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Treating adult children of alcoholics : a behavioral approach / Douglas H. Ruben.
- Format:
- Book
- Author/Creator:
- Ruben, Douglas H.
- Series:
- Practical resources for the mental health professional
- Language:
- English
- Subjects (All):
- Adult children of alcoholics.
- Behavior therapy.
- Physical Description:
- xvi, 283 pages ; 23 cm.
- Place of Publication:
- San Diego, Calif. ; London : Academic, [2001]
- Summary:
- Treating Adult Children of Alcoholics showcases the first collection of treatment chapters devoted entirely to a systematic behavioral analysis of drinking and nondrinking offspring of alcoholic families. The author identifies the functional and behavioral characteristics that make up the adult children of alcoholics (ACOA) syndrome. This compendium combines current innovations in behavioral medicine with multi-componential interventions shown effective with the variety of disorders evident in this patient population. This handbook for practitioners is richly laced with case examples and addresses the needs of therapists seeking fast, effective and proven treatments for longstanding clinical symptoms of children of alcoholics.
- Contents:
- Part I Assessment of Adult Children of Alcoholics
- 1 What is an Adult Child of an Alcoholic (ACOA) 3
- Defining the term "ACOA" 8
- Scientific Etiologies of ACOAs 9
- Tenets of Learning Theory 15
- Structure of Learning Theory 18
- Principles of Conditioning 20
- Response Types 27
- Ecobehavioral or Field-Integrated Approach 28
- 2 Operational Analysis of the ACOA Syndrome 33
- Why a Behavioral Approach? 34
- Functional Relationships 38
- Functional Characteristics of Punishment 44
- Superstitious Characteristics 53
- Avoidance and Escape Characteristics 55
- Ecobehavioral Characteristics 56
- 3 Behavioral Patterns of the ACOA Syndrome 67
- Pathological Response Patterns of ACOAs 69
- Consequences of ACOA Behavioral Patterns 103
- Case Illustration 113
- 4 Family Rules and Contingencies 123
- Where does Verbal Behavior Come from? 124
- Rule-Governed Behavior 126
- Self-Evaluatory Rules 127
- Meta-Rules 130
- Rules of ACOA 132
- 5 Living with ACOAs: Spousal Reactions 137
- Unpredictability of ACOA Behavior 138
- Role Ambiguity 140
- Polarity of Affection 143
- Challenge to Change ACOAs 144
- Avoidance of Criticism, Conflict, and Rejection 146
- Infidelity 149
- Domestic Violence 162
- Separation and Divorce 155
- 6 Living with ACOAs: Parent-Child Reactions 159
- Unpredictability of Parent 161
- Denial of Autonomy 162
- Fear of Affection 164
- Noncompliance 166
- Fear of Retaliation 167
- 7 Assessment of ACOA Behaviors 171
- Economy of Assessment in Clinical Practice 172
- Paper-Pencil Protocols for ACOA Populations 174
- ACOA Behavioral Profile 175
- Benefits for Diagnosis and Treatment 193
- Recommendations 196
- Part II Treatment Methodology for Adult Children of Alcoholics
- 8 Basic Components of Short-Term Treatment 201
- A Structured, Scientific Approach to Therapy 202
- Calibrated Vulnerability 210
- New Criteria for Selecting Healthy Relationships 230
- 9 Side Effects of Healthy Recovery 237
- Client Failures 238
- Predictable Transitional Stages 239
- Therapist Failures 246
- Family Resistance 253.
- Notes:
- Includes bibliographical references and index.
- ISBN:
- 0126011303
- OCLC:
- 44852066
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