The Group Therapy of Substance Abuse (Paperback)

About the Editors Contributors Foreword Preface Acknowledgments Section I: Introduction and General Theoretical Issues I. Introduction and General Theoretical Issues Chapter 1. The Impact of Managed Care on the Group Therapy of Substance Abuse The Changing Climate of Health Care: Overview of the Problem Ethical Concerns Emanating from Managed Care Models Impact of Managed Care on Clinical Substance Abuse Practice Emerging Trends in Response to Managed Care Managed Care and Substance Abuse Treatment Managed Care and Group Psychotherapy Effect of Managed Care on Therapist Morale Chapter 2. The Interpersonal Approach Introduction Yalom's Interactional Group Psychotherapy History of IGP and Addiction Psychodynamic Theories of Addiction and Group Therapy Contributions of Self-Psychology and Attachment Theory Implications for Treatment Conclusion Chapter 3. The Cognitive Therapy Addictions Group Introduction and Theory Overview of the Cognitive Therapy Addictions Group Structure of the Group Summary and Conclusions Chapter 4. Group Therapy for Alcohol Dependence Within a Phase Model of Recovery Introduction The Role of Insight A Phase Model of Recovery Core Conflicts Summary and Conclusions Chapter 5. Self-Medication Theory and Modified Dynamic Group Therapy Introduction The Self-Medication Hypothesis: Substance Abuse As a Self-Regulation Disorder Modified Dynamic Group Therapy (MDGT): General Background MDGT: Focus and Technical Considerations MDGT: Phases of the Group Summary and Conclusions Section II. Specific Treatment Settings and Goals Chapter 6. Outpatient Groups at Different Stages of Substance Abuse Treatment: Preparation, Initial Abstinence, and Relapse Prevention Introduction Group Treatment for Prerecovery Patients: Self-Evaluation Group (SEG) The Initial Abstinence Group (IAG) The Relapse Prevention Group (RPG) Final Comment Chapter 7. Relapse Prevention Groups in Outpatient Substance Abuse Treatment Theoretical Background of Relapse Prevention Approaches The Foundation of Relapse Prevention Models: Marlatt and Gordon (1985) Relapse Prevention Content Areas The Application of Relapse Prevention Methods in Group Settings The Relapse Prevention Group Evaluation of Relapse Prevention Methods Summary Chapter 8. Inpatient Groups and Partial Hospitalization Introduction: Assessment and Diagnosis Development of a Treatment Plan Group Psychotherapy Other Treatment Strategies and Treatment-Related Issues Conclusion Chapter 9. Groups in Therapeutic Communities The Therapeutic Community Approach General Elements of Groups The Tools of Clinical Group Process The Main Clinical Groups Seminars, Tutorials, and Workshops for Skill Development Other TC and Non-TC-Oriented Groups Groups in Modified TC Programs Conclusion Chapter 10. Time-Limited Groups Introduction Alcohol Abuse Cocaine Abuse Opioid Abuse Matching Patients and Treatments Conclusions Chapter 11. Network Therapy Introduction Application of Network Therapy Recent Research on the Network Technique Manualized Summary of the Network Technique Chapter 12. Self-Help Groups and Substance Abuse: An Examination of Alcoholics Anonymous Introduction Selected Demographic Characteristics of AA How SHGs Differ from Professionally Directed Groups How SHGs Work Outcomes Treatment Planning and Pretreatment Issues Section III. Specific Patient Populations—Demographic Issues Chapter 13. Ethnicity and Culture in the Group Therapy of Substance Abuse Introduction and Definitions Ethnicity and Substance Abuse Ethnicity, Culture, and the Group Treatment of Substance Abusers Clinical Recommendations Conclusions Chapter 14. Group Treatment for Women Substance Abusers Introduction Historical Perspective Pretreatment Issues: Gender and Groups Treatment and Technique Summary Chapter 15. Group Therapy for Substance Abuse with Gay Men and Lesbians Introduction The Case for “Gay Substance Abuse Groups” Common Themes of Being Gay Current Theory of Homosexuality The Normative Role of Substances in Gay Life Substances of Abuse Characteristic of the Gay and Lesbian Community Group Psychotherapy Leading a Gay and Lesbian Substance Abuse Group Summary Chapter 16. Multidimensional Family Therapy for Adolescent Drug Abuse: Making the Case for a Developmental-Contextual, Family-Based Intervention Introduction The Family and Adolescent Drug Abuse Clinical Implications Chapter 17. Group Psychotherapy with Drug-Dependent, Dually Diagnosed Adolescents in a Residential Setting Diagnosis: Its Relationship with Treatment Outcome Medication: Not a Pharmacological Panacea The John Dewey Academy Psychosocial-Eductional Characteristics of Gifted, Self-Destructive Adolescents Implications of Psychopathology for Treatment Renegotiating the Parameters of Confidentiality Group Psychotherapy: Treatment of Choice for Dually Diagnosed, Drug-Dependent Adolescents Treatment Strategies: The Act of Advocacy Transference and Countertransference Clinical Challenges: Self-Disclosure Conclusion Chapter 18. Group Psychotherapy for Elderly Substance Abusers Introduction Development of Interest in Aging and Substance Abuse Screening Tools and Assessment Procedures Group Psychotherapy with Older Male Long-Term Alcoholics Designing a Treatment Group for Older Women Other Treatment Considerations Research Directions Conclusion Section IV. Specific Diagnostic Populations Chapter 19. Group Treatment for Patients with Substance Abuse and Schizophrenia Introduction and Brief Historical Perspective Treatment Planning Pretreatment Issues Stages of Group Development Techniques Relevant Research Chapter 20. Smoking Cessation Treatment Groups Introduction Overview of Smoking Cessation Treatment Treatment Planning Issues Stages of Group Development Techniques Used in Smoking Cessation Groups Relevant Research Summary and Conclusions Chapter 21. Medically Ill Substance Abusers in Group Therapy Introduction General Issues Pretreatment Issues Conduct of Group Therapy Clinical Examples Research Conclusions Section V. Integration and Implications Chapter 22. Research in Group Psychotherapy for Substance Abuse: Fiction, Fact, and Future The Fiction, or Prevailing Beliefs The Facts, or Lack of Them The Future Concluding Remarks Chapter 23. Group Psychotherapy in the Treatment of Addictive Disorders: Past, Present, and Future Introduction: A Personal Note Group Therapy in the Past Group Therapy in the Present Ethical Considerations Group Therapy in the Future Index Reference Notes Included