Treating the resistant substance abuser: Harm reduction (re)emerges as sound clinical practice

Journal/Book: In Session Psychother Pract. 1998; 4: 605 Third Ave, New York, NY 10158-0012. John Wiley & Sons Inc. 25-35.

Abstract: The traditional medical model of treatment for substance abuse has worked for some addicts. However, many have been unable to benefit from this paradigm because of comorbid psychiatric disorders that are not addressed or due to individual characteristics or preferences that are not considered by the unitary approach of medical model treatment. A harm reduction approach, which combines principles of psychotherapy with substance nse treatment, is described and illustrated with a case example of a woman treated for alcoholism and depression. This approach is nonauthoritarian, collaborative, and based on an integration of psychodynamic, cognitive-behavioral, and substance use treatment techniques.

Note: Article Rothschild D, Psychologica, 31 W 11 St, 6C, New York,NY 10011 USA

Keyword(s): harm reduction; alcoholism; addiction; psychodynamic therapy; addiction treatment; substance abuse; psychotherapy; psychoanalysis; integration of treatment; dual diagnosis

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