Family solutions for substance abuse : clinical and counseling approaches

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.

Wendy Snyder

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

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