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 biological functioning and ability in early recovery.
Chapter 10: Step Two, the Journey Continues
Step Two, the Journey Continues
General Therapeutic Considerations
Typically, most clients at this early phase in treatment and recovery are decidedly uncomfortable. They often have to acknowledge and cope with the losses associated with their use; their sobriety allows them to experience the difficult emotions associated with these losses at full volume. This commonly occurs at a time where their brain is just beginning to recover from the damage associated with their dependence, making them particularly vulnerable to both internal and external stressors. The character Suzanne from the movie Postcards from the Edge may have said it best, “Thank GOD I got sober now, so I can be hyperconscious for this series of humiliations.”
Simultaneously, the vast majority of clients at this point ...