Advertisement

Counseling Intentional Addiction Recovery Grounded in Relationships and Social Meaning

  • Matthew GrahamEmail author
  • Chris Bitten
Chapter

Abstract

Those suffering from problematic substance use make efforts toward recovery whether or not in a counseling relationship—and those efforts involve important people in their lives. This chapter builds on this motivation and relational context using Contextual Action Theory (CAT) as a multi-dimensional framework to organize and support recovery from addiction in the short, medium and long term.

A key concept in CAT sees most human behaviors as goal-directed actions undertaken within key relationships. Actions are short-term and goal-directed and develop into mid-term projects or longer-term “careers”. The chapter, with case examples, describes how the CAT-informed counselor works with the cognitions and emotions that steer actions; with control processes (the cognitive and behavioral “how” of goal achievement); and with regulation processes (how the counseling is conducted to facilitate emerging insights, deal with resistance, and attend closely to the client’s process, among other regulatory skills). Assessment and communication skills to support recovery actions are examined. Important persons in the client’s life, as well as relational gaps, are explored. While addicted individuals may suffer damaged, lost or fragile relationships, there remain ways to situate goal-directed actions within relationships, including that between client and counselor and new people that enter the client’s life in recovery activities. Working with actions and goals within this rich framework can augment or provide alternatives for the more traditional recovery models.

Exploration of the client’s life and narrative and the plans and goals that emerge can free him or her from limiting self-definitions and uncover lost aspects of self-schema as the latter rapidly evolves in the early stages of recovery. Naming and working with multiple goals and projects increases the opportunity that the client will achieve confidence and competence early in recovery.

Keywords

Therapeutic Alliance Substance Misuse Addiction Treatment Social Meaning Emotional Memory 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Agar, M. (2002). How the drug field turned my beard grey. International Journal of Drug Policy, 13, 249–258.CrossRefGoogle Scholar
  2. Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2009). Emotion regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30, 217–237.PubMedCrossRefGoogle Scholar
  3. Alexander, B. K. (2000). The globalization of addiction. Addiction Research & Theory, 8, 501–526.CrossRefGoogle Scholar
  4. Biernacki, P. (1986). Pathways from heroin recovery: Recovery without treatment. Philadelphia: Temple University Press.Google Scholar
  5. Dingel, M. J., Karkazis, K., & Koenig, B. A. (2011). Framing nicotine addiction as a “disease of the brain”: Social and ethical consequences. Social Science Quarterly, 92, 1–26.CrossRefGoogle Scholar
  6. Graham, M. D. (2009). Recovery from addiction as a joint and gendered project: An action theoretical study. Doctoral dissertation, retrieved from theses and dissertations database. (http://hdl.handle.net/2429/13077).
  7. Graham, M. D., Young, R. A., Valach, L., & Wood, R. A. (2008). Addiction as a complex social process: An action theoretical perspective. Addiction Research & Theory, 16, 121–133.CrossRefGoogle Scholar
  8. Greenberg, L. S. (2004). Emotion-focused therapy. Clinical Psychology & Psychotherapy, 11, 3–16.CrossRefGoogle Scholar
  9. Holderness, C. C., Brooks-Gunn, J., & Warren, M. P. (1994). Co-morbidity of eating disorders and substance abuse review of the literature. International Journal of Eating Disorders, 16, 1–34.PubMedCrossRefGoogle Scholar
  10. Hser, Y. I., & Anglin, M. D. (2011). Addiction recovery and treatment careers. In J. Kelly & W. White (Eds.), Addiction recovery management: Theory, research and practice (pp. 9–29). New York: Springer.Google Scholar
  11. Levy, J. A., & Anderson, T. (2005). The drug career of the older injector. Addiction Research & Theory, 13, 245–258.CrossRefGoogle Scholar
  12. Mackrill, T. (2011). Differentiating life goals and therapeutic goals: Expanding our understanding of the working alliance. British Journal of Guidance and Counseling, 39,25–39.CrossRefGoogle Scholar
  13. McCrady, B. S. (2004). To have but one true friend: Implications for practice of research on alcohol use disorders and social networks. Psychology of Addictive Behaviors, 18, 113–121.PubMedCrossRefGoogle Scholar
  14. Orford, J., Templeton, L., Yelleman, R., & Copello, A. (2005). Family members of relatives with alcohol, drug and gamily problems: A set of standardized questionnaires for assessing stress, coping and strain. Addiction, 100, 1611–1624.PubMedCrossRefGoogle Scholar
  15. Rødner, S. (2005). “I am not a drug abuser, I am a drug user”: A discourse analysis of 44 drug users’ construction of identity. Addiction Research & Theory, 13, 333–346.CrossRefGoogle Scholar
  16. Rumpf, H., Bischof, G., Hapke, U., Meyer, C., & John, U. (2006). Stability of remission from alcohol dependence without formal help. Alcohol & Alcoholism, 41, 311–314.CrossRefGoogle Scholar
  17. Rush, B., Urbanoski, K., Bassani, D., Wild, T. C., Strike, C., Kimberly, D., & Somers, J. (2008). Prevalence of co-occuring substance use and other mental disorders in the Canadian population. Canadian Journal of Psychiatry, 53, 800–809.Google Scholar
  18. Savickas, M. L. (2004). Vocational psychology. In C. Spielberger (Ed.), Encyclopedia of applied psychology (pp. 655–668). Amsterdam: Elsevier.CrossRefGoogle Scholar
  19. Sellman, D. (2009). The 10 most important things known about addiction. Addiction, 105, 6–13.PubMedCrossRefGoogle Scholar
  20. Simmons, J. (2006). The interplay between interpersonal dynamics, treatment barriers, and larger social forces: An exploratory study of drug-using couples in Hartford, CT. Substance Abuse Treatment, Prevention, and Policy, 1, 12–25.PubMedCentralPubMedCrossRefGoogle Scholar
  21. Tryon, G. S., & Winograd, G. (2002). Goal consensus and collaboration. In J. Norcross (Ed.), Psychotherapy relationships that work (pp. 109–125). New York: Oxford University Press.Google Scholar
  22. Valach, L., & Young, R. A. (2001). The concepts of career and project in drug abuse and in detoxification. Unpublished manuscript. Division of Psychopathology, University of Zurich, Switzerland.Google Scholar
  23. Valach, L., Young, R. A., & Lynam, M. J. (Eds.). (2002). Action theory primer for applied research in the social sciences. New York: Praeger.Google Scholar
  24. White, W. L., & Kelly, J. F. (2011a). Introduction: The theory, science and practice of recovery management. In J. Kelly & W. White (Eds.), Addiction recovery management: Theory, research and practice (pp. 1–6). New York: Springer.Google Scholar
  25. White, W. L., & Kelly, J. F. (2011b). Recovery management: What if we really believed that addiction was a chronic disorder? In J. Kelly & W. White (Eds.), Addiction recovery management: Theory, research and practice (pp. 67–84). New York: Springer.Google Scholar
  26. Young, R. A., Paseluikho, M. A., & Valach, L. (1997). Emotion in the construction of career in conversations between parents and adolescents. Journal of Counseling and Development, 76, 36–44.CrossRefGoogle Scholar
  27. Young, R. A., Valach, L., & Domene, J. F. (2005). The action-project method in counseling psychology. Journal of Counseling Psychology, 52, 215–223.CrossRefGoogle Scholar
  28. Young, R. A., Valach, L., Marshall, S. K., Domene, J. F., Graham, M. D., & Zaidman-Zait, A. (2011). Transition to adulthood: Action, projects and counseling. New York: Springer.CrossRefGoogle Scholar

Copyright information

© Springer New York 2015

Authors and Affiliations

  1. 1.OrionHealthSurreyCanada
  2. 2.VancouverCanada

Personalised recommendations