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Seeking Safety: A Treatment Manual for PTSD and Substance Abuse de Lisa M. Najavits

Seeking Safety: A Treatment Manual for PTSD and Substance Abuse: Guilford Substance Abuse

Autor Lisa M. Najavits
en Limba Engleză Paperback – 7 feb 2002

Recomandăm acest manual ca referință profesională esențială pentru clinicienii care activează în domeniul sănătății mintale și al tratamentului dependențelor. Seeking Safety reprezintă standardul de aur în terapia comorbidității dintre tulburarea de stres posttraumatic (PTSD) și abuzul de substanțe, oferind un cadru terapeutic integrat care prioritizează siguranța pacientului în prezent. Subliniem faptul că acest model nu solicită explorarea detaliată a traumei trecute, ceea ce îl face extrem de util în fazele inițiale ale recuperării, unde stabilitatea emoțională este precară.

Structura volumului este riguros organizată în 25 de unități tematice, acoperind paliere cognitive, comportamentale și interpersonale. Remarcăm includerea unor teme precum „Detaching from Emotional Pain” (Grounding) sau „Setting Boundaries in Relationships”, care oferă instrumente concrete pentru gestionarea simptomelor de disociere și auto-vătămare. Din punct de vedere editorial, considerăm că utilitatea practică este maximizată de formatul mare al cărții și de prezența fișelor de lucru ce pot fi fotocopiate, facilitând interacțiunea directă cu pacientul.

Ca alternativă la Treating Traumatic Stress and Substance Misuse de Denise Hien, care oferă un cadru de evaluare mai larg, Seeking Safety se distinge prin caracterul său de ghid de implementare pas cu pas, fiind mult mai aplicat pentru lucrul la cabinet. În contextul operei autoarei, această lucrare este pilonul central ce precedă ghidul de auto-ajutor Finding Your Best Self, Revised Edition și completează abordarea din Creating Change. Remarcăm flexibilitatea modelului, care permite utilizarea sa atât în regim de spitalizare, cât și în ambulatoriu, indiferent de orientarea teoretică a terapeutului.

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Specificații

ISBN-13: 9781572306394
ISBN-10: 1572306394
Pagini: 401
Ilustrații: forms
Dimensiuni: 210 x 280 x 23 mm
Greutate: 0.84 kg
Ediția:1
Editura: Guilford Publications
Colecția Guilford Press
Seria Guilford Substance Abuse

Public țintă

Professional and Professional Practice & Development

De ce să citești această carte

Această resursă este indispensabilă psihologilor și asistenților sociali care lucrează cu pacienți traumatizați. Cititorul câștigă acces la un protocol clinic validat științific, gata de utilizat, care pune accent pe dezvoltarea unor mecanisme de coping imediate. Este alegerea ideală dacă aveți nevoie de o metodă structurată, dar flexibilă, care să reducă riscul de recidivă și să stabilizeze comportamentele adictive fără a copleși pacientul cu amintiri traumatice premature.

Despre autor

Lisa M. Najavits, PhD, este o autoritate recunoscută la nivel mondial în studiul traumei și al adicțiilor. Ocupă funcția de profesor de psihiatrie la Boston University School of Medicine și este lector la Harvard Medical School. Experiența sa clinică vastă la VA Boston și McLean Hospital a stat la baza dezvoltării modelului „Seeking Safety”. De-a lungul carierei, s-a specializat în crearea de intervenții terapeutice pragmatice și pline de compasiune, publicând numeroase studii și ghiduri care au transformat protocolul de îngrijire pentru pacienții cu diagnostic dual.

Cuprins

1. Overview
2. Conducting the Treatment
Treatment Topics
Introduction to Treatment/Case Management
Safety
PTSD: Taking Back Your Power
Detaching from Emotional Pain (Grounding)
When Substances Control You
Asking for Help
Taking Good Care of Yourself
Compassion
Red and Green Flags
Honesty
Recovery Thinking
Integrating the Split Self
Commitment
Creating Meaning
Community Resources
Setting Boundaries in Relationships
Discovery
Getting Others to Support Your Recovery
Coping with Triggers
Respecting Your Time
Healthy Relationships
Self-Nurturing
Healing from Anger
Life Choices Game (Review)
Termination

Recenzii

"This landmark volume presents a cutting-edge approach to the treatment of patients who depend on drugs to soothe the pain of PTSD. In stunning detail, Najavits shows how the same therapist can treat both conditions concurrently. Her kinder and gentler approach is a welcome change from traditional confrontational interventions. The volume is enriched by her empathy and wisdom. All therapists attempting to help these patients should have this book to guide them."--Aaron T. Beck, MD, founder of cognitive therapy

"Fabulous! This treatment manual provides practical, clearly described procedures for treating an extremely difficult group of clients. The organization of the treatment is superb. From my perspective, the most important parts of a comprehensive treatment are here--attention to the client's safety, targeting substance use simultaneously with targeting PTSD, integrating ideals and values (I love the quotations!), a core of cognitive-behavioral interventions, a focus on interpersonal relationships, and attention to the needs of the therapist. Very impressive. Obviously written by an experienced clinician."--Marsha M. Linehan, PhD, Professor Emeritus of Psychology and Director Emeritus, Behavioral Research and Therapy Clinics, University of Washington

"Born of experience and energized by passion, this carefully crafted and thoughtful treatment manual will guide clinicians through the tricky waters of substance abuse and PTSD treatment. Seeking Safety will help clinicians decide what to do and how to do it well. As empirically guided treatment manuals begin to emerge in greater numbers and varying quality, Najavits maintains an essential and elegant balance between a lucid map of treatment directions, on the one hand, and the complex dynamics of the clinical territory on the other. This is a very important work that I highly recommend for clinicians of every stripe."--Howard J. Shaffer, PhD, CAS, Director, Division on Addictions, Harvard Medical School
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Notă biografică

Lisa M. Najavits, PhD, is Adjunct Professor at the University of Massachusetts Chan Medical School and Director of Treatment Innovations. She was on the faculty of Harvard Medical School (McLean Hospital) for 25 years and Boston University School of Medicine (Veterans Affairs Boston) for 12 years. Dr. Najavits specializes in the development of new counseling models for trauma and addiction, clinical trials research, and community-based care. She is author of over 200 publications, including the books Seeking Safety: A Treatment Manual for PTSD and Substance Abuse; Finding Your Best Self: Recovery from Addiction, Trauma, or Both; A Woman's Addiction Workbook; and Creating Change: A Past-Focused Treatment for Trauma and Addiction. She has served as president of the Society of Addiction Psychology of the American Psychological Association and has consulted widely on public health efforts in trauma and addiction, both nationally and internationally. She is a recipient of the Young Professional Award from the International Society for Traumatic Stress Studies, the Early Career Contribution Award from the Society for Psychotherapy Research, the Emerging Leadership Award from the Committee on Women in Psychology of the American Psychological Association, the Betty Ford Award from the Association for Multidisciplinary Education and Research in Substance Use and Addiction, and the Distinguished Alumna Award from Barnard College. Dr. Najavits is a licensed psychologist in Massachusetts and conducts a psychotherapy practice.

Descriere scurtă

This manual presents the most widely adopted evidence-based treatment for co-occurring trauma and addiction. For clients facing one or both of these issues, the most urgent clinical need is to establish safety--to reduce addictive behavior, build healthy relationships, manage symptoms such as dissociation and self-harm, and restore ideals that have been lost. Seeking Safety focuses on coping skills in the present; it can be implemented with individuals or groups, by any provider as well as by peers. It offers 25 topics, such as Asking for Help, Taking Good Care of Yourself, Setting Boundaries in Relationships, Healing from Anger, Honesty, and Coping with Triggers. The model is highly flexible, practical, and engaging, and can be conducted with any other treatment, including the author's past-focused model, Creating Change. The book has a large-size format and features reproducible client handouts that can be photocopied or downloaded.

See also Creating Change: A Past-Focused Treatment for Trauma and Addiction, and the self-help guide Finding Your Best Self, Revised Edition: Recovery from Addiction, Trauma, or Both, an ideal client recommendation.

Descriere

This manual presents the first empirically studied, integrative treatment approach developed specifically for co-occurring PTSD and substance abuse.