Journal of substance abuse treatment
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J Subst Abuse Treat · May 1998
Case ReportsThe changing role of "using" dreams in addiction recovery.
The Dream Interview Method of dream interpretation can be applied to dreams depicting alcohol and drug use to elucidate the meaning of such dreams in relation to stages of recovery. This paper summarizes the method and demonstrates its application utilizing seven dreams collected from clients in psychotherapy and participants in dream workshops. The incorporation of such interpreted dreams into substance abuse treatment as well as their relationship to other life issues is discussed.
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J Subst Abuse Treat · May 1997
ARISE: a method for engaging reluctant alcohol- and drug-dependent individuals in treatment. Albany-Rochester Interventional Sequence for Engagement.
A method, the Albany-Rochester Interventional Sequence for Engagement (ARISE), is described for engaging highly ambivalent alcohol- and/or drug-dependent individuals in treatment. A three stage interventional sequence is presented, which begins when a family member or concerned other contacts a treatment program regarding a substance abuser who needs help. At that point a process is set in motion for collaboration with significant others toward client enrollment. ⋯ The final stage, if needed, is a modified Johnson Institute Intervention. The overall procedure is designed to maximize the probability of patient recruitment, while minimizing the amount of time and energy required of staff. The method compares favorably with results obtained with other approaches, such as coercion (legal, employer) and client self-referral.
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Personal construct psychotherapy and its utility in understanding and treating addictions is explored. Several clinical phenomena related to chemical dependency are discussed from the perspective of constructivism. Framed within the context of Prochaska, DiClemente, & Norcross' (1992) stages of change model, several psychotherapeutic techniques are outlined. These concepts and techniques are offered as theoretically based heuristics and are intended to illustrate the potential utility of a clinical approach based upon personal construct theory.
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The purpose of the study was to determine whether a change in the treatment program at Akeela House Incorporated a therapeutic community in Anchorage. Alaska, significantly increased the time in treatment for Alaska Native residents. ⋯ Prior to implementation, Alaska native residents had significantly shorter times in treatment that Black or White residents. After implementation of the change in the treatment program, Alaska Native residents' times in treatment were no longer significantly different from those of Black or White residents and all three ethnic groups had significantly longer times in treatment than before the intervention.
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In this report, three cases of eating-disordered women in their thirties are presented to document the occurrence of eating disorders in this age group. The clinical characteristics and associated features are described. Clinicians are reminded to consider the possibility of an eating disorder in patients who present with weight loss regardless of their age.