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

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Guilford Press, Feb 14, 1992 - Psychology - 325 pages
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
CONCLUSION
12
Member Selection and Prescreening
26
Content and Format
32
Special Patient Issues in the Pregroup Interview
39
BEGINNING THE GROUP
46
Intermember
52
GROUP DISTRACTION ACTIVITIES
118
The Unempathic Response
125
Group Resistance to New Blood
132
REMOVING THE ROADBLOCKS WITHIN
138
DISRUPTIVE DEFENSES
165
THERAPIST TECHNIQUES
171
The Patients Reluctance to Grow and Go
182
The Dwindling Patient
189

The Contract Regarding Abstinence
58
Need for Outreach
70
RecoveryRelated Defenses in the Individual Group Member
75
Disequilibrium Associated with Recovery
82
I Am Not the Problem
88
GROUPS FOR ACOAS
94
Negative SelfView to Preserve Parental Goodness
100
6
105
Integrating Past and Present
112
Importance of a Continuously SelfReflective Stance
196
Handling Therapist Mistakes
202
LEADER SNAFUS
229
Leader Absences
235
CoLeadership Variations When the CoLeader Is a Trainee
241
Treatment for Substance Abuse
247
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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