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Extrait :
Beyond Addiction
INTRODUCTION
Hope in Hell
To accept the things you cannot change . . . to change the things you can . . . to know the difference.
—Adapted from the AA motto
This book is different.
You may have picked up this book in desperation, you may be afraid nothing will help, but we are optimistic we can change that.
Maybe your husband’s drinking increased after the kids went to college and you worry it’s only going to get worse. Maybe your grown son doesn’t return calls anymore, seems uninterested in working, and smokes a lot of pot. Maybe your daughter has stopped eating, or maybe she can’t seem to stop. Maybe your elderly mom sounds slurry every time you call her in the evening, but never remembers it the next day. Maybe your brother is back in treatment, again, for methamphetamine abuse. Substance and compulsive behavior problemsIcan take endless shapes and vary in terms of severity, scariness, and heartbreak.
Families come to our program every day with these and many other serious problems. Still we are optimistic. We don’t mean that maybe you’ll be lucky or that it’s no big deal. We are optimistic because we know change is possible. If your own optimism has gotten shaky in recent months or years, we invite you to borrow ours for now. Take this book like a steadying hand. And know that you can make a difference.
As researchers and clinicians, we’ve seen the evidence over the past forty years that families and friends make a difference in helping someone who struggles with drinking, drugs, eating, or other compulsive behaviors. Often, it is the critical difference.
We also know that people get better, and there are many reasons to be hopeful. However, you’re probably more familiar with the popular notions of intractable character defects and progressive, chronic disease. There’s widespread pessimism about the possibility of real change. Addiction can be terrible—at times life-threatening. But change is possible, and there are clear paths leading to it.
This is why, ten years ago, we created a new treatment program, the Center for Motivation and Change (CMC), in New York City, where we are part of a revolution in addiction treatment based on evidence and on a new model for change.
We built our practice on optimism, not because it made us feel good, though it does, but because it works. We base our optimism, our clinical practice, and now this book on forty years of well-documented research on how substances and other compulsive behaviors affect people, why people use them, and how and why people stop self-destructive behavior and start on paths toward health and happiness. In turn, our experiences with thousands of clients bear out the research findings.
There is in fact a science of change.
Every day at CMC we see clients put it into practice, using the knowledge, attitudes, and skills you’ll find in this book. It takes time, and it is not usually a straight or smooth path. But it is a better way. Things can and do change. The process already started when you picked up this book.
The Science of Change
It’s been five hundred years since the scientific revolution, and we’ve had modern medicine for at least a century. Yet shockingly, the understanding and treatment of substance use in the United States has been exempt from scientific standards and separate from mainstream healthcare until quite recently.
Researchers in America only began to collect evidence in earnest in the 1970s. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) was established in 1970, followed by the National Institute on Drug Abuse (NIDA) in 1974. Finally, after years of folk wisdom running the gamut from truly helpful to ineffective to harmful, federal money flowed toward scientific studies of what works, including what family and friends like you can do to help. The increasing number of controlled studies, including our own, over these forty-odd years, has created a mountain of evidence—scientists have separated the wheat from the chaff, revealing that certain approaches and treatment strategies are more successful than others. That’s good news, and we hope that it will help you find your own optimism.
Most people equate treatment with intensive, residential “rehab” and believe rehab is the starting point of all change. In fact, there are many treatment options and substantial evidence that outpatient treatment is at least as effective in most cases and often a better place to start. Since 1996, the American Society of Addiction Medicine recommends starting with the least intensive treatment that is safe. Dr. Mark Willenbring, former director of the Treatment and Recovery Research Division of NIAAA, describes how the vast majority of people who could benefit from help don’t get it, in part because the system is designed to treat the most severe problems, while the culture dictates waiting until someone “hits bottom”—in other words, waiting until problems become severe. Family members and friends are left with few options other than to stand by and watch things get worse, then get their loved one into rehab if they can. This despite strong evidence that reaching people early, when their problems are less severe and more treatable, leads to better outcomes. Thankfully, the treatment system is starting to change.
The evidence supports many ways to address substance use disorders, as many ways as there are reasons people have them. Treatment is not always necessary; it turns out that many people get better without ever seeking professional help. There is also clear evidence that certain treatment approaches consistently outperform others. Cognitive-behavioral and motivational approaches, for example, which treat substance abuse like any other human behavior, are significantly more effective than confrontational approaches aimed to challenge a person’s “denial” about his “disease.”
Research has demonstrated that the popular belief that if someone “just stops” using a substance, then the rest of his problems will take care of themselves is simplistic and untrue. Substance problems are complex and multidetermined, often driven by underlying psychiatric disorders such as depression, anxiety, bipolar disorder, or attention deficit disorders that require specialized attention over and beyond just treating the substance problem. In other words, good treatment often includes psychiatric care, which has historically been overlooked or even discouraged in some drug and alcohol treatment settings.
Science has also given us a better understanding of the brain’s role in substance use and compulsive behaviors. With that science, there are new medications that reduce cravings and compulsivity, block drug effects, ease withdrawal, and treat underlying issues. Neuroimaging research provides new insights into the effects of substances on the brain; and recent discoveries in neuroscience have shown the power of neuroplasticity in the brain’s healing itself.
And science has revealed that teenagers are not simply grown-ups who text a lot; they are neurologically, psychologically, socially, and legally different from adults, and they have different treatment needs. Until about fifteen years ago, most of the services available for adolescents were barely modified adult treatments. Clinical trials have shown us that teenagers respond well to appropriate treatment and just as with adults, some treatments are considerably more effective than others. You might be surprised to learn that they all involve parents as active treatment participants (and often siblings, peers, and school systems).II
Finally, research has shown how you can play a role in change. Our work with families and friends of people with substance problems is informed by CRAFT—Community Reinforcement and Family Training—a scientifically supported, evidence-based, clinically proven approach to helping families of substance abusers. CRAFT grew out of treatment innovations that began in the 1970s. A group of researchers in Illinois, led by behavioral psychologist Nathan Azrin, developed what is still the most effective behavioral treatment for substance users, and called it the Community Reinforcement Approach, or CRA. In the process, they discovered that family involvement was a crucial factor in successful change. Robert J. Meyers, PhD (one of the original Illinois group), expanded the CRA approach to work with families when their loved one refused help, and called it CRAFT. After moving to the Center on Alcoholism, Substance Abuse and Addictions (CASAA) at the University of New Mexico, Dr. Meyers conducted further research and clinical trials (teaming with Jane Ellen Smith, PhD), and they and others investigating CRAFT have given us robust evidence that given the right tools, families can effect change.
CRAFT has three goals: 1.) to teach you skills to take care of yourself; 2.) to teach you skills you can use to help your loved one change; and 3.) to reduce substance use, period, whether your loved one gets formal treatment or not. CRAFT is behavioral in that it employs strategies for real-world, observable change. CRAFT is also motivational, drawing its strength from collaboration and kindness rather than confrontation and conflict. This motivational and behavioral approach is the core of our work with families, the substance of the helping strategies in this book, and an opportunity for profound change.
Drs. Meyers and Smith and other research groups have studied CRAFT with family members from a variety of socioeconomic, ethnic, and age groups struggling with a range of different substances, with the following results:
· Two-thirds of people using substances who had been initially resistant to treatment agreed to go to treatment (typically after family members had around five sessions of CRAFT).
· The majority of participating spouses and parents reported being happier, less depressed, less angry, and having more family cohesion and less family conflict than prior to their CRAFT sessions, whether or not their loved one engaged in treatment.
· CRAFT’s effectiveness in engaging substance users and improving family functioning is found across substance types, relationship types, and ethnicities.
Good News: Things get better with CRAFT. Families feel better, substance use often decreases, and people with substance problems usually enter treatment when a family member uses CRAFT.
CRAFT works, first, because it understands substance problems holistically, in the context of family, community, and work. People do not use substances in a vacuum. Their relationships impact their substance use just as their substance use impacts their relationships. CRAFT recognizes that most family members and friends, for their part, have good intentions, good instincts, and a healthy desire to help. CRAFT treats the problems families face as a deficit of skills rather than as a disease of codependence. These skills can be learned.
Second, CRAFT recognizes that “just stopping” is not a sustainable long-term solution. While change depends at first on stopping (or reducing), the $64,000 question is what promotes staying stopped. CRAFT asks you to see what makes substance use rewarding to your loved one, so that you can introduce the “competition”—more constructive activities that serve the same needs—into her world. To this end, CRAFT will feel strange at first. If you have been viewing her substance problem as the cause of all other problems for some time, you may wonder what taking her bike in for a tune-up could have to do with anything. Plenty, as we’ll see.
What We Offer
First, we offer a new perspective on why your loved one does what he does. “Why” is a key to change. Second, we will teach you skills: positive communication, reinforcement strategies, and problem-solving skills to transform your relationship with your loved one and your life. Third, we will help you navigate what is often a one-toned, ideologically tinged treatment system, because there are treatment approaches and settings, medications, and knowledge available that you run a high risk of never encountering through traditional channels. Fourth, we will show you how to take better care of yourself so you’ll have the energy to keep going, keep changing, keep helping. Finally, we will teach you skills to make peace with the things you cannot change.
Questions You Might Have
Here are the primary questions from families who come to us. While there is no quick fix, we do have some answers.
Can I really help him if he doesn’t want to change?
Yes! This is perhaps the best question you could ask, and really the heart of the matter. With a motivational approach, part of helping people change is helping them want to change. You, the one at his side, worried, distraught, and horrified, don’t have to stand by in detachment or go ballistic as your only alternatives (though you might do these things sometimes anyway). If you give people the right encouragement, stay connected to them, provide good options (not ultimatums), respect their right to be part of the solution, and keep your balance by taking care of yourself and setting healthy limits, things get better. Change doesn’t always happen as quickly as we want and it can be messy, but it happens.
Even when people say repeatedly that they don’t want to or simply can’t change, they do so all the time—even in the face of long odds. Why? Because change becomes worth it to them. The balance shifts enough for them to say, “Enough! Let me try another way.” The pain of continuing what they are doing and the benefits of changing begin to seem to them to outweigh the benefits of continuing to use and the pain of changing. The little-known but well-documented secret of our field is that many people change on their own, including recovering from terrible substance problems, because change becomes worth it.
The reality is that people by nature have a self-righting mechanism—but you don’t need to wait passively for this righting mechanism to kick in. Your involvement can help bring about an internal shift in your loved one toward positive change. Most people do not need to “hit rock bottom” and “admit they are addicts” for real change to occur. Though some people change this way, it’s not the only way. In fact, when people use these phrases to describe how they changed, they are expressing their versions of exactly what we mean—something shifted to make it worth it to them. What you will learn here is how to help your loved one make this shift, without stepping away from him, and sooner rather than later. This book will help you trust and influence the process of change.
What if I feel as though I’ve already tried everything?
Depending on what has transpired by the time you picked up this book, some skepticism at the idea of doing more is understandable. It’s also natural for you to despair sometimes, but this doesn’t mean your situation is actually hopeless. At some level you know this: you’re reading this book because even if you feel as though you’ve tried everything, you’re still trying! It can be hard to feel hopeful when change doesn’t seem to be happening, despite best intentions and major investments of time, money, and emotions. However, we know that you haven’t tried everything, though you may feel like you have. How do we know? Because at this point only a few treatment providers in North America share our approach for working with families and friends. The system is starting to change, but for now we can be pretty sure you’ll find something new here.
You’l...
Revue de presse :
INTRODUCTION
Hope in Hell
To accept the things you cannot change . . . to change the things you can . . . to know the difference.
—Adapted from the AA motto
This book is different.
You may have picked up this book in desperation, you may be afraid nothing will help, but we are optimistic we can change that.
Maybe your husband’s drinking increased after the kids went to college and you worry it’s only going to get worse. Maybe your grown son doesn’t return calls anymore, seems uninterested in working, and smokes a lot of pot. Maybe your daughter has stopped eating, or maybe she can’t seem to stop. Maybe your elderly mom sounds slurry every time you call her in the evening, but never remembers it the next day. Maybe your brother is back in treatment, again, for methamphetamine abuse. Substance and compulsive behavior problemsIcan take endless shapes and vary in terms of severity, scariness, and heartbreak.
Families come to our program every day with these and many other serious problems. Still we are optimistic. We don’t mean that maybe you’ll be lucky or that it’s no big deal. We are optimistic because we know change is possible. If your own optimism has gotten shaky in recent months or years, we invite you to borrow ours for now. Take this book like a steadying hand. And know that you can make a difference.
As researchers and clinicians, we’ve seen the evidence over the past forty years that families and friends make a difference in helping someone who struggles with drinking, drugs, eating, or other compulsive behaviors. Often, it is the critical difference.
We also know that people get better, and there are many reasons to be hopeful. However, you’re probably more familiar with the popular notions of intractable character defects and progressive, chronic disease. There’s widespread pessimism about the possibility of real change. Addiction can be terrible—at times life-threatening. But change is possible, and there are clear paths leading to it.
This is why, ten years ago, we created a new treatment program, the Center for Motivation and Change (CMC), in New York City, where we are part of a revolution in addiction treatment based on evidence and on a new model for change.
We built our practice on optimism, not because it made us feel good, though it does, but because it works. We base our optimism, our clinical practice, and now this book on forty years of well-documented research on how substances and other compulsive behaviors affect people, why people use them, and how and why people stop self-destructive behavior and start on paths toward health and happiness. In turn, our experiences with thousands of clients bear out the research findings.
There is in fact a science of change.
Every day at CMC we see clients put it into practice, using the knowledge, attitudes, and skills you’ll find in this book. It takes time, and it is not usually a straight or smooth path. But it is a better way. Things can and do change. The process already started when you picked up this book.
The Science of Change
It’s been five hundred years since the scientific revolution, and we’ve had modern medicine for at least a century. Yet shockingly, the understanding and treatment of substance use in the United States has been exempt from scientific standards and separate from mainstream healthcare until quite recently.
Researchers in America only began to collect evidence in earnest in the 1970s. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) was established in 1970, followed by the National Institute on Drug Abuse (NIDA) in 1974. Finally, after years of folk wisdom running the gamut from truly helpful to ineffective to harmful, federal money flowed toward scientific studies of what works, including what family and friends like you can do to help. The increasing number of controlled studies, including our own, over these forty-odd years, has created a mountain of evidence—scientists have separated the wheat from the chaff, revealing that certain approaches and treatment strategies are more successful than others. That’s good news, and we hope that it will help you find your own optimism.
Most people equate treatment with intensive, residential “rehab” and believe rehab is the starting point of all change. In fact, there are many treatment options and substantial evidence that outpatient treatment is at least as effective in most cases and often a better place to start. Since 1996, the American Society of Addiction Medicine recommends starting with the least intensive treatment that is safe. Dr. Mark Willenbring, former director of the Treatment and Recovery Research Division of NIAAA, describes how the vast majority of people who could benefit from help don’t get it, in part because the system is designed to treat the most severe problems, while the culture dictates waiting until someone “hits bottom”—in other words, waiting until problems become severe. Family members and friends are left with few options other than to stand by and watch things get worse, then get their loved one into rehab if they can. This despite strong evidence that reaching people early, when their problems are less severe and more treatable, leads to better outcomes. Thankfully, the treatment system is starting to change.
The evidence supports many ways to address substance use disorders, as many ways as there are reasons people have them. Treatment is not always necessary; it turns out that many people get better without ever seeking professional help. There is also clear evidence that certain treatment approaches consistently outperform others. Cognitive-behavioral and motivational approaches, for example, which treat substance abuse like any other human behavior, are significantly more effective than confrontational approaches aimed to challenge a person’s “denial” about his “disease.”
Research has demonstrated that the popular belief that if someone “just stops” using a substance, then the rest of his problems will take care of themselves is simplistic and untrue. Substance problems are complex and multidetermined, often driven by underlying psychiatric disorders such as depression, anxiety, bipolar disorder, or attention deficit disorders that require specialized attention over and beyond just treating the substance problem. In other words, good treatment often includes psychiatric care, which has historically been overlooked or even discouraged in some drug and alcohol treatment settings.
Science has also given us a better understanding of the brain’s role in substance use and compulsive behaviors. With that science, there are new medications that reduce cravings and compulsivity, block drug effects, ease withdrawal, and treat underlying issues. Neuroimaging research provides new insights into the effects of substances on the brain; and recent discoveries in neuroscience have shown the power of neuroplasticity in the brain’s healing itself.
And science has revealed that teenagers are not simply grown-ups who text a lot; they are neurologically, psychologically, socially, and legally different from adults, and they have different treatment needs. Until about fifteen years ago, most of the services available for adolescents were barely modified adult treatments. Clinical trials have shown us that teenagers respond well to appropriate treatment and just as with adults, some treatments are considerably more effective than others. You might be surprised to learn that they all involve parents as active treatment participants (and often siblings, peers, and school systems).II
Finally, research has shown how you can play a role in change. Our work with families and friends of people with substance problems is informed by CRAFT—Community Reinforcement and Family Training—a scientifically supported, evidence-based, clinically proven approach to helping families of substance abusers. CRAFT grew out of treatment innovations that began in the 1970s. A group of researchers in Illinois, led by behavioral psychologist Nathan Azrin, developed what is still the most effective behavioral treatment for substance users, and called it the Community Reinforcement Approach, or CRA. In the process, they discovered that family involvement was a crucial factor in successful change. Robert J. Meyers, PhD (one of the original Illinois group), expanded the CRA approach to work with families when their loved one refused help, and called it CRAFT. After moving to the Center on Alcoholism, Substance Abuse and Addictions (CASAA) at the University of New Mexico, Dr. Meyers conducted further research and clinical trials (teaming with Jane Ellen Smith, PhD), and they and others investigating CRAFT have given us robust evidence that given the right tools, families can effect change.
CRAFT has three goals: 1.) to teach you skills to take care of yourself; 2.) to teach you skills you can use to help your loved one change; and 3.) to reduce substance use, period, whether your loved one gets formal treatment or not. CRAFT is behavioral in that it employs strategies for real-world, observable change. CRAFT is also motivational, drawing its strength from collaboration and kindness rather than confrontation and conflict. This motivational and behavioral approach is the core of our work with families, the substance of the helping strategies in this book, and an opportunity for profound change.
Drs. Meyers and Smith and other research groups have studied CRAFT with family members from a variety of socioeconomic, ethnic, and age groups struggling with a range of different substances, with the following results:
· Two-thirds of people using substances who had been initially resistant to treatment agreed to go to treatment (typically after family members had around five sessions of CRAFT).
· The majority of participating spouses and parents reported being happier, less depressed, less angry, and having more family cohesion and less family conflict than prior to their CRAFT sessions, whether or not their loved one engaged in treatment.
· CRAFT’s effectiveness in engaging substance users and improving family functioning is found across substance types, relationship types, and ethnicities.
Good News: Things get better with CRAFT. Families feel better, substance use often decreases, and people with substance problems usually enter treatment when a family member uses CRAFT.
CRAFT works, first, because it understands substance problems holistically, in the context of family, community, and work. People do not use substances in a vacuum. Their relationships impact their substance use just as their substance use impacts their relationships. CRAFT recognizes that most family members and friends, for their part, have good intentions, good instincts, and a healthy desire to help. CRAFT treats the problems families face as a deficit of skills rather than as a disease of codependence. These skills can be learned.
Second, CRAFT recognizes that “just stopping” is not a sustainable long-term solution. While change depends at first on stopping (or reducing), the $64,000 question is what promotes staying stopped. CRAFT asks you to see what makes substance use rewarding to your loved one, so that you can introduce the “competition”—more constructive activities that serve the same needs—into her world. To this end, CRAFT will feel strange at first. If you have been viewing her substance problem as the cause of all other problems for some time, you may wonder what taking her bike in for a tune-up could have to do with anything. Plenty, as we’ll see.
What We Offer
First, we offer a new perspective on why your loved one does what he does. “Why” is a key to change. Second, we will teach you skills: positive communication, reinforcement strategies, and problem-solving skills to transform your relationship with your loved one and your life. Third, we will help you navigate what is often a one-toned, ideologically tinged treatment system, because there are treatment approaches and settings, medications, and knowledge available that you run a high risk of never encountering through traditional channels. Fourth, we will show you how to take better care of yourself so you’ll have the energy to keep going, keep changing, keep helping. Finally, we will teach you skills to make peace with the things you cannot change.
Questions You Might Have
Here are the primary questions from families who come to us. While there is no quick fix, we do have some answers.
Can I really help him if he doesn’t want to change?
Yes! This is perhaps the best question you could ask, and really the heart of the matter. With a motivational approach, part of helping people change is helping them want to change. You, the one at his side, worried, distraught, and horrified, don’t have to stand by in detachment or go ballistic as your only alternatives (though you might do these things sometimes anyway). If you give people the right encouragement, stay connected to them, provide good options (not ultimatums), respect their right to be part of the solution, and keep your balance by taking care of yourself and setting healthy limits, things get better. Change doesn’t always happen as quickly as we want and it can be messy, but it happens.
Even when people say repeatedly that they don’t want to or simply can’t change, they do so all the time—even in the face of long odds. Why? Because change becomes worth it to them. The balance shifts enough for them to say, “Enough! Let me try another way.” The pain of continuing what they are doing and the benefits of changing begin to seem to them to outweigh the benefits of continuing to use and the pain of changing. The little-known but well-documented secret of our field is that many people change on their own, including recovering from terrible substance problems, because change becomes worth it.
The reality is that people by nature have a self-righting mechanism—but you don’t need to wait passively for this righting mechanism to kick in. Your involvement can help bring about an internal shift in your loved one toward positive change. Most people do not need to “hit rock bottom” and “admit they are addicts” for real change to occur. Though some people change this way, it’s not the only way. In fact, when people use these phrases to describe how they changed, they are expressing their versions of exactly what we mean—something shifted to make it worth it to them. What you will learn here is how to help your loved one make this shift, without stepping away from him, and sooner rather than later. This book will help you trust and influence the process of change.
What if I feel as though I’ve already tried everything?
Depending on what has transpired by the time you picked up this book, some skepticism at the idea of doing more is understandable. It’s also natural for you to despair sometimes, but this doesn’t mean your situation is actually hopeless. At some level you know this: you’re reading this book because even if you feel as though you’ve tried everything, you’re still trying! It can be hard to feel hopeful when change doesn’t seem to be happening, despite best intentions and major investments of time, money, and emotions. However, we know that you haven’t tried everything, though you may feel like you have. How do we know? Because at this point only a few treatment providers in North America share our approach for working with families and friends. The system is starting to change, but for now we can be pretty sure you’ll find something new here.
You’l...
"This is the most important new resource for the millions of families struggling with drug and alcohol problems, and all the hopelessness and helplessness that goes with it. First, it provides reason for hope based on science, not conventional wisdom. Second, it provides a comprehensive, compassionate, and understandable plan, not a recipe for a quick fix. And third, it reaffirms that applying the family’s natural kindness and positive reinforcement, rather than withholding it, is what makes change possible." (Tom Hedrick Founding Member, The Partnership at Drugfree.org)
"I am an expert in substance use disorders–quoted all the time. But I could never apply all that so-called expertise where it really counted–in my own family. I had scientific knowledge but no practical tools to use to help me and my affected family cope and return to sanity. This book would have saved my family and me a lot of time, money, and most importantly pain. I intended to read this book as a professional courtesy and to offer editorial and perhaps scientific comments. Instead I found myself taking notes on every chapter and Xeroxing some of the handy tables. Two weeks after reading the book both my son and I are using these basic lessons and specific techniques today with my grand-kids.” (A. Thomas McLellan, PhD, Executive Director, Treatment Research Institute, former Deputy Director of the Office of National Drug Control Policy and professor of psychiatry at University of Pennsylvania)
"Beyond Addiction breaks out of the mold of traditional resources for families of people struggling with addiction. Unlike most popular self-help books in the field that suggest family members can only help themselves, Beyond Addiction empowers readers by (1) letting them know that they can help their loved one change and (2) showing them exactly how to do it. I started to put its invaluable suggestions into practice immediately in my personal and professional life. If you’re at the end of your rope, this book will provide hope, help you get your life back on track, and greatly improve the odds that your loved one will seek help." (Anne M. Fletcher, M.S., author of Inside Rehab and Sober for Good)
“Finally there is a family-based treatment for addiction that works. Beyond Addiction is the first effective book addressed to families of those with substance abuse problems. Instead of the old bromides – detaching and boundary setting – that are based on assumptions of family helplessness, Beyond Addiction offers evidence-based methods for families to motivate and reinforce change for an addicted loved one. The focus here is on effectiveness training for families, using collaboration and kindness rather than confrontation to support behavior change. I highly recommend this book; it should be required reading if your loved one struggles with substance abuse.” (Matthew McKay, Ph.D. author of Thoughts & Feelings and The Dialectical Behavior Therapy Skills Workbook)
“Objectively written and conveyed with congenial authority, the book offers collective hope to families of substance abusers... Essential.” (Kirkus)
"[Beyond Addiction's] gentle, optimistic and explanatory approach offers hope by giving family members outlets besides fighting, feeling stress, or idly waiting for motivation to happen. The Book helpfully offers reminders that although no one can make another person change, there is much that can be done to make change seem appealing and possible." (Publishers Weekly)
"Full of useful information and practical suggestions...an important resource for families affected by drug and alcohol problems." (Tulsa World)
"I am an expert in substance use disorders–quoted all the time. But I could never apply all that so-called expertise where it really counted–in my own family. I had scientific knowledge but no practical tools to use to help me and my affected family cope and return to sanity. This book would have saved my family and me a lot of time, money, and most importantly pain. I intended to read this book as a professional courtesy and to offer editorial and perhaps scientific comments. Instead I found myself taking notes on every chapter and Xeroxing some of the handy tables. Two weeks after reading the book both my son and I are using these basic lessons and specific techniques today with my grand-kids.” (A. Thomas McLellan, PhD, Executive Director, Treatment Research Institute, former Deputy Director of the Office of National Drug Control Policy and professor of psychiatry at University of Pennsylvania)
"Beyond Addiction breaks out of the mold of traditional resources for families of people struggling with addiction. Unlike most popular self-help books in the field that suggest family members can only help themselves, Beyond Addiction empowers readers by (1) letting them know that they can help their loved one change and (2) showing them exactly how to do it. I started to put its invaluable suggestions into practice immediately in my personal and professional life. If you’re at the end of your rope, this book will provide hope, help you get your life back on track, and greatly improve the odds that your loved one will seek help." (Anne M. Fletcher, M.S., author of Inside Rehab and Sober for Good)
“Finally there is a family-based treatment for addiction that works. Beyond Addiction is the first effective book addressed to families of those with substance abuse problems. Instead of the old bromides – detaching and boundary setting – that are based on assumptions of family helplessness, Beyond Addiction offers evidence-based methods for families to motivate and reinforce change for an addicted loved one. The focus here is on effectiveness training for families, using collaboration and kindness rather than confrontation to support behavior change. I highly recommend this book; it should be required reading if your loved one struggles with substance abuse.” (Matthew McKay, Ph.D. author of Thoughts & Feelings and The Dialectical Behavior Therapy Skills Workbook)
“Objectively written and conveyed with congenial authority, the book offers collective hope to families of substance abusers... Essential.” (Kirkus)
"[Beyond Addiction's] gentle, optimistic and explanatory approach offers hope by giving family members outlets besides fighting, feeling stress, or idly waiting for motivation to happen. The Book helpfully offers reminders that although no one can make another person change, there is much that can be done to make change seem appealing and possible." (Publishers Weekly)
"Full of useful information and practical suggestions...an important resource for families affected by drug and alcohol problems." (Tulsa World)
Les informations fournies dans la section « A propos du livre » peuvent faire référence à une autre édition de ce titre.
- ÉditeurScribner
- Date d'édition2014
- ISBN 10 1476709483
- ISBN 13 9781476709482
- ReliureBroché
- Nombre de pages352
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Beyond Addiction: How Science and Kindness Help People Change by Foote, Jeffrey, Wilkens, Carrie, Kosanke, Nicole, Higgs, Stephanie [Paperback ]
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(2014)
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ISBN 13 : 9781476709482
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Beyond Addiction: How Science and Kindness Help People Change: A Guide for Families
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(2014)
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Description du livre Etat : New. Book is in NEW condition. 1.08. N° de réf. du vendeur 1476709483-2-1
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Beyond Addiction: How Science and Kindness Help People Change: A Guide for Families
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(2014)
ISBN 10 : 1476709483
ISBN 13 : 9781476709482
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Description du livre Etat : New. New! This book is in the same immaculate condition as when it was published 1.08. N° de réf. du vendeur 353-1476709483-new
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Beyond Addiction: How Science and Kindness Help People Change (Paperback or Softback)
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Scribner Book Company 12/30/2014
(2014)
ISBN 10 : 1476709483
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Description du livre Paperback or Softback. Etat : New. Beyond Addiction: How Science and Kindness Help People Change 0.65. Book. N° de réf. du vendeur BBS-9781476709482
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Beyond Addiction Format: Paperback
Edité par
Simon and Schuster
(2014)
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ISBN 13 : 9781476709482
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Description du livre Etat : New. Brand New. N° de réf. du vendeur 9781476709482
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Beyond Addiction : How Science and Kindness Help People Change, A Guide for Families
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(2014)
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ISBN 13 : 9781476709482
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Description du livre Etat : New. N° de réf. du vendeur 21784504-n
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Beyond Addiction: How Science and Kindness Help People Change
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(2014)
ISBN 10 : 1476709483
ISBN 13 : 9781476709482
Neuf
Softcover
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Description du livre Softcover. Etat : New. The groundbreaking method that upends current treatment models and offers collective hope to families of substance abusers (Kirkus Reviews), helping loved ones conquer addiction and compulsion problems through positive reinforcement and kindness-from the leaders in progressive addiction treatment in the US.Beyond Addiction goes beyond the theatrics of interventions and tough love to show family and friends how they can use kindness, positive reinforcement, and motivational and behavioral strategies to help someone change. Drawing on forty collective years of research and decades of clinical experience, the authors present the best practical advice science has to offer.Delivered with warmth, optimism, and humor, Beyond Addiction defines a new, empowered role for friends and family and a paradigm shift for the field. This new approach is not only less daunting for both the substance abuser and his family, but is more effective as well. Learn how to use the transformative power of relationships for positive change, guided by exercises and examples. Practice what really works in therapy and in everyday life, and discover many different treatment options along with tips for navigating the system. And have hope: this guide is a life raft for parents, family, and friends-offering reminders that although no one can make another person change, there is much that can be done to make change seem appealing and possible (Publishers Weekly). N° de réf. du vendeur DADAX1476709483
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Beyond Addiction: How Science and Kindness Help People Change
Edité par
Scribner
(2014)
ISBN 10 : 1476709483
ISBN 13 : 9781476709482
Neuf
Softcover
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Description du livre Softcover. Etat : New. Reprint. The groundbreaking method that upends current treatment models and offers collective hope to families of substance abusers (Kirkus Reviews), helping loved ones conquer addiction and compulsion problems through positive reinforcement and kindness-from the leaders in progressive addiction treatment in the US.Beyond Addiction goes beyond the theatrics of interventions and tough love to show family and friends how they can use kindness, positive reinforcement, and motivational and behavioral strategies to help someone change. Drawing on forty collective years of research and decades of clinical experience, the authors present the best practical advice science has to offer.Delivered with warmth, optimism, and humor, Beyond Addiction defines a new, empowered role for friends and family and a paradigm shift for the field. This new approach is not only less daunting for both the substance abuser and his family, but is more effective as well. Learn how to use the transformative power of relationships for positive change, guided by exercises and examples. Practice what really works in therapy and in everyday life, and discover many different treatment options along with tips for navigating the system. And have hope: this guide is a life raft for parents, family, and friends-offering reminders that although no one can make another person change, there is much that can be done to make change seem appealing and possible (Publishers Weekly). N° de réf. du vendeur BKZN9781476709482
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Beyond Addiction (Paperback)
Edité par
Simon & Schuster, New York
(2014)
ISBN 10 : 1476709483
ISBN 13 : 9781476709482
Neuf
Paperback
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Description du livre Paperback. Etat : new. Paperback. The groundbreaking method that upends current treatment models and offers collective hope to families of substance abusers (Kirkus Reviews), helping loved ones conquer addiction and compulsion problems through positive reinforcement and kindnessfrom the leaders in progressive addiction treatment in the US.Beyond Addiction goes beyond the theatrics of interventions and tough love to show family and friends how they can use kindness, positive reinforcement, and motivational and behavioral strategies to help someone change. Drawing on forty collective years of research and decades of clinical experience, the authors present the best practical advice science has to offer. Delivered with warmth, optimism, and humor, Beyond Addiction defines a new, empowered role for friends and family and a paradigm shift for the field. This new approach is not only less daunting for both the substance abuser and his family, but is more effective as well. Learn how to use the transformative power of relationships for positive change, guided by exercises and examples. Practice what really works in therapy and in everyday life, and discover many different treatment options along with tips for navigating the system. And have hope: this guide is a life raft for parents, family, and friendsoffering reminders that although no one can make another person change, there is much that can be done to make change seem appealing and possible (Publishers Weekly). Synopsis coming soon. Shipping may be from multiple locations in the US or from the UK, depending on stock availability. N° de réf. du vendeur 9781476709482
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Beyond Addiction: How Science and Kindness Help People Change
Edité par
Scribner
(2014)
ISBN 10 : 1476709483
ISBN 13 : 9781476709482
Neuf
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Description du livre Etat : New. . N° de réf. du vendeur 52GZZZ00I0AT_ns
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