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Chemical Dependency Counseling: A Practical Guide [Mīkstie vāki]

  • Formāts: Paperback / softback, 456 pages, height x width: 279x215 mm, weight: 1270 g
  • Izdošanas datums: 16-May-1997
  • Izdevniecība: SAGE Publications Inc
  • ISBN-10: 0761908595
  • ISBN-13: 9780761908593
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Chemical Dependency Counseling: A Practical GuidePalielināt
  • Formāts: Paperback / softback, 456 pages, height x width: 279x215 mm, weight: 1270 g
  • Izdošanas datums: 16-May-1997
  • Izdevniecība: SAGE Publications Inc
  • ISBN-10: 0761908595
  • ISBN-13: 9780761908593
Citas grāmatas par šo tēmu:
Permanent link: https://www.kriso.lv/db/9780761908593.html
Keywords:
Intended to assist counselors in learning essential assessment, treatment-planning, and treatment-intervention processes at all levels of care as outlined by the American Society of Addiction Medicine. Perkinson, a seasoned addiction expert, discusses the first hours of contact with a patient, individual and group treatment, the first five steps, disease and recovery, adolescent treatment, the family program, drugs, and how to be a good counselor. He also addresses special problems such as anger, depression, narcissism, anxiety, and the elderly patient. Annotation c. by Book News, Inc., Portland, Or.

This comprehensive treatment manual—written specifically for chemical dependency counselors—guides practitioners through all aspects of traditional treatment. Topics covered include developing the therapeutic alliance, screening; detoxification, biopsychosocial assessment, dual-diagnosis, patient orientation, treatment planning, individual therapy, group therapy, case management, crisis intervention, client education, record-keeping, discharge planning, and referral.

Appendix Contents xv(2)
Foreword xvii(2)
Preface xix(2)
Acknowledgments xxi
1. The First Hours
1(20)
How to Greet Patients
1(1)
How to Handle Family Members
2(1)
Beginning the Therapeutic Alliance
2(2)
The Importance of Trust
2(1)
Dealing With Early Denial
3(1)
Example of an Initial Contact
3(1)
How to Check for Organic Brain Dysfunction
4(1)
The Initial Assessment
4(9)
American Society of Addiction Medicine (ASAM) Patient Placement Criteria
6(1)
DSM Criteria for Diagnosis
7(2)
How to Determine the Level of Care Needed
9(3)
How to Share the Diagnosis With the Patient
12(1)
Assigning a Treatment Buddy
13(1)
The Intoxicated Patient
14(2)
How to Determine the Level of Intoxication
14(1)
The Patient's Reaction to Intoxication
14(1)
What to Do With an Intoxicated Patient
15(1)
Detoxification
16(1)
How Patients React in Detox
16(1)
The AMA Threat
17(4)
Example of an AMA Intervention
17(1)
How to Use the AMA Team
18(1)
How to Use In-House Intervention
19(1)
How to Respond to Patients Who Leave AMA
19(2)
2. The Biopsychosocial Interview
21(16)
How to Conduct the Interview
22(5)
Summary and Impression
27(1)
Diagnosis
27(1)
Disposition and Treatment Plan
28(1)
A Sample Biopsychosocial Interview
28(9)
3. The Treatment Plan
37(10)
How to Build a Treatment Plan
37(1)
The Diagnostic Summary
37(1)
The Problem List
38(1)
How to Develop a Problem List
38(1)
Goals and Objectives
38(4)
How to Develop Goals
39(1)
How to Develop Objectives
39(2)
How to Evaluate the Effectiveness of the Treatment
41(1)
How to Select Goals and Objectives
41(1)
Examples of Goals and Objectives
41(1)
Treatment Plan Review
42(1)
Documentation
43(4)
How to Write Progress Notes
43(1)
Formal Treatment Plan Review
44(3)
4. Individual Treatment
47(22)
The Therapeutic Alliance
47(2)
How to Develop a Therapeutic Alliance
47(1)
How to Be Reinforcing
48(1)
How to Use Empathy
49(1)
Transference and Countertransference
49(1)
Examples of Empathetic Statements
50(1)
How to Be Confrontive
50(1)
Behavior Therapy
50(2)
How Patients Learn
51(1)
The Behavior Chain
52(3)
The Importance of Reinforcement
53(1)
How to Use Punishment
53(2)
Why We Concentrate on Behavior Therapy
55(1)
Cognitive Therapy
55(9)
How Chemically Dependent People Think
55(2)
Applying Cognitive Therapy
57(2)
How to Correct Inaccurate Thoughts
59(5)
Interpersonal Therapy
64(5)
How to Develop Healthy Relationships
64(2)
How Patients Use Feelings Inappropriately
66(1)
How Patients Learn Relationship Skills
66(1)
How to Change Relationships
66(1)
How to Handle Grief
67(1)
How to Choose the Therapeutic Modality
67(2)
5. Group Therapy
69(20)
Benefits of the Group Process
69(1)
Preparation for Group
70(3)
The Preparation Statement
71(1)
The Agenda
71(2)
The Honesty Group
73(2)
Example of an Honesty Group
73(1)
Uncovering the Lies
74(1)
How to End Each Group
75(1)
The Euphoric Recall Group
75(2)
How to Uncover Euphoric Recall
75(1)
How to Get Real
76(1)
The Reading Group
77(1)
Relapse Prevention Groups
77(5)
The Trigger Group
78(1)
The Inaccurate Thinking Group
79(1)
The Feelings and Action Group
79(1)
The Slips Group
80(2)
The Spirituality Group
82(3)
Group Preparation
82(1)
How to Develop a Healthy Relationship
82(1)
How to Develop a Healthy Relationship With God
83(1)
The Eleventh-Step Group
83(1)
The Meditation Group
83(2)
The Childhood Group
85(2)
How to Explore Early Parental Relationships
85(1)
How to Begin to Heal Early Childhood Pain
86(1)
The Men's Group/Women's Group
87(1)
The Community Group
87(1)
The Personal Inventory Group
87(2)
6. The Contracts
89(12)
The Chemical Use History
89(1)
Honesty
90(1)
Love, Trust, and Commitment
90(1)
Feelings
91(1)
Relationship Skills
92(1)
Addictive Relationships
93(1)
Communication Skills
94(1)
Self-Discipline
94(2)
Impulse Control
96(1)
Relapse Prevention
97(1)
Stress Management
98(3)
7. The Steps
101(10)
The Committee
102(1)
Step One
102(2)
Step Two
104(1)
How to Help Patients Accept a Higher Power
104(1)
Step Three
105(2)
How to Help Patients Embrace Step Three
106(1)
Step Four
107(1)
Step Five
108(3)
8. The Lectures
111(16)
The Disease
112(2)
Chemical Dependency Is Not a Moral Problem
112(1)
Chemical Dependency Is Not Due to a Weak Will
112(1)
Chemical Dependency Has Genetic Links
112(1)
Chemical Dependency Is a Social Problem
112(1)
Chemical Dependency Is a Psychological Problem
113(1)
Chemical Dependency Is a Physiological Problem
113(1)
The Obsession
113(1)
The Problems
114(1)
Defense Mechanisms
114(2)
Minimization
114(1)
Rationalization
115(1)
Denial
115(1)
How to Begin to Live in the Truth
116(1)
The Great Lie
116(2)
How the Great Lie Works
116(1)
Truth
117(1)
Normal Development
118(2)
The Primary Caregiver
118(1)
The Struggle for Independence
118(1)
The Fear of Abandonment
118(1)
Learning the Rules
118(1)
The Development of Insecurity
118(1)
The Peer Group
119(1)
Adolescence
119(1)
Adulthood
119(1)
Physical Addiction and Recovering
120(2)
How Drugs Affect the Cell
120(1)
How Drugs Affect Behavior
121(1)
Tolerance
121(1)
Cross-Tolerance
121(1)
Withdrawal
121(1)
How We Learn
122(1)
Alcoholics Anonymous
122(2)
A Spiritual Awakening
122(1)
Two Alcoholics Talking to Each Other
123(1)
The Big Book
123(1)
The Twelve Steps
124(1)
Meetings
124(1)
Feelings
124(3)
Feelings Are Adaptive
125(1)
How to Be Assertive
126(1)
9. Special Problems
127(36)
The Psychiatric/Psychological Assessment
127(1)
How to Develop the Treatment Plan
128(1)
The Depressed Patient
128(10)
How to Assess Depression
129(1)
How to Treat Depression
129(8)
Suicide
137(1)
The Angry Patient
138(3)
How to Handle a Violent Patient
138(1)
How to Handle an Angry Patient
138(1)
Assertiveness Skills
139(1)
The Importance of Forgiveness
139(1)
How to Teach Patients to Recognize Their Anger
140(1)
How to Keep Your Cool as a Counselor
141(1)
The Homicidal Patient
141(1)
The Duty to Warn
141(1)
Personality
142(1)
What Is Personality?
142(1)
The Antisocial Personality?
143(3)
The Impulsive Temperament
143(1)
A Disorder of Empathy
143(1)
How to Treat Antisocial Personality
143(1)
How to Deal With a Rule Violation
144(1)
Moral Development
145(1)
How to Deal With the Family
145(1)
The Borderline Patient
146(2)
Interpersonal Relationships
146(1)
Affective Dysregulation
146(1)
How to Treat Borderline Patients
146(2)
The Narcissistic Patient
148(1)
The Anxious Patient
149(4)
How to Measure Anxiety
150(1)
The Psychological Component of Anxiety
150(1)
How to Use Relaxation Techniques
151(1)
The Daily Log
152(1)
Cognitive Therapy
152(1)
Panic Attacks
153(1)
The Psychotic Patient
153(3)
Hallucinations and Delusions
153(1)
How to Treat the Psychotic Patient
154(1)
The Family
155(1)
Acquired Immune Deficiency Syndrome (AIDS)
156(1)
High-Risk Patients
156(1)
Patients With Low Intellectual Functioning
157(1)
How to Treat Patients With Low Intelligence
157(1)
Patients Who Can't Read
157(1)
The Family
158(1)
The Elderly Patient
158(1)
Patients With Early Childhood Trauma
159(2)
How to Deal With Sexual Abuse
159(1)
Cognitive Therapy
160(1)
How to Learn Forgiveness
160(1)
Love in the Treatment Center
161(2)
The Importance of Unit Rules
161(1)
How to Deal With Patients in Love
161(2)
10. Adolescent Treatment
163(10)
The Normal Adolescent
163(1)
Ages 13 to 16
164(1)
Ages 16 to 19
164(1)
The Chemically Dependent Adolescent
165(1)
The Adolescent Chemical Dependency Counselor
166(1)
The Point System
166(1)
The Primary Elements in Adolescent Treatment
167(6)
The Rules
167(1)
Communication Skills
167(1)
Honesty
168(1)
Exercise
168(1)
Fun in Sobriety
168(1)
The Reinforcers
169(1)
Spirituality
169(1)
Group Therapy
169(1)
Peer Pressure
170(1)
Continuing Education
170(1)
Continuing Care
170(1)
The Parents' Support Group
171(1)
The Behavioral Contract
171(1)
Phases of Adolescent Treatment
171(2)
11. The Family Program
173(8)
The First Contact
173(1)
How to Handle Early AMA Risk
174(1)
The Family Process
174(3)
Codependency
174(1)
Guilt
175(1)
Loss of Control
175(1)
Shame
175(1)
Caretaking
175(1)
Enabling
175(1)
Inability to Know Feelings
176(1)
Inability to Know Wants
176(1)
Lack of Trust
176(1)
People Pleasing
176(1)
Feelings of Worthlessness
176(1)
Dependency
177(1)
Poor Communication Skills
177(1)
How to Treat Family Members
177(1)
The Family Program Schedule
178(1)
How to Work With the Family in Group
179(1)
The Conjoint Session
180(1)
12. The Clinical Staff
181(10)
The Physician
181(1)
The Psychologist/Psychiatrist
182(1)
The Nurse
182(1)
The Clinical Director
183(1)
The Clinical Supervisor
183(1)
The Chemical Dependency Counselor
183(1)
The Rehabilitation Technician or Aid
184(1)
The Activities Coordinator
184(1)
Clinical Staffing
184(2)
How to Present a Patient
185(1)
Team Building
186(2)
Commitment to Coworkers
187(1)
Boundaries
187(1)
Staff-Patient Problems
188(1)
When a Patient Doesn't Like a Counselor
188(1)
When a Patient Complains About a Rule
189(1)
The Work Environment
189(2)
13. Discharge Summary and Aftercare
191(6)
Outpatient Discharge Criteria
192(1)
Inpatient Discharge Criteria
193(4)
How to Develop a Discharge Summary
194(1)
The Discharge Summary
195(1)
Saying Good-bye
195(2)
14. The Drugs
197(14)
CNS Depressants
197(1)
CNS Stimulants
197(1)
The Hallucinogens
198(1)
The Reinforcing Properties of Drugs
198(1)
Tolerance and Dependence
198(1)
Cross-Tolerance
199(1)
Alcohol
199(2)
Alcohol-Induced Organic Mental Disorders
199(2)
Sedatives, Hypnotics, and Anxiolytics
201(1)
Opioids
201(1)
Cocaine and the Amphetamines
202(2)
Pattern of Use
203(1)
The Cocaine Abstinent Syndrome
203(1)
Phencyclidine (PCP)
204(1)
Hallucinogens
204(1)
The Psychedelic State
205(1)
Cannabis
205(1)
Inhalants
206(1)
Nicotine
207(1)
Polysubstances
208(1)
Treatment Outcome
208(3)
15. The Good Counselor
211(8)
Being Loving
211(1)
Loving Counselors Enjoy Thier Work
211(1)
Loving Counselors Don't Become Overly Involved
212(1)
Loving Counselors Don't Lie
212(1)
Loving Counselors Are Gentle
212(1)
Good Counselors Love Themselves
212(1)
Sensitivity
212(1)
The Sixth Sense
213(1)
Good Counselors Don't Become Overly Emotional
213(1)
Active Listener
213(1)
Good Counselors Don't Talk Too Much
214(1)
Boundaries
214(1)
Patience
215(1)
Interpersonal Relationship Skills
215(1)
Sound Code of Ethics
216(3)
List of Appendixes 219(182)
References 401(12)
Index 413(18)
About the Author 431
Robert R. Perkinson is the clinical director of Keystone Treatment Center in Canton, South Dakota. He is a licensed psychologist; licensed marriage & family therapist; internationally certified alcohol and drug counselor; South Dakota certified chemical dependency counselor, Level III; and a 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 (2nd ed.) (2003a), which is the leading treatment manual in the world for chemical dependency counselors. With Dr. Arthur E. Jongsma Jr. (2001) he is the coauthor of The Addiction Treatment Planner, which is the best-selling treatment planner and computer software program for mental health and addiction professionals. He has also written The Alcoholism and Drug Abuse Patient Workbook (2003c) and the Gambling Addiction Patient Workbook (2003b). These workbooks have all of the exercises patients need to enter a stable recovery. His book entitled Treating Alcoholism: How to Help Your Clients Enter Recovery (2004) trains professionals how to treat patients with alcohol problems. He is the author of the book God Talks to You (2000) and the meditation tape A Communication from God (2008) by cdbaby, which help addicts make their first conscious contact with a Higher Power of their own understanding. He is a composer and has completed his second CD, Peace Will Come, music that helps addicts learn the essentials of a spiritual journey. With Dr. Jean LaCour (2004), he wrote the Faith-Based Addiction Curriculum to teach professionals of faith how to treat addiction. Dr. Perkinson is an international motivational speaker and regular contributor to numerous professional journals. He is the webmaster of several web pages, including www.robertperkinson.com, www.alcoholismtreatment.org, and www.godtalkstoyou.com, where he gets over 2.6 million hits a year and answers questions on addiction for free. His biographies can be found in Whos Who in America, Whos Who in Medicine and Healthcare, Whos Who in Science and Engineering, and Whos Who in the World.