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This book could not have been conceptualized or published 20 years ago. Indeed, it is doubtful that we could have organized the material for this handbook 10 years ago. Over the last 20 years, however, the painstaking efforts of many clinical researchers working with a variety of resistive psychopathologies have resulted in specific psychotherapies and pharmacotherapies that are effective with a significant propor tion of patients, at least for some of the disorders. Much clinical research remains to be carried out in the forthcoming decades. But now that we are nearing the 21st century, at least some statement about efficacy can be made. In 1967, Gordon Paul succinctly stated that the ultim...
Declan Burke fled Ireland forty years ago and never looked back. Now settled in New York, he thinks he’s put the old country behind him, until he reads the obituary of one Cathal Murphy. The obituary, he sees at once, is not about Murphy at all. It is a coded indictment of Burke’s own life. And an announcement of his impending death. Halifax lawyer Monty Collins investigates the obit with its allusions to Burke’s IRA past. Collins gets no help from Burke, who — good soldier to the end — keeps the silence of the grave. But Burke’s denial becomes harder to maintain following a burst of gunfire at a family wedding. The shooting brings another old soldier onto the field: Leo Killeen,...
Self-help organizations across the world, such as Alcoholics Anonymous, Croix D'Or, The Links, Moderation Management, Narcotics Anonymous, and SMART Recovery, have attracted tens of millions of individuals seeking to address addiction problems with drugs or alcohol. This book provides an integrative, international review of research on these organizations, focusing in particular on the critical questions of how they affect individual members and whether self-help groups and formal health care systems can work together to combat substance abuse. Keith Humphreys reviews over 500 studies into the efficacy of self-help groups as an alternative and voluntary form of treatment. In addition to offering a critical review of the international body of research in this area, he provides practical strategies for how individual clinicians and treatment systems can interact with self-help organizations in a way that improves outcomes for patients and for communities as a whole.
In 1977, the current editors contributed a review article on behavioral group therapy to a volume of Hersen, Miller, and Eisler's Progress in Behavior Modi fication series (1977). At that time we noted that, despite the advantages to both clinicians and clients of conducting behavioral treatments in groups, clinical developments and research in this area were still at a relatively rudimen tary level. The majority of studies in the behavioral group therapy literature we reviewed reported the direct transfer of an individual behavior therapy pro cedure, such as systematic desensitization, to a group of clients with homoge neous problems, such as snake phobia or test anxiety. Groups were used i...
The stages-of-change model has become widely known as a framework for conceptualizing recovery. Less well known are the processes that drive movement through the stages or how the stages apply to becoming addicted. From Carlo C. DiClemente, codeveloper of the transtheoretical model, this book offers a panoramic view of the entire continuum of addictive behavior change. The author illuminates the common path that individuals travel as they establish and reinforce new patterns of behavior, whether they are developing an addiction or struggling to free themselves from one, and regardless of the specific addictive behavior. The book addresses crucial questions of why, when, and how to intervene to bolster recovery in those already addicted and reach out effectively to people at risk.
From the President of the Research Society on Alcoholism The sixteenth volume of Recent Developments in Alcoholism contains the latest information on the field of alcoholism treatment research. This scholarly volume includes comprehensive reviews of the methodologies available to evaluate treatment outcome, state-of-the art psychosocial interventions, and recent advances in pharmacological adjuncts to treatment that are currently available and those on the brink of application. Other sections of the book address special issues in the treatment of alcohol dependence, including the treatment of the adolescents and other unique populations, the management of tobacco dependence, and the role of ...
Will permit replication of the treatment procedures employed in a multisite clinical trial of patient-treatment matching. Covers: clinical considerations, and practical strategies. Appendices: assessment feedback procedures, MET in the aftercare setting, and therapist selection, training, and supervision in the clinical trial. Reading and additional resources.
Project MATCH, a 5-year study, was initiated by the Treatment Research Branch of NIAAA in 1989. The objective of the project is to determine if varying subgroups of alcohol abusing or dependent patients respond differentially to three treatments: (1) Twelve-step facilitation therapy, (2) Cognitive-behavioral coping skills therapy, and (3) Motivational enhancement therapy. Each treatment is delivered during a 12-week period by trained therapists following a standardized protocol. The twelve-step facilitation approach is grounded in the concept of alcoholism as a spiritual and medical disease. The content of this intervention is consistent with the 12 Steps of Alcoholics Anonymous (AA), with p...