Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.
This book has two goals: to educate healthcare professionals about the effect of identity-based adversity on the health of their LGBT patients, and to outline how providers can use the clinical encounter to promote LGBT patients’ resilience in the face of adversity and thereby facilitate recovery. Toward this end, it addresses trauma in LGBT populations; factors that contribute to resilience both across the lifespan and in specific groups; and strategies for promoting resilience in clinical practice. Each chapter includes a case scenario with discussion questions and practice points that highlight critical clinical best practices. The editors and contributors are respected experts on the health of LGBT people, and the book will be a “first of its kind” resource for all clinicians who wish to become better educated about, and provide high quality healthcare to, their LGBT patients.
Alcohol use disorder (AUD) is a major public health problem in the United States. The estimated 12-month and lifetime prevalence values for AUD are 13.9% and 29.1%, respectively, with approximately half of individuals with lifetime AUD having a severe disorder. AUD and its sequelae also account for significant excess mortality and cost the United States more than $200 billion annually. Despite its high prevalence and numerous negative consequences, AUD remains undertreated. In fact, fewer than 1 in 10 individuals in the United States with a 12-month diagnosis of AUD receive any treatment. Nevertheless, effective and evidence-based interventions are available, and treatment is associated with reductions in the risk of relapse and AUD-associated mortality. The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder seeks to reduce these substantial psychosocial and public health consequences of AUD for millions of affected individuals. The guideline focuses specifically on evidence-based pharmacological treatments for AUD in outpatient settings and includes additional information on assessment and treatment planning, which are an integral part of using pharmacotherapy to treat AUD. In addition to reviewing the available evidence on the use of AUD pharmacotherapy, the guideline offers clear, concise, and actionable recommendation statements, each of which is given a rating that reflects the level of confidence that potential benefits of an intervention outweigh potential harms. The guideline provides guidance on implementing these recommendations into clinical practice, with the goal of improving quality of care and treatment outcomes of AUD.
During his long career as a diplomat, international lawyer, statesman and investment banker, George Ball interrogated Albert Speer at the end of World War II, worked with Jean Monnet to build Europe, supervised the rescue of hostages in the Congo, advised President Kennedy during the Cuban missile crisis and, as Undersecretary of State in the Johnson and Kennedy administrations, was an early and consistent opponent of America’s involvement in Vietnam. “Clarity, serenity and precision are the marks of this major contribution to an understanding of American foreign policy during the past 40 years. The book deserves to be compared with Dean Acheson’s Present at the Creation (but less self-satisfied) and George Kennan’s Memoirs (but less introverted). Although the author is best known to the general public for his opposition to American military involvement in Vietnam, the historian will find his discussion of European issues the most interesting part of the book.” — Gaddis Smith, Foreign Affairs “[A] first-rate memoir of American politics and foreign policy over half a century. It is literate, lively and amusing, and in places it clarifies basic questions about the foreign policy of the United States... The Past Has Another Pattern is a colorful and thought provoking tour of the recent and not-so-recent past, conducted by a skillful guide.” — Daniel Yergin, The New York Times “[O]ne of the great, examined public lives of our time.” — Kirkus “A distinguished lawyer and public servant with experience of Presidents stretching from Roosevelt to Reagan, [George Ball] has written an impressive book of memoirs.” — Douglas Johnson, London Review of Books “A few years ago I read some 70 volumes of biography and autobiography as a Pulitzer Prize juror. George Ball’s memoirs are everything that most of the art is not. While he does not neglect his achievement, he is candid on the things that went wrong. His public life has provided him with a very great deal of very great importance to tell. He writes admirably well. And much of his story is amusing. This year there will, I promise, be no other biography that will be as good.” — John Kenneth Galbraith “George Ball is that rarity — a distinguished public servant who can write; and his memoir is not only indispensable for the historian but absorbing for the general reader.” — Arthur Schlesinger, Jr.
Maggie Stovall is trapped inside a person she’s spent years carefully crafting. Now the truth about who she is—and what she’s done—is bursting to the surface and sending Maggie into a spiral of despair. Will she walk away from everything, or can Maggie allow God to take her to a place of ultimate honesty—before it’s too late? Maggie Stovall. One of the golden people. She has it all together. At least on the surface… Ben Stovall. Godly husband. Successful attorney. Has no idea of the darkness about to overtake his life… Amanda Joy. Child of society. Abused, broken, thrown away. But her trust in God is still alive… When Joy Came to Stay is the heart-wrenching story of one woman’s descent into the shadows of depression, her husband’s search for understanding, and a precious child’s unwavering faith. "Kingsbury’s poignant tale of a lost and broken family and how they experience God’s miraculous healing is a sure guarantee to bring hope and joy to her readers." —Melody Carlson, bestselling author, Diary of a Teenage Girl series "A thought-provoking account of the battle of depression in a believer’s life. It leaves no doubt that God is loving, merciful, and faithful." —Nancy Moser, author, The Mustard Seed series Story Behind the Book “Each of my novels is a piece of my heart. Where Yesterday Lives was my first-ever novel, and as such it is somewhat autobiographical. The childhood story of Ellen Barrett, her love for her parents and siblings, is my story—though her current story and struggles are fictional. On Every Side sheds light on the struggle for religious freedom in today’s climate; something I am passionate about. Finally, When Joy Came to Stay is the story of one woman’s battle against depression and the secrets of her past.” —Karen Kingsbury
This book brings together two bodies of knowledge - wellbeing and recovery. Wellbeing and 'positive' approaches are increasingly influencing many areas of society. Recovery in mental illness has a growing empirical evidence base. For the first time, overlaps and cross-fertilisation opportunities between the two bodies of knowledge are identified. International experts present innovations taking place within the mental health system, which include wellbeing-informed new therapies, e-health approaches and peer-led recovery communities. State-of-the-art applications of wellbeing to the wider community are also described, across education, employment, parenting and city planning. This book will be of interest to anyone connected with the mental health system, especially people using and working in services, and clinical and administrators leaders, and those interested in using research from the mental health system in the wider community.
Much of health care today involves helping patients manage conditions whose outcomes can be greatly influenced by lifestyle or behavior change. Written specifically for health care professionals, this concise book presents powerful tools to enhance communication with patients and guide them in making choices to improve their health, from weight loss, exercise, and smoking cessation, to medication adherence and safer sex practices. Engaging dialogues and vignettes bring to life the core skills of motivational interviewing (MI) and show how to incorporate this brief evidence-based approach into any health care setting. Appendices include MI training resources and publications on specific medical conditions. This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.
Providing tools to enhance treatment of any clinical problem, this book shows how integrating motivational interviewing (MI) and cognitive-behavioral therapy (CBT) can lead to better client outcomes than using either approach on its own. The authors demonstrate that MI strategies are ideally suited to boost client motivation and strengthen the therapeutic relationship, whether used as a pretreatment intervention or throughout the course of CBT. User-friendly features include extensive sample dialogues, learning exercises for practitioners, and 35 reproducible client handouts that can be downloaded and printed in a convenient 8 1/2" x 11" size. See also Motivational Interviewing, Fourth Edition: Helping People Change and Grow, by William R. Miller and Stephen Rollnick, and Building Motivational Interviewing Skills, Second Edition: A Practitioner Workbook, by David B. Rosengren. This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.
