دانلود کتاب Working with Dual Diagnosis: A Psychosocial Perspective

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Cover
Half title
Title
Copyright
Contents
List of Tables and Figures
Introduction
PART I History, Politics and Concepts
1 The Historical Context of Substance Use, Mental Health and Dual Diagnosis
Dual diagnosis: a ‘contested’ term and a ‘real’ issue
Why do substances and mental health go together?
What comes fi rst, mental health symptom or substance use effect?
Stimulants
Depressants
Hallucinogens
The global is the local: economic liberalization and the normalizationof substance consumption
REfERENcES
2 The Socio-Politics of Dual Diagnosis: Psychiatry, Law and Economics
The social and political construction of dual diagnosis: understanding the context of mental health and substance use policy
Moral–medical
Medical–criminal justice
Psychiatric–criminal justice
Economic–criminal justice
REFERENCES
3 Key Models for Understanding Dual Diagnosis
Introduction
Critical accounts
The main models
Psychosocial perspectives
The social model of disability in dual diagnosis
REFERENCES
PART II Working in Practice
4 Working with Individuals: The Broader Picture and Getting Started
Introduction
The varied and complex nature of the relationship between substance misuse and mental health problems
Values-based practice
Importance of acknowledging issues of difference and diversity and their impact on treatment
The Care Programme Approach – case management
Strengths-based models in mental health
Strengths-based models for substance use
Risk
Physical and mental health factors affecting motivation to change
Key factors in assessment when working with dual diagnosis
Assessing clients and formulation
The problem list – a tool for getting started
Problem formulation and conceptualization in dual diagnosis
Relapse prevention
Homework in relapse prevention
Relapse prevention in mental health
Harm reduction
REFERENCES
5 Psychosocial Interventions
Motivational interventions (MI)
Importance of facilitative conditions
What is motivational interviewing?
Stages in motivational interviewing
Brief interventions and self-help
Guided self-help
Contingency management
Cognitive behavioural therapy (CBT) and formulation
Structure in CBT
Psychodynamic therapy
Psychodynamic understanding of addiction
Addiction as transitional phase fixation
Medication as transitional objects
Self-regulation difficulties
Substance use as self-medication
Understanding substance use from an attachment theory perspective
Repetition compulsion
Psychodynamic therapy and what it says about the practitioner in the therapeutic relationship
Inpatient, residential settings and the criminal justice system
Mindfulness and technology-based interventions
Technology-based interventions
REFERENCES
6 Working with Groups and Families
Introduction
Group work modes
What is the 12-step programme?
Dual diagnosis and 12-step programmes
Group interventions and psychotherapy
Resistance and challenges to the curative process in group interventions
Group ending, separation and focus on relapse prevention
Key protocols informing family work perspectives
Involving families and carers
A five-step approach
Behavioural family therapy (BFT) and cognitive behavioural (CB) interventions
Behavioural couples therapy
Basic family and systemic therapy concepts
NICE guidelines (2007) – supporting families and carers
Social behaviour and network therapy (SBNT)
SBNT stages
REFERENCES
7 Working in Community Settings: Dual Diagnosis and the Recovery Movement in a Community Context
The lived experience of challenges faced by professionals working in the community
Recovery movement within the community
Therapeutic communities
Integration of harm reduction and recovery-oriented practices
The social model of disability: rights of access
REFERENCES
Conclusion
Glossary of Key Terms
Index