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The Group Therapy of Substance Abuse book cover

1st Edition

The Group Therapy of Substance Abuse

By David W. Brook, Henry I. Spitz Copyright 2002
    478 Pages
    by CRC Press

    478 Pages
    by CRC Press

    Gain a practical perspective on group therapy as a treatment for addiction!

    As more and more researchers and clinicians recognize group therapy as the primary psychosocial intervention in the treatment of substance abusers, there is a growing need for a comprehensive resource that places the wide range of theories and ideas about the treatment into practical perspective. The Group Therapy of Substance Abuse is the first book to bridge the gap between substance abuse treatment and group psychotherapy by presenting expert analyses that address all major schools of thought. The book includes clinical examples and specific recommendations for treatment techniques, reflecting a variety of viewpoints from the leading clinicians, scholars, and teachers in the field.

    Because of its therapeutic efficacy and cost effectiveness, group therapy has come to play an increasingly important role as the psychosocial therapy of choice for an ever-increasing numbers of patients with substance abuse disorders. For ease of use, The Group Therapy of Substance Abuse is divided into several sections, including a discussion of the basic theoretical approaches on which most group treatments of substance abusers are based; the uses of group treatment approaches in specific treatment settings; and the uses of group treatment with specific patient populations.

    The Group Therapy of Substance Abuse also includes diverse perspectives on:

    • interpersonal and psychodynamic approaches to therapy
    • cognitive behavioral methods
    • outpatient, inpatient, and partial-hospitalization groups
    • network therapy and 12-step groups
    • treatment of gay, lesbian, bisexual, adolescent, and elderly abusers
    • therapeutic community groups
    Essential for professionals who treat substance abusers, The Group Therapy of Substance Abuse is also an excellent textbook for scholars and students in the mental health field. The book adds depth to the practicing (and soon-to-be practicing) clinician's understanding of how best to address the complex problem of addiction.

    • 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

    Biography

    David W. Brook, Henry I. Spitz

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