Psychological Trauma and Addiction Treatment, Vol. 8, No. 2

331 Pages·2006·2.35 MB·English

by  Bruce Carruth Phd LCSW

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Chemical Dependency & Addictions Treatment; Psychotherapy, Mental Health, Psychology & Psychiatry;
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Trauma r
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Trauma and addiction often go hand-in-hand—here are simultaneous treatment approaches
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that work.
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“This book, more than any others I’ve read, addresses in detail the negative
interdependence so common between addiction and psychological trauma.
It not only explores the theoretical relationship between the two, which it
does thoroughly in the first part of the book, but it also speaks well to the
simultaneous healing of the wounds of trauma and the illness of addiction. P
. . . IT PUSHES AND CHALLENGES US to not continue the separation between s
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psychology and addiction theories and techniques, but as clinicians to cross
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over and bridge this historical divide to better serve the still suffering.” h
—Craig Nakken, LICSW, LMFT, Author of The Addictive Personality: Understanding the Addictive o
Process and Compulsive Behaviors l
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g Psychological Trauma
“Therapists at times feel overwhelmed by the complexity of the patients’
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problems, ranging from mental disorders to substance abuse and psychologi- c
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cal trauma. Some counselors might even experience 'secondary trauma'
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as a result. This book OFFERS HOPE FOR COUNSELORS AND PATIENTS. It T and
addresses an important yet rarely discussed subject in the behavioral health r
a
field, the relationship between psychological trauma and addiction treat- u
ment. These issues often go undiagnosed and under-treated. . . . COVERS A m
BROAD RANGE OF CRITICAL ISSUES, SUCH AS EFFECTIVE PSYCHOTHERA- a Addiction Treatment
PEUTIC MODELS FOR DEALING WITH TRAUMA AND ADDICTION. It also a
reviews the neurobiology of trauma and the roles of 12 Step and Creative n
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Arts programs in treatment. THE READER WILL GREATLY BENEFIT from both

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the theoretical and practical aspects of this seminal book. IT SHOULD BE
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REQUIRED READING FOR THERAPISTS WHO DEAL WITH ISSUES RELATED TO
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TRAUMA AND ADDICTION.” i
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—David J. Powell, PhD, President, International Center for Health Concerns, Inc.
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Here, in a single source, is an essential overview of trauma treatment for people in o
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addiction treatment settings. Psychological Trauma and Addiction Treatment

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presents specific methodologies and techniques for clients in inpatient and
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outpatient addiction/mental health settings. The contributors—leading clinicians e
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and researchers in the field—provide a comprehensive set of scientific treatment
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approaches addressing a broad spectrum ISBN-13: 978-0-7890-3190-7 m
of trauma disorders. e
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www.routledge.com
Bruce Carruth, PhD, LCSW
Editor
Psychological Trauma
and Addiction Treatment
PsychologicalTraumaandAddictionTreatmenthasbeenco-published
simultaneouslyasJournalofChemicalDependencyTreatment,Volume8,
Number22006.
212x152 PB + 2 colour pages
Page Intentionally Left Blank
Psychological Trauma
and Addiction Treatment
Bruce Carruth, PhD, LCSW
Editor
PsychologicalTraumaandAddictionTreatmenthasbeenco-published
simultaneouslyasJournalofChemicalDependencyTreatment,Volume8,
Number22006.
PsychologicalTraumaandAddictionTreatmenthasbeenco-published
simultaneouslyasJournalofChemicalDependencyTreatment™,Volume
8,Number22006.
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First edition published by The Haworth Press, Inc
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This edition published 2011 by Routledge
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Cover design by J.L.Grausgruber
Library of Congress Cataloging-in-Publication Data
Psychological Trauma and Addiction Treatment / BruceCarruth, editor.
p. cm
“Co-publishedsimultaneouslyasJournalofchemicaldependencytreatment,volume8,number2
2006.”
Includes bibliographical references and index.
ISBN-10: 0-7890-3189-2 (hard cover : alk.paper)
ISBN-13: 978-0-7890-3189-1 (hard cover : alk.paper)
ISBN-10: 0-7890-3190-6 (soft cover : alk.paper)
ISBN-13: 978-0-7890-3190-7 (soft cover : alk.paper)
1.Psychictrauma. 2.Substanceabuse. 3.Self-destructivebehavior. I.Carruth,Bruce. II.Se-
ries.
[DNLM:1.StressDisorders,Traumatic–complications.2.Substance-RelatedDisorders–com-
plications.3.StressDisorders,Traumatic–therapy.4.Substance-RelatedDisorders–therapy.W1JO58L
v.8 no.2 2006 /WM270 P9732 2006]
RC552.T7P759 2006
616.85(cid:1)21–dc22
2006010871
Psychological Trauma
and Addiction Treatment
CONTENTS
About the Contributors xv
Preface xix
Psychological Trauma and Addiction Treatment 1
BruceCarruth, PhD,LCSW
Patricia A. Burke,MSW
Cognitive-Behavioral Therapies for Psychological Trauma
andComorbidSubstance Use Disorders 15
Casey O’Donnell, MA
Joan M. Cook, PhD
PsychodynamicPsychotherapiesand the Treatment
of Co-Occurring Psychological Trauma and Addiction 41
Barbara Davis, MFS,MSW,LCSW
Attachment, Trauma and Addiction 71
RonaldPotter-Efron,MSW, PhD
Affect Centered Therapy for Substance Abuse
of Traumatic Origin 89
John Omaha, PhD
EMDRin the Treatment of Addiction 115
Joan E.Zweben, PhD
JodyYeary, PhD
Psychoneurobiologyof Co-Occurring Trauma
and Addictions 129
Joyce Fowler, PhD
Managing Trauma Reactions in Intensive Addiction
Treatment Environments 153
Lisa M.Najavits, PhD
Trauma and 12-Step Recovery 163
Steven V. Schneider, PhD,CADClll
Enhancing Hope and Resilience Through a Spiritually
Sensitive Focus in the Treatment of Trauma and Addiction 187
Patricia A. Burke,MSW
Integrating the Creative Arts into Trauma
and Addiction Treatment: Eight Essential Processes 207
E. Hitchcock Scott, PhD, NCC,LISAC,ATR,REAT
Carol J. Ross, MA,CADAC,ICRC
Forgiveness Therapy in Psychological Trauma
and Chemical Abuse Treatment 227
John M.Schibik, PhD, LPC,LCADC
Traumatized Addicted Women: Treatment Issues 255
ChellySterman,LCSW,LCADC,NLPLevelII,EMDRLevelII
Counselor Self-Care in Work with Traumatized,
Addicted People 283
Patricia A. Burke,MSW
BruceCarruth, PhD, LCSW
DavidPrichard, PhD
Index 303
ABOUT THE EDITOR
Bruce Carruth, PhD, LCSW, lives and practices in San Miguel de
Allende, GTO, Mexico. For the last 25 years he has specialized in
treating chemically-dependent individuals and couples, people with a
variety of trauma syndromes and individuals struggling with character-
ological injuries. He has led over 600 workshops on these topics
throughoutNorthandCentralAmericaandEurope.HeisSeniorEditor,
ChemicalDependencyTreatmentpublications,forTheHaworthPress,
Inc.Dr.CarruthisalsofoundingeditorofAlcoholismTreatmentQuar-
terlyandJournalofChemicalDependencyTreatment.Hehasheldfac-
ultyappointmentsattheUniversityofArkansasandRutgersUniversity
and has received numerous awards for his work as a clinician, teacher
and researcher.
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About the Contributors
PatriciaA. Burke, MSW, has beenon thefacultyof Rutgers Univer-
sitySummerSchoolofAlcoholandDrugStudiessince1989andiscur-
rently on the faculty of Brown University Center of Alcohol Studies,
AddictionTechnologyTransferCenter.Shemaintainsaprivateclinical
andconsultingpracticeinWestBaldwin,Maine,whereshespecializes
in trauma and addiction treatment.
Bruce Carruth, PhD, LCSW, lives and practices in San Miguel de
Allende,GTO,Mexico.HeisSeniorEditorforChemicalDependency
PublicationsforTheHaworthPress,NewYorkandisonthefacultyof
Rutgers and numerous other schools of alcohol and drug studies.
JoanM.Cook,PhD,isAssistantProfessorofPsychologyinPsychia-
tryatColumbiaUniversitySchoolofMedicine.Shehasnumerouspub-
lications in geropsychology and traumatic stress fields including
research on the effects of traumatic stress on older adults.
Barbara Davis, MFS, MSW, LCSW, is a psychotherapist in private
practice in South Orange, New Jersey and a part-time faculty member
of the Graduate School of Social Work, Rutgers University. She is a
candidateattheInstituteofPsychoanalysisandPsychotherapyinNew
JerseyandhasservedastheExecutiveDirectorofahalfwayhousefor
women with co-occurring addictive and mental health disorders.
RonaldPotter-Efron,MSW,PhD,isaclinicalpsychotherapistinpri-
vatepracticeinEauClaire,Wisconsin,andtheauthoroftheHandbook
of Anger Management and manyotherbooks on anger,shameand ad-
dictions.
JoyceFowler,PhD,isaclinicalpsychologistinprivatepracticeinLit-
tle Rock, Arkansas. She has an extensive background in addictions
treatment and specialized training in Health Psychology and neuro-
psychology.
xv