- Case 1: Heavy Drinking Related Primarily to Negative Affective States
- Case 2: Heavy Drinking Related Primarily to Positive Affective States and Social Pressure Situations
- Case 3: Heavy Drinking Related Primarily to Positive Affective States
- Case 4: Heavy Drinking Related to Testing Personal Control
- Case 5: Heavy Drinking Across Most Situations
Download Author: Sobell, Linda C. Ph.D. ABPP
Outcomes and Afterthoughts
- The Topography of Outcomes
- Client Perceptions of Guided Self-Management
- Therapist Perceptions of Guided Self-Management
- Therapists’ Impressions
- On Implementing Guided Self-Management Treatment in Clinical Practice
A Self-Management Approach to Treating Problem Drinkers
- Development of a Treatment Tailored to Problem Drinkers
- Nonintensive Treatment
- Motivational Interventions
- Selection of Treatment Goals
- Cognitive Relapse Prevention in Guided Self-Management Treatment
- Evaluations of Relapse Prevention
- Summary and Integration
Assessment: A Running Start
- Entering Self-Management Treatment
- Assessment as a Therapeutic Process
- Selected Assessment Tools and Procedures
Treatment Procedures: Preparation, Goal Setting, Monitoring Drinking
- The Need for Flexibility
- Preparing for Treatment Sessions: The Client’s Obligations
- Preparing for Treatment Sessions: The Therapist’s Obligations
- Starting the First Session: Setting the Tone
- Goal Setting
- Alcohol Education
- Making the Point about Tolerance
- Discussing the Goal Statement with the Client
- Filling Out the Goal Statement
- Self-Monitoring
Treatment Procedures: Readings and Conceptual Framework
The use of readings in guided self-management treatment serves multiple functions:
· They communicate the treatment approach in an understandable and consistent way.
· They provide a framework that clients can use to evaluate and change their own behavior.
· They are constantly available to the client.
· Providing clients with the first reading at assessment helps to capitalize upon the self-change momentum that started when the client called for an appointment.
· The readings and the associated homework provide the “running start” for treatment
· The readings provide background information so that the session time can be spent on assessing the client’s understanding of the treatment approach rather than explaining the approach.
· Compliance with the readings and homework can indicate the client’s commitment to making serious efforts to change.
Homework Assignments: problem drinkers
Examples of homework assignments and their purpose when used to treat problem drinkers.
An Integrated Treatment Program
- The Course of Treatment
- Assessment
- Session 1
- Session 2
- Session 3
- Session 4
Problem Drinkers:Guided Self-Change Treatment
When chronic alcoholics receive the greatest amount of attention both clinically and in the public eye, problem drinkers—those who have identifiable life difficulties due to their drinking but are not severely dependent—actually constitute the majority of people who have trouble dealing with alcohol. Addressing the needs of this specific population, this book presents a program of state-of-the-art motivational interventions that are based on more than two decades of research by the authors. An accessible clinical guide to a highly effective approach, the book takes readers step-by-step through the program’s procedures, emphasizing clinical utility and applicability at each stage. Illustrated with numerous case examples, this unusually practical text also features handouts that can be photocopied for clients. (345 pp.)
Treatment Approaches to Alcohol Problems
- The Evolution of Approaches to the Treatment of Alcohol Problems
- Some Key Issues
- The Role of Outpatient Services
- Nonintensive Outpatient Treatments
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