• 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 One, the Journey Begins
Step one, the journey begins

All of the previous chapters focused on the various tools and concepts inherent in substance abuse therapy and a 12-Step Program. The next three chapters integrate that knowledge and techniques with each Step, providing a road-map for clinicians in their efforts to merge these two philosophies. Each chapter follows a similar format. We first cover general considerations at this stage in the recovery process and then talk about the key concepts within each Step, therapeutic issues and interventions to address those concepts, and finally warning signs and prevention strategies for relapse.

Step One ushers in the beginning work of recovery starting with the first day of sobriety. In actuality, Step One most likely began in the moments ...

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