Treating Adult Children of Alcoholics: A Behavioral Approach
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Table of contents
- Cover
- Contentsvii
- Forewordxi
- Part I: Assessment of Adult Children of Alcoholics1
- Chapter 1. What is an Adult Child of an Alcoholic (ACOA)3
- Defining the term "ACOA"8
- Scientific Etiologies of ACOAs9
- Tenets of Learning Theory15
- Basic Principles16
- Structure of Learning Theory18
- Principles of Conditioning20
- Response Types27
- Ecobehavioral or Field-Integrated Approach28
- Chapter 2. Operational Analysis of the ACOA Syndrome33
- Why a Behavioral Approach?34
- Functional Relationships38
- Functional Characteristics of Punishment44
- Superstitious Characteristics53
- Avoidance and Escape Characteristics55
- Ecobehavioral Characteristics56
- Chapter 3. Behavioral Patterns of the ACOA Syndrome67
- Pathological Response Patterns of ACOAs69
- Consequences of ACOA Behavioral Patterns103
- Case Illustration113
- Chapter 4. Family Rules and Contingencies123
- Where does Verbal Behavior Come from?124
- Rule-Governed Behavior126
- Self-Evaluatory Rules127
- Meta-Rules130
- Rules of ACOA132
- Chapter 5. Living with ACOAs: Spousal Reactions137
- Unpredictability of ACOA Behavior138
- Role Ambiguity140
- Polarity of Affection143
- Challenge to Change ACOAs144
- Avoidance of Criticism, Conflict, and Rejection146
- Infidelity149
- Domestic Violence152
- Separation and Divorce155
- Chapter 6. Living with ACOAs: Parent-Child Reactions159
- Unpredictability of Parent161
- Denial of Autonomy162
- Fear of Affection164
- Noncompliance166
- Fear of Retaliation167
- Chapter 7. Assessment of ACOA Behaviors171
- Economy of Assessment in Clinical Practice172
- Paper-Pencil Protocols for ACOA Populations174
- ACOA Behavioral Profile175
- Benefits for Diagnosis and Treatment193
- Conclusions195
- Recommendations196
- Part II: Treatment Methodology for Adult Children of Alcoholics199
- Chapter 8. Basic Components of Short-Term Treatment201
- A Structured, Scientific Approach to Therapy202
- Calibrated Vulnerability210
- New Criteria for Selecting Healthy Relationships230
- Chapter 9. Side Effects of Healthy Recovery237
- Client Failures238
- Predictable Transitional Stages239
- Therapist Failures246
- Family Resistance253
- General References261
- Index279
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.
Key Features
* First book to use behavioral analysis to talk about Adult Children of Alcoholics
* Gives introductory principles of conditioning in opening chapters for novice readers
* First book to say ACOA patterns are predictable, measurable, and treatable in a short time
* Gives scientifically based criteria to "rate your date" and prevent repeated relationship failures
* Introduces a new assessment device to diagnose ACOAs
* Warns therapists of recovery sabotage and how to overcome it
Key Features
* First book to use behavioral analysis to talk about Adult Children of Alcoholics
* Gives introductory principles of conditioning in opening chapters for novice readers
* First book to say ACOA patterns are predictable, measurable, and treatable in a short time
* Gives scientifically based criteria to "rate your date" and prevent repeated relationship failures
* Introduces a new assessment device to diagnose ACOAs
* Warns therapists of recovery sabotage and how to overcome it