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Counselling Older People with Alcohol Problems PDF

208 Pages·2011·0.72 MB·English
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Counselling older PeoPle with AlCohol Problems of related interest Counselling the Person Beyond the Alcohol Problem Richard Bryant-Jefferies ISBN 978 1 84310 002 7 Person-Centred Counselling for People with Dementia Making Sense of Self Danuta Lipinska Foreword by Brian Thorne ISBN 978 1 84310 978 5 Cognitive Behavioural Therapy with Older People Interventions for Those With and Without Dementia Ian Andrew James ISBN 978 1 84905 100 2 Counselling older PeoPle with AlCohol Problems Mike Fox and LesLey WiLson FoReWoRd by dR MaRtin bLanchaRd Jessica Kingsley Publishers London and Philadelphia Parts of Chapter 12 have been previously published in the Journal of Dementia Care (Fox 2008) and are included with kind permission of Hawker Publications. First published in 2011 by Jessica Kingsley Publishers 116 Pentonville Road London N1 9JB, UK and 400 Market Street, Suite 400 Philadelphia, PA 19106, USA www.jkp.com Copyright © Mike Fox and Lesley Wilson 2011 All rights reserved. No part of this publication may be reproduced in any material form (including photocopying or storing it in any medium by electronic means and whether or not transiently or incidentally to some other use of this publication) without the written permission of the copyright owner except in accordance with the provisions of the Copyright, Designs and Patents Act 1988 or under the terms of a licence issued by the Copyright Licensing Agency Ltd, Saffron House, 6–10 Kirby Street, London EC1N 8TS. Applications for the copyright owner’s written permission to reproduce any part of this publication should be addressed to the publisher. Warning: The doing of an unauthorised act in relation to a copyright work may result in both a civil claim for damages and criminal prosecution. Library of Congress Cataloging in Publication Data Fox, Mike. Counselling older people with alcohol problems / Mike Fox and Lesley Wilson. p. cm. Includes bibliographical references and index. ISBN 978-1-84905-117-0 (alk. paper) 1. Older people--Alcohol use. 2. Alcoholism--Treatment. 3. Older people--Coun- seling of. I. Wilson, Lesley. II. Title. III. Title: Counseling older people with alcohol problems. HV5138.F69 2011 618.97’686106--dc22 2010032216 British Library Cataloguing in Publication Data A CIP catalogue record for this book is available from the British Library ISBN 978 1 84905 117 0 ISBN pdf eBook 978 0 85700 319 5 Printed and bound in Great Britain to Pam with love for constancy and witnessing Contents Acknowledgements 9 Foreword 11 PrefAce 15 Part I A Guide to Understanding the Client Group and an Outline of the Theoretical Model 17 Chapter 1 what distinguishes This Client group? 19 Chapter 2 where to begin? Alcohol and identity: Am i an ‘Alcoholic’? 23 Chapter 3 reasons for drinking: Alcohol and Paradox 31 Chapter 4 A non-directive Approach: Abstinence or moderation? 43 Part II The Therapeutic Process: A Linear Description 47 Chapter 5 First session/Assessment 49 Chapter 6 working with types and Patterns of drinking 59 Chapter 7 Addressing the Problem: Alcohol and the hierarchy of needs 75 Chapter 8 detoxification (detox) 93 Chapter 9 After the drinking Ceases/working with relapse 107 Chapter 10 endings 127 Chapter 11 self Care and the Therapist 137 Part III Working with Complex Needs/Dual Diagnosis 149 Chapter 12 dementia and Alcohol 151 Chapter 13 depression and Alcohol 163 Chapter 14 bipolar disorder and Alcohol 179 APPendix: exercises 193 references 199 index 201 ACknowledgements First we would like to express our warmest thanks to all the people Mike has seen as clients. The practice and philosophy described in this book derives in large part from what has been learned from them. We particularly wish to thank those who have generously allowed material from their counselling sessions to be used as case studies. Some chose to remain anonymous and where necessary we have made alterations to protect their identity and that of their family. Judith Downie, Alex Edwards, Finbar MacDonnell and Bruce Robertson allowed us to mention them here, although where reference has been made to them in the text they appear under pseudonyms or are simply not named. We offer especial thanks to Dr Mari Taber, Mike’s former manager and a pioneer in this field, whose energy, vision and expertise made a path for others to follow. Mari provided the initial support and opportunities without which this book would not have been written. It is impossible to overestimate the value of her contribution in establishing the feasibility of a successful field of treatment for older people with alcohol problems. We would like to thank Geoff Ferguson, Director of CASA, the agency in which the case studies described here took place, for valuable discussions on clinical practice, ethics and a wide range of other issues pertinent to this book. The chapter on assessment draws heavily from an assessment process devised by staff at CASA and we gratefully acknowledge Geoff’s generosity in allowing us to use this. Geoff is a tireless enabler of so many who work in the field of alcohol misuse. 9

Description:
Alcohol misuse is becoming an increasingly significant issue for people aged 55 and over, and providing effective counselling services to this growing client group requires a unique and specialised approach. This practical guide explores the factors that differentiate older drinkers and introduces a
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