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Integrating 12-Steps and Psychotherapy

Integrating 12-Steps and Psychotherapy
Helping Clients Find Sobriety and Recovery

May 2013 | 240 pages | SAGE Publications, Inc
Integrating 12 Steps and Psychotherapy: Helping Clients Find Sobriety and Recovery presents a practical and applied approach to working with substance dependent clients. Designed to be accessible to a wide and multidisciplinary audience of helpers at all skill levels, this text helps future practitioners fully understand the clinical challenges with substance dependence, adjust their thinking and technique in order to match their client's phase of recovery, and optimize client retention and treatment outcomes. Utilizing educator, training, and practice perspectives, authors Kevin A. Osten and Robert Switzer explore relevant theory and techniques in integrating 12-Steps across a broad range of clinical issues including: the assessment and treatment of resistant and ambivalent pre-recovery clients; boundary setting, undoing antisocial adaption; processing counter transference reactions; and the intersection between biological functioning and ability in early recovery.

Chapter 1: An Integrated View: How 12-Steps and Psychology Agree and Disagree on the Understanding of Substance Use, Abuse, and Dependence
Chapter 2: Examining the Components of a 12-Step Program; Their Benefits and Criticisms
Chapter 3: A Clinical Perspective on Why 12-Steps is a Useful Tool for Reversing the Damage Wrought by Substance Dependence
Chapter 4: A Primer on Therapeutic Practice with Substance Use Clients
Chapter 5: Assessment Considerations and Techniques
Chapter 6: Therapy Considerations and Techniques
Chapter 7: Hitting Bottom
Chapter 8: Substance Dependence – A Relapsing Disease
Chapter 9: Step One, The Journey Begins
Chapter 10: Step Two, the Journey Continues
Chapter 11: Step Three, the Journey Becomes Purposeful
Chapter 12: Afterword for Experienced Clinicians Beginning Work with Substance Use Clients
Author Bios

Despite the American focus of this book, I will recommend this to my students, who are often very confused about how 12-step works and how it is possible to integrate our clients' twelve-step work into our counselling relationship.

Ms Nathalie Griffin
Counselling Dept, City of Bristol College
September 14, 2015

I hope this will prove a useful book for helping our Masters level students start to understand how 12 step recovery can fit with their NHS/other agency treatment provision.

The book seems well laid out and is written in an accessible way. There are a few key questions at the end of each chapter to help the reader reflect on & embed the content discussed.

Mr Scott Macpherson
The School of Nursing & Midwifery, Robert Gordon University
May 22, 2015

This publication is helpful for students to appreciate how to develop and integrate the 12 step philosophy into their counselling work.

It's written in a very accessable way, and offers interesting points on how to support clients in recovery.

Mr Richard Carroll
School of Health , Guildford College of Further and Higher Education
September 11, 2013
Key features


  • Offers an applied approach, demonstrating techniques for application in the field.
  • Includes robust clinical cases that highlight the therapeutic techniques of incorporating 12-Step concepts in the client's work in therapy.
  • Links clinical approach and techniques to each of the first three Steps in the first year of recovery (rationales, theory, and technique).
  • Covers key knowledge areas of working with chemical addictions, which are then integrated into the various stages of the client's work.
  • Coordinates the therapist's clinical work with the client's 12-Step work, an approach not seen in any other text.
  • Presents a flexible, non-pedantic model of working with clients who do not follow the entire 12-Step approach (such as those who use selective components, combine it with other sobriety efforts, or are not spiritual).

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ISBN: 9781483320618

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