As more and more researchers and clinicians recognize group therapy as the primary psychosocial intervention in the treatment of substance abusers, there is a growing need for a comprehensive resource that places the wide range of theories and ideas about the treatment into practical perspective. The Group Therapy of Substance Abuse is the first book to bridge the gap between substance abuse treatment and group psychotherapy by presenting expert analyses that address all major schools of thought. The book includes clinical examples and specific recommendations for treatment techniques, reflecting a variety of viewpoints from the leading clinicians, scholars, and teachers in the field. Because of its therapeutic efficacy and cost effectiveness, group therapy has come to play an increasingly important role as the psychosocial therapy of choice for an ever-increasing numbers of patients with substance abuse disorders. For ease of use, The Group Therapy of Substance Abuse is divided into several sections, including a discussion of the basic theoretical approaches on which most group treatments of substance abusers are based; the uses of group treatment approaches in specific treatment settings; and the uses of group treatment with specific patient populations. The Group Therapy of Substance Abuse also includes diverse perspectives on:
interpersonal and psychodynamic approaches to therapy
cognitive behavioral methods
outpatient, inpatient, and partial-hospitalization groups
network therapy and 12-step groups
treatment of gay, lesbian, bisexual, adolescent, and elderly abusers
therapeutic community groups Essential for professionals who treat substance abusers, The Group Therapy of Substance Abuse is also an excellent textbook for scholars and students in the mental health field. The book adds depth to the practicing (and soon-to-be practicing) clinician's understanding of how best to address the complex problem of addiction. Reviews: “This text, while covering a vast amount of material, is WELL ORGANIZED AND LOGICAL. The editors have brought together a stellar cast of experts who show us how to thoughtfully use a variety of group treatments with a variety of substance abusing populations. This book is a marvelous buffet which provides more than any single provider will need, but certainly offers something for everyone treating substance abusers.”
J. Scott Rutan, PhD, Past President, American Group Psychotherapy Association “Group therapy has been a mainstay of substance abuse treatment and the field needed a comprehensive presentation of the varying approaches used to work with groups of substance abusers. THIS BOOK PROVIDES JUST WHAT HAS BEEN NEEDED. The chapters are well organized . . . many provide useful case material which specifically applies the principles of each therapy method within a group context. PROVIDES A WIDE VARIETY OF OPTIONS for the work of relapse prevention in a chronic relapsing disorder.”
Thomas Kosten, MD, Professor of Psychiatry, Yale University Contents:
About the Editors
Contributors
Foreword
Preface
Acknowledgments Section I: Introduction and General Theoretical Issues
Chapter 1. The Impact of Managed Care on the Group Therapy of Substance Abuse
The Changing Climate of Health Care: Overview of the Problem
Ethical Concerns Emanating from Managed Care Models
Impact of Managed Care on Clinical Substance Abuse Practice
Emerging Trends in Response to Managed Care
Managed Care and Substance Abuse Treatment
Managed Care and Group Psychotherapy
Effect of Managed Care on Therapist Morale
Chapter 2. The Interpersonal Approach
Introduction
Yalom's Interactional Group Psychotherapy
History of IGP and Addiction
Psychodynamic Theories of Addiction and Group Therapy
Contributions of Self-Psychology and Attachment Theory
Implications for Treatment
Conclusion
Chapter 3. The Cognitive Therapy Addictions Group
Introduction and Theory
Overview of the Cognitive Therapy Addictions Group
Structure of the Group
Summary and Conclusions
Chapter 4. Group Therapy for Alcohol Dependence Within a Phase Model of Recovery
Introduction
The Role of Insight
A Phase Model of Recovery
Core Conflicts
Summary and Conclusions
Chapter 5. Self-Medication Theory and Modified Dynamic Group Therapy
Introduction
The Self-Medication Hypothesis: Substance Abuse As a Self-Regulation Disorder
Modified Dynamic Group Therapy (MDGT): General Background
MDGT: Focus and Technical Considerations
MDGT: Phases of the Group
Summary and Conclusions Section II. Specific Treatment Settings and Goals
Chapter 6. Outpatient Groups at Different Stages of Substance Abuse Treatment: Preparation, Initial Abstinence, and Relapse Prevention
Introduction
Group Treatment for Prerecovery Patients: Self-Evaluation Group (SEG)
The Initial Abstinence Group (IAG)
The Relapse Prevention Group (RPG)
Final Comment
Chapter 7. Relapse Prevention Groups in Outpatient Substance Abuse Treatment
Theoretical Background of Relapse Prevention Approaches
The Foundation of Relapse Prevention Models: Marlatt and Gordon (1985)
Relapse Prevention Content Areas
The Application of Relapse Prevention Methods in Group Settings
The Relapse Prevention Group
Evaluation of Relapse Prevention Methods
Summary
Chapter 8. Inpatient Groups and Partial Hospitalization
Introduction: Assessment and Diagnosis
Development of a Treatment Plan
Group Psychotherapy
Other Treatment Strategies and Treatment-Related Issues
Conclusion
Chapter 9. Groups in Therapeutic Communities
The Therapeutic Community Approach
General Elements of Groups
The Tools of Clinical Group Process
The Main Clinical Groups
Seminars, Tutorials, and Workshops for Skill Development
Other TC and Non-TC-Oriented Groups
Groups in Modified TC Programs
Conclusion
Chapter 10. Time-Limited Groups
Introduction
Alcohol Abuse
Cocaine Abuse
Opioid Abuse
Matching Patients and Treatments
Conclusions
Chapter 11. Network Therapy
Introduction
Application of Network Therapy
Recent Research on the Network Technique
Manualized Summary of the Network Technique
Chapter 12. Self-Help Groups and Substance Abuse: An Examination of Alcoholics Anonymous
Introduction
Selected Demographic Characteristics of AA
How SHGs Differ from Professionally Directed Groups
How SHGs Work
Outcomes
Treatment Planning and Pretreatment Issues Section III. Specific Patient Populations—Demographic Issues
Chapter 13. Ethnicity and Culture in the Group Therapy of Substance Abuse
Introduction and Definitions
Ethnicity and Substance Abuse
Ethnicity, Culture, and the Group Treatment of Substance Abusers
Clinical Recommendations
Conclusions
Chapter 14. Group Treatment for Women Substance Abusers
Introduction
Historical Perspective
Pretreatment Issues: Gender and Groups
Treatment and Technique
Summary
Chapter 15. Group Therapy for Substance Abuse with Gay Men and Lesbians
Introduction
The Case for “Gay Substance Abuse Groups”
Common Themes of Being Gay
Current Theory of Homosexuality
The Normative Role of Substances in Gay Life
Substances of Abuse Characteristic of the Gay and Lesbian Community
Group Psychotherapy
Leading a Gay and Lesbian Substance Abuse Group
Summary
Chapter 16. Multidimensional Family Therapy for Adolescent Drug Abuse: Making the Case for a Developmental-Contextual, Family-Based Intervention
Introduction
The Family and Adolescent Drug Abuse
Clinical Implications
Chapter 17. Group Psychotherapy with Drug-Dependent, Dually Diagnosed Adolescents in a Residential Setting
Diagnosis: Its Relationship with Treatment Outcome
Medication: Not a Pharmacological Panacea
The John Dewey Academy
Psychosocial-Eductional Characteristics of Gifted, Self-Destructive Adolescents
Implications of Psychopathology for Treatment
Renegotiating the Parameters of Confidentiality
Group Psychotherapy: Treatment of Choice for Dually Diagnosed, Drug-Dependent Adolescents
Treatment Strategies: The Act of Advocacy
Transference and Countertransference
Clinical Challenges: Self-Disclosure
Conclusion
Chapter 18. Group Psychotherapy for Elderly Substance Abusers
Introduction
Development of Interest in Aging and Substance Abuse
Screening Tools and Assessment Procedures
Group Psychotherapy with Older Male Long-Term Alcoholics
Designing a Treatment Group for Older Women
Other Treatment Considerations
Research Directions
Conclusion Section IV. Specific Diagnostic Populations
Chapter 19. Group Treatment for Patients with Substance Abuse and Schizophrenia
Introduction and Brief Historical Perspective
Treatment Planning
Pretreatment Issues
Stages of Group Development
Techniques
Relevant Research
Chapter 20. Smoking Cessation Treatment Groups
Introduction
Overview of Smoking Cessation Treatment
Treatment Planning Issues
Stages of Group Development
Techniques Used in Smoking Cessation Groups
Relevant Research
Summary and Conclusions
Chapter 21. Medically Ill Substance Abusers in Group Therapy
Introduction
General Issues
Pretreatment Issues
Conduct of Group Therapy
Clinical Examples
Research
Conclusions Section V. Integration and Implications
Chapter 22. Research in Group Psychotherapy for Substance Abuse: Fiction, Fact, and Future
The Fiction, or Prevailing Beliefs
The Facts, or Lack of Them
The Future
Concluding Remarks
Chapter 23. Group Psychotherapy in the Treatment of Addictive Disorders: Past, Present, and Future
Introduction: A Personal Note
Group Therapy in the Past
Group Therapy in the Present
Ethical Considerations
Group Therapy in the Future
Index
Reference Notes Included
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