Table Of ContentTreaTing addicTion
Treating addiction
A Guide for Professionals
William R. Miller
Alyssa A. Forcehimes
Allen Zweben
Postscript by A. Thomas McLellan
THe gUiLFord PreSS
New York London
© 2011 The Guilford Press
A Division of Guilford Publications, Inc.
72 Spring Street, New York, NY 10012
www.guilford.com
All rights reserved
Except as indicated, no part of this book may be reproduced, translated, stored
in a retrieval system, or transmitted, in any form or by any means, electronic,
mechanical, photocopying, microfilming, recording, or otherwise, without
written permission from the publisher.
Printed in the United States of America
This book is printed on acid-free paper.
Last digit is print number: 9 8 7 6 5 4 3 2 1
LIMITED PHOTOCOPY LICENSE
These materials are intended for use only by qualified professionals.
With the exception of some materials that are in the public domain, the publisher grants
to individual purchasers of this book nonassignable permission to reproduce all materi-
als for which photocopying permission is specifically granted in a footnote. This license
is limited to you, the individual purchaser, for personal use or use with individual cli-
ents. This license does not grant the right to reproduce these materials for resale, redis-
tribution, electronic display, or any other purposes (including but not limited to books,
pamphlets, articles, video- or audiotapes, blogs, file- sharing sites, Internet or intranet
sites, and handouts or slides for lectures, workshops, or webinars, whether or not a fee is
charged). Permission to reproduce these materials for these and any other purposes must
be obtained in writing from the Permissions Department of Guilford Publications.
The authors have checked with sources believed to be reliable in their efforts to provide
information that is complete and generally in accord with the standards of practice that are
accepted at the time of publication. However, in view of the possibility of human error or
changes in behavioral, mental health, or medical sciences, neither the authors, nor the editor
and publisher, nor any other party who has been involved in the preparation or publication
of this work warrants that the information contained herein is in every respect accurate or
complete, and they are not responsible for any errors or omissions or the results obtained
from the use of such information. Readers are encouraged to confirm the information con-
tained in this book with other sources.
Library of Congress Cataloging-in- Publication Data
Miller, William R. (William Richard)
Treating addiction: a guide for professionals / by William R. Miller,
Alyssa Forcehimes, and Allen Zweben
p. cm.
Includes bibliographical references and index.
ISBN 978-1-60918-638-8 (hardback)
1. Substance abuse—Treatment. 2. Drug abuse—Treatment.
I. Forcehimes, Alyssa. II. Zweben, Allen, 1940– III. Title.
RC564.M546 2011
362.29—dc23
2011017582
To Robert G. Hall, PhD,
who in 1973 persuaded me that I ought to learn something
about addiction treatment
W. R. M.
To my sister,
who showed me that lasting change from addiction
can and does occur
A. A. F.
To my wife, Aviva,
who has always been there for me
A. Z.
About the Authors
William R. Miller, PhD, is Emeritus Distinguished Professor of Psychology
and Psychiatry at the University of New Mexico in Albuquerque. Through-
out his career he has developed and evaluated various methods for addic-
tion treatment, including motivational interviewing, behavior therapies,
and pharmacotherapies. More generally interested in the psychology of
change, Dr. Miller has also focused on the interface of spirituality and
psychotherapy. Having authored more than 40 books and 400 professional
and scientific articles and chapters, Dr. Miller is listed by the Institute for
Scientific Information as one of the world’s most cited scientists.
Alyssa A. Forcehimes, PhD, is a clinical psychologist on the faculty of
Psychiatry at the University of New Mexico Health Sciences Center. She
coordinates the Southwest Node of the National Institute on Drug Abuse
Clinical Trials Network, which is located at the University’s Center on
Alcoholism, Substance Abuse, and Addictions. Dr. Forcehimes’s research
focuses on processes of motivation for change and on effective methods
for disseminating and teaching evidence-based behavioral treatments for
addiction to mental health, substance abuse, and health care providers.
Allen Zweben, PhD, is Professor and Associate Dean for Research and Aca-
demic Affairs at the Columbia University School of Social Work in New
York. Dr. Zweben has been a principal investigator on numerous feder-
ally and privately funded behavioral and medication trials, including two
landmark studies funded by the National Institute on Alcohol Abuse and
Alcoholism: Project MATCH, a patient– treatment matching study, and the
COMBINE study, a project examining the efficacy of combining pharma-
cotherapy and psychotherapy interventions for alcohol problems.
vii
Acknowledgments
For me, this book represents a retrospective of what I have learned during
37 years of work in addiction treatment and research. There is no way to
adequately thank the hundreds of colleagues, students, research staff, and
clients who have helped me to learn along the way, but I do want to name
just a few. First of all, there is Robert G. Hall, named in the dedication.
He invited a totally green summer intern into the world of addiction treat-
ment and set me on a path that would fascinate me throughout my career.
I have had the privilege of sharing the hard work of conducting many clini-
cal research projects and discussing their implications with several long-
standing colleagues, among them Drs. Reid Hester, Dick Longabaugh, Bob
Meyers, Terri Moyers, Steve Rollnick, Scott Tonigan, Paula Wilbourne, and
Carolina Yahne. I owe so much to two of the finest administrative assis-
tants anyone could have, Dee Ann Quintana and Delilah Yao, who looked
after me through two lively and impossibly busy decades. The last two
decades of my academic career were continuously and generously funded
by grants from the National Institute on Alcohol Abuse and Alcoholism
and the National Institute on Drug Abuse. I spent my entire professional
career at the University of New Mexico (UNM), and I can’t imagine a bet-
ter place to have worked. The amazing staff of UNM’s Center on Alcohol-
ism, Substance Abuse, and Addictions (CASAA) were a fine community
of friends and colleagues without whom I could not have undertaken half
of what I’ve managed to squeeze into these years. After working with 20
publishing companies throughout my career, I have settled into a happy
relationship with The Guilford Press, appreciating the unusual quality of
ix
