Practicing Harm Reduction Psychotherapy - An Alternative Approach to Addictions (Hardcover)

This work presents an innovative model for the treatment of clients with alcohol and substance abuse problems. The goals and methods of harm reduction are incorporated into a multidimensional psychotherapeutic approach. Denning demonstrates that traditional, abstinence-based approaches are inappropriate for many persons who seek help for psychological or emotional problems, and shows how effective therapeutic work can be conducted even with individuals who are still using drugs. The focus is on reducing the damage done by drug use while respecting each client's needs, priorities, and life choices. A comprehensive clinical rationale is provided, and readers are taken step by step through assessment and treatment. Intervention strategies are described in depth, illustrates with extended case examples. Topics covered include addressing the difficulties with affect and trust that are often found in substance- using persons, neurobiological aspects of addiction, and working with dual-multidiagnosis patients. Applications to consultation and training are also discussed. Grounded in psychodynamic, cognitive-behavioural, and public health principles, this text should be of use in a wide range of settings.