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This volume synthesizes the latest theory and research on the process of addictive behavior change, helping the clinician more effectively conceptualize and address the needs of particular clients. It offers concrete guidance for tailoring interventions to clients with varying levels of motivation or readiness to change, describing what works--and what doesn't work--at different points in the recovery process. All aspects of addictions treatment are covered, from assessment to intervention and relapse management. Practical recommendations are provided for applying the stages-of-change model to clinical work with individuals, groups, couples, and families, and for addressing the special needs of women and dually diagnosed clients. Ideal for practicing clinicians, the book is also an invaluable text for graduate-level courses.

"Therapeutic strategies designed to increase motivation to change have gained a great deal of popularity in the substance abuse literature. However, few books have been able to combine academic rigor with practical strategies for frontline clinical work. This book accomplishes the task. From first-rate researchers, this is a comprehensive and user-friendly guide to the use of the stages of change model in alcohol and drug abuse treatment. One of the things that sets the book apart is its insightful coverage of couple and group approaches, along with individual treatment. For clinicians new to the stages of change model, as well as those experienced in the field, this is an invaluable contribution." --Roger D. Weiss, MD, Department of Psychiatry, Harvard Medical School; Clinical Director, Alcohol and Drug Abuse Treatment Program, McLean Hospital

"The stages of change model has become enormously popular among treatment providers over the last decade. This appears to be a truly worldwide phenomenon, and to apply to an increasing range of behavioral disorders--perhaps because the model immediately resonates with the experience of clinicians and clarifies for them the nature of their undertaking. There are many other books and articles in which the stages of change model has assumed a prominent place, but none has achieved what this book succeeds in doing. It presents in clear and accessible language a coherent integration of the model with the entire process of treatment for substance use disorders, from assessment and treatment planning to the management of relapse. Along the way, many key concerns in treatment are usefully reconceptualized and much of the accumulated wisdom in the field is viewed in a fresh and invigorating light." --Nick Heather, PhD, Centre for Alcohol and Drug Studies, Newcastle City Health NHS Trust and University of Northumbria at Newcastle, UK

"This unique book offers an integrative perspective on the vast body of information available in the addictions field. The authors transform information into knowledge, providing a clear framework for conducting treatment within the context of the stages of change model. With an eye toward matching assessments and interventions to the needs of diverse clients, the reader is guided systematically through a broad range of clinical ideas, tools, and techniques." --James O. Prochaska, PhD, Cancer Prevention Research Center, University of Rhode Island

Gerard J. Connors, PhD, is Director of the Research Institute on Addictions at the University at Buffalo, State University of New York. Coauthor of a textbook on drug use and abuse, Dr. Connors has published over 100 scientific articles and book chapters in the area of alcoholism and addictive behaviors.

Dennis M. Donovan, PhD, is Director of the Alcohol and Drug Abuse Institute at the University of Washington, where he is also Professor in the Department of Psychiatry and Behavioral Sciences and Adjunct Professor in the Department of Psychology. His more than 120 publications include Assessment of Addictive Behaviors (coedited with G. Alan Marlatt) and Changing Addictive Behavior (coedited with Jalie A. Tucker and G. Alan Marlatt).

Carlo C. DiClemente, PhD, is Professor and Chair of the Department of Psychology at the University of Maryland, Baltimore County. Dr. DiClemente is the codeveloper of the stages-of-change model with James Prochaska. He has authored numerous scientific articles, books, and book chapters examining the process of human behavior change and the application of this model in a variety of problem behaviors. His recent publications include Group Treatment for Substance Abuse: A Stages-of-Change Therapy Manual (coauthored with Mary Marden Velasquez et al.).