Behavioral Treatment for Substance Abuse in Schizophrenia or Insight in Psychiatry

Behavioral Treatment for Substance Abuse in Schizophrenia (BTSAS)

Author: Alan S Bellack

The last few years have seen an increasing awareness among the mental health community to the unique situations of the person suffering simultaneously from mental health disorders and substance abuse addiction. Complementing this rise in attention has been a realization of the unique challenges faced by mental health professionals engaged in the treatment of these clients, and a startling acknowledgement of the gap in the existing literature on the topic. There is currently no available treatment manual that includes specific training on how to treat this difficult population, following guidelines and practical instructions based on treatment practices already employed by the authors. This treatment manual will fill an important gap in the literature by addressing the specific challenges faced by the clinician treating individuals with co-occurring schizophrenia and substance abuse disorders.

The unique strength of the proposed volume is its close adherence to a treatment plan proven successful byempirical research and now being made available for the practicing clinician. The book is designed as a manual for mental health professionals, and follows a program which incorporates various treatment components, from motivational interviewing, urinalysis contingency, and social skills training to education and coping skills, problem solving and relapse prevention, and finally termination. Guidelines are clearly established for these treatment modes, utilizing case examples and fictional situations to allow the reader to profit more directly from the lessons in the text. The book follows a treatment outline that will allow the clinician to pattern a series of therapy sessionsafter the suggested timeframe found within the text. Additionally, the format and flow of individual sessions is carefully considered and discussed, allowing the clinician a model from which to base a treatment plan.

Table of Contents:

Preface     ix
Part I
Introduction to Treating People with Dual Disorders     3
Scientific Background     13
Training Philosophy and General Strategies     25
Social Skills Training     37
Assessment Strategies     49
Part II
Motivational Interviewing in People with SPMI     65
Urinalysis Contingency and Goal Setting     83
Social Skills and Drug Refusal Skills Training     95
Education and Coping Skills Training     125
Relapse Prevention and Problem Solving     165
Graduation and Termination     223
Part III
Dealing with Common Problem Situations     235
Implementing BTSAS in Clinical Settings: Strategies and Potential Modifications     251
References     259
Index     265

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Insight in Psychiatry

Author: Ivana Markova

Despite considerable research examining insight in patients with psychoses, non-psychotic disorders and chronic organic brain syndromes, results are inconclusive and insight remains a source of some mystification. To what extent can patients understand disorders which affect their mental function? Does insight bear a prognostic value? Is impaired insight determined by the illness or are other factors of equal importance? Ivana S. Marková examines the problems involved in studying insight in patients with mental illness in order to provide a clearer understanding of the factors that determine its clinical manifestation.