Cognitive Behavioural Therapy for Problem

This book serves as a concise and practical guide for practitioners using cognitive-behavioural therapy (CBT) with clients who use alcohol in a harmful way. Throughout the book, Marcantonio Spada uses functional analysis and case formulation paradigms to examine the cause and maintenance of problem drinking and associate issues. Divided into five chapters it provides: a detailed account of behavioural and cognitive theories and therapies a structured approach for the sequencing of therapeutic interventions case examples of the application of CBT Cognitive Behavioural Therapy for Problem Drinking also includes diaries and exercise sheets for use with the client. It is therefore essential reading for all mental health practitioners in the field of alcohol misuse, as well as being a useful resource for those in training.

Marcantonio Spada is Professor of Psychological Therapies at London South Bank University in partnership with North East London NHS Foundation Trust. An expert in cognitive behavioural theory and therapy for problem drinking, he is a practising clinician with extensive experience of working with problem drinkers.

List of figures and tables	p. x
About the author	p. xii
Acknowledgements	p. xiii
Preface	p. xiv
The cognitive-behavioural therapy approach to problem drinking	p. 1
Introduction	p. 1
Basic processes and therapeutic interventions	p. 1
Empirical research on theory and therapeutic interventions	p. 10
Conceptual frameworks	p. 10
Preparing for change	p. 18
Assessment	p. 18
Enhancing motivation for change	p. 29
Case formulation	p. 40
Key issues in therapy	p. 50
Implementing change	p. 56
Dealing with stimulus conditions	p. 56
Tackling craving	p. 60
Focusing on skills	p. 67
Modifying beliefs	p. 81
Managing negative emotion	p. 91
Maintaining change	p. 111
Working with significant others	p. 111
Contingency management	p. 114
Controlled drinking	p. 115
Addressing complicating problems	p. 118
Relapse prevention and the end of therapy	p. 124
Practitioner training and clinical supervision	p. 131
Training	p. 131
Clinical supervision	p. 131
Case example	p. 134
Appendices	p. 148
Drinking diary	p. 148
Drinking decisional balance sheet	p. 149
Problems and goals	p. 150
Advantages of changing, concerns of changing and responses to concerns	p. 152
Examining specific change concerns	p. 154
Functional analysis	p. 156
Activating event breakdown	p. 157
Evidence for and against the uncontrollability of craving	p. 158
Decision sheet on past slips	p. 161
Decision sheet on upcoming events	p. 162
Identifying permissive beliefs	p. 163
Challenging permissive beliefs	p. 165
Identifying positive beliefs	p. 167
Challenging positive beliefs	p. 169
Hierarchy of difficult situations	p. 171
Drinking postponement experiment	p. 172
Activity diary	p. 174
Controlled drinking skills	p. 175
Controlled drinking programme	p. 176
Plan for managing high-risk situations	p. 177
References	p. 178
Index	p. 185
Table of Contents provided by Ingram. All Rights Reserved.

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Cognitive Behavioural Therapy for Problem Drinking: A Practitioner's Guide

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Table of Contents

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