Learning the Language of Addiction Counseling, 3rd Edition
July 2010, ©2010
Learning the Language of Addiction Counseling, Third Edition introduces students to the field of addiction counseling and helps them develop the knowledge, understanding, and skills needed to counsel people who are caught in the destructive cycle of addiction.
Drawing from her years of experience working in the addiction-counseling field, Geri Miller provides a balanced overview of the major theoretical underpinnings and clinical practices in the field, covering all of the essentials—from assessment and diagnosis of addiction to preparing for certification and licensure as an addiction professional.
Fully revised and expanded, the Third Edition offers a positive, practice-oriented counseling framework and features:
Revised chapters reflecting important changes in the field
New chapters on "Spirituality and Addiction Counseling" and "Pain and Substance Abuse"
New case studies, interactive exercises, and suggested reading and resources at the end of each chapter
"Personal Reflections" sections in each chapter illustrating the author's evolving views of addiction counseling
New online Instructor's Manual containing PowerPoint® slides, test bank questions, and syllabi
Personal Reflections 1
Addiction Counseling Influences 2
Theories of Addiction 8
THEORIES OF COUNSELING RELATED TO ADDICTION TREATMENT 19
Personal Reflections 19
Development of a Theoretical Framework for Addiction Counseling 19
Dangers in Developing a Theoretical Framework and Recommendations 21
General Counseling Theories 24
ASSESSMENT AND DIAGNOSIS OF ADDICTION 37
Personal Reflections 37
Behavioral Observations 45
Physiological Instruments 46
Psychometric Instruments 46
Stages of Change 58
ASSESSMENT, DIAGNOSIS, AND TREATMENT OF CO-OCCURRING DISORDERS 63
Personal Reflections 63
Historical Struggles Between the Fields 65
General Guidelines 66
Problems with Diagnosing 67
Type of Co-Occurring Diagnoses 69
Related Issues 79
Recognition of Problems in Different Settings 85
Treatment Modifications and General Guidelines 86
THE TREATMENT PROCESS FOR ADDICTIONS 97
Personal Reflections 97
Crisis Intervention 97
Individual Therapy 103
Group Therapy 110
Family Therapy 122
Specific Approaches 129
TREATMENT-RELATED ISSUES 145
Personal Reflections 145
Sexual Issues 146
Intimate Partner Violence 162
RELAPSE PREVENTION 183
Personal Reflections 183
Counselor Approaches 183
Relapse-Prevention Models 187
Counseling Techniques 193
Case Studies of Special Populations 200
Co-Occurring Disorders 203
SELF-HELP GROUPS 209
Personal Reflections 209
Suggestions for Counselors 209
12-Step Groups 211
Women for Sobriety 219
16 Steps 221
Rational Recovery 223
Secular Organizations for Sobriety 225
Self-Management and Recovery Training (Smart Recovery1) 226
Matching Self-Help Groups to Meet Client Needs 228
Special Issues 234
Appendix Stories of Recovery 241
CURRENT AND EVOLVING THERAPY APPROACHES AND TECHNIQUES 243
Personal Reflections 243
Positive Psychology 243
Client Resilience 246
Stages-of-Change Model 248
Motivational Interviewing 250
Brief Therapy 255
Evaluation of Effectiveness 267
CULTURALLY SENSITIVE ADDICTION COUNSELING 273
Personal Reflections 273
Defining Multicultural 274
Social-Environmental Aspects 275
Breakdown of Communication 277
Multicultural Competence 277
General Counseling Suggestions 279
Assessment, Treatment, and Aftercare Issues 280
INCORPORATING SPIRITUALITY INTO ADDICTION COUNSELING 329
Personal Reflections 329
Definition of Spirituality 329
The History of the Merger: Spirituality and Addiction Counseling 330
Bridges and Barriers 332
Influencing Factors 334
Assessment and Treatment 334
Counseling Resources and Techniques 336
Counselor Self-Care 339
Ethical Issues 342
CHRONIC PAIN ASSESSMENT, TREATMENT, AND AFTERCARE 345
Personal Reflections 345
Definition of Pain 347
Issues of Living Sober with Chronic Pain 347
Assessment and Treatment 349
PERSONAL AND PROFESSIONAL DEVELOPMENT OF THE COUNSELOR 359
Personal Reflections 359
Ethical Issues 359
Testifying in Court 368
Working with Difficult Others 372
Working with Addicts 383
PREPARING FOR CERTIFICATION AND LICENSURE AS AN ADDICTION PROFESSIONAL 393
Personal Reflections 393
Self-Care on the Journey 395
Author Index 447
Subject Index 457
A new chapter on pain management. This is important because many addicted individuals struggle with physical pain that led to or resulted from their addiction.
A new chapter on incorporating spirituality in addiction counseling. Spirituality is of growing interest to many counselors and addicts and a possible recovery resource.
A new Instructor's Resource Package including Test Items, Power Points, and Activities.
Numerous case examples facilitate the integration of new evidence-based research into practice.
Extensive coverage of professional development issues including testifying in court, self-care, and ethics.
- Expansion of the section on harm reduction theory and the section on evidence-based practices thereby making the theoretical and practical application of the information more current.
- Expansion and update of information on both broad and specific addiction assessment instruments, client placement criteria, specific suggestions on engaging clients (Stages of Change), explanation of addiction dynamics, and the impact of drug type and administration route on the addictive process.
- Inclusion of a section on DWI assessment.
- Expansion and update of information on the assessment and treatment of dual disorders as well as discussion of the types of dual disorders and inclusion of a mental status exam.
- Update on current treatment-related issues especially expanding the section on HIV/AIDS (to include infectious diseases more extensively such as Hepatitis C) and including a section on Seeking Safety, an increasingly popular form of treatment for trauma survivors.
- Update on current relapse prevention techniques, specific suggestions on retaining clients (Gorski model, Stages of Change, Motivational Interviewing).