E-Book Overview
This eminently practical guide presents an empirically supported approach for treating people with substance abuse problems and their spouses or domestic partners. Behavioral couples therapy (BCT) explicitly focuses on both substance use and relationship issues, and is readily compatible with 12-step approaches. Provided are all the materials needed to introduce BCT; implement a recovery contract to support abstinence; work with clients to increase positive activities, improve communication, and reduce relapse risks; and deal with special treatment challenges. Appendices include a session-by-session treatment manual and 70 reproducible checklists, forms, and client education posters. The large-size format and lay-flat binding facilitate photocopying and enhance the book's clinical utility.
E-Book Content
Behavioral Couples Therapy for Alcoholism and Drug Abuse This page intentionally left blank BEHAVIORAL COUPLES THERAPY for ALCOHOLISM and DRUG ABUSE Timothy J. O’Farrell William Fals-Stewart THE GUILFORD PRESS New York London © 2006 The Guilford Press A Division of Guilford Publications, Inc. 72 Spring Street, New York, NY 10012 www.guilford.com All rights reserved Except as indicated, no part of this book may be reproduced, translated, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the Publisher. Printed in the United States of America This book is printed on acid-free paper. Last digit is print number: 9 8 7 6 5 4 3 2 1 LIMITED PHOTOCOPY LICENSE These materials are intended for use only by qualified mental health professionals. The Publisher grants to individual purchasers of this book nonassignable permission to reproduce the checklists in Appendix A, the posters in Appendix B, and the forms in Appendix C. This license is limited to you, the individual purchaser, for use with your own clients and patients. It does not extend to additional clinicians or practice settings, nor does purchase by an institution constitute a site license. This license does not grant the right to reproduce these materials for resale, redistribution, or any other purposes (including but not limited to books, pamphlets, articles, video- or audiotapes, and handouts or slides for lectures or workshops). Permission to reproduce these materials for these and any other purposes must be obtained in writing from the Permissions Department of Guilford Publications. Library of Congress Cataloging-in-Publication Data O’Farrell, Timothy J. Behavioral couples therapy for alcoholism and drug abuse / by Timothy J. O’Farrell, William Fals-Stewart. p. cm. Includes bibliographical references and index. ISBN-10: 1-59385-324-6 ISBN-13: 978-1-59385-324-2 (pbk.) 1. Alcoholism—Treatment. 2. Marital psychotherapy. 3. Drug abuse—Treatment. 4. Marital psychotherapy. I. Fals-Stewart, William. II. Title. RC565.O34 2006 616.86′106—dc22 2006006047 Screen Beans clip art images in Figures 3.2, 6.1, 6.5, and 6.6; in Posters B.4, B.11, B.15, and B.17; and in Form C.10 are used with permission from A Bit Better Corporation. Screen Beans is a registered trademark of A Bit Better Corporation. To Jayne and Colin —T. J. O. To my family—Leslie, Emily, and Will —W. F. S. About the Authors Timothy J. O’Farrell, PhD, ABPP, is Professor of Psychology in the Department of Psychiatry at Harvard Medical School, and he directs the Families and Addiction Program and the Counseling for Alcoholics’ Marriages (CALM) Project at the VA Boston Healthcare System. His clinical and research interests focus primarily on couple and family therapy in alcoholism and drug abuse treatment and various aspec