Family Solutions for Substance Abuse: Clinical and Counseling Approaches

236 Pages·2001·5.21 MB·English

by  Eric E. Mccollum

Eric E. McCollum, PhD
Terry S. Trepper, PhD
Family Solutions
for Substance Abuse
Clinical and Counseling
Approaches
Pre-publication
REVIEWS,
COMMENTARIES,
EVALUATIONS ...
JJA
fter decades of working with This is an installation of hope for
substance-abusingfamilies, it the hopeless and for the clinician a
is refreshing to move awayfrom the coursebaseduponjoiningratherthan
disease model of dysfunction to a opposing. It gives the responsibility
more positive focus of strength and andtherespecttothefamihesbecause
competency. these authors trust them to establish
Forstudents,hereisareadabletext their course. Howempowerinp!How
enrichingandyes,refreshing!'
thatpavesthewayfromthebeginning
of treatment through its termination.
Althoughtheworkiscomplex,thisbook
presentsaclearandcompletemodelasa
pathway. It leads everyone involved
JeanSeelig,MEd,CAC
out from under the shameful cloud FamilyTherapist,
of addiction, through the process to AlcoholandDrugServices
healthierfunctioning. ofFairfaxCounty,Virginia
More pre-publication
REVIEWS, COMMENTARIES,EVALUATIONS ...
"I "M
n FamilySolutionsfor Substance cCollumandTrepper'sfam-
Abuse, McCollum and Trepper ily-centered and solution
have provided the substance abuse focused guide is a unique opportu
treatment field with a valuable new nity for substance abuse treatment
resource. Though a large amount of professionalstoprovideaholisticap
research has documented family in proach,whilestillhonoringtheirpro
volvement contributing significantly fessionaltraining,whenworkingwith
topositivesubstanceabusetreatment persons with alcoholism or chemical
outcomes,fewresourcesexisttoassist addiction. The basis premise for the
substanceabusecounselorsinprovid family-centeredandsolution-focused
ingtheseservices.Thisbookprovides guide is that the substance abuse
alltheessentialnutsandboltsoffam treatmentclient,regardless of her or
ily work in one volume. It presents his familial status, presentsherselfor
botha well-roundedoverviewof the himselfintothecounselor/clienttreat
basicconstructsoffamilyandsystem ment relationship with past, present,
theory and clearly understandable andfuturehistoryof'family.'Thebook
family assessment and intervention is a thorough, step-by-step working
strategies.Inaddition,itsuseofmany manual for the substance abuse treat
caseexamplesandmetaphorsgreatly mentprofessional."
clarifiestheseconceptsandstrategies.
. Most important, this book pro MaryAnnLaFazia, MSW
vides a path for integrating family Director,WashingtonStateIncentiveGrant,
workinto traditionalsubstanceabuse DepartmentofSocialandHealthServices,
treatment. McCollum and Trepper DivisionofAlcoholandSubstanceAbuse,
haverresented a familyintervention Olympia,WA
mode that can be implemented in a
mannerthatisnotinconflictwithcur
rent group and individual treatment
practices. Substance abuse treatment
professionalswon'thavetostopdoing
those things that they already know
work,buttheynowhaveanopportu
nity to both expand their treatment
repertoireandincreasetheireffective
ness."
EdwardHendrickson,MS, LMFf
ClinicalSupervisor,
ArlingtonCountyAlcoholandDrug
TreatmentProgram,Virginia
Family Solutions
for Substance Abuse
Clinical and Counseling
Approaches
HAWORTHMarriage and the Family
Terry S.Trepper,PhD
ExecutiveEditor
Parents WhoseParents WereDivorcedbyR.Thomas Berner
MultigenerationalFamilyTherapybyDavidS.Freeman
TherapywithTreatmentResistantFamilies:AConsultation-CrisisInterventionModel
byWilliamGeorgeMcCown, JudithJohnson, andAssociates
DevelopingHealthyStepfamilies:TwentyFamilies TellTheirStoriesbyPatriciaKelley
Propagations: ThirtyYearsoflnfluencefrom theMentalResearch InstituteeditedbyJohnH.
WeaklandandWendelA.Ray
StructuredExercisesforPromotingFamilyandGroupStrengths:AHandbookforGroup
Leaders, Trainers,Educators, Counselors, andTherapistseditedbyRonMcManusandGlen
Jennings
MakingFamiliesWorkandWhattoDoWhenTheyDon't:ThirtyGuidesfor ImperfectParents
ofImperfectChildren byBillBorcherdt
FamilyTherapyofNeurobehavioralDisorders: IntegratingNeuropsychologyandFamily
TherapybyJudithJohnson andWilliamMcCown
Parents, Children.andAdolescents:InteractiveRelationshipsandDevelopmentinContextby
Anne-MarieAmbert
WomenSurvivors ofChildhoodSexualAbuse: Healing ThroughGroupWork:BeyondSurvival
byJudyChew
TalesfromFamilyTherapy:Life-ChangingClinicalExperienceseditedbyFrankN.Thomasand
ThoranaS.Nelson
TheTherapist'sNotebook: Homework, Handouts, andActivitiesforUseinPsychotherapyedited
byLornaL.HeckerandSharonA.Deacon
TheWebofPoverty: PsychosocialPerspectivesbyAnne-MarieAmbert
Stepfamilies:AMulti-DimensionalPerspectivebyRoniBerger
ClinicalApplicationsofBowen FamilySystemsTheorybyPeterTitelman
TreatingChildreninOut-of-HomePlacementsbyMarvin Rosen
YourFamily,Inc.:PracticalTipsfor BuildingaHealthyFamilyBusinessbyEllenFrankenberg
Therapeutic Intervention withPoor. UnorganizedFamilies: FromDistresstoHopebyShlomo
A.SharlinandMichalShamai
TheResidential YouthCareWorkerinAction: ACollaborative, Competency-BasedApproachby
RobertBertolinoandKevinThompson
ChineseAmericansandTheirImmigrantParents: Conflict.Identity.andValuesbyMayPaomay
Tung
TogetherThroughThickandThin:AMultinationalPictureofLong-TermMarriagesbyShlomo
A.Sharlin,FlorenceW.Kaslow,andHelgaHernrnerschrnidt
Developmental-SystemicFamilyTherapy withAdolescentsbyRonaldJayWerner-Wilson
TheF;ffectofChildrenonParents.Second EditionbyAnne-MarieAmbert
CouplesTherapy,SecondEditionbyLinda Berg-Cross
FamilyTherapyandMentalHealth: InnovationsinTheoryandPracticebyMalcolmM.
MacFarlane
HowtoWorkwithSexOffenders:AHandbookforCriminalJustice.HumanService,andMental
HealthProfessionalsbyRudyFlora
Family Solutions
for Substance Abuse
Clinical and Counseling
Approaches
Eric E.McCollum, PhD
Terry S. Trepper, PhD
Firstpublished2001byTheHaworthPress
Published2013byRoutledge
2ParkSquare.MiltonPark.Abingdon.OxonOX144RN
711 ThirdAvenue.NewYork.NY10017,USA
RoutledgeisanimprintoftheTaylor& FrancisGroup.aninformabusiness
©2001byTheHaworthPress,Inc.Allrightsreserved.Nopartofthisworkmaybereproduced
or utilized inanyformor by anymeans,electronicormechanical. including photocopying.
microfilm,andrecording,orbyanyinformationstorageandretrievalsystem,withoutpermission
inwritingfromthepublisher.
Clientidentitiesandcircumstanceshavebeenchangedtoprotectconfidentiality.
CoverdesignbyMarylouiseE.Doyle.
libraI")'ofCongreslSCataloging-in·PublicationData
McCollum.EricE.
Familysolutionsforsubstanceabuse:clinicalandcounselingapproachesIEricE.McCollum.
TerryS.Trepper.
p. em.
Includesbibliographicalreferencesandindex.
ISBN978-0-789-00623-3(pbk)
I.Substanceabuse-Palienls-Rehabilitation-Casestudies.2.Substanceabuse- Patients
Familyrelationships--Casestudies. 3.Substanceabuse-Prevention-easestudies. I.Trepper,
TerryS. 11.Title.
RC564.M3262lXXl
616.86'0651---dc21
RCR56C4564
CONTENTS
Chapter1.WhyWorkwithFamilies
inSubstanceAbuseTreatment? 1
"Like aZoomLens ..." 3
WhatThis BookIs About 7
Chapter2.UnderstandingtheFamilyinContext:
FamilySystemsTheoryandPractice 11
Wendy Snyder
Interdependence:TheFamily andIndividual
Development 12
SystemsTheory: The Basisfor Understanding
Interdependence 13
HumanSystemsinPerspective: Family, Culture,
andSociety AsContext 16
MajorSchoolsofFamily Therapy 22
Goals andTechniques:What and HowFamily
TherapistsHelpPeople Change 26
FamilyTherapy Misunderstood: The Issues
of ParentBlame, Biologically BasedDisorders,
andtheDiseaseModel ofAddiction 30
Family-Centered Treatment in aVariety of Settings 33
Chapter3.WhatMakesaDifferenceinTreatment? 39
ClientContributions 40
TheTherapeuticRelationship 48
Hope andExpectancy 50
Therapy Models 52
AFinalWord 52
Chapter4.WorkingwithFamilies:BasicSkills 55
Power DynamicsinFamily Therapy 56
EmotionalIntensity inFamily Therapy 57
Learningto Join with Families 58
Moderating Intensity 64
TheREM Approach to Working withConflict 66
Domestic Violence and Safety 69
UsingGoals to FrameCounseling 82
Attending to Process 83
Summary 85
Chapter5.AssessingMotivation 87
WhatIs Motivation? 88
Visitors 95
Complainants 103
Customers 108
Working with Visitors and Complainants
in the SameFamily 113
Summary 116
Chapter6.Negotiatinga Contractfor Therapy 119
A Vision oftheFuture 120
Making Goals Measurable 123
Resolving Conflicting Goals 125
ContractProblems 134
Chapter7.Problemand SolutionSequences 139
DefiningProblem Sequences 141
SolutionSequences 150
Summary 156
Chapter8.The Ups and Downsof Change 159
Making Change Bigger 161
When ChangeGets Derailed 172
Troubleshooting Relapse Work 178
Summary 179
Chapter9.EndingTreatment 181
Structureofthe Sessions 182
Difference Punctuating Interventions 182
Strategies to MaintainChange 190
Plan for PosttreatmentChallenges 195
Termination Interventions 200
BoosterSessions 201
Termination 207
References 209
Index 217