Removing the Roadblocks: Group Psychotherapy with Substance Abusers and Family Members

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Guilford Press, 1992 - Psychology - 325 pages
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Based on the author's 18 years of experience supervising group therapists, this quintessentially practical book is designed to help practitioners think through and formulate appropriate strategies in their clinical work. Utilizing many clinical examples, and providing explanations throughout for her interventions, Vannicelli pays special attention to the therapeutic stance - where the clinician positions him or herself in relation to the patient, and why; and how various strategies and techniques maximize the patient's opportunity for therapeutic growth. A hallmark of Dr. Vannicelli's approach, richly illustrated in this work, is her sensitivity to countertransference and the ways it can be used productively in clinical practice.
Designed for all mental health professionals who work with substance abusers, the book's focus on practical clinical issues also makes it ideal for paraprofessionals.
It is an excellent text for courses on substance abuse in social work, psychology, nursing, and other disciplines, as well as for courses in group psychotherapy.
 

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Contents

INTRODUCTION
1
RATIONALE FOR DYNAMICALLY ORIENTED GROUP
8
BEGINNING THE GROUP
46
SPECIAL POPULATION ISSUES
56
RecoveryRelated Defenses in the Individual Group Member
75
Disequilibrium Associated with Recovery
82
I Am Not the Problem
88
GROUPS FOR ACOAs
94
REMOVING THE ROADBLOCKS WITHIN
138
The Patient Who Talks about His Feelings but Is Emotionally
146
The Patient Who Fears Loss of Control
152
The Patient Who Is Sitting on Something Awful from
158
DISRUPTIVE DEFENSES
165
THERAPIST TECHNIQUES
171
REMOVING THE ROADBLOCKS IN THE THERAPIST
191
LEADER SNAFUS
229

Negative SelfView to Preserve Parental Goodness
100
DEFINING THE JOURNEY
105
REMOVING THE ROADBLOCKS IN
117
GROUP AVOIDANCE ACTIVITIES
123
The Group That Engages and Pulls Back
129
Changing Time Zones
135
Leader Absences
235
CoLeadership Variations When tbe CoLeader Is a Trainee
241
CONCLUSION
260
REFERENCES
305
INDEX
317
Copyright

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About the author (1992)

Marsha Vannicelli is an Associate Professor in the Department of Psychiatry at Harvard Medical School, and Director of Appleton Outpatient Clinic, McLean Hospital--one of the largest dynamically oriented group psychotherapy programs in the United States. The author of Group Psychotherapy with Adult Children of Alcoholics, she has written and lectured extensively about her research and clinical work with substance abusers and their families--particularly in the area of group psychotherapy. She also maintains a private practice in Belmont, Massachusetts.

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