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 4: A Primer on Therapeutic Practice with Substance Abuse Clients
A Primer on Therapeutic Practice with Substance Abuse Clients
Before proceeding into the clinical work of substance abuse treatment and 12-Steps, let's address the therapeutic setting first. Working with substance abuse is similar in many ways to other clinical work; however, given the nature of the disease there are some notable differences. While everyone approaches office policies in their practice differently, the following outlines clinical procedures specific to our practices, which we hope can serve as examples and a possible framework for your own practice. The chapter concludes by talking about the process of building credibility with your clients.
Substance Dependence and the Therapeutic Frame
The general ground rules for counseling also apply, with only a few caveats, to ...