• 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.

An Afterword for Experienced Clinicians Beginning Work with Substance Use Clients
An afterword for experienced clinicians beginning work with substance use clients

We find that psychotherapists, especially insight-oriented ones, struggle with the concepts expressed in this text. We recognize and appreciate this struggle, since as therapists we are trained that everything is grist for the mill. We learn to look at how things are said, how meaning is embedded, how it is expressed, and then ultimately repeated in the therapeutic relationship.

Chemical dependency seems to be the perfect fit for this insight- and relationship-oriented approach. The addiction itself is full of meaning: the client's pattern of sabotaging and shattering their lives via the excessive use of an intoxicant; the pattern of attempting to control others around them ...

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