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Psychotherapy for the Treatment of Substance Abuse

Marc Galanter, M.D., and Herbert D. Kleber, M.D.

  • ISBN 978-1-58562-390-7
  • Item #62390
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In adapting a new, clinically focused manual from their popular American Psychiatric Publishing Textbook of Substance Abuse Treatment, now in its fourth edition, Dr. Marc Galanter and Dr. Herbert Kleber intend Psychotherapy for the Treatment of Substance Abuse to be of practical application to both experienced clinicians and those new to the field substance abuse intervention. This manual:

  • Reviews the most common psychotherapeutic interventions for opiod-related and alcohol-related substance abuse disorders.
  • Features chapters authored by leading authorities on each intervention covered.
  • Gives valuable insight into the substance abuse disorders that affect over 20% of the U.S. population at some time in their lives.
  • Outlines diagnostic tools such as patient assessment, patient placement criteria, and how to test for and identify recent drug use.
  • Confirms that the most common interventions for virtually all substance abuse disorders are psychotherapy and behavioral approaches.

Only one in ten patients with substance abuse disorders actually seek and receive treatment. The text is intended to address and overcome the shortage of substance abuse treatment providers and the inadequate training of many clinicians in the intervention techniques they will need in order to help these patients.

Psychotherapy for the Treatment of Substance Abuse brings together chapters by experts in their respective treatment specialties, written in a consistent format and style for easy reference. Chapters include relevant case studies on the following topics:
  • Drs. Greenfield and Hennessey's chapter on assessing the patient combines key didactic points with the compassion and insights of two experienced therapists.
  • Dr. el-Guebaly lays out the cross-cultural aspects of addiction therapy and its increasing importance in our culturally diverse society.
  • Cognitive-behavioral therapy (Dr. Carroll), motivational therapy (Dr. Di Clemente), and contingency management (Dr. Higgins) are probably the three most studied behavioral interventions for substance abuse disorders, though not the most used.
  • The principles outlined by Drs. Frances, Mack, and Lightdale in covering psychodynamic psychotherapy can improve insights into and practice of other modalities.
  • Twelve-step facilitation (Dr. Ries) lays out how to improve the chance of successful referral to Alcoholic Anonymous as well as how to utilize its precepts in other settings.
  • Network Therapy, a specialty practiced by volume editor Marc Galanter, is a multimodal approach to rehabilitation that enlists the support of family members and friends to try to achieve prompt abstinence and ongoing relapse prevention.

Multiple techniques discussed in this volume are brought to life in an accompanying DVD that reinforces the text by sharing reenacted segments of actual sessions of multimodal Network Therapy. This text is highly recommended for psychiatrists, psychologists, social workers, psychiatric nurses, residents and fellows, and anyone interested in substance abuse treatment and prevention.


  • Introduction. Use of the DVD on network therapy. Assessment of the patient. Testing to identify recent drug use. Cross-cultural aspects of addiction therapy. Patient placement criteria. Motivational enhancement. Intervention with the addicted person. Cognitive-behavioral therapies. Contingency management. Psychodynamic psychotherapy. Network therapy. Group therapy. Twelve-step facilitation for co-occurring addiction and mental health disorders. Family therapy. The history of Alcoholics Anonymous and the experiences of patients. Index.


    David W. Brook, M.D.
    Kathleen M. Carroll, Ph.D.
    Helen Dermatis, Ph.D. (assistant editor)
    Carlo C. DiClemente, Ph.D., A.B.P.P.
    Robert L. DuPont, M.D.
    Nady el-Guebaly, M.D., D.Psych., D.P.H.
    Richard J. Frances, M.D.
    Marc Galanter, M.D. (editor)
    David R. Gastfriend, M.D.
    Leigh Gemmell, Ph.D.
    Shelly F. Greenfield, M.D., M.P.H.
    Grace Hennessy, M.D.
    Stephen T. Higgins, Ph.D.
    Herbert D. Kleber, M.D. (editor)
    Miranda Garay Kofeldt, M.A.
    Eric Leventhal, L.C.S.W.
    Hallie A. Lightdale, M.D.
    Avram H. Mack, M.D.
    Caitlin McMahon (assistant editor)
    David Mee-Lee, M.D.
    Edgar P. Nace, M.D.
    Timothy J. O'Farrell, Ph.D.
    Richard K. Ries, M.D.
    Carl M. Selavka, Ph.D.
    Kenneth Silverman, Ph.D.
    J. Scott Tonigan, Ph.D.
    Yukiko Washio, Ph.D.
    Laurence M. Westreich, M.D.
    Penelope P. Ziegler, M.D.

About the Authors

Marc Galanter, M.D., is Professor of Psychiatry and Director, Division of Alcoholism and Drug Abuse, New York University School of Medicine.

Herbert D. Kleber, M.D., is Professor of Psychiatry and Director, Division of Substance Abuse, Columbia University.

A remarkable series of chapters written by true experts in the field comprehensively reviewing the evidence for and importance of the range of effective psychotherapies in addiction treatment. This is a must -have and must-read book for anyone treating addicts or teaching others best practices in addiction medicine or psychiatry.—Mark S. Gold, M.D., Dizney Eminent Scholar & Dist Prof, Univ FL Coll of Med & McKnight Brain Inst, Depts of Psychiatry, Neuroscience, Community Health & Family Medicine; Chairman, Dept of Psychiatry

This is an exceptional written by true experts in the field. It is a comprehensive review of the evidence for and effectiveness of various psychotherapeutic interventions for this patient population. It clearly shows there is more than just 12-step programs that are effective for this patient population. All clinicians and instructors in this area should be familiar with this book.—Michael Easton, M.D.,, Doody's Publishers' Club, 1/1/2012

The chapters are scholarly and informative and should satisfy the empirically minded and the clinician and the learner alike. I would recommend this book in particular for psychiatrists, residents, addiction therapists, and social workers.—John M. Wryobeck, Ph.D., ABPP,, Journal of Psychiatric Practice, 1/1/2012

I would recommend this book to those who have an interest in psychotherapy for substance abuse and are seeking an overview of assessment and psychotherapy treatments in an American context.—Mark Ashraph,, Journal of Behavioural and Cognitive Psychotherapy, 1/1/2012

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