Table of Contents
Preface ix
1 What Is Addiction? 1
Learning Objectives 1
Introduction 7
Addiction-A Working Definition 2
Addiction and Neuroscience 15
Including the Family: Stories of Impacted Families 19
Conclusion 29
Skill Builder 29
Skill Builder Responses 32
2 Helping Clients and Families Understand Addictions: Etiological Theories and Models 39
Learning Objectives 39
Introduction 39
Theory, Theory, Theory… Why Can't We Just Wing It? 41
Moving from Moral to Multifaceted-A Discussion of Addiction Theories 45
Conclusion 89
Skill Builder 92
Skill Builder Responses 93
3 Key Family Counseling Constructs and Assessment Strategies 103
Learning Objectives 103
Introduction 103
What is Family Counseling? 105
Common Family Counseling Terms and Constructs 106
The Clinical Family Addictions Assessment 113
Drug Detection Testing and Specialty Assessment Instruments 136
Conclusion 150
Skill Builder 150
Skill Builder Responses 152
4 The Sequential Family Addictions Model: Setting the Stage for a New Approach to Working with Addicted Families 156
Learning Objectives 156
Introduction 156
Let's Talk about Change 159
The Sequential Family Addictions Model: An Overview 167
Conclusion 169
Skill Builder 170
Skill Builder Responses 171
5 The Sequential Family Addictions Model: Motivational Interviewing and Solution Focused Family Therapy 174
Learning Objectives 174
Introduction 174
Stage One: Motivational Interviewing 175
Stage Two: Solution-Focused Family Therapy 192
Conclusion 204
Skill Builder 205
Skill Builder Responses 207
6 The Sequential Family Addictions Model: Structural Family Counseling and Cognitive Behavioral Family Therapy 210
Learning Objectives 210
Introduction 210
Stage Three: Structural Family Counseling 211
Stage Four: Cognitive-Behavioral Family Therapy 226
Conclusion 240
Skill Builder 240
Skill Builder Responses 242
7 The Sequential Family Addictions Model: Extended Family Systems, Modified Intergenerational Family-of-Origin Therapy and Object Relations Family Therapy 246
Learning Objectives 246
Introduction 247
Why These Theories Work in Action, Maintenance, and Relapse 247
Stage Five: Extended Family Systems Counseling 249
Stage Six: Modified Intergenerational Family-of-Origin Therapy 261
Stage Seven: Psychodynamic Object Relations Family Therapy 270
Conclusion 277
Skill Builder 278
Skill Builder Responses 279
8 Special Topics in Counseling Addicted Families: Counseling Non-Addicted Family Members, Social Justice, Suicide Assessment, and Forgiveness 283
Learning Objectives 283
Introduction 284
Counseling Non-Addicted Family Members 284
Social Justice 292
Suicide Assessment 296
Forgiveness 309
Conclusion 316
Skill Builder 317
Skill Builder Responses 319
Index 324
