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Behavioral Couples Therapy for Alcoholism and Drug Abuse


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Table of Contents

1. An Introduction to Behavioral Couples Therapy for Alcoholism and Drug Abuse
2. Engaging the Couple: Initial Couple Sessions
3. Building Support for Abstinence: The Daily Recovery Contract
4. Other Support for Abstinence
5. Increasing Positive Couple and Family Activities
6. Improving Communication, Part I: Listener and Speaker Skills
7. Improving Communication, Part II: Resolving Changes, Conflicts, and Problems
8. Continuing Recovery: Maintenance and Relapse Prevention
9. Challenges in BCT, Part I: Separated and Dual-Problem Couples
10. Challenges in BCT, Part II: Violence and Other Issues
11. Enhancements to BCT
12. Implementing BCT in the Real World
Appendix A. A 12-Session BCT Treatment Manual
Appendix B. Posters Used in BCT
Appendix C. Forms Used in BCT
Appendix D. Suggested Resources

About the Author

Timothy J. O'Farrell, PhD, ABPP, is Professor of Psychology in the Department of Psychiatry at Harvard Medical School. He is also Director of the Families and Addiction Program and the Counseling for Alcoholics' Marriages (CALM) Project at the VA Boston Healthcare System. William Fals-Stewart, PhD, until his death in 2010, was a principal scientist at RTI International, and Director of the Addiction and Family Research Group.


'This clearly-written, practical guide to behavioral couples therapy for addictive disorders will be useful to all addiction therapists. Couple-based work is extremely useful in evaluation and treatment of substance abuse; combined with behavioral and coping skills training, it can greatly improve treatment outcomes. Read this book and get better outcomes with your patients!' "- Richard J. Frances, MD, Department of Psychiatry, New York University School of Medicine, USA"" " 'Behavioral couples therapy (BCT) is one of the most scientifically and clinically sound treatments available for alcohol and drug problems... The authors present the conceptual rationale and clinical techniques of BCT in an accessible, practitioner-friendly manner. They provide case examples and clinical wisdom addressing many of the challenges to implementation in real-world settings, including integration with 12-step approaches. This book should prove tremendously helpful in disseminating BCT to educators, researchers, and practitioners, so that a wider segment of the population can experience the benefits of this exemplary treatment approach.' "- Christopher M. Murphy, PhD, Department of Psychology, University of Maryland, Baltimore County, USA" "This is an excellent and really valuable book; clearly written, erudite, and immensely useful. The authors are key figures who have done a huge amount to develop behavioral couples therapy (BCT) for substance abuse. BCT is among the most important and effective of a number of current treatments which see substance misuse as occurring within people's social context, rather than as an individual pathology. The book contains a wealth of information, including detailed guidelines that will enable practitioners to use BCT in their everyday clinical practice. I recommend it as a core text for graduate-level training programs in all of the mental health professions." - "Richard Velleman, PhD, School for Health and Department of Psychology, University of Bath, UK, and Avon and Wiltshire Mental Health Partnership NHS Trust, UK "

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