Applied Cognitive and Behavioural Approaches to the Treatment of Addiction: A Practical Treatment Guide PDF
Preview Applied Cognitive and Behavioural Approaches to the Treatment of Addiction: A Practical Treatment Guide
Applied Cognitive and Behavioural Approaches to the Treatment of Addiction A Practical Treatment Guide Luke Mitcheson Jenny Maslin Tim Meynen Tamara Morrison Robert Hill Shamil Wanigaratne A John Wiley & Sons, Ltd., Publication Applied Cognitive and Behavioural Approaches to the Treatment of Addiction ‘The ways in which we interact with our clients are the essential tools of our trade. The National Institute for Clinical and Health Excellence has already pub- lished rigorous analyses of the evidence for various psychological approaches. But, until now, we have not had an authoritative guide to the relevant cognitive and behavioural therapeutic techniques. This book fi lls that void. It is easy to read and draws on the authors’ wealth of experience of working with clients with drug and alcohol problems. I expect this book rapidly to become a well-thumbed and widely-borrowed book which will help us all to improve the competence and quality of the interventions that we deliver.’ Professor John Strang, Director, National Addiction Centre, London Applied Cognitive and Behavioural Approaches to the Treatment of Addiction A Practical Treatment Guide Luke Mitcheson Jenny Maslin Tim Meynen Tamara Morrison Robert Hill Shamil Wanigaratne A John Wiley & Sons, Ltd., Publication This edition fi rst published 2010 © 2010 John Wiley & Sons Ltd. Wiley-Blackwell is an imprint of John Wiley & Sons, formed by the merger of Wiley’s global Scientifi c, Technical, and Medical business with Blackwell Publishing. Registered Offi ce John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK Editorial Offi ces The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK 9600 Garsington Road, Oxford, OX4 2DQ, UK 350 Main Street, Malden, MA 02148-5020, USA For details of our global editorial offi ces, for customer services, and for information about how to apply for permission to reuse the copyright material in this book please see our website at www. wiley.com/wiley-blackwell. The right of the authors to be identifi ed as the author of this work has been asserted in accordance with the UK Copyright, Designs and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher. Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold on the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought. Library of Congress Cataloging-in-Publication Data Applied cognitive and behavioural approaches to the treatment of addiction : a practical treatment guide / Luke Mitcheson ... [et al.]. p. cm. Includes bibliographical references and index. ISBN 978-0-470-51062-9 (cloth) – ISBN 978-0-470-51063-6 (pbk.) 1. Substance abuse– Treatment. 2. Compulsive behavior–Treatment. 3. Cognitive therapy. 4. Behavior therapy. I. Mitcheson, Luke. RC564.A65 1010 616.86–dc22 2009053118 A catalogue record for this book is available from the British Library. Set in 10 on 12 pt Galliard by Toppan Best-set Premedia Limited Printed in Singapore by Markono Print Media Pte. Ltd. 1 2010 Contents About the Authors vii Foreword ix Preface xiii List of Abbreviations xv Acknowledgements xvii Chapter 1 Introduction to CBT for Substance Use Problems 1 Chapter 2 Cognitive and Motivational Theories of Addiction 21 Chapter 3 Fundamentals of Treatment 41 Chapter 4 Enhancing Motivation to Change 61 Chapter 5 Assessment and Introducing CBT to Clients 75 Chapter 6 Formulation 89 Chapter 7 Introduction to Substance-related Cognitions and Interventions 99 Chapter 8 A Basic Framework for Working with Substance-related Beliefs 113 vi Contents Chapter 9 Additional Techniques to Facilitate Cognitive Change 123 Chapter 10 Behavioural Experiments 141 Chapter 11 Behavioural Interventions 149 Chapter 12 Working with Emotions 177 Chapter 13 CBT and Pathways to Recovery 191 References 211 Index 217 About the Authors Luke Mitcheson BSc, MSc, D.Clin.Psych. has 15 years ’ experience working as a Clinical Psychologist in substance misuse services. He is a Consultant Clinical Psychologist and is the lead psychologist in the South London and Maudsley NHS Foundation Trust, Lambeth addictions services. He is also an accredited psycho- therapist with the British Association for Behavioural and Cognitive Psychotherapies. He has developed services for stimulant drug users and has been involved in research projects looking at applied psychosocial interventions for the treatment of substance use problems. He is also involved in training and supervision of staff to develop their psychosocial skills and practice. He is seconded to the National Treatment Agency as part of the clinical team and holds an honorary lecturership at the Institute of Psychiatry, Kings College, London. Jenny Maslin is a Clinical Psychologist who has worked in Substance Misuse Services for South London and Maudsley NHS Foundation Trust, Lambeth for the last fi ve years. She works with clients at varying stages of their substance use career, who use a variety of substances and experience a range of psychological problems. She also provides training, along with her co- f acilitators, in the use of cognitive and behavioural therapy for clients with substance use and co -m orbid diffi culties. Tim Meynen is a Chartered Clinical Psychologist who has worked in Community and Criminal Justice Substance Misuse Services for South London and Maudsley NHS Foundation Trust, Lambeth for the last six years. He provides cognitive and behavioural therapy training and supervision to both addictions and adult mental health staff for clients with substance use and co -m orbid diffi culties. Tamara Morrison BSc Hons, D.Clin.Psych has worked in clinical and research posts in a number of South London mental health services since completing a viii About the Authors degree in Human Psychology at Aston University in 1999. She qualifi ed as a Clinical Psychologist in 2005 from University College, London, and has since been working as a Clinical Psychologist in Lambeth Community Drug and Alcohol Team. She has worked with both statutory and non - statutory drug services. Since 2009, Tamara has also been working in the Islington Psychology Assessment and Treatment Service, which became a site for Improving Access to Psychological Therapies in September 2009. Robert Hill BSc, MSc, MA, PhD, Psych.D has worked in the fi eld of mental health since 1983. Since 1999 he has worked as lead Clinical Psychologist for inpatient addictions at the South London and Maudsley NHS Foundation Trust, Lambeth. He has also worked as a Senior Lecturer at Middlesex University, jointly managing a three- year European project focusing on the reduction of patient violence, stress and burnout among community and inpatient mental health per- sonnel in Denmark, Finland, Norway, Poland and the UK. He has a particular interest in philosophy and holds an MA in Modern European Philosophy. Shamil Wanigaratne BSc, D.Clin.Psych, C.Psychol, AFBPsS is Consultant Clinical Psychologist and Head of Clinical Psychology of the Addictions Division at the South London and Maudsley NHS Foundation Trust, Lambeth. He is also Honorary Senior Lecturer at the Institute of Psychiatry, Kings College, London. Throughout his career he has worked to combine clinical practice with academic research. He is currently involved in a number of research collaborations. His clinical and research interests include cognitive and neuropsychological aspects of addictions, initiation and maintenance of behaviour change, outcome measure- ment, culture and substance misuse, psychological impact of trauma and the association between trauma and addictive behaviours. He has acted as a consultant to various UK government bodies. He has also acted as an international consultant in a number of countries and was one of the founding members of the British Psychological Society’ s Special Interest Group in Addictions, which is now the Faculty of Addiction. He co- founded the UK − Sri Lanka Trauma Group in 1996 and was the fi rst chair. He was also involved in setting up the fi rst clinical psychology training course in Sri Lanka, at the University of Colombo.
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