Introduction to Chemical Dependency Counseling / Edition 1 available in Hardcover
Introduction to Chemical Dependency Counseling / Edition 1
- ISBN-10:
- 0765702894
- ISBN-13:
- 9780765702890
- Pub. Date:
- 03/01/2002
- Publisher:
- Aronson, Jason Inc.
- ISBN-10:
- 0765702894
- ISBN-13:
- 9780765702890
- Pub. Date:
- 03/01/2002
- Publisher:
- Aronson, Jason Inc.
Introduction to Chemical Dependency Counseling / Edition 1
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Overview
Product Details
ISBN-13: | 9780765702890 |
---|---|
Publisher: | Aronson, Jason Inc. |
Publication date: | 03/01/2002 |
Series: | Library of Substance Abuse Treatment |
Edition description: | New Edition |
Pages: | 391 |
Sales rank: | 1,180,755 |
Product dimensions: | 7.26(w) x 10.20(h) x 1.17(d) |
About the Author
Table of Contents
Preface | xiii | |
1 | Introduction to Chemical Dependency Counseling | 1 |
1-1 | The Scope of Chemical Dependency Counseling | 2 |
What Is Chemical Dependency Counseling? | 2 | |
Chemical Dependency Counseling and Other Health Professions | 5 | |
1-2 | History of Chemical Dependency Counseling | 7 |
Early Figures and Movements | 8 | |
Alcoholics Anonymous and the Twelve-Step Movement | 9 | |
The Peer Counseling Movement and Professionalization | 12 | |
Employee Assistance Programs | 13 | |
Therapeutic Communities | 14 | |
1-3 | Professional Counseling and Chemical Dependency | 15 |
Education and Certification | 15 | |
Employment Opportunities | 16 | |
2 | Psychoactive Drugs | 19 |
2-1 | Psychoactive Drugs and the Nervous System | 20 |
Electrical and Chemical Events in Neurons | 21 | |
How Psychoactive Drugs Affect Neurons and the Synapse | 21 | |
Types of Neurotransmitters | 22 | |
2-2 | Depressants | 23 |
Alcohol | 23 | |
Barbiturates And Other Sedative-Hypnotics | 25 | |
Benzodiazepines | 25 | |
Mechanisms of Action | 26 | |
2-3 | Opioids | 26 |
Morphine and Other Prescription Opioids | 26 | |
Heroin | 26 | |
Methadone | 27 | |
Mechanisms of Action | 28 | |
2-4 | Stimulants | 28 |
Cocaine | 28 | |
Amphetamines | 29 | |
Mechanisms of Action | 30 | |
2-5 | Hallucinogens | 30 |
Lysergic Acid Diethylamide | 31 | |
Phencyclidine | 31 | |
Mechanisms of Action | 32 | |
2-6 | Cannabinoids | 32 |
Marijuana and Hashish | 32 | |
Mechanisms of Action | 33 | |
2-7 | Inhalants | 34 |
Types of Inhalants | 34 | |
Psychoactive Effects and Mechanisms of Action | 34 | |
3 | The Assessment of Chemical Dependency | 37 |
3-1 | The Clinical Interview | 38 |
Underreporting of Drug Use | 38 | |
Types of Interviews | 38 | |
Interview Strategies | 39 | |
3-2 | Substance Abuse Assessment Instruments | 42 |
Screening Instruments | 42 | |
Structured Interview Schedules | 44 | |
Assessment of Motivation for Change | 46 | |
3-3 | Psychological Testing | 47 |
Characteristics of Psychological Tests | 47 | |
Self-Report Inventories | 48 | |
Projective Tests | 49 | |
Intelligence and Neuropsychological Tests | 50 | |
3-4 | Laboratory Analysis | 51 |
History and Rationale of Drug Testing | 51 | |
Drugs Tested and Characteristics of Drug-Testing Methods | 52 | |
Types of Biological Specimens Analyzed | 53 | |
4 | Diagnosis and Types of Chemical Dependency | 57 |
4-1 | The Scope of Psychoactive Drug Use | 58 |
Epidemiology of Psychoactive Drug Use | 58 | |
The National Household Survey | 58 | |
The Monitoring the Future Study | 59 | |
4-2 | The Diagnosis of Substance-Related Disorders | 61 |
Substance-Related Disorders and the DSM-IV | 61 | |
Substance Abuse | 62 | |
Substance Dependence | 64 | |
Substance Withdrawal | 66 | |
4-3 | The Course of Substance Abuse and Dependence | 68 |
General Trends | 68 | |
The Course of Alcohol and Drug Dependence | 69 | |
4-4 | Types of Alcoholism | 70 |
Early Views of Alcoholism Types | 70 | |
The Type 1-Type 2 Model | 71 | |
A Biopsychosocial Model | 72 | |
The Type A-Type B Model | 73 | |
Alcoholism Types: An Integration | 73 | |
5 | Development and Chemical Dependency | 77 |
5-1 | Principles of Human Development | 78 |
The Developmental Perspective | 78 | |
Developmental Models and Chemical Dependency | 81 | |
5-2 | Developmental Research | 83 |
Retrospective Research | 83 | |
The Longitudinal Method | 83 | |
Vulnerability, Risk, and Protection | 83 | |
5-3 | Drug Use Across the Life Span | 87 |
Childhood | 87 | |
Adolescence | 89 | |
Adulthood | 92 | |
6 | Causes of Chemical Dependency | 97 |
6-1 | Biology of Chemical Dependency | 98 |
The Disease Model of Chemical Dependency | 98 | |
Hereditary Influences | 99 | |
Neurophysiology of Addiction | 101 | |
6-2 | Personality and Chemical Dependency | 103 |
Psychodynamic Views | 103 | |
Personality Traits | 104 | |
6-3 | Learning and Chemical Dependency | 106 |
Classical Conditioning | 107 | |
Operant Conditioning | 107 | |
6-4 | Cognitive Influences on Chemical Dependency | 109 |
Social Learning and Social Cognitive Theory | 109 | |
Expectancy Theory | 111 | |
6-5 | Motivation and Emotion | 112 |
Tension and Stress Reduction | 112 | |
6-6 | Sociocultural Influences | 114 |
The Family | 114 | |
Social Factors | 116 | |
7 | Chemical Dependency and Physical Health | 121 |
7-1 | General Health Risks | 122 |
Complications Due to Route of Administration | 122 | |
Overdose and Withdrawal | 123 | |
7-2 | Cardiovascular Disorders | 124 |
The Heart and Cardiovascular Function | 124 | |
Alcohol and the Cardiovascular System | 124 | |
Cocaine and the Cardiovascular System | 126 | |
7-3 | Neurological Disorders | 126 |
Alcohol and Neurological Damage | 126 | |
Cocaine and Neurological Damage | 127 | |
7-4 | Liver, Gastrointestinal, and Pancreatic Disorders | 128 |
Liver Disease | 128 | |
Gastrointestinal Disorders | 129 | |
Pancreatic Disorders | 130 | |
7-5 | Immune System Disorders | 130 |
The Immune System | 130 | |
AIDS and HIV Infection | 131 | |
Drug Use and AIDS | 131 | |
Sexual Behavior and AIDS | 132 | |
Drug Use, HIV/AIDS, and Tuberculosis | 134 | |
7-6 | Prenatal Exposure to Drugs | 135 |
Mechanisms of Prenatal Exposure | 135 | |
Alcohol | 136 | |
Cocaine and Opioids | 136 | |
8 | Chemical Dependency and Mental Health | 139 |
8-1 | What is Mental Health? | 140 |
Concepts of Mental Health | 140 | |
Drug Use and Mental Disorders | 142 | |
8-2 | Cognitive and Perceptual Disorders | 144 |
Delirium | 144 | |
Dementia and Amnesia | 145 | |
Flashbacks | 146 | |
8-3 | Anxiety Disorders | 146 |
Types of Anxiety Disorders | 146 | |
Substance Use and Anxiety Disorders | 148 | |
8-4 | Mood Disorders | 149 |
Types of Mood Disorders | 149 | |
Substance Use and Mood Disorders | 150 | |
8-5 | Psychotic Disorders | 152 |
Schizophrenia | 152 | |
Substance Use and Psychotic Disorders | 153 | |
8-6 | Personality Disorders | 154 |
Types of Personality Disorders | 154 | |
Substance Use and Personality Disorders | 156 | |
8-7 | Impulse Control and Eating Disorders | 158 |
Impulse Control Disorders | 158 | |
Eating Disorders | 159 | |
9 | Chemical Dependency and the Family | 163 |
9-1 | Substance Abuse as a Family Disease? | 164 |
Homeostasis | 165 | |
General Systems Theory | 166 | |
The Addicted Family | 167 | |
9-2 | Major Family Therapy Approaches | 169 |
Strategic Family Therapy | 169 | |
Structural Family Therapy | 172 | |
Experiential Family Therapy | 173 | |
Intergenerational Systems Therapy | 175 | |
Behavioral Family Therapy | 177 | |
Psychodynamic Family Therapy | 177 | |
9-3 | Family Counseling Illustrated: The Baker Family | 179 |
Meeting the Baker Family: Initial Session | 179 | |
Asking Questions and Sorting Issues | 182 | |
Strategic Approach with the Bakers | 184 | |
Structural Approach with the Bakers | 185 | |
Experiential Approach with the Bakers | 187 | |
Intergenerational Systems Approach with the Bakers | 188 | |
Behavioral Approach with the Bakers | 192 | |
Psychodynamic Approach with the Bakers | 193 | |
Substance Abuse Approach with the Bakers | 196 | |
10 | Chemical Dependency and Society | 201 |
10-1 | Social History of Drugs | 202 |
The Ancient World | 202 | |
The Early Modern World | 203 | |
Eighteenth- and Nineteenth-Century America | 204 | |
The Twentieth Century | 205 | |
10-2 | The Sociocultural Context of Drug Use | 205 |
Drugs and Culture | 205 | |
Sociological Perspective on Drug Problems | 207 | |
10-3 | Economic Impact of Chemical Dependency on Society | 208 |
The Cost-of-Illness Method | 209 | |
The External Social Cost Model | 210 | |
Educational Attainment | 211 | |
10-4 | Aggression, Crime, and Chemical Dependency | 211 |
Aggression, Violence, and Drugs | 211 | |
Chemical Dependency and Crime | 212 | |
10-5 | Societal Response to Chemical Dependency | 213 |
Legal and Political Responses | 213 | |
Educational Responses | 214 | |
Health Profession Responses | 214 | |
11 | Principles of Chemical Dependency Counseling | 219 |
11-1 | The Disease Model in Chemical Dependency Counseling | 219 |
The Course of Chemical Dependency | 220 | |
Phases in Chemical Dependency Treatment | 221 | |
11-2 | The Professional Counselor's Role and Tasks | 223 |
Who Is the Chemical Dependency Counselor? | 223 | |
Basic Tasks of Chemical Dependency Counselors | 225 | |
11-3 | The Counselor's Responsibilities | 228 |
Therapeutic Responsibilities | 229 | |
Ethical Responsibilities | 231 | |
Professional Development | 232 | |
12 | Planning, Selecting, and Implementing Treatment | 235 |
12-1 | Treatment Goals and General Principles of Treatment | 236 |
Treatment Goals and Planning Treatment | 236 | |
General Principles of Effective Treatment | 237 | |
Motivation: Treatment Compliance and Involvement | 239 | |
12-2 | Treatment Settings | 240 |
Factors That Determine the Choice of Setting | 240 | |
Types of Treatment Settings | 241 | |
Treatment Setting and Effectiveness | 243 | |
12-3 | Detoxification | 244 |
General Principles | 244 | |
Medications for Detoxification | 244 | |
Outpatient and Inpatient Detoxification | 245 | |
12-4 | Pharmacotherapy | 246 |
Rationale for Pharmacotherapy | 246 | |
Drugs to Decrease the Reinforcing Effects of Abused Substances | 246 | |
Drugs That Discourage the Use of Abused Substances | 247 | |
Agonist Substitution Drugs | 248 | |
Medications to Treat Comorbid Mental Disorders | 249 | |
12-5 | Self-Help Groups and Psychosocial Treatments | 250 |
Self-Help Groups | 250 | |
Individual, Group, and Family Therapies | 251 | |
An Evaluation of Individual, Group, and Family Therapies | 252 | |
12-6 | Manual-Guided and Other Treatment Modalities | 253 |
Treatments to Enhance Motivation | 253 | |
Cognitive-Behavioral Coping Skills Therapy | 254 | |
Twelve Step Facilitation Therapy | 255 | |
Matching Treatments to Patient Needs | 255 | |
13 | Counseling Schools and Techniques | 261 |
13-1 | Schools of Counseling | 262 |
Behavioral Counseling | 263 | |
Client-Centered Counseling | 264 | |
Cognitive Counseling | 264 | |
Existential Counseling | 265 | |
Gestalt Counseling | 267 | |
Psychodynamic Counseling | 268 | |
Substance Abuse-Specific Counseling | 271 | |
Counseling Schools and Counseling Techniques | 273 | |
13-2 | Relationship-Focused Techniques | 273 |
Establishing Rapport | 274 | |
Active Listening | 274 | |
Confrontation | 275 | |
13-3 | Emotion-Focused Techniques | 276 |
Reflection | 276 | |
Affect Labeling | 276 | |
Relaxation Training | 277 | |
13-4 | Cognition-Focused Techniques | 278 |
Education | 279 | |
Interpretation | 281 | |
Exploration and Clarification | 283 | |
Making Drink/Drug Signals Conscious | 283 | |
13-5 | Behavior-Focused Techniques | 284 |
Direct Guidance | 284 | |
Modeling |
What People are Saying About ThisDan Gilhooley
Drs. Levin, Culkin, and Perrotto are to be commended for writing a clear, straightforward introduction to the very complex, multidisciplinary field of chemical dependency counseling. This book is broad and comprehensive in scope, combing the findings of current scientific research with an evolutionary view of significant theories relating to addiction. The design of the book is 'learner-centered,' making it an excellent choice for college-level introductory courses on the topic. Student learning is targeted in each chapter by an initial statement of learning objectives, while chapters conclude with a summary of the central ideas covered. The text makes frequent and effective use of citations, and the extensive bibliography of current and historically significant work in the field will stimulate student research. This introductory text is so comprehensive that it will become a valued resource to be used again and again by students as they move through the various courses comprising their curriculum. From the B&N Reads Blog
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