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A Comprehensive Guide to Addiction Theory and Counseling Techniques


Disease Model vs Moral Model of AddictionBrief Remarks Regarding the Use of Pejorative Language Pertaining to Substance Use DisordersSummary: The Three Blind Men and the ElephantReferencesPsychoanalytic TheoryIntroductionClassical Psychoanalytic Approach to Substance Use DisordersContemporary Psychoanalytic Models of AddictionAddiction as an Attachment DisorderKohut’s Self-Psychology Approach to AddictionsTrauma TheoryDefense Mechanisms and Addiction TheoryAdvantages and Limitations of Psychoanalytic Theory and Contemporary Analytic TheoriesCase Example: Psychoanalytic Theory – KatieCase Example: Attachment Theory – DavidCase Example: Addiction and Trauma Theory – KimPsychoanalytic Applications to Addiction Counseling: Assessment, Techniques and Interventions – Clinical Implications for CounselorsAssessment ConsiderationsCounseling TechniquesSummaryAppendix 2.1Recommended Reading and ResourcesReferencesBehavioral and Learning Theory ModelIntroductionOverview of Behavioral TheoryClassical ConditioningOperant ConditioningGeneralization and Discrimination LearningObservational LearningCognitive ApproachExtinction and CounterconditioningOpponent Process TheoryApplications to Addiction CounselingStrengths and Limitations of Learning TheoryCase StudyRecommended Reading and ResourcesReferencesFamily Systems TheoryIntroductionFamily Models Relevant to Substance Use DisordersFamily Systems ModelFamily Disease ModelBehavioral and Cognitive Behavioral Couples and Family ModelsStructural Family TheoryFamily Theory Models and Applications to Addiction Counseling: Assessment, Techniques/Interventions and Clinical Implications for CounselorsAssessmentTechniques /InterventionsCase Example: TaraFamily Systems Model and Structural Family ModelFamily Disease ModelBehavioral and Cognitive Behavioral ModelsOther Family Models and Approaches: CRAFT, Johnsonian Interventions, Civil Commitment and Adolescent Family Treatment ModelsCRAFT (Community Reinforcement and Family Training)Advantages and Disadvantages to the CRAFT ApproachJohnsonian InterventionAdvantages and Disadvantages to Johnsonian InterventionsAdolescent Family Treatment ModelsMultisystemic or Multidimensional Family TherapyFunctional Family Therapy (FFT)Civil Commitment of Individuals with Substance Use DisordersSummaryRecommended Reading and ResourcesReferencesBiological Models of AddictionIntroductionGenetic Theories of AddictionAdvantages and Limitations of the Genetic ModelCase Example: Bill and Ted – A Family Impacted by AddictionNeurotransmitter Models of AddictionBiomedical Applications to Addiction Counseling: Assessment, Techniques and Interventions – Clinical Implications for CounselorsAssessmentBiological Model Treatment and TechniquesAdvantages and Limitations of the Neurotransmitter ModelCase Example: TinaSummaryRecommended Reading and ResourcesReferencesSociocultural ModelIntroductionSociocultural and Environmental InfluencesPeer ImpactFamilyCommunityRace and EthnicityCultureImpact of Poverty and Racism“Other” CulturesLessons Learned from the EnvironmentApplication to Addiction CounselingStrengths and Limitations of Sociocultural ModelsCase StudyRecommended Reading and ResourcesReferencesSolution-Focused TheoryIntroductionThe Three Ds: Disease, Denial and DysfunctionSolution-Focused Applications to Addiction Counseling: Assessment, Techniques and Interventions – Clinical Implications for CounselorsAssessmentTreatment TechniquesAdvantages and Limitations of Solution-Focused TheoryCase Example: AmandaSummaryRecommended Reading and ResourcesReferencesExistential ModelsIntroductionExistential ApproachThe Four Crises/Ultimate Concerns/Challenges FreedomApplication to Addiction CounselingStrengths and LimitationsCase StudyRecommended Reading and ResourcesReferencesThe Transtheoretical Model, Stages of Change and Motivational InterviewingIntroductionThe Transtheoretical ModelStages of ChangeMotivational InterviewingFacilitating Behavior Change Using TTM, Stages of Change and MIMotivational InterviewingStrengths and LimitationsCase StudyRecommended Reading and ResourcesReferencesDevelopmental Theories of Recovery and Personality TheoryIntroductionDevelopmental TheoryCase Example: VinnieAdvantages and Limitations of Developmental ModelsPersonality TheoryCase Example: BillyAdvantages and Limitations of Personality TheorySummaryRecommended Reading and ResourcesReferencesRelapse PreventionIntroductionRelapse PreventionGorski’s Relapse ModelMarlatt’s Relapse ModelApplication of Relapse Prevention to Addiction CounselingGorski’s Application to Addiction CounselingMarlatt’s Application to Addiction CounselingUtilizing Relapse PreventionStrengths and LimitationsCase StudyRecommended Reading and ResourcesReferencesThe Diathesis-Stress ModelIntroductionTerminologyRisk and Protective FactorsApplication to Addiction CounselingStrengths and LimitationsCase StudyReferences