• Summary
  • Contents
  • Subject index

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.

Step Three, the Journey Becomes Purposeful
Step three, the journey becomes purposeful

Our work with clients in 12-Steps has revealed a pretty consistent pattern of pacing in working the Steps. Specifically, Steps One through Three are tackled in the first year of recovery at a slow pace, allowing each Step to be thoroughly worked and then reworked as subsequent Steps are negotiated. Sometimes Steps One through Three are worked in conjunction with each other at a client's entrance into recovery, and then worked concurrently together through the first year of sobriety. Regardless of the actual pacing and plan with a sponsor, the first year of sobriety offers fertile ground for therapeutic work in the context of the first three Steps. Additionally, any relapse is thoroughly processed, ...

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