogens
28(1)
The Psychedelic State
28(1)
Cannabis
29(1)
Inhalants
30(1)
Nicotine
30(2)
Polysubstances
32(1)
Club Drugs
32(1)
MDMA
32(1)
GHB, Ketamine, and Rohypnol
33(1)
Treatment Outcome
33(2)
The First Hours of Treatment
35(24)
How to Greet Patients
35(1)
Examples
35(1)
How to Handle Family Members
36(1)
Beginning the Therapeutic Alliance
36(3)
The Importance of Trust
37(1)
Dealing With Early Denial
38(1)
Example of an Initial Contact
38(1)
How to Check for Organic Brain Dysfunction
39(1)
The Initial Assessment
39(3)
Referral
40(2)
How to Conduct a Crisis Intervention
42(4)
Diagnostic and Statistical Manual: Criteria for Diagnosis
46(2)
Diagnosis: Drug Abuse
46(1)
Diagnosis: Chemical Dependency
47(1)
Diagnosis: Pathological Gambling
48(1)
How to Determine the Level of Care Needed
48(5)
Criteria for Outpatient Treatment (Adults)
49(1)
Criteria for Inpatient Treatment (Adults)
50(1)
Criteria for Outpatient Treatment (Adolescents)
51(1)
Criteria for Inpatient Treatment (Adolescents)
52(1)
The Patient's Reaction to Intoxication
53(1)
What to Do With an Intoxicated Patient
53(1)
Detoxification
54(1)
How Patients React to Detoxification
54(1)
The AMA Threat
55(4)
Example of an AMA Intervention
55(2)
How to Use the AMA Team
57(1)
How to Use the In-House Intervention
57(1)
How to Respond to Patients Who Leave AMA
58(1)
The Biopsychosocial Interview
59(16)
How to Conduct the Interview
60(6)
Summary and Impressions
65(1)
Diagnosis
65(1)
Disposition and Treatment Plan
65(1)
A Sample Biopsychosocial Interview
66(9)
The Treatment Plan
75(14)
How to Build a Treatment Plan
75(2)
The Diagnostic Summary
75(1)
The Problem List
76(1)
Goals and Objectives
77(3)
How to Develop Goals
77(1)
How to Develop Objectives
78(2)
How to Develop Interventions
80(1)
Examples of Interventions
80(1)
How to Evaluate the Effectiveness of Treatment
80(1)
How to Select Goals, Objectives, and Interventions
81(2)
Examples of Goals, Objectives, and Interventions
81(2)
Treatment Plan Review
83(1)
Documentation
84(2)
How to Write Progress Notes
84(1)
Formal Treatment Plan Review
85(1)
Discussion of Continuing Care
86(3)
Individual Treatment
89(24)
The Therapeutic Alliance
89(4)
How to Develop a Therapeutic Alliance
89(1)
How to Be Reinforcing
90(1)
How to Use Empathy
91(1)
Transference and Countertransference
91(1)
How to Be Confrontive
92(1)
Behavior Therapy
93(5)
How Patients Learn
93(1)
Habits
93(1)
What Is Reinforcement?
94(1)
The Importance of Reinforcement
94(1)
What Is Punishment?
95(1)
How to Use Punishment
95(1)
When a Patient Breaks a Rule
96(1)
The Behavior Chain
97(1)
Why We Concentrate on Behavior Therapy
97(1)
Cognitive Therapy
98(10)
How Chemically Dependent People Think
98(1)
Defense Mechanisms
99(1)
Applying Cognitive Therapy
100(2)
Automatic Thoughts
102(1)
How to Correct Inaccurate Thoughts
103(3)
Solidifying Accurate Thinking
106(2)
Interpersonal Therapy
108(5)
How to Develop Healthy Relationships
108(1)
Building a Relationship With a Higher Power
108(1)
Developing a Relationship With the Self
109(1)
Building Relationships With Others
109(2)
How Patients Use Feelings Inappropriately
111(1)
How Patients Learn Relationship Skills
111(1)
How to Change Relationships
111(1)
How to Handle Grief
112(1)
How to Choose the Therapeutic Modality
112(1)
Group Therapy
113(24)
Benefits of the Group Process
113(1)
Preparation for the Group
114(1)
The Preparation Statement
115(1)
The Agenda Group
115(1)
How to Choose the Order of the Agenda
116(1)
How to Give Good Feedback
116(1)
How to Receive Feedback
116(1)
How to Run the Group
117(1)
How to Know Which Therapy to Use
117(1)
The Honesty Group
117(3)
Example of the Honesty Group
118(1)
Uncovering the Lies
119(1)
How to End Each Group
119(1)
The Euphoric Recall Group
120(2)
How to Uncover Euphoric Recall
120(1)
How to Help the Patients See the Truth
121(1)
The Reading Group
122(1)
The Relapse Prevention Group
123(5)
The Trigger Group
123(1)
The Inaccurate Thinking Group
124(1)
The Feelings and Action Group
125(1)
The Lapse Group
126(2)
The Spirituality Group
128(3)
Group Preparation
128(1)
How to Develop a Healthy Relationship
129(1)
How to Develop a Healthy Relationship With a Higher Power
129(1)
The Eleventh Step Group
130(1)
The Meditation Group
130(1)
The Childhood Group
131(2)
How to Explore Early Parental Relationships
132(1)
How to Begin to Heal Early Childhood Pain
132(1)
The Men's Group/Women's Group
133(1)
The Community Group
134(1)
The Personal Inventory Group
134(3)
The Individual Assignments
137(14)
The Chemical Use History
137(1)
Honesty
138(1)
Love, Trust, and Commitment
138(1)
Feelings
139(1)
Relationship Skills
140(1)
Addictive Relationships
141(1)
Communication Skills
142(1)
Self-Discipline
143(1)
Impulse Control
144(1)
Relapse Prevention
145(2)
Stress Management
147(4)
The Steps
151(10)
The Committee
152(1)
Step One
152(2)
Step Two
154(2)
How to Help Patients Accept a Higher Power
155(1)
Step Three
156(1)
How to Help Patients Embrace Step Three
157(1)
Step Four
157(2)
Step Five
159(2)
The Lectures
161(18)
The Disease Concept
162(3)
Addiction Is Not a Moral Problem
162(1)
Addiction Is Not Due to a Weak Will
162(1)
Addiction Has Genetic Links
162(1)
Addiction Is a Social Problem
163(1)
Addiction Is a Psychological Problem
163(1)
Addiction Is a Physiological Problem
163(1)
The Obsession
164(1)
The Problems
164(1)
Defense Mechanisms
165(3)
Minimization
165(1)
Rationalization
166(1)
Denial
166(1)
How to Begin to Live in the Truth
166(1)
The Great Lie
166(1)
The Promise of the Disease
167(1)
Truth
168(1)
A Program of Rigorous Honesty
168(1)
Normal Development
168(3)
The Primary Caregiver
168(1)
The Struggle for Independence
169(1)
Fear of Abandonment
169(1)
Learning the Rules
169(1)
The Development of Insecurity
169(1)
The Peer Group
169(1)
Adolescence
170(1)
Adulthood
170(1)
Physical Addiction and Recovery
171(2)
How Drugs Affect the Cell
171(1)
How Drugs Affect Behavior
172(1)
Tolerance
172(1)
Cross-Tolerance
172(1)
Withdrawal
172(1)
How We Learn
173(1)
Alcoholics Anonymous
173(3)
A Spiritual Awakening
174(1)
Two Alcoholics Talking to Each Other
174(1)
The Alcoholics Anonymous Program
175(1)
The Twelve Steps
175(1)
Meetings
176(1)
Feelings
176(3)
Feelings Are Adaptive
177(1)
How to Be Assertive
178(1)
Special Problems
179(50)
The Psychiatric/Psychological Assessment
179(1)
How to Develop the Treatment Plan
180(1)
The Depressed Patient
180(8)
How to Assess Depression
181(1)
How to Treat Depression
181(1)
Psychopharmacology
181(1)
Behavioral Therapy
182(1)
Cognitive Therapy
183(5)
Interpersonal Therapy
188(1)
Grief
188(1)
Interpersonal Disputes
189(1)
Suicide
190(1)
The Angry Patient
191(5)
How to Handle a Violent Patient
191(1)
How to Handle an Angry Patient
191(1)
Assertiveness Skills
192(1)
The Importance of Forgiveness
192(1)
How to Teach the Patient to Recognize Anger
193(1)
Disengagement
193(1)
Time Out
194(1)
How to Keep Your Cool as a Counselor
194(1)
The Homicidal Patient
195(1)
The Duty to Warn
195(1)
Personality
196(1)
What Is Personality?
196(1)
The Antisocial Personality
196(3)
The Impulsive Temperament
196(1)
A Disorder of Empathy
197(1)
How to Treat the Antisocial Personality
197(1)
How to Deal With a Rule Violation
198(1)
Moral Development
198(1)
How to Deal With the Family of an Antisocial Patient
199(1)
The Borderline Patient
199(4)
Interpersonal Relationships
200(1)
Affective Dysfunction
200(1)
How to Treat the Borderline Patient
201(1)
Setting Limits
201(1)
Dealing With Transference
201(1)
Coping With Intense Feelings
202(1)
Dealing With the Family
202(1)
The Narcissistic Patient
203(1)
The Anxious Patient
204(4)
How to Measure Anxiety
204(1)
The Psychological Component of Anxiety
205(1)
How to Use Relaxation Techniques
205(1)
The Daily Log
206(1)
Cognitive Therapy
207(1)
Panic Attacks
208(1)
The Psychotic Patient
208(3)
Hallucinations and Delusions
208(1)
How to Treat the Psychotic Patient
209(2)
The Family of the Psychotic Patient
211(1)
Acquired Immune Deficiency Syndrome
211(1)
The High-Risk Patient
211(1)
The Patient With Low Intellectual Functioning
212(1)
How to Treat the Patient With Low Intelligence
212(1)
The Patient Who Cannot Read
212(1)
The Family of the Patient With Low Intelligence
213(1)
The Elderly Patient
213(2)
The Patient With Early Childhood Trauma
215(1)
How to Deal With Sexual Abuse
215(1)
Cognitive Therapy
216(1)
How to Learn Forgiveness
216(1)
Love in the Treatment Center
216(2)
The Importance of the Unit Rules
217(1)
How to Deal With Patients in Love
217(1)
The Pathological Gambler
218(11)
Honesty
219(1)
Step One
220(1)
Step Two
221(2)
Step Three
223(1)
Step Four
224(1)
Step Five
225(1)
Relapse Prevention
226(3)
Adolescent Treatment
229(12)
The Normal Adolescent
229(2)
Ages 13 to 16 Years
230(1)
Ages 16 to 19 Years
230(1)
The Chemically Dependent Adolescent
231(1)
The Adolescent Chemical Dependency Counselor
232(1)
The Point System
233(1)
The Primary Elements in Adolescent Treatment
233(5)
The Rules
234(1)
Communication Skills
234(1)
Honesty
234(1)
Exercise
235(1)
Fun in Sobriety
235(1)
The Reinforcers
235(1)
Spirituality
235(1)
Group Therapy
236(1)
Peer Pressure
237(1)
Continuing Education
237(1)
Continuing Care
237(1)
The Parents Support Group
238(1)
The Behavioral Contract
239(1)
Phases of Adolescent Treatment
239(2)
The Family Program
241(10)
The First Contact
241(1)
How to Handle the Early AMA Risk
242(1)
The Family Problems
242(3)
Codependency
242(1)
Guilt
243(1)
Loss of Control
243(1)
Shame
243(1)
Caretaking
243(1)
Enabling
244(1)
Inability to Know Feelings
244(1)
Inability to Know Wants
244(1)
Lack of Trust
244(1)
People Pleasing
245(1)
Feelings of Worthlessness
245(1)
Dependency
245(1)
Poor Communication Skills
245(1)
How to Treat Family Members
245(3)
The Family Program Schedule
247(1)
How to Work With the Family in Group
248(3)
The Conjoint Session
248(3)
The Clinical Staff
251(10)
The Physician
251(1)
The Psychologist/Psychiatrist
252(1)
The Nurse
252(1)
The Clinical Director
253(1)
The Clinical Supervisor
253(1)
The Chemical Dependency Counselor
254(1)
The Rehabilitation Technician or Aide
254(1)
The Activities Coordinator
254(1)
Clinical Staffing
255(1)
How to Present a Patient
255(1)
Team Building
256(2)
Boundaries
258(1)
Staff-Patient Problems
258(1)
What to Do When a Patient Does Not Like a Counselor
259(1)
What to Do When a Patient Complains About a Rule
260(1)
The Work Environment
260(1)
The Good Counselor
261(8)
Being Loving
261(1)
Loving Counselors Enjoy Their Work
261(1)
Loving Counselors Do Not Become Overly Involved
261(1)
Loving Counselors Do Not Lie
262(1)
Loving Counselors Are Gentle
262(1)
Being Good
262(6)
Good Counselors Love Themselves
262(1)
Good Counselors Are Sensitive
262(1)
Good Counselors Have a Sixth Sense
263(1)
Good Counselors Do Not Become Overly Emotional
263(1)
Good Counselors Are Active Listeners
264(1)
Good Counselors Maintain Boundaries
264(1)
Good Counselors Are Patient
265(1)
Good Counselors Have Effective Interpersonal Relationship Skills
265(1)
Good Counselors Have a Sound Code of Ethics
266(2)
Conclusion
268(1)
Discharge Summary and Continuing Care
269(6)
Outpatient Discharge Criteria
270(1)
Inpatient Discharge Criteria
271(1)
How to Develop a Discharge Summary
272(2)
The Discharge Summary
274(1)
Saying Good-Bye
274(1)
Appendix 1 Cognitive Capacity Screening Examination 275(2)
Appendix 2 Short Michigan Alcoholism Screening Test (SMAST) 277(1)
Appendix 3 CAGE Questionnaire 278(1)
Appendix 4 Psychoactive Substance Use Disorder 279(2)
Appendix 5 Clinical Institute Withdrawal Assessment of Alcohol Scale 281(4)
Appendix 6 Narcotic Withdrawal Scale 285(2)
Appendix 7 Sample Biopsychosocial 287(9)
Appendix 8 Chemical Use History 296(2)
Appendix 9 Honesty 298(3)
Appendix 10 Love, Trust, and Commitment 301(7)
Appendix 11 Feelings 308(5)
Appendix 12 Relationship Skills 313(5)
Appendix 13 Addictive Relationships 318(3)
Appendix 14 Communication Skills 321(4)
Appendix 15 Self-Discipline 325(6)
Appendix 16 Impulse Control 331(7)
Appendix 17 Relapse Prevention 338(14)
Appendix 18 Step One 352(8)
Appendix 19 Step Two 360(8)
Appendix 20 Step Three 368(6)
Appendix 21 Step Four 374(9)
Appendix 22 Step Five 383(2)
Appendix 23 Adolescent Unit-Level System 385(6)
Appendix 24 Peer Pressure 391(4)
Appendix 25 The Behavioral Contract 395(4)
Appendix 26 Family Questionnaire 399(5)
Appendix 27 Codependency 404(10)
Appendix 28 Personal Recovery Plan 414(3)
Appendix 29 Sample Discharge Summary 417(5)
Appendix 30 Stress Management 422(10)
Appendix 31 Hamilton Depression Rating Scale 432(1)
Appendix 32 Biopsychosocial Assessment 433(9)
Appendix 33 Anger Management 442(13)
Appendix 34 Narcissism 455(6)
Appendix 35 Honesty for Gamblers 461(4)
Appendix 36 Step One for Gamblers 465(8)
Appendix 37 Step Two for Gamblers 473(6)
Appendix 38 Step Three for Gamblers 479(5)
Appendix 39 Step Four for Gamblers 484(9)
Appendix 40 Step Five for Gamblers 493(2)
Appendix 41 Relapse Prevention for Gamblers 495(14)
Appendix 42 Adolescent Unit Point System 509(4)
Appendix 43 Results From the 2005 National Survey on Drug Use and Health: National Findings 513(80)
Appendix 44 Drug Categories for Substances of Abuse 593(12)
Appendix 45 Adult Inpatient Program Schedule 605(2)
Appendix 46 Adolescent Inpatient Program Schedule 607(2)
Appendix 47 Adult Outpatient Program Schedule 609(3)
Appendix 48 Adolescent Outpatient Program Schedule 612(3)
Appendix 49 Gambling Inpatient Program Schedule 615(2)
Appendix 50 Gambling Outpatient Program Schedule 617(2)
Appendix 51 Intensive/Day Treatment Program Schedule 619(4)
Appendix 52 Pressure Relief Group Meeting and Budget Forms for the Gamblers Anonymous Group 623(8)
Appendix 53 Heroin: Abuse and Addiction 631(3)
Appendix 54 South Oaks Gambling Screen 634(3)
Appendix 55 Barriers in Thinking 637(3)
Appendix 56 Psychiatric Medications 640(23)
Appendix 57 Drug Abuse Screening Test (DAST) 663(1)
Appendix 58 Clinical Opiate Withdrawal Scale (COWS) 664(2)
Appendix 59 Nurse's Intake 666(30)
Appendix 60 Nurse's Intake for Adolescents 696(3)
References 699(12)
Index 711(14)
About the Author 725
Robert R. Perkinson is the clinical director of Keystone Treatment Center in Canton, SD. He is a licensed psychologist, licensed marriage and family therapist, internationally certified alcohol and drug counselor, South Dakota certified chemical dependency counselor, Level III, and nationally certified gambling counselor and supervisor. His specialty areas focus on treating alcoholics, addicts, and pathological gamblers. He is the author of Chemical Dependency Counseling: A Practical Guide, Second Edition, 2003, SAGE Publications, which is the leading treatment manual in the world of chemical dependency counselors. Dr. Perkinson co-authored, with Arthur E. Jongsma, Jr., The Addiction Treatment Planner, (2001, John Wiley & Sons), the best selling treatment planner and computer soft ware program for mental health and addiction professionals. He has published The Alcoholism and Drug Abuse Patient Workbook, (2003) and The Gambling Addiction Patient Workbook, (2003, SAGE Publications). With these workbooks, patients have all of the exercises necessary to enter a stable recovery. With Dr. Jean Lacour, he wrote The Faith-Based Addiction Curriculum (2004) to teach professionals of faith how to treat addiction. Dr. Perkinson is an international motivational speaker and regular contributor to numerous professional journals.