- Case 1: Heavy Drinking Related Primarily to Negative Affective States
- Case 2: Heavy Drinking Related Primarily to Positive Affective States and Social Pressure Situations
- Case 3: Heavy Drinking Related Primarily to Positive Affective States
- Case 4: Heavy Drinking Related to Testing Personal Control
- Case 5: Heavy Drinking Across Most Situations
Download Author: Sobell, Mark B. Ph.D. ABPP
Outcomes and Afterthoughts
- The Topography of Outcomes
- Client Perceptions of Guided Self-Management
- Therapist Perceptions of Guided Self-Management
- Therapists’ Impressions
- On Implementing Guided Self-Management Treatment in Clinical Practice
A Closer Look at Problem Drinkers
- Studies of Problem Drinkers
- Problem Drinkers in the Research Literature
- A Close Look at a Group of Problem Drinkers
Treatment of Problem Drinkers
- Concordance of Advances in the Alcohol Field and in Behavior Therapy
- Treatments for Problem Drinkers: Issues
- Treatments for Problem Drinkers: Evaluations
A Self-Management Approach to Treating Problem Drinkers
- Development of a Treatment Tailored to Problem Drinkers
- Nonintensive Treatment
- Motivational Interventions
- Selection of Treatment Goals
- Cognitive Relapse Prevention in Guided Self-Management Treatment
- Evaluations of Relapse Prevention
- Summary and Integration
Assessment: A Running Start
- Entering Self-Management Treatment
- Assessment as a Therapeutic Process
- Selected Assessment Tools and Procedures
Treatment Procedures: Preparation, Goal Setting, Monitoring Drinking
- The Need for Flexibility
- Preparing for Treatment Sessions: The Client’s Obligations
- Preparing for Treatment Sessions: The Therapist’s Obligations
- Starting the First Session: Setting the Tone
- Goal Setting
- Alcohol Education
- Making the Point about Tolerance
- Discussing the Goal Statement with the Client
- Filling Out the Goal Statement
- Self-Monitoring
Treatment Procedures: Readings and Conceptual Framework
The use of readings in guided self-management treatment serves multiple functions:
· They communicate the treatment approach in an understandable and consistent way.
· They provide a framework that clients can use to evaluate and change their own behavior.
· They are constantly available to the client.
· Providing clients with the first reading at assessment helps to capitalize upon the self-change momentum that started when the client called for an appointment.
· The readings and the associated homework provide the “running start” for treatment
· The readings provide background information so that the session time can be spent on assessing the client’s understanding of the treatment approach rather than explaining the approach.
· Compliance with the readings and homework can indicate the client’s commitment to making serious efforts to change.
Homework Assignments: problem drinkers
Examples of homework assignments and their purpose when used to treat problem drinkers.
An Integrated Treatment Program
- The Course of Treatment
- Assessment
- Session 1
- Session 2
- Session 3
- Session 4
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