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

209 Pages·2010·1.148 MB·English

by  Marcantonio Spada

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