• 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.

Substance Dependence—A Relapsing Disease
Substance dependence—A relapsing disease
Setting the Context for Relapse

So, you say you are interested in working with clients who want abstinence from substances as a treatment goal? Congratulations! We hope that this decision was made because you enjoy challenging work with very mixed results (spoiler alert!—many of your clients will relapse, and many of those who relapse will do so repeatedly). As soon as the treatment goal is abstinence, relapse is a very likely possibility. Far more of your clients will relapse than will not. This dynamic makes the work very challenging. If you are going to work with this population, please do not pin your professional satisfaction on clients in your care remaining abstinent. We fully support the notion of abstinence ...

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