'This is a most welcome and timely Second Edition of this popular and helpful book. Areas that have been updated include the latest thinking on drinking guidelines, on medical interventions (including further information in therapeutic drugs and on the treatment of withdrawal symptoms), on evidence-based practice, especially that resulting from the Project MATCH study in the USA, and how some forms of coping by family members with drinking relatives may be most effective. Overall, anyone wanting an understanding of the world of alcohol problems and the application of counselling in this area (particularly motivational interviewing and cognitive-behavioural approaches) will find this book valuable' - Healthcare Counselling and Psychotherapy Journal '...there is much in this book which will prove useful for both the social worker and the social work student who wishes to acquire practice advice and information that draws upon the most relevant and recent research - especially in relation to work with the individual problem drinker and families' - British Journal of Social Work 'Richard Velleman writes with the voice of an experienced clinician, his ear keenly tuned both to his clients and the counsellors who see them. His premises are deceptively simple, but reflect both the clinician's compassion and the scientist's reason: people drink for reasons and the clinician's challenge is to understand those reasons; each client is unique and should be treated that way; no one treatment fits all clients; empower clients to change; use skills and knowledge from research. Behind each principle is a depth of wisdom plus practical advice about how to put each premise into practice. 'Novices and experienced counsellors alike with find here new ideas and perspectives that should help their clients and enrich their counselling' - Barbara S McCrady, Center of Alcohol Studies, Rutgers University Counselling for Alcohol Problems, Second Edition is a highly practical guide to the steps which counsellors can take on a day-to-day basis to help those who have problems with their use of alcohol. It is the key book recommended by the National Alcohol Training Strategy for training counsellors to work with people with alcohol problems.An acclaimed text, Counselling for Alcohol Problems provides clear guidance for counsellors and demonstrates the need to treat every client as an individual, attempting to understand and hence enable the client to understand, what they are doing and why. This Second Edition has been thoroughly revised, and now contains an additional chapter on working with people who also have mental health difficulties, as well as up-to-date information about new drug treatments and withdrawal relief methods, drinking guidelines, and evidence-based approaches, especially the results of Project MATCH. Other important topics also examined include relapse prevention, and working with family members of those with alcohol-related problems. Backed up with detailed case studies and useful resource material, the Second Edition of this best-selling text will continue to be invaluable for all practitioners, both those specializing in work with alcohol misusers and those who encounter problem drinkers in the context of a more general counselling practice.
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我最近翻阅的这本辅导手册,着实让我对“如何与陷入酒精泥潭的人有效沟通”这件事有了全新的认识。它的叙事风格非常平实,没有那种高高在上的专家口吻,读起来感觉非常亲切,就像是走进了一个温暖的研讨会现场。我印象最深的是关于“复发预防”的那几章,作者没有采取那种一刀切的禁止策略,而是将复发视为学习过程中的一个自然环节,强调了“从错误中恢复”的能力比“永不犯错”更重要。书中详细列举了各种高风险情境下的应对脚本,这些脚本的设计充满了对人类局限性的理解和接纳。更让我感到耳目一新的是,它非常强调家庭系统的作用。酒精问题从来都不是个体独有的孤岛,书中清晰地阐述了如何引导家庭成员从“共依赖”的角色中抽离出来,转而成为支持者而不是控制者,这对打破恶性循环至关重要。这种系统性的视角,远超出了我之前接触的大部分仅关注个体内部驱动力的辅导材料。这本书真正做到了将复杂的问题拆解成一个个可以被理解和处理的模块,大大增强了我的实操信心。
评分阅读完这本关于酒精辅导的书籍后,我最大的感受是它极大地拓宽了我的“工具箱”,不仅仅是增加了一些新的技巧,更是重塑了我对“辅导关系”本身的理解。作者在书的后半部分详细探讨了辅导员自身的专业发展和自我关怀问题,这在许多专业书籍中往往是被忽略的“软性”内容。处理酒精成瘾的案例,对辅导员的情感能量消耗是巨大的,书中坦诚地讨论了“替代性创伤”的风险,并提供了一系列具体的、可操作的自我调节和边界设定的策略。这使得这本书的价值从一本纯粹的技能手册,升华为一本关乎专业可持续发展的指南。此外,书中对于不同文化背景下的酒精使用差异和应对方式的讨论,也体现了高度的文化敏感性。它提醒我们,不能用一套标准化的模型去套用所有来访者,而需要根据其独特的社会和文化环境来调整干预方案。总而言之,这本书的价值在于其全面性、深度,以及对辅导员和来访者双方的深切关怀。
评分这本关于酒精问题辅导的书籍,其最突出的特点,在我看来,是它对“希望”和“赋权”的强调。在很多关于成瘾的严肃论述中,很容易陷入一种宿命论的悲观色彩,仿佛一旦沾染,就永远走在滑坡路上。然而,这本书却始终保持着一种积极、建设性的基调。它没有粉饰成瘾带来的痛苦和破坏,但核心信息始终是:改变是可能的,而且改变的动力必须源于来访者自身。书中对“强化内在动机”的论述简直是教科书级别的。它不是简单地告诉我们要多鼓励来访者,而是深入剖析了如何通过巧妙的提问和反思性倾听,让来访者自己发现改变的意义和价值。我特别喜欢其中一个关于“探索价值观与饮酒行为的冲突”的练习模块,它非常巧妙地利用了个人价值体系的张力来驱动行为的改变,这种由内而外的推动力远比外部的压力或奖惩更持久。对于那些在工作中感到力不从心、看不到来访者有任何进步的辅导员来说,这本书无疑是一剂强心针,重新点燃了我们对工作意义的信念。
评分说实话,这本书的深度和广度让我感到有点震撼,它几乎涵盖了处理酒精依赖问题的每一个关键维度,但其结构安排却异常清晰。我尤其欣赏作者在处理“共病问题”时的细致入微。在现实的临床工作中,很少有人是“单纯”的酒精成瘾者,他们往往伴随着焦虑、抑郁、创伤后应激障碍(PTSD)等其他精神健康挑战。这本书没有把这些复杂性当作额外的负担,而是将其整合进核心的辅导模型中。它提供了一套渐进式的处理流程:如何先稳定核心的成瘾行为,然后安全地转向处理潜在的、更深层次的情绪困扰。书中关于“创伤知情关怀”在酒精辅导中的应用讨论得尤为精彩,它提醒我们,很多时候,饮酒不过是一种自我麻痹的替代性应对机制。从书籍的编排上来看,它似乎是为不同经验水平的辅导员量身定制的——新手可以从基础的评估和关系建立学起,而资深人士则可以在其关于复杂案例管理的章节中找到新的启发点。这绝对是一本值得反复研读的工具书,而不是那种只看一遍就束之高阁的快餐读物。
评分这本关于酒精问题的辅导书籍,内容实在是出乎意料的深刻和实用。我原本以为它会是那种泛泛而谈,充斥着心理学术语的教科书,但实际阅读下来,感觉更像是一位经验丰富的治疗师在手把手地教你如何建立起一套真正有效的干预框架。书中对酒精成瘾的根源分析非常细致入微,它没有简单地将问题归咎于意志力薄弱,而是深入探讨了生物学、社会学以及个体创伤经历是如何相互作用,共同构建起这个复杂问题的。特别值得称赞的是,作者在介绍各种干预技术时,不仅描述了“做什么”,更着重解释了“为什么这样做”以及在不同阶段应该如何灵活调整策略。比如,在评估阶段,它提供了一套非常成熟且富有同理心的提问技巧,帮助建立治疗联盟,这对于处理那些充满防御心理的来访者至关重要。很多市面上的书籍往往只关注认知行为疗法(CBT)的僵硬技巧,但这本书显然吸收了更广阔的视角,融合了动机性访谈(MI)的精髓,使得整个辅导过程更具人性化和可持续性。对于任何想深入了解酒精问题辅导实践的专业人士来说,这本书绝对是案头必备的参考资料,它提供的不仅仅是理论,更是一套可操作的、充满智慧的实战指南。
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