Shame, Guilt, and Alcoholism

Treatment Issues in Clinical Practice, Second Edition

By: Ron Potter-Efron, Bruce Carruth

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Paperback | 18 June 2002 | Edition Number 2

At a Glance

Paperback
250 Pages

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Revised

Dimensions(cm)
22.9 x 15.2 x 1.4

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Explore the causes and effects of the shame/guilt/addiction cycle!Since the original edition in 1989, great strides have been made in understanding the overlapping functions of shame and guilt and the ways these painful emotions are linked with addictions. Shame, Guilt, and Alcoholism: Treatment Issues in Clinical Practice, Second Edition, integrates up-to-date psychological research with penetrating insight into the emotional realities of substance abuse. It provides a clear and practical model for understanding the shame/guilt/addiction cycle.Shame, Guilt, and Alcoholism provides constructive suggestions to therapists for treating substance-abusing clients and their affected family members. By treating destructive, inappropriate, or excessive shame and guilt, therapists can help their clients free themselves from the downward spiral of addiction and begin to build on their genuine strengths. It explores the positive functions of shame and guilt, describes the conscious and subconscious defense mechanisms against them, and highlights the crucial family behaviors that initiate and encourage shame and guilt. Shame, Guilt, and Alcoholism thoroughly explains the significant differences between shame and guilt, including:

clients’experiences of failure
primary responses and feelings
precipitating events and involvement of self
origins and central fearsShame, Guilt, and Alcoholism adds immeasurably to our understanding of the total recovery process. It is an essential resource for therapists, social workers, psychologists, substance-abuse counselors, and educators in the field.

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You Can Find This Book In

Non-Fiction Psychology Psychology: Emotions Medicine Other Branches of Medicine Therapy & Therapeutics Addiction & Therapy Clinical Psychology Self-Help, Personal Development & Practical Advice Clinical & Internal Medicine Neurology & Clinical Neurophysiology Social Services & Welfare

Social Welfare & Social Services Social Work

Acknowledgments	p. xi
Overview: Shame, Guilt, and Alcoholism	p. 1
Introduction and Definitions	p. 1
Four Basic Distinctions Between Shame and Guilt	p. 3
Models of Shame and Addiction	p. 7
Introduction	p. 7
The Disease Model of Addiction	p. 9
Self Psychology	p. 10
Affect Theory	p. 14
Family Systems Model	p. 18
Functional Theory	p. 24
Shame, Vulnerability, and the Four Spheres of Self	p. 27
Introduction	p. 27
The Presentation Self	p. 29
The Defensive Self	p. 32
The Comparative (Evaluative) Self	p. 33
Shame Waves, Cycles, and Spirals	p. 38
The Core Self	p. 44
Defenses Against Shame	p. 47
Introduction	p. 47
Withdrawal	p. 49
Denial	p. 52
Dissociation	p. 54
Projection	p. 56
Perfectionism	p. 58
Arrogance	p. 60
Shamelessness and Exhibitionism	p. 62
Rage	p. 65
Addiction As a Secondary Defense Against Shame	p. 66
Guidelines for the Treatment of Shame	p. 69
Introduction	p. 69
Treatment Guidelines	p. 70
The Treatment of Shame with Alcoholic Clients	p. 111
Introduction	p. 111
The Linkages Between Shame, Alcoholism, and Addiction	p. 112
Guidelines for the Treatment of Shame Issues with Alcoholic or Addicted Clients	p. 116
Adaptive and Maladaptive Guilt As Related to Addiction	p. 139
Adaptive Guilt and Addiction	p. 139
Maladaptive Guilt and Addiction	p. 140
Defenses Against Guilt	p. 143
Guilt and Addiction	p. 145
The Guilt-Alcoholism Cycle	p. 146
The Treatment of Guilt--General Considerations	p. 149
Introduction	p. 149
Suggested Sequence for the Treatment of Guilt	p. 150
Guidelines for the Treatment of Guilt	p. 154
The Treatment of Guilt with Alcoholic or Addicted Clients	p. 167
Introduction	p. 167
The Role of Adaptive Guilt in Recovery	p. 168
Guidelines for the Treatment of Guilt Issues with Alcoholic or Addicted Clients	p. 170
Common Shame and Guilt Themes in Families Affected by Alcoholism or Addiction	p. 185
Introduction	p. 185
Transferred Shame or Guilt	p. 185
Helping Recovering Persons Face Their Shame and Guilt	p. 187
Alcoholics Anonymous, Shame, and Guilt	p. 199
Introduction	p. 199
Alcoholics Anonymous and Shame	p. 199
The Recovering Alcoholic As a Responsibile Member of the Community	p. 203
Creative Approaches to Shame and Guilt: Helping the Adult Child of an Alcoholic	p. 205
Introduction	p. 206
Definitions of Guilt and Shame	p. 207
Approaches to Be Used	p. 208
Creative Methods for Dealing with Shame	p. 210
Guilt in Adult Children of Alcoholics	p. 217
Creative Methods for Dealing with Guilt	p. 218
Conclusion	p. 221
References	p. 223
Index	p. 231
Table of Contents provided by Syndetics. All Rights Reserved.

Shame, Guilt, and Alcoholism

Treatment Issues in Clinical Practice, Second Edition

At a Glance

Paperback

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Defective items

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