Treating Alcohol Problems

173 Pages·2006·1.09 MB·English

by  Frederick Rotgers

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Treating
Alcohol Problems
Frederick Rotgers
Beth Arburn Davis
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Treating
Alcohol Problems
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Wiley Series on Treating Addiction
Series editors, Robert Holman Coombs and William A. Howatt
TREATINGDRUGPROBLEMS
Arthur W. Blume
TREATINGALCOHOLPROBLEMS
Frederick Rotgers
Beth Arburn Davis
TREATINGGAMBLINGPROBLEMS
William G. McCown
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Treating
Alcohol Problems
Frederick Rotgers
Beth Arburn Davis
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This book is printed on acid-free paper. ∞
Copyright © 2006 by John Wiley & Sons, Inc. All rights reserved.
Published by John Wiley & Sons, Inc., Hoboken, New Jersey.
Published simultaneously in Canada.
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Library of Congress Cataloging-in-Publication Data:
Rotgers, Frederick.
Treating alcohol problems / by Frederick Rotgers, Beth Arburn
Davis.
p. cm. -- (Wiley series on treating addiction)
ISBN-13: 978-0-471-49432-4 (pbk.)
ISBN-10: 0-471-49432-1 (pbk.)
1. Alcoholism--Treatment. I. Davis, Beth Arburn. II. Title.
III. Series.
[DNLM: 1. Alcoholism--therapy. 2. Alcoholism--diagnosis.
3. Patient Care Planning. WM 274 R844t 2006]
RC565.R573 2006
616.86'106--dc22
2005022393
Printed in the United States of America.
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We dedicate this book to our spouses, Jo and Gerry, and
to Beth Davis’s father Will Arburn, her son Justin,
and her grandson Hunter. Thanks for all
your love and support.
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CONTENTS
Series Preface xiii
Preface xv
Chapter 1: Conceptual Foundations:
Defining Alcohol Problems
Alcohol Problems: What Are They, Who’s Got Them,
Who Hasn’t, Who Might? 1
Defining Alcohol Problems 2
Drinking Definitions 5
Diagnosis Definitions 7
ASAM Definition of Alcoholism 8
Abusing “Abuse” 9
How the DSMWorks 10
Alcohol Abuse 11
Alcohol Dependence 12
Once a Drunk, Always a Drunk? The Course of
Alcohol Problems 14
Treat Me or Lose Me: Is Treatment Necessary to Resolve
Alcohol Problems? 16
To Quit or Not? How Do Most People Resolve Alcohol
Problems? 17
Different Strokes for Different Folks: Recovery, Relapse, and
the Future of Treatment 19
Key Terms 20
Recommended Reading 21
vii
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viii CONTENTS
Chapter 2: Identifying Alcohol Problems:
“I Know It When I See It! Or Do I?”
Signs and Symptoms: Fleshing Out the DSM 24
The Case of Mary 25
The Case of Tom 26
Recognizing More than One Problem: Is It Just a
Drinking Problem? 28
How Likely Is the Problem Drinker to Have Other Problems? 29
“Denial” May Be Just Another River in Egypt: Where Does
Denial Come From? 29
What Should I Do as a Professional? Roles and Responsibilities 31
How Drinking Affects Family, Work, and Other Areas of the
Client’s Life 33
Family and Social Problems 33
Work Problems 34
Health and Medical Consequences 34
“So What’s In It For Me?” Answering Questions from Clients
about Treatment 35
To Refer or Not to Refer: Advantages and Disadvantages of
Referring a Client to Specialized Treatment 37
Summing Up 38
Key Terms 38
Chapter 3: Finding and Getting the Best
Out of Professional Resources
Developing a Professional Referral Network 39
The “Match” Game: How to Select the Right Professional 41
The Role of Medical Personnel 41
The Client with Mental Health and Alcohol Use Problems 41
Finding Out about the Professional’s Style and Method of Practice 42
Referrals for Adolescents 43
Referrals for Older Persons 44