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Addiction - Psychology and Treatment
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Addiction - Psychology and Treatment
von: Paul Davis, Robert Patton, Sue Jackson
Wiley-Blackwell, 2017
ISBN: 9781118489765
336 Seiten, Download: 10247 KB
 
Format:  PDF
geeignet für: Apple iPad, Android Tablet PC's PC, MAC, Laptop

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Inhaltsverzeichnis

  Addiction 3  
  Table of Contents 7  
  List of Contributors 13  
  Foreword 15  
  Preface 19  
  Notes on Contributors 21  
  PART 1 Understanding the Psychology and Treatment of Addictions 27  
     CHAPTER 1 Addiction: A Comprehensive Approach 29  
        1.1 Introduction 30  
        1.2 Existing theories 31  
           1.2.1 Choice Theories 31  
           1.2.2 Compulsion and Self-Control Theories 32  
           1.2.3 Theories Focusing on the Neural Basis of Reward and Punishment 32  
           1.2.4 Integrated Theories 33  
           1.2.5 The Need for a Synthetic Theory 34  
        1.3 The human motivational system 34  
           1.3.1 Structure of the Motivational System 35  
        1.4 Internal and external sources of influence 37  
           1.4.1 Drives, Emotional States and Arousal 37  
           1.4.2 Self-Control and Identity 38  
        1.5 The dynamics of the system 38  
           1.5.1 The Moment-to-Moment Control of Behaviour 38  
           1.5.2 The Unstable Mind and Chreods 39  
        1.6 Changing dispositions 40  
        1.7 Testing the theory 41  
        Suggestions for further reading 42  
        References 42  
     CHAPTER 2 An Attachment-Informed Approach to Working with Addiction 46  
        2.1 Introduction to attachment 47  
        2.2 Attachment and psychopathology 49  
           2.2.1 Parenting 50  
           2.2.2 Trauma 51  
        2.3 Attachment and addiction 51  
           2.3.1 Emotion Regulation 52  
           2.3.2 Alexithymia 53  
           2.3.3 Interpersonal Difficulties 53  
           2.3.4 Co-Morbid Mental Health Problems 54  
        2.4 Attachment styles in clinical samples 54  
        2.5 Assessment and formulation through an attachment lens 55  
           2.5.1 The Clinical Interview 56  
           2.5.2 Psychometric Approaches 57  
           2.5.3 Transference and Counter-Transference 57  
        2.6 Treatment implications 58  
           2.6.1 Therapeutic Alliance 58  
           2.6.2 Enhancing Skills 59  
           2.6.3 Addressing Issues of Loss 61  
        2.7 Conclusion 61  
        Suggestions for further reading 61  
        References 62  
     CHAPTER 3 Families, Friends and Addiction: Impacts, Psychological Models and Interventions 68  
        3.1 Introduction 69  
        3.2 The composition of alcohol and drug users’ social networks 69  
        3.3 Impacts of addictions on others 70  
        3.4 Theoretical models of addiction and the family: stress-strain-coping-support 73  
        3.5 From models to interventions 74  
           3.5.1 Supporting Family Members in Their Own Right: The 5-Step Method 75  
           3.5.2 Involving Families and Wider Social Networks in Treatment to Support Alcohol- and Drug-Users 77  
        3.6 Conclusion 78  
        Suggestions for further reading 79  
        References 80  
     CHAPTER 4 Working Systemically with Alcohol Misuse 83  
        4.1 Introduction 84  
        4.2 Family life 85  
        4.3 Family systems approaches 86  
           4.3.1 Patterns in Communication 87  
           4.3.2 Patterns in Relationships 87  
           4.3.3 Patterns over Time and Life Cycle Issues 88  
        4.4 Working therapeutically with violence and abuse 90  
        4.5 Engagement and the therapeutic relationship 91  
        4.6 Conclusion 92  
        Suggestions for further reading 92  
        References 93  
     CHAPTER 5 ‘Dangerous Desires and Inanimate Attachments’: Modern Psychodynamic Approaches to Substance Misuse 94  
        5.1 Introduction 95  
        5.2 Primitive emotional states: Kleinian views 96  
        5.3 Comforting self-objects: Kohutian views 98  
        5.4 Inanimate attachments: Bowlbian views 100  
        5.5 Bringing it together: addiction as a disorder of self-regulation 102  
        5.6 Reflective practice 104  
        5.7 Internal recovery 105  
        5.8 Conclusion 107  
        Suggestions for further reading 108  
        References 108  
     CHAPTER 6 Mindfulness, Acceptance and Values in Substance Misuse Services 110  
        6.1 Introduction: what are the principles and methods of mindfulness, acceptance and values? 111  
           6.1.1 Mindfulness 111  
           6.1.2 Acceptance 112  
           6.1.3 Values 113  
        6.2 How does ACT integrate with other approaches? 113  
        6.3 How does the service use these principles and methods of ACT? 116  
        6.4 How do mindfulness, acceptance and values support the resilience of staff in the face of seemingly relentless relapse and other behaviours? 118  
           6.4.1 Mindfulness, Acceptance, Values and the Therapeutic Alliance 118  
           6.4.2 Increasing Openness and Flexibility 119  
           6.4.3 Building and Maintaining Personal Strengths and Resources 119  
        6.5 What are the experiences of staff working with ACT? 120  
           6.5.1 Mindfulness, Acceptance and Values 120  
           6.5.2 Impact on Client Work 121  
           6.5.3 Team Impact 121  
           6.5.4 Concerns 122  
        6.6 What are the experiences of clients working this way? 122  
        6.7 Our experience of ACT 123  
        Suggestions for further reading 124  
        References 124  
  PART 2 Clinical Applications of Addiction Psychology 129  
     CHAPTER 7 The Role of Clinical Psychology within Alcohol Related Brain Damage 131  
        7.1 Introduction 132  
        7.2 Clinical definition of alcohol-related brain damage and related syndromes 132  
        7.3 Epidemiology of ARBD and related syndromes 133  
        7.4 Cognitive function in ARBD 134  
           7.4.1 Cognitive Deficits in ARBD 134  
           7.4.2 Neuropsychological Assessment in ARBD 135  
           7.4.3 Recovery of Cognitive Function in ARBD 136  
        7.5 Psychosocial and cognitive rehabilitation 137  
           7.5.1 Impact of Cognitive Deficits in ARBD and Rationale for Treatment 137  
           7.5.2 Adaptations to Alcohol Treatment Programmes 139  
           7.5.3 Cognitive Rehabilitation from Both ARBD and Brain Injury Settings 140  
           7.5.4 Holistic Rehabilitation for ARBD 142  
           7.5.5 Conclusion 142  
        7.6 Legal framework: mental capacity 143  
           7.6.1 Assessment of Capacity 144  
        7.7 Recovery 144  
        Suggestions for further reading 145  
        References 145  
     CHAPTER 8 Trauma and Addiction 150  
        8.1 Psychological trauma and PTSD 151  
        8.2 The relationship between addiction and psychological trauma 153  
        8.3 Assessment 155  
           8.3.1 The Clinical Interview 156  
           8.3.2 Self-Report Measures 156  
        8.4 Treatment of co-existing trauma and substance use disorders 157  
           8.4.1 Sequential Versus Parallel Treatment 159  
           8.4.2 Trauma-Focused Versus Non-Trauma-Focused Interventions 159  
        8.5 Clinical implications 161  
           8.5.1 Attending to the Therapeutic Relationship 161  
           8.5.2 Identifying Treatment Goals 161  
           8.5.3 Treatment Retention 162  
           8.5.4 Exploring Trauma 163  
           8.5.5 Emotional Reactivity 163  
           8.5.6 Training 164  
        8.6 Conclusion 165  
        Suggestions for further reading 165  
        References 165  
     CHAPTER 9 Narrative Identity and Change: Addiction and Recovery 170  
        9.1 Narrative theory 171  
        9.2 Narrative therapy 171  
        9.3 Narrative theory and addiction 172  
        9.4 Client talk 173  
        9.5 Generating narrative 175  
           9.5.1 Letters 176  
           9.5.2 Chapters 176  
           9.5.3 Evocative Questions 177  
           9.5.4 Poems, Books, Stories 177  
        9.6 Narratives of recovery 178  
        9.7 Varieties of recovery story 178  
        9.8 Conclusion 180  
        Acknowledgements 181  
        Notes 181  
        Suggestions for further reading 181  
        References 182  
     CHAPTER 10 Addiction and Mental Health 184  
        10.1 Introduction 185  
        10.2 Association between substance misuse and psychosis 186  
        10.3 Prevalence and epidemiology 188  
        10.4 Outcomes associated with co-occurring disorders 189  
        10.5 Treatment approach and effectiveness 189  
        10.6 Evidence for effectiveness 190  
        10.7 Conclusion 192  
        Suggestions for further reading 193  
        References 193  
     CHAPTER 11 Substance Misuse in Older Adults 198  
        11.1 Introduction 199  
        11.2 Definition of older adult 199  
        11.3 Alcohol 199  
           11.3.1 Extent and Nature of Alcohol Use and Misuse 199  
           11.3.2 Onset of Alcohol Misuse 201  
           11.3.3 Circumstances that Can Lead to Increased Alcohol Use and Misuse 201  
        11.4 Illicit drug use 202  
           11.4.1 Extent and Nature of Illicit Drug Use 202  
           11.4.2 Onset of Illicit Drug Use 203  
           11.4.3 Circumstances that Can Lead to Late-Onset Drug Use 203  
        11.5 Medication misuse 204  
           11.5.1 Extent and Nature of Medication Misuse 204  
           11.5.2 Onset of Medication Misuse 205  
           11.5.3 Risk Factors for Medication Misuse in Older Adults 205  
        11.6 Assessment of older people with substance misuse 205  
           11.6.1 Principles of Assessment 205  
           11.6.2 Systematic Assessment 206  
           11.6.3 Identifying Substance Misuse 206  
           11.6.4 Screening and Identification 208  
           11.6.5 Mental State Examination 208  
           11.6.6 Physical Examination 209  
           11.6.7 Referral to Other Services 209  
        11.7 Psychosocial interventions 210  
           11.7.1 Brief Advice 210  
           11.7.2 Motivational Interviewing 210  
           11.7.3 Supporting Families and Carers 211  
        11.8 Legal and ethical considerations 211  
           11.8.1 Mental Capacity 211  
           11.8.2 Elder Abuse 212  
           11.8.3 Mental Health Act 212  
        11.9 Using and evaluating health and social outcomes 212  
        11.10 Conclusion 213  
        Suggestions for further reading 214  
        References 214  
     CHAPTER 12 Issues Arising in Hepatitis C Work: The Role of the Clinical Psychologist 219  
        12.1 Introduction 220  
        12.2 Hepatitis C background: the virus and treatment 220  
        12.3 Social and clinical characteristics of the HCV patient population 221  
        12.4 HCV treatment challenges 222  
        12.5 Pegylated Interferon-related adverse psychiatric side-effects 223  
        12.6 HCV-infected mental health populations 224  
        12.7 So what is the role of the psychologist? 226  
           12.7.1 Promoting Treatment Access for People with ‘Severe Psychiatric Condition’ 228  
           12.7.2 Systematic Identification of Mental Health Problems 229  
           12.7.3 Intensive Case Management Approach 230  
           12.7.4 Promoting Resilience 231  
        12.8 Psychological stepped-care model in HCV treatment 232  
        12.9 Future challenge 234  
        12.10 Conclusion 234  
        Suggestions for further reading 235  
        References 235  
     CHAPTER 13 The Psychology and Treatment of Gambling Disorders 239  
        13.1 Introduction 240  
        13.2 Definition 240  
        13.3 Prevalence 241  
        13.4 Demographic risk factors 242  
           13.4.1 The Pathways Model of Problem Gambling 242  
           13.4.2 The ‘Behavioural Conditioned’ Group 242  
           13.4.3 The ‘Emotionally Vulnerable’ Group 245  
           13.4.4 The ‘Antisocial Impulsivist’ Group 246  
           13.4.5 Conclusion 248  
        13.5 Treatment of gambling disorders 248  
           13.5.1 Cognitive-Behavioural Interventions 248  
           13.5.2 Brief Interventions 249  
           13.5.3 Fellowship and Self-Help 249  
           13.5.4 Family Therapy and Concerned Significant Others 249  
           13.5.5 Pharmacological Interventions 249  
        13.6 Personal comment and reflections 250  
        13.7 Conclusion 250  
        Suggestions for further reading 251  
        References 251  
     CHAPTER 14 Alcoholics Anonymous and 12 Step Therapy: A Psychologist’s View 256  
        14.1 Introduction: personal context 257  
        14.2 History 258  
        14.3 Philosophy 259  
        14.4 How does it work? 261  
           14.4.1 AA: Group Therapy 261  
           14.4.2 AA: Psychosocial Change 262  
           14.4.3 AA: Narrative Change 263  
           14.4.4 AA: Structure of Care and Regulation 265  
        14.5 What can psychologist and helping professionals do? 265  
        14.6 Criticisms of AA 266  
        14.7 Postscript 267  
        Notes 267  
        Suggestions for further reading 268  
        References 268  
     CHAPTER 15 Relapse Prevention: Underlying Assumptions and Current Thinking 271  
        15.1 Introduction 272  
        15.2 What is relapse prevention? 272  
           15.2.1 Relapse Prevention Is the Sufficient Effect 273  
           15.2.2 Reoccurrence of the Original Behaviour: A Philosophical Conundrum 273  
        15.3 Models of relapse prevention 276  
           15.3.1 The Original Model of Relapse Prevention (Marlatt & Gordon, 1985) 276  
           15.3.2 The Dynamic Model of Relapse (Witkiewitz & Marlatt, 2004) 278  
           15.3.3 Mindfulness-Based Relapse Prevention (MBRP 279  
        15.4 Addressing co-existing mental health 280  
        15.5 Neuropsychological and associated difficulties when undertaking RP 281  
        15.6 Conclusion 283  
        Suggestions for further reading 284  
        References 285  
     CHAPTER 16 Working with Ambivalence about Change: Motivational Interviewing 288  
        16.1 Introduction 289  
        16.2 Definition 289  
        16.3 Historical perspective 290  
        16.4 Theoretical influences 291  
        16.5 The spirit of MI 292  
        16.6 Change talk, sustain talk and discord 292  
        16.7 The four MI processes 293  
           16.7.1 Engaging 294  
           16.7.2 Focusing 294  
           16.7.3 Evoking 294  
           16.7.4 Planning 294  
        16.8 Core MI skills 295  
           16.8.1 OARS: Open-Ended Questioning 295  
           16.8.2 OARS: Affirming 295  
           16.8.3 OARS: Reflections 296  
           16.8.4 OARS: Summarizing 296  
           16.8.5 Providing Advice and Information with Permission 297  
           16.8.6 Exploring Values and Goals 297  
        16.9 MI strategies more specific to particular processes 297  
        16.10 Evidence for the efficacy of MI 298  
        16.11 Integrating MI with other approaches 300  
        16.12 Using MI in groups 301  
           16.12.1 Clinical Example of an MI Group 301  
        16.13 Learning MI 303  
        16.14 Conclusion 304  
        Suggestions for further reading 305  
        References 305  
     CHAPTER 17 ‘Beyond Workshops’: Turning Evidence for Psychosocial Interventions into Embedded Practice 310  
        17.1 Introduction 311  
        17.2 What is implementation? 311  
           17.2.1 Implementation as a Process 312  
           17.2.2 Implementation in a Context 312  
        17.3 Implementation science 313  
        17.4 Consolidated Framework for Implementation Research (CFIR 313  
           17.4.1 Intervention Characteristics 314  
           17.4.2 Outer Setting 314  
           17.4.3 Inner Setting 314  
           17.4.4 Individuals Involved 315  
           17.4.5 The Implementation Process 316  
        17.5 Implement what? Evidence-based interventions versus evidence-based practices 318  
        17.6 Case studies in Motivational Interviewing and treatment effectiveness (Mapping) 320  
           17.6.1 Motivational Interviewing 320  
           17.6.2 Beyond Workshops 321  
           17.6.3 International Treatment Effectiveness (Mapping) 322  
        17.7 Conclusion 324  
        Notes 326  
        Suggestions for further reading 326  
        References 326  
  Index 329  
  EULA 338  


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