The correlation between schizophrenia and substance abuse in psychology is recognized as a growing issue, yet it is one that many practitioners are often ill-prepared to address. Behavioral Treatment for Substance Abuse in People with Serious and Persistent Mental Illness addresses the specific challenges faced by the clinician treating individuals with co-occurring schizophrenia and substance abuse disorders. Designed as a treatment manual for mental health professionals, the book incorporates various treatment components, from motivational interviewing and social skills training to education, problem solving, and relapse prevention. The book presents clearly established guidelines for these treatment modes and utilizes both case examples and fictional situations to present a practical, hands-on approach. Readers will profit directly from the lessons in the book, which offers the clinician an invaluable model from which to base a treatment plan.
Throughout the last decade, the field of clinical psychology has expanded dramatically. Clinical psychologists are involved in the treatment and research of a wider range of problems and disorders than they have ever been before. Evidence has been rapidly ac cumulating regarding the role of psychological variables and stress in the etiology and maintenance of a range of medical and psychiatric disorders. New models of psy chotherapy have been developed and refined, and the specific efficacy of psychother apeutic interventions for an increasing number of disorders (or sUbtypes of disorders) has been documented. However, concurrent with research that demonstrates the impact of psychosomatic factors in various disorders and the efficacy of psychological or psychosocial interven tions, dramatic progress has been made with regard to the investigation of biological factors that may mediate certain disorders. That physical factors may underlie many in stances of psychiatric illness has been repeatedly demonstrated. Also, the efficacy of so matic treatments for different disorders, or for subtypes of disorders, has been reported with increasing methodological rigor.
Social skills training (SST) continues to be a widely accepted and recommended intervention for improving the psychosocial functioning of persons with schizophrenia and other serious mental illnesses. The book begins by providing useful background information, including the nature and importance of social skills (Chapter 1), updated evidence supporting the effectiveness of SST (Chapter 2), and assessment and goal-setting for SST (Chapter 3). The next group of chapters addresses the practicalities of providing SST groups and are also similar to the second edition, including methods for teaching social skills (Chapter 4), starting an SST group (Chapter 5), choosing curricula for an SST group (Chapter 6), tailoring SST to meet individual participant needs (Chapter 7), and solutions to common challenges encountered when providing SST (Chapter 8). The third edition of this book differs from the second edition in the variety of special topics related to SST that are addressed. While the second edition had only one such chapter on providing SST to individuals with comorbid substance use problems, in addition to retaining (and updating) this chapter (Chapter 9), the third edition also has six additional chapters on special topics, including younger individuals who are either at risk for psychosis or recovering from a first episode of psychosis (Chapter 10), technology-based communication skills (Chapter 11), SST with older individuals (Chapter 12), providing SST in residential or inpatient settings (Chapter 13), cultural factors when providing SST (Chapter 14), and gender and sexual identity issues and sexual harassment (Chapter 15)"--
The rapid growth of behavior therapy over the past 20 years has been well doc umented. Yet the geometric expansion of the field has been so great that it deserves to be recounted. We all received our graduate training in the mid to late 1960s. Courses in behavior therapy were then a rarity. Behavioral training was based more on informal tutorials than on systematic programs of study. The behavioral literature was so circumscribed that it could be easily mastered in a few months of study. A mere half-dozen books (by Wolpe, Lazarus, Eysenck, Ullmann, and Krasner) more-or-Iess comprised the behavioral library in the mid- 1960s. Semirial works by Ayllon and Azrin, Bandura, Franks, and Kanfer in 1968 and 1969 made it only slightly more difficult to survey the field. Keeping abreast of new developments was not very difficult, as Behaviour Research and Therapy and the Journal of Applied Behavior Analysis were the only regular outlets for behavioral articles until the end of the decade, when Behavior Therapy and Be havior Therapy and Experimental Psychiatry first appeared. We are too young to be maudlin, but "Oh for the good old days!" One of us did a quick survey of his bookshelves and stopped counting books with behavior or behavioral in the titles when he reached 100. There were at least half again as many behavioral books without those words in the title.
This popular manual presents an empirically tested format and ready-made curricula for skills training groups in a range of settings. Part I takes therapists and counselors step by step through assessing clients' existing skills, teaching new skills, and managing common treatment challenges. Part II comprises over 60 ready-to-photocopy skill sheets. Each sheet--essentially a complete lesson plan--explains the rationale for the skill at hand, breaks it down into smaller steps, suggests role-play scenarios, and highlights special considerations. Of special value for practitioners, the 8 1/2" x 11" format makes it easy to reproduce and use the practical materials in the book.
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