New York: Guilford. It includes research-based guidelines to help people know whether they are more likely to succeed with moderation or abstinence. Behavioral treatment of problem drinkers: A comparative outcome study of three controlled drinking therapies.? Journal of Consulting and Clinical Psychology, 46 , In four subsequent randomized clinical trials the outcomes for people using this book on their own after one visit were the same on average as for those working with a counselor using the same methods.
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Miller, W. Effectiveness of a self-control manual for problem drinkers with and without therapist contact.?
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International Journal of the Addictions, 16 , Relative effectiveness of bibliotherapy, individual and group self-control training in the treatment of problem drinkers.? Addictive Behaviors, 5 , Focused versus broad spectrum behavior therapy for problem drinkers.? Journal of Consulting and Clinical Psychology, 48 , Harris, K. Behavioral self-control training for problem drinkers: Components of efficacy.?
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Psychology of Addictive Behaviors, 4 , Long-term follow-up showed good maintenance of gains, with the surprise that more people ultimately quit drinking than maintained moderation:. Long-term follow-up of behavioral self-control training. Journal of Studies on Alcohol, 53 , I had guessed that this would happen because people tried moderation and failed, but in fact the common scenario was that ultimate abstainers did manage to drink moderately but reached one or both of two realizations:.
I feel like I ' m walking a tightrope " or " What ' s the point in drinking so little? As might be expected, severity of dependence predicted abstinence higher versus moderation outcomes lower dependence scores , and those are the data we used in Controlling Your Drinking to help people decide which goal might be best for them. The other observation was that when abstainers did drink after moderation training they rarely relapsed; more often they had a few drinks for a day or two and then went back to abstinence.
Bill Miller. The stages are: 1. Precontemplation resisting change and consciousness raising 2. Contemplation emotional arousal and self-reevaluation 3.
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Preparation continuing self-reevaluation and commitment 4. Action countering, environment control and reward 5. Maintenance strategies, self efficacy 6. Recycling learning from "relapse" 7.
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Termination exiting the cycle of change Order this book here! Fletcher For this best-selling book, author Anne Fletcher went straight to the experts: hundreds of men and women who have resolved a drinking problem. She also consulted the scientific literature and leading authorities in the field to come up with this unbiased guide for problem drinkers, one that shatters long-held assumptions about alcohol recovery--such as, "A.
The book is filled with resources for problem drinkers and their families. Order this book here! Physician and psychologist Volpicelli has considerable experience in treating addicts. He met Szalavitz, an addict, on the Internet. Their shared goal is to give potential recovery patients sufficient information about various kinds of problems and treatments to make informed choices that answer their specific, personal needs. Alcoholism, for example, has many causes and several treatments, each with its own philosophy; Volpicelli reports his success with naltrexone.
He and Szalavitz stress the importance of the stages of change in the treatment process. The patient must realize that reaching each stage is a positive step and that progress is to be measured by where one is in relation to where one has been, not by how much further there is to go. Volpicelli emphasizes the importance of relapse prevention and having the right approach to a relapse.
This is realistic, open-minded, and humane guidance for dealing with addiction. All rights reserved Order this book here! Sanchez-Craig, former senior scientist at the Addiction Research Foundation in Toronto, Canada, has helped people overcome drinking problems for over 20 years.
Her methods, which have been tested and have proven effective for hundreds of people, are now available to you in this step-by-step workbook. Highly recommended. To order call The authors help you to imagine a future when drinking is not a problem, using their "miracle picture" technique, and to specify small, concrete, obtainable goals that will make that future a reality. While staying away from providing specific drink limits and amounts, this book helps you to recognize and to increase the times you are "doing things right.
Their Life Process Program for change, which emphasizes natural recovery and living by a set of values that run counter to addiction, will help you aim for and accomplish worthwhile life goals. Vince Fox provides an insider's look at many of the new "independents," self-help groups that have evolved since AA MM was in its infancy, and only briefly mentioned.
If you are searching for the "right" support group that best fits your beliefs and recovery goals, this is the book to read! Insightful for those who choose abstinence or moderation. The authors outline steps for change based on personal responsibility. For people who have a handle on moderation or abstinence but are still not enjoying life. A free catalog of resourses--including excellent audio tapes like, "How To Be Happy Though Human" and "Overcoming Influences of the Past" for working on just about any conceivable problem cna be requested at orders rebt.
Shows women who have had bad experiences in step groups how it is built into those recovery groups and is a common experience for those who become entangled in them. Highly empowering. The more information you have, the better you'll be able to choose whether moderation or abstinence is best for you.
Harm Reduction Psychotherapy: A New Treatment for Drug and Alcohol Problems by Andrew Tatarsky PhD Harm Reduction Psychotherapy: This ground-breaking volume provides readers with both an overview of harm reduction therapy and a series of ten case studies, treated by different therapists, that vividly illustrate this treatment approach with a wide variety of clients. Harm Reduction Psychotherapy and Training Associates offers a "harm reduction" approach to substance use treatment. Research has found that it is easier for some people to begin counseling when specific goals are not required to enter treatment.
In harm reduction treatment, any treatment goal is valid that helps reduce harm to an individual. Therefore, total abstinence is one goal among several alternatives. In other words, abstinence falls under the umbrella of harm reduction.
This results in an approach that tailors the treatment to fit the individual, rather than trying to make the individual fit into a treatment model. Now in it's Second Printing! Read more about 'Harm Reduction Psychotherapy' here or at Dr. Although countless people face alcohol challenges, only a tiny fraction of those people stop drinking and seek treatment to crack the addiction, as Pitt did. Most addictions are challenging to break, and there is not a great deal of clinical evidence available about which substances may be more challenging or simpler to give up using, said Dr.
A person like Pitt has both fame and fortune, but sometimes that is not enough to make someone quit drinking, Swift stated. One of the very first thing that occurs to make men and women dependent on alcohol is that the substance stimulates the release of dopamine, a neurotransmitter connected with pleasurable and satisfying activities, like enjoying a fantastic meal or having sex, Swift said. As a result, the brain learns how to connect alcohol with favorable experiences. But as an individual continues to drink frequently and intensely, a second major alteration takes place. The mind gets sensitized to the production of dopamine and over time, that enjoyment of booze fades, Swift said.
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As the human brain becomes tolerant to alcohol, individuals have to consume more and more, in a sense, to feel good, and this starts the transition from liking alcohol to becoming addicted to it, he mentioned. A third significant alteration takes place with repetitive exposure of the brain to alcohol.
In other words, the mind reacts by becoming more excited by the existence of booze, and even when an individual is not drinking, the brain stays in an energized condition, he noted.
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