Humanizing Addiction Practice PDF
Preview Humanizing Addiction Practice
Humanizing AAAddddddiiiccctttiiiooonnn PPPrrraaaccctttiiiccceee Blending Science and Personal Transformation Antoine Douaihy H. Patrick Driscoll 123 Humanizing Addiction Practice Antoine Douaihy · H. Patrick Driscoll Humanizing Addiction Practice Blending Science and Personal Transformation Antoine Douaihy H. Patrick Driscoll Western Psychiatric Institute and Clinic Western Psychiatric Institute and Clinic University of Pittsburgh School of Medicine University of Pittsburgh School of Medicine Pittsburgh, PA Pittsburgh, PA USA USA ISBN 978-3-319-91004-8 ISBN 978-3-319-91005-5 (eBook) https://doi.org/10.1007/978-3-319-91005-5 Library of Congress Control Number: 2018944121 © Springer International Publishing AG, part of Springer Nature 2018 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by the registered company Springer International Publishing AG part of Springer Nature The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland To Neil Capretto whose gentle spirit, empathy, generosity, and compassion healed innumerable lives. R.I.P., Neil: you are already missed. —Antoine Douaihy To the “Prof,” Harrison J. Pemberton, who blended empathy and understanding into the kind of pedagogy that has become for me the inspiration for every teaching (and learning) moment that I’ve been a part of since he helped me decide on medicine and psychiatry many years ago. —H. Patrick Driscoll Epigraph “I find I am at my best when I can let the flow of my experience carry me….” —Carl Rogers vii Foreword 1 Stories and science. As relational creatures, we are enthralled and inspired by sto- ries of the experiences and adventures of our fellow travelers in life. As rational creatures, we are captivated and intrigued by scientific findings that provide insight into ourselves and our world. This book speaks to both these aspects of our person- hood. It contains personal stories and scientific advances that address the challenges faced by individuals dealing with addiction and by therapists seeking to help them. The lead author, Antoine Douaihy, is a consummate and richly experienced physician-s cientist-teacher of addiction medicine. He is ably assisted by a mentee and colleague, H. Patrick Driscoll, who brings the important perspectives of one newer to the field. Together, they have crafted a very readable and readily accessible summary of what we currently understand about the nature of addiction, and thoughtful and transparent travel logs of those who are on the journey to recovery and of those who are helping them. I highly recommend it to anyone who seeks to advance their abilities to understand and help those dealing with addiction. David A. Lewis, MD Department of Psychiatry and Neuroscience University of Pittsburgh, School of Medicine Pittsburgh, PA USA ix Foreword 2 This is an informative, insightful, and inspiring book that incorporates science, the wisdom of many great thinkers, the experiences of individuals and family members in recovery, and reflections of the authors’ struggles and successes as addiction psychiatrists. Healthcare professionals and others will find many lessons from Dr. Douaihy’s extensive knowledge, clinical savvy, and personal insights about his work with patients and families who live with addiction and, in many cases, co- existing psychiatric and medical disorders. He educates the reader about the major findings from science and debunks some of the awful, negative myths about addic- tion, its treatment, and recovery. The reader learns that there is hope for recovery and that practitioners can make a significant impact if they overcome their personal biases and negative reactions to individuals suffering from an addiction. Numerous clinical stories evidence the emotional and spiritual pain, numerous problems and struggles of patients and families affected by addiction, as well as their growth, resiliency, and recovery. Despite the challenges posed by these com- plex stories, Antoine shows that professionals can make a significant impact if they are empathic, connect and “be with” patients by entering their world, and work col- laboratively in an accepting and nonjudgmental manner. He conveys clearly that his best teachers are his patients and their families. The book shows how he provides hope to patients and family members who often feel despair and hopelessness, and he shares meaningfully in their healing journey. Antoine shows how he successfully blends the “art” of healing as a psychiatrist with the “science” of evidenced-based interventions based on clinical trials. He espouses the importance of religion and spirituality in addiction recovery for many patients, shows there are many pathways to recovery, and understands the pain and heartache of families and the need to consider the impact of addiction on them and engage them in treatment and recovery. He conveys the important role of mutual support programs for individuals with addiction and family members. He under- stands how family systems impact patients and how patients impact the family sys- tem by focusing on much more than symptoms or behaviors associated with an addiction. xi xii Foreword 2 One of the many strengths of this book is Antoine’s self-disclosure about his struggles in practice. Anyone who knows him would describe him as one of the most knowledgeable, skillful, and effective practitioners they have ever met. Yet, he does a remarkable job exposing his vulnerabilities, self-doubt, failures and weak- nesses as a psychiatrist, and feelings of anger and disappointment at patients. His “humanism” shines through, making this book more appealing and readable. I have had the honor of meeting and working with many of the best thinkers (researchers, clinicians, both) about addiction in our country from the top universi- ties and health institutes. I can say that very few are as knowledgeable and skillful as Antoine in clinical care, teaching, and mentoring, and in sharing their experi- ences, facing their limitations, and becoming a more compassionate caregiver. Antoine mentors professionals from numerous disciplines and is an exceptional teacher who is well regarded and respected. I read many self-reflective statements about clinical experiences of those he has mentored in clinical settings. All were rich with self-disclosure of personal flaws, worries, and limitations. Yet, all showed tremendous personal and professional growth in their ability to help a clinical popu- lation often judged negatively by practitioners. I truly believe this book will educate and inspire readers. Dennis C. Daley, PhD Department of Psychiatry University of Pittsburgh Medical Center Pittsburgh, PA USA Humanizing Addiction Practice How does one meld scientific expertise with the process of becoming an empathic patient-centered healer? Drs. Douaihy and Driscoll offer an engaging story of their own professional development, describing patient encounters that helped to shape their humane approach to the practice of science-based addiction medicine. Evident throughout the book is their contagious appreciation of the privilege of witnessing firsthand so many journeys of recovery. William R. Miller, PhD Emeritus Distinguished Professor of Psychology and Psychiatry, University of New Mexico, Albuquerque, NM USA xiii
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