Details of Evidence-Based Treatment for Alcohol and Drug Abuse A Practitioner’s Guide to Theory, Methods, and Practice
Evidence-Based
Treatment for
... [Show More] Alcohol
and Drug Abuse
A Practitioner’s Guide to Theory,
Methods, and Practice
Paul M.G. Emmelkamp
Ellen Vedel
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International Standard Book Number-10: 0-415-95286-7 (Softcover) 0-415-95285-9 (Hardcover)
International Standard Book Number-13: 978-0-415-95286-6 (Softcover) 978-0-415-95285-9 (Hardcover)
Library of Congress Card Number 2006012723
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Library of Congress Cataloging-in-Publication Data
Emmelkamp, Paul M. G., 1949-
Evidence-based treatments for alcohol and drug abuse : a practitioner’s guide to
theory, methods, and practice / Paul M.G. Emmelkamp, Ellen Vedel.
p. ; cm. -- (Practical clinical guidebooks series)
ISBN 0-415-95285-9 (hb. : alk. paper) -- ISBN 0-415-95286-7 (pb. : alk. paper)
1. Substance abuse--Treatment. 2. Evidence-based medicine. I. Vedel, Ellen. II.
Title. III. Series.
[DNLM: 1. Substance-Related Disorders--therapy. 2. Behavior Therapy--methods. 3. Evidence-Based Medicine. WM 270 E54e 2007]
RC564.E46 2007
616.86’06--dc22 2006012723
Visit the Taylor & Francis Web site at
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http://www.routledge-ny.comTo Lotte, Esther, and Julievii
Contents
Preface ix
chapter 1: description of substance abuse and
dependence 1
Phenomenology 1
Epidemiology 9
Comorbid Psychiatric Disorders 11
Etiology 21
Course 28
Associated Problems 29
Diagnostic Issues 35
chapter 2: clinical interventions 43
Motivational Interviewing 43
Coping-Skills Training 51
Cue-Exposure 60
Contingency Management and Community
Reinforcement 63
Behavioral Couple Therapy 69
12-Step Approaches 72
Pharmacotherapy 79
chapter 3: research basis of treatments 85
Motivational Enhancement Therapy 85
Coping-Skills Training 89
Cue-Exposure 94
Contingency Management and the Community
Reinforcement Approach 96
Behavioral Couple Therapy 100
12-Step Approaches 104
Controlled Substance Use Versus Abstinence 108viii Contents
Pharmacotherapy 110
Treatment Matching 115
chapter 4: clinical cases 119
Detoxifcation 120
Clinical Assessment and Treatment Planning 120
An Explanation of Craving 126
The Case of Peter 127
The Case of Jan 139
Macroanalysis 140
The Case of Dianne 145
The Case of Gudrun 152
chapter 5: complicating Factors 157
Interpersonal Violence 157
Other Complicating Factors 191
chapter 6: Maintenance and Follow-up strategies 193
Relapse 193
Maintenance Treatment 195
Harm Reduction 202
References 205
Appendix 261
Index 26 [Show Less]