Integrating 12-Steps and Psychotherapy: Helping Clients Find Sobriety and Recovery
Publication Year: 2014
Integrating 12 Steps and Psychotherapy: Helping Clients Find Sobriety and Recovery presents a practical and applied approach to working with substance dependent clients. Designed to be accessible to a wide and multidisciplinary audience of helpers at all skill levels, this text helps future practitioners fully understand the clinical challenges with substance dependence, adjust their thinking and technique in order to match their client's phase of recovery, and optimize client retention and treatment outcomes. Utilizing educator, training, and practice perspectives, authors Kevin A. Osten and Robert Switzer explore relevant theory and techniques in integrating 12-Steps across a broad range of clinical issues including: the assessment and treatment of resistant and ambivalent pre-recovery clients; boundary setting, undoing antisocial adaption; processing counter transference reactions; and the intersection between ...
- Front Matter
- Back Matter
- Subject Index
- Chapter 1: An Integrated View: Comparing 12-Steps and Psychology
- Chapter 2: Examining the Components of a 12-Step Program: The Benefits and Criticisms
- Chapter 3: A Clinical Perspective on Why 12-Steps Is a Useful Tool for Reversing the Damage Wrought by Substance Dependence
- Chapter 4: A Primer on Therapeutic Practice with Substance Abuse Clients
- Chapter 5: Assessment Considerations and Techniques
- Chapter 6: Therapy Considerations and Techniques
- Chapter 7: Hitting Bottom
- Chapter 8: Substance Dependence – A Relapsing Disease
- Chapter 9: Step One, the Journey Begins
- Chapter 10: Step Two, the Journey Continues
- Chapter 11: Step Three, the Journey Becomes Purposeful
- Chapter 12: An Afterword for Experienced Clinicians Beginning Work with Substance Use Clients
Dr. Osten's Dedication
This book is dedicated to my husband, Dr. Grady L. Garner Jr.; my parents, Clarence and Nancy Osten; my mother-in-law, Omelia Sheppherd; my brothers, Scott and Jason Osten; and to my two dearest friends, Michael Lango and Dr. Kelly Graham-Hoffmann. My love and gratitude to each of you for all of your support.
Dr. Switzer's Dedication
To my husband Michael.… Thanks for riding this current E-ticket ride and looking forward to our next.
Copyright © 2014 by SAGE Publications, Inc.
All rights reserved. No part of this book may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the publisher.
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Library of Congress Cataloging-in-Publication Data
Osten, Kevin A.
Integrating 12 steps and psychotherapy: helping clients find sobriety and recovery / Kevin A. Osten, Chicago Lakeshore Hospital, Robert Switzer Chicago School of Professional Psychology.
Includes bibliographical references and index.
ISBN 978-1-4129-9898-7 (pbk.: alk. paper)
1. Substance abuse—Treatment. 2. Twelve-step programs. 3. Psychotherapy. 4. Addicts—Rehabilitation. I. Switzer, Robert, Psy.D. II. Title.
This book is printed on acid-free paper.
13 14 15 16 17 10 9 8 7 6 5 4 3 2 1
Acquisitions Editor: Kassie Graves
Editorial Assistant: Elizabeth Luizzi
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We would like to acknowledge our colleagues Lee Faver, Lisa Guralnick, and Molly Herron for the precious time they took from their busy lives to review and edit our chapters and give honest and direct feedback. We are eternally grateful to you.
We wish to thank our husbands for their tireless patience and encouragement in helping to move us forward when we paused too long.
We wish to thank Kassie Graves at Sage Publications for her faith in us, and advocacy to get the book deal signed, sealed, and delivered. Kassie, we cannot thank you enough for all that you have done for us. You truly are a gift, and a pleasure to work with—thank you.
We wish to acknowledge and thank our professors and clinical supervisors for their part in molding us into the clinicians we are today. Thank you for inspiring us to do and be better[Page xiv]
… and mostly we wish to thank our patients who honor us with their bravery to face difficult change. You have helped to craft us into the clinicians we are today, by providing endless hours of education on the routes of addiction and recovery. May sobriety, serenity, hope, inspiration, and laughter be forever the guiding winds at your backs.
References[Page 207][Page 208]Alcoholics Anonymous World Services, Inc. (2001). Alcoholics Anonymous: The big book (4th ed.). New York, NY: Author.American Psychological Association. (2000). Diagnostic and statistical manual of mental disorders, DSM-IV-TR (4th ed., revised). Washington, DC: Author.American Society of Addiction Medicine, Inc. (2001). ASAM patient placement criteria for the treatment of substance-related disorders (2nd ed., revised). Chevy Chase, MD: Author.1987). Abstinence violation effect: Validation of an attributional construct with smoking cessation. Journal of Consulting and Clinical Psychology, 55, 145–149. http://dx.doi.org/10.1037/0022-006X.55.2.145, , & (2002). A research agenda for DSM-V. Washington, DC: American Psychiatric Association., , & (1971). Sanity, madness, and the family: Families of schizophrenics. New York, NY: Basic Books.(Matrix Institute on Additions. (2005). The Matrix Model: A 16-week individualized program: Therapist's manual. Center City, MN: Hazelden Publishing.2013). Motivational interviewing: Helping people change. New York, NY: Guilford Press., & (Narcotics Anonymous World Services, Inc. (2008). Narcotics Anonymous (6th ed.). Chatsworth, CA: Author.1990). Postcards from the edge [Motion picture]. United States: Columbia Pictures.(Producer), (Producer/Director), & (Writer). (1992). In search of how people change. Applications to addictive behaviors. American Psychologists, 47(9), 1102–1114. http://dx.doi.org/10.1037/0003-066X.47.9.1102, , & (1951). Client-centered therapy. London, UK: Constable.(2008). “Who wrote the Serenity Prayer?”Yale Alumni Magazine, Vol. LXXI/6. Retrieved from http://www.yalealumnimagazine.com/articles/2143?page=1(2005). The theory and practice of group therapy (, & (5th ed.). New York, NY: Basic Books.
About the Authors[Page 219]
Dr. Kevin A. Osten earned a BA from the University of Wisconsin—Milwaukee, and a Psy. D. in Clinical Psychology from the Illinois School of Professional Psychology. He has worked in psychiatric hospitals for most of the past 20 years, most recently as the Clinical Coordinator of Adult Outpatient Services at Chicago Lakeshore Hospital, where he remains on staff today as an Allied Health Professional. In the past decade, his work has focused on providing clinical care to those in the lesbian, gay, bisexual, transgender, and queer community coping with severe mental illness and/or addictions. He became the Director of the LGBTQ Mental Health and Inclusion Center at the Adler School of Professional Psychology in 2011, where he is also a member of the core faculty in the Doctor of Psychology program. He remains active in his private practice utilizing an integrative approach in psychotherapy.
Dr. Robert Switzer earned a BA from The State University of New York at Buffalo and a Psy. D. in Clinical Psychology from the Illinois School of Professional Psychology. Since 1990, his professional work has concentrated on psychotherapy and diagnostics, with a focus on substance abuse and substance dependence. He works in inpatient and outpatient settings, primarily with adults. He has been an adjunct faculty member at The Chicago School of Professional Psychology since 2000, and a core faculty member since 2008. He continues to be active in his private practice, where he provides individual psychotherapy using an eclectic approach, including aspects of psychodynamic, cognitive-behavioral, Rogerian, and 12-Step techniques. His interests include substance abuse and addictive disorders, 12-Step work, depression, psychodynamic psychotherapy, severe personality disorders, diagnostics, personality assessment, and a recent interest in integrative psychotherapy. Dr. Switzer is also an avid cyclist and can often be found bicycling around the Chicago area, even during weather when he really should be indoors.