Behavioral Couples Therapy for Alcoholism and Drug Abuse  book cover
1st Edition

Behavioral Couples Therapy for Alcoholism and Drug Abuse

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ISBN 9781593853242
Published September 28, 2006 by Guilford Press
436 Pages

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Book Description

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.

Table of Contents

1. An Introduction to Behavioral Couples Therapy for Alcoholism and Drug Abuse
2. Engaging the Couple: Initial Couple Sessions
3. Building Support for Abstinence: The Daily Recovery Contract
4. Other Support for Abstinence
5. Increasing Positive Couple and Family Activities
6. Improving Communication, Part I: Listener and Speaker Skills
7. Improving Communication, Part II: Resolving Changes, Conflicts, and Problems
8. Continuing Recovery: Maintenance and Relapse Prevention
9. Challenges in BCT, Part I: Separated and Dual-Problem Couples
10. Challenges in BCT, Part II: Violence and Other Issues
11. Enhancements to BCT
12. Implementing BCT in the Real World
Appendix A. A 12-Session BCT Treatment Manual
Appendix B. Posters Used in BCT
Appendix C. Forms Used in BCT
Appendix D. Suggested Resources

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Timothy J. O’Farrell, PhD, ABPP, is Professor of Psychology in the Department of Psychiatry at Harvard Medical School. He is also Director of the Families and Addiction Program and the Counseling for Alcoholics’ Marriages (CALM) Project at the VA Boston Healthcare System.
William Fals-Stewart, PhD, until his death in 2010, was a principal scientist at RTI International, and Director of the Addiction and Family Research Group.


"In addiction treatment, where practice has lagged so far behind what we know from clinical science, there is, at last, rapid movement toward the use of evidence-based therapies. It is now abundantly clear that treating couples rather than individuals improves outcome, and BCT belongs on any list of evidence-based treatments for addiction. This clearly written book, authored by two highly experienced scientist-clinicians, provides a superb introduction to BCT that is accessible for a broad range of providers. It includes the structured outlines, handouts, and forms that are particularly helpful when learning a new treatment method."--William R. Miller, PhD, Departments of Psychology and Psychiatry, (Emeritus), University of New Mexico

"This clearly-written, practical guide to behavioral couples therapy for addictive disorders will be useful to all addiction therapists. Couple-based work is extremely useful in evaluation and treatment of substance abuse; combined with behavioral and coping skills training, it can greatly improve treatment outcomes. Read this book and get better outcomes with your patients!"--Richard J. Frances, MD, Department of Psychiatry, New York University School of Medicine

"Behavioral couples therapy (BCT) is one of the most scientifically and clinically sound treatments available for alcohol and drug problems. It is a highly cost-effective intervention with beneficial effects on substance abuse recovery, relapse prevention, relationship and family adjustment, and intimate partner abuse. The authors present the conceptual rationale and clinical techniques of BCT in an accessible, practitioner-friendly manner. They provide case examples and clinical wisdom addressing many of the challenges to implementation in real-world settings, including integration with 12-step approaches. This book should prove tremendously helpful in disseminating BCT to educators, researchers, and practitioners, so that a wider segment of the population can experience the benefits of this exemplary treatment approach."--Christopher M. Murphy, PhD, University of Maryland, Baltimore County

"Written by the leading clinical researchers in the area, this book is the essential treatment manual for how to conduct behavioral couples therapy for alcoholism and drug abuse. Rich in detail and specific clinical direction, it should occupy a prominent place on the bookshelf of any clinician who treats people with substance abuse problems, or any clinical trainee who aspires to such work."--Andrew Christensen, PhD, University of California, Los Angeles

"This excellent, reader-friendly text presents an evidence-based approach that nicely complements and expands a family disease approach to addiction. The text thoroughly addresses drug- and relationship-related issues that emerge during engagement, early recovery, and abstinence maintenance. Readers will find clinical tools like the Recovery Contract particularly helpful. The authors are superb clinical researchers who provide a sound theoretical and empirical rationale for their choice of intervention strategies. Addiction professionals, other mental health professionals, and educators will find this book useful. Its many clear tables and examples of clinical forms make the book particularly suitable for graduate-level courses on addictions treatment."--Meredith Hanson, DSW, Fordham University Graduate School of Social Service

"This is an excellent and really valuable book; clearly written, erudite, and immensely useful. The authors are key figures who have done a huge amount to develop behavioral couples therapy (BCT) for substance abuse. BCT is among the most important and effective of a number of current treatments which see substance misuse as occurring within people's social context, rather than as an individual pathology. The book contains a wealth of information, including detailed guidelines that will enable practitioners to use BCT in their everyday clinical practice. I recommend it as a core text for graduate-level training programs in all of the mental health professions."--Richard Velleman, PhD, University of Bath, UK