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Cognitive Behavioural Therapy for Problem Drinking: A Practitioner’s Guide PDF

209 Pages·2010·1.148 MB·English
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Cognitive Behavioural Therapy for Problem Drinking Thisbookservesasaconciseandpracticalguide on the application of cognitive behavioural therapy(CBT)toproblemdrinking.Dividedinto fivechaptersitprovides: a detailed account of the cognitive and behavioural processes involved in the devel- opment and maintenance of problem drinking in-depth coverage of assessment and case formulation and their role in planning and sequencingCBTinterventions concise and practical illustrations of the applicationofCBTinterventionsinpreparing, implementingandmaintainingchange. Cognitive Behavioural Therapy for Problem Drink- Marcantonio Spada is Profes- ing also includes diaries and worksheets for use sorofPsychologicalTherapiesat with the client making it essential reading for London South Bank University all mental health practitioners in the field of in partnership with North East alcohol misuse, as well as a useful resource for London NHS Foundation Trust. thoseintraining. An expert in cognitive beha- vioural theory and therapy for Theappendicesofthisbookcontainworksheets problem drinking, he is a that can be downloaded free of charge to practising clinician with exten- purchasers of the print version. Please visit the siveexperienceofworkingwith website www.cbtarena.com/9780415408769 to problemdrinkers. findoutmoreaboutthisfacility. Cognitive Behavioural Therapy for Problem Drinking A Practitioner’s Guide MARCANTONIO SPADA Firstpublished2010byRoutledge 27ChurchRoad,Hove,EastSussexBN32FA SimultaneouslypublishedintheUSAandCanada byRoutledge 270MadisonAvenue,NewYork,NY10016 RoutledgeisanimprintoftheTaylor&FrancisGroup,anInformabusiness This edition published in the Taylor & Francis e-Library, 2010. To purchase your own copy of this or any of Taylor & Francis or Routledge’s collection of thousands of eBooks please go to www.eBookstore.tandf.co.uk. (cid:216)2010MarcantonioSpada Allrightsreserved.Nopartofthisbookmaybereprintedorreproduced orutilisedinanyformorbyanyelectronic,mechanical,orothermeans, nowknownorhereafterinvented,includingphotocopyingand recording, orinanyinformationstorageorretrievalsystem,without permissioninwritingfromthepublishers. Thispublicationhasbeenproducedwithpapermanufacturedtostrict environmentalstandardsandwithpulpderivedfromsustainableforests. BritishLibraryCataloguinginPublicationData AcataloguerecordforthisbookisavailablefromtheBritishLibrary LibraryofCongressCataloging-in-PublicationData Spada,Marcantonio. Cognitivebehaviouraltherapyforproblemdrinking:apractitioner’s guide/MarcantonioSpada. p.cm. Includesbibliographicalreferencesandindex. ISBN978-0-415-40876-9(pbk.) 1.Alcoholism–Treatment.2. Cognitivetherapy.I.Title. RC565.S642010 616.86'1–dc22 2010008828 ISBN 0-203-84104-2 Master e-book ISBN ISBN:978-0-415-40876-9(pbkonly) In memory of B. Contents List of figures and tables x About the author xii Acknowledgements xiii Preface xiv 1. The cognitive-behavioural therapy approach to problem drinking 1 Introduction 1 Basic processes and therapeutic interventions 1 Empirical research on theory and therapeutic interventions 10 Conceptual frameworks 10 2. Preparing for change 18 Assessment 18 Enhancing motivation for change 29 Case formulation 40 Key issues in therapy 50 3. Implementing change 56 Dealing with stimulus conditions 56 Tackling craving 60 Focusing on skills 67 viii Contents Modifying beliefs 81 Managing negative emotion 91 4. Maintaining change 111 Working with significant others 111 Contingency management 114 Controlled drinking 115 Addressing complicating problems 118 Relapse prevention and the end of therapy 124 5. Practitioner training and clinical supervision 131 Training 131 Clinical supervision 131 Case example 134 Appendices 148 Appendix A Drinking diary 148 Appendix B Drinking decisional balance sheet 149 Appendix C Problems and goals 150 Appendix D Advantages of changing, concerns of changing and responses to concerns 152 Appendix E Examining specific change concerns 154 Appendix F Functional analysis 156 Appendix G Activating event breakdown 157 Appendix H Evidence for and against the uncontrollability of craving 158 Appendix I Decision sheet on past slips 161 Appendix J Decision sheet on upcoming events 162 Contents ix Appendix K Identifying permissive beliefs 163 Appendix L Challenging permissive beliefs 165 Appendix M Identifying positive beliefs 167 Appendix N Challenging positive beliefs 169 Appendix O Hierarchy of difficult situations 171 Appendix P Drinking postponement experiment 172 Appendix Q Activity diary 174 Appendix R Controlled drinking skills 175 Appendix S Controlled drinking programme 176 Appendix T Plan for managing high-risk situations 177 References 178 Index 185

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