Edward Kaufman

Family therapy of drug and alcohol abuse

1. Constructing a Therapeutic Reality. 2. Family Processes Associated with Alcohol and Drug Use and Abuse. 3. From Psychodynamic to Structural to Integrated Family Treatment of Chemical Dependency. 4. Structural Family Therapy with Drug Addicts. 5. Family Therapy with Adolescent Substance Abusers. 6. Multiple Family Therapy with Drug Abusers. 7. From Multiple Family Therapy to Couples Therapy. 8. Integrating Cybernetics and Constructivism into Structural/Strategic Family Therapy for Drug Abusers. 9. Drug-Abusing Families: Intrafamilial Dynamics and Brief Triphasic Treatment. 10. Adolescent Substance Abuse: Multidimensional Family Therapy in Action. 11. Stepfamilies and Substance Abuse: Unique Treatment Considerations. 12. Behavioral Treatment of the Alcoholic Marriage. 13. Willpower: A Major Issue in the Psychotherapy of Adult Children of Alcoholics. 14. The Therapists Relationship with Couples with an Alcoholic Member. 15. An Abstinence Model of Family Therapy. 16. Integrative, Individual and Family Therapy as Told by Debby G. 17. The Application of the Basic Principles of Family Therapy to the Treatment of Drug and Alcohol Abusers. Index.

Family Systems and Family Therapy of Substance Abuse: An Overview of Two Decades of Research and Clinical Experience

Substantial recent progress has been made in the study of family systems and in the field of family therapy. The gradual application of these new technologies to the field of substance abuse is discussed. A shift has occurred toward quantitative assessment of the three generational systems of the substance abuser as well as inclusion of that entire system in the family therapy. Family therapy treatment methods have been developed to motivate substance abusers, detoxify them, and work with the family when the identified patient is not involved in treatment and to restructure the entire family. The field of family therapy evaluation is in its infancy but plans are underway for elaborate scientific investigation of efficacy.

The relationship of alcoholism and alcohol abuse to the abuse of other drugs.

The abuse of drugs by alcoholics, the abuse of alcohol by drug abusers, the prevalence of alcohol abuse in polydrug clients, and the role of alcohol as a steppingstone are examined quantitatively over the past decade. The increase of drug abuse by alcoholics and the increase of alcohol abuse and alcoholism by polydrug abusers is documented. This is accounted for mainly by an increase of drug abuse in younger and/or female alcoholics. The abuse of alcohol by heroin addicts has also increased, particularly when heroin purity diminishes and when these clients cycle through methadone maintenance. However, much of the alcoholism in these patients began prior to the onset of heroin use and dependence. Methods of treatment modifications necessary to deal with problems presented by these combinations are discussed.

The psychotherapy of dually diagnosed patients

A model of psychotherapy with dual diagnosis patients is presented. This therapy is divided into 3 phases: achieving sobriety, maintaining abstinence, and advanced recovery. In each of these phases, dual diagnosis patients require many specialized techniques, which are discussed. After sobriety, psychotherapy is behavioral and supportive. When abstinence is stabilized, then psychodynamic principles can be integrated into an approach that recognizes the role played by potential return to substance abuse. Abstinence is even more critical in dual diagnosis patients than in uncomplicated substance abusers. In advanced recovery, more traditional psychotherapy can be done, particularly in nonpsychotic patients.

Myth and Reality in the Family Patterns and Treatment of Substance Abusers

Family therapy has become an increasingly important modality in the treatment of substance abuse over the past decade. As knowledge of family patterns and therapy in this area has increased, many myths have evolved. This article examines these myths and presents the realities as perceived by the author at this time.

Multiple Family Therapy with Drug Abusers

Multiple Family Therapy (MFT) is a technique which is particularly useful and applicable with drug abusers and their families. This type of therapy can be used in any treatment setting for drug abusers, but is most successful in residential settings where the family is more available and accessible. MFT was initiated as a modality by Lacqueur (1971) in an inpatient unit of a state hospital, but, as used by the authors, has many other roots. These include: Social Network Intervention (Speck, 1971), multiple impact therapy (Ritchie, 1971), the ward or town meeting concept of both the psychiatric and Synanon mode therapeutic community and a host of group and family therapy techniques. Group techniques run the gamut from psychoanalytic through psychodrama, existential, gestalt and encounter. Family techniques include sculpting or choreography (Papp, 1971), structural communications (Minuchin, 1974), and systems approaches (Fogarty, 1974).

A Contemporary Approach to the Family Treatment of Substance Abuse Disorders

A contemporary approach to the family treatment of substance abuse is presented. This approach involves developing a method for establishing and maintaining a substance-free state, a workable system of family therapy, sufficient attention to the family after substance abuse has stopped, and an individualized, integrated approach which takes into consideration a variety of family factors.

Multiple Family Therapy: A New Direction in the Treatment of Drug Abusers

Multiple family therapy is presented as an important treatment augmentation for drug abusers in a variety of settings. The total family is viewed as patient with the drug abuser a symptom bearer. Common family dynamics are described as well as the techniques to create structural changes in families.

A model for psychotherapy with the good-prognosis cancer patient:Conducted at a time when the patient is amenable to Change

Abstract Based on previous work with other crisis-intervention patients, the authors describe their integrated system of psychotherapy for initialstage, good-prognosis cancer patients. The therapy model includes psychotherapeutic and educational components. In good-prognosis patients many unresolved conflicts become amenable to psychotherapy. In patients whose cancer recurs, the system is intended to offer them and their families a means of coping with the disease.

The family of the alcoholic patient

Abstract This article reviews the various structural patterns of the alcoholics family, the interactions within it, and how they develop as the alcoholism progresses. Noting that “Anyone living close to an alcoholic will be psychologically stressed,” the author examines in particular the effects on the spouse. The patterns developing in the family response to the alcoholism are also likely to vary depending on whether the alcoholic is the male or female parent. Ideally, therapy should involve not only the spouse, but also the children and parents and/or in-laws.