Treating Addiction

Second Edition
A Guide for Professionals

William R. Miller, Alyssa A. Forcehimes, and Allen Zweben

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August 15, 2019
ISBN 9781462540440
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520 Pages
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This widely respected text and practitioner guide, now revised and expanded, provides a roadmap for effective clinical practice with clients with substance use disorders. Specialists and nonspecialists alike benefit from the authors' expert guidance for planning treatment and selecting from a menu of evidence-based treatment methods. Assessment and intervention strategies are described in detail, and the importance of the therapeutic relationship is emphasized throughout. Lauded for its clarity and accessibility, the text includes engaging case examples, up-to-date knowledge about specific substances, personal reflections from the authors, application exercises, reflection questions, and end-of-chapter bulleted key points.

New to This Edition

“The authors have provided an excellent foundation for the understanding of addiction and its context and recommendations for intervention. New and experienced practitioners will be interested in this book and will make reference to it throughout their working lives.”

Drug and Alcohol Review (on the first edition)


“This second edition provides up-to-date coverage of essential topics in addiction treatment, deftly integrating clinical science and practice. Readers in the early stages of training will find it clear and accessible, while more advanced clinicians and clinical scientists will be attracted to the deep knowledge base of the experienced authors. I strongly recommend this book as a source of foundational information in any graduate course or professional training program in addiction.”

—Stephen A. Maisto, PhD, ABPP, Department of Psychology, Syracuse University


“This is not an ordinary second edition. The changes are substantial, including five new chapters on important topics such as mindfulness and implementation of evidence-based treatments. Clinical examples are plentiful. A new chapter titled 'Stuff That Comes Up' addresses a variety of clinical situations that can occur with any treatment—for example, dealing with intoxicated patients. Treating Addiction is a text that can be used in both undergraduate and graduate substance use courses, and is a useful update for practitioners as well.”

—Mark B. Sobell, PhD, ABPP, and Linda Carter Sobell, PhD, ABPP, Center for Psychological Studies, Nova Southeastern University


“'Must' reading for all who work with persons with substance use disorders. What makes this book unique is that it goes beyond specialist care in addictions to offer a practical guide for professionals in a wide range of fields. It draws on a variety of strategies of proven effectiveness that can be individualized to meet client needs. The case management section is especially useful, as is the new chapter on mindfulness. This is an invaluable text for advanced courses in addictions, family studies, and mental health counseling. Miller and his coauthors have helped to revolutionize substance abuse treatment by moving the field from a focus on harsh confrontation to a more compassionate approach.”

—Katherine van Wormer, PhD, MSSW, Department of Social Work (Emerita), University of Northern Iowa


“A comprehensive, easy-to-follow text. Although substance use disorders are inherently complex, this text manages to provide a clear overview of their biological underpinnings; how they develop; and how to assess, diagnose, and treat them. The first edition was an instant classic; the second edition is greatly enhanced by new data and additional content, including a critical new chapter on implementation of evidence-based treatment methods. This is an excellent resource and a 'must have' for students and clinicians who are looking to apply state-of-the-science knowledge to understanding and treating addiction.”

—Katie Witkiewitz, PhD, Regents’ Professor, Department of Psychology, University of New Mexico


“I assigned the first edition to my graduate students in two different addiction courses. They read the entire book and we discussed it in class—a significant percentage of the final exam was based on this text. Miller is a living legend in counseling, and I have used his motivational interviewing techniques for almost two decades to move my clients through the stages of change. This is my go-to book for college seniors and graduate students who want to learn about addiction treatment and helping clients into and throughout the recovery process. It is also an excellent resource for professionals with addictions certifications to stay current on the latest information about our incredibly important field.”

—Frank L. Greenagel II, MPAP, MSW, LCSW, LCADC, CJC, CCS, Center of Alcohol Studies and School of Social Work, Rutgers, The State University of New Jersey

Table of Contents

I. An Invitation to Addiction Treatment

1. Why Treat Addiction? sample

2. What Is Addiction?

3. How Do Drugs Work?

II. A Context for Addiction Treatment

4. Engaging

5. Screening, Evaluation, and Diagnosis

6. Withdrawal Management and Health Care Needs

7. Individualizing Treatment

8. Case Management

III. A Menu of Evidence-Based Options in Treating Addiction

9. Brief Interventions

10. Motivational Interviewing

11. Behavioral Coping Skills

12. Meditation and Mindfulness

13. Contingency Management

14. A Community Reinforcement Approach

15. Working with Significant Others

16. Strengthening Relationships

17. Mutual Help Groups

18. Medications in Treatment

IV. Professional Issues

19. Stuff That Comes Up

20. Treating Co-Occurring Conditions

21. Facilitating Maintenance

22. Working with Groups

23. Addressing the Spiritual Side

24. Professional Ethics

25. Implementing Evidence-Based Practice

References

Index


About the Authors

William R. Miller, PhD, is Emeritus Distinguished Professor of Psychology and Psychiatry at the University of New Mexico. Fundamentally interested in the psychology of change, he is a cofounder of motivational interviewing and has focused particularly on developing and testing more effective treatments for people with alcohol and drug problems. Dr. Miller has published over 400 scientific articles and chapters and 50 books, including the groundbreaking work for professionals Motivational Interviewing, Third Edition, and the self-help resource Controlling Your Drinking, Second Edition. He is a recipient of the international Jellinek Memorial Award, two career achievement awards from the American Psychological Association, and an Innovators in Combating Substance Abuse Award from the Robert Wood Johnson Foundation, among many other honors. The Institute for Scientific Information has listed him as one of the world’s most highly cited researchers.

Alyssa A. Forcehimes, PhD, is President of The Change Companies and Train for Change. Prior to joining these organizations, she was on the faculty of Psychiatry and Psychology at the University of New Mexico Health Sciences Center. Her research focuses on processes of motivation for change and on effective methods for disseminating and teaching evidence-based behavioral treatments in real-world settings. Dr. Forcehimes works in addiction, mental health, and health care settings to develop, implement, and evaluate behavior change practices.

Allen Zweben, PhD, is Professor and Associate Dean at the Columbia University School of Social Work. His research and publications have focused primarily on innovative assessment and treatment approaches for substance use problems. Dr. Zweben has been a principal investigator on numerous behavioral and medication trials, including two landmark studies funded by the National Institute on Alcohol Abuse and Alcoholism: Project MATCH, a patient–treatment matching study, and the COMBINE study, a project examining the efficacy of combining pharmacotherapy and psychotherapy interventions for alcohol problems.

Audience

Practitioners and graduate students in clinical psychology, clinical social work, psychiatric nursing, counseling, and psychiatry.

Course Use

Serves as a text in advanced undergraduate- and graduate-level courses on substance abuse treatment, addictions counseling, and related topics.
Previous editions published by Guilford:

First Edition, © 2011
ISBN: 9781609186388
New to this edition: