Table Of ContentManaging Negative Emotions
Without Drinking
Managing Negative Emotions Without Drinking is the ideal companion to Emotion
Regulation Treatment of Alcohol Use Disorders. Each of the 12 individual weekly treat-
ment sessions presents scientifically tested strategies for managing emotions with-
out alcohol, including mindfulness practices, direct experiencing of emotion, and
cognitive and behavioral skills to manage high-risk drinking situations and prevent
relapse to alcohol use. The step-by-step exercises, user-friendly worksheets, and
in-session and between-session skill practice help clients gain a basic understanding
of the role that emotions play in harmful alcohol use and assist you in developing the
skills needed to manage these emotions and cravings without alcohol.
Paul R. Stasiewicz, PhD, is a licensed clinical psychologist as well as senior research
scientist and director of the Addiction Treatment Services outpatient clinic at the
University at Buffalo’s Research Institute on Addictions. His NIH-funded research
focuses on the development of novel behavioral therapies for alcohol use disorders.
Clara M. Bradizza, PhD, is a senior research scientist at the Research Institute on
Addictions and a research scientist in the Department of Family Medicine at the
University at Buffalo. Her research, funded by NIH, includes the development of
innovative affect-based interventions for both alcohol and smoking. Dr. Bradizza
is a member of the University at Buffalo (UB) Institutional Review Board and is a
grant reviewer at the National Institutes of Health.
Kim S. Slosman, MS, LMHC, is a clinical research project director at the Research
Institute on Addictions at the University at Buffalo with more than 20 years of
clinical practice and supervision experience in mental health and addiction. She also
has experience developing and delivering manualized treatments and has served as
a therapist on four previous clinical trials involving emotion regulation training for
substance-abusing clients.
Managing Negative Emotions
Without Drinking
A Workbook of Effective Strategies
Paul R. Stasiewicz
Clara M. Bradizza
Kim S. Slosman
First published 2018
by Routledge
711 Third Avenue, New York, NY 10017
and by Routledge
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Routledge is an imprint of the Taylor & Francis Group, an informa business
© 2018 Paul R. Stasiewicz, Clara M. Bradizza, Kim S. Slosman
The right of Paul R. Stasiewicz, Clara M. Bradizza, Kim S. Slosman
to be identified as authors of this work has been asserted by them in
accordance with sections 77 and 78 of the Copyright, Designs and
Patents Act 1988.
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means, now known or hereafter invented, including photocopying and
recording, or in any information storage or retrieval system, without
permission in writing from the publishers.
Trademark notice: Product or corporate names may be trademarks
or registered trademarks, and are used only for identification and
explanation without intent to infringe.
Library of Congress Cataloging-in-Publication Data
A catalog record for this book has been requested
ISBN: 978-1-138-21587-0 (hbk)
ISBN: 978-1-138-21588-7 (pbk)
ISBN: 978-1-315-40586-5 (ebk)
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The best way out is always through.
—Robert Frost
To our children, Adam and Hannah, who have helped us to become more
patient and to value being present in the moment.
Paul R. Stasiewicz & Clara M. Bradizza
To my husband, Aaron, and my children, Mike and Kaiti,
for their love, laughter, and never-failing support.
Kim S. Slosman
Contents
Acknowledgments ix
About the Authors xi
Chapter 1 Introduction 1
Chapter 2 Is This Treatment Right for You? 9
Chapter 3 Session 1: About This Treatment 15
Chapter 4 Session 2: Enhancing Motivation and Mindfulness 29
Chapter 5 Session 3: High-Risk Situations and Mindful Coping 39
Chapter 6 Session 4: Drinking-Related Thoughts, Coping With Urges
and Cravings, and Cognitive Reappraisal 53
Chapter 7 Session 5: Drink Refusal Skills and Managing
Emotions With Actions 69
Chapter 8 Session 6: Skill and Treatment Progress Review and
Preparing for Direct Experiencing of Emotion 85
Chapter 9 Session 7: Coping With a Lapse or Relapse and Direct
Experiencing of Emotion 101
Chapter 10 Session 8: Enhancing Social Support Networks and Direct
Experiencing of Emotion 115
Chapter 11 Session 9: Seemingly Irrelevant Decisions and Direct
Experiencing of Emotion 129
Chapter 12 Session 10: Progress Review, Stimulus Control Strategies,
and Direct Experiencing of Emotion 139
viii Contents
Chapter 13 Session 11: Relapse Prevention and Lifestyle Balance 157
Chapter 14 Session 12: Accomplishments and Future Directions 171
References 179
Acknowledgments
We would like to give a special thanks to our colleagues Dr. Scott Coffey, Dr. Gregory
Gudleski, and Dr. Suzy Bird Gulliver, who shared their knowledge, expertise, and
friendship as we developed Emotion Regulation Treatment (ERT) of Alcohol Use
Disorders. We are grateful to all of the clients and to the therapists who have pro-
vided us with extremely insightful feedback through various revisions and improve-
ments to the treatment manual.
Numerous project staff including project directors, data analysts, research assis-
tants, consultants, and colleagues have all made important contributions to this
work. Our thanks go to Dr. Kenneth E. Leonard and Dr. Gerard J. Connors for
contributing institutional resources that helped to support the clinical research stud-
ies on which ERT is based.
Lastly, this work would not have been possible without the generous support
and funding from the National Institute on Alcohol Abuse and Alcoholism (R01
AA15064, R21 AA017115; PI: Stasiewicz; and R01 AA024628; MPI: Stasiewicz/
Bradizza), National Institute on Drug Abuse (R01 DA021802; PI: Bradizza), and
the Office of Research on Women’s Health at the National Institutes of Health.
