Search PubMed⌕ Search

Biomedical subjects

J E Zweben

Publications and source records attributed to J E Zweben.

At least 19 recordsLinked to original sources
PubMed2001

Hepatitis C: education and counseling issues.

This paper examines issues and dilemmas faced by counselors and other health care providers in addressing the needs of active or recovering alcohol and drug users who test positive for HCV. The ambiguities and changing treatment prospects for these patients require education and counseling interventions, elements of which are described in the paper. Motivational enhancement issues are particularly important, to facilitate the patient's commitment to maintain a healthy life style while effective treatments are being developed. The high proportion of recovering staff in addiction treatment settings adds a level of complexity, as their concerns may mirror those of the patients being served, but are rarely addressed systematically within the program.

Alcoholism↗
PubMed1999

Making residential treatment available to methadone clients.

This article addresses challenges to integrating clients on methadone into residential treatment, with the goal of promoting greater access for this population. It describes the basic administrative conditions needed for success, and discusses barriers and problems within the methadone program and the residential program. Staff communication, procedures for coordination, client and staff attitudes and understanding, and ongoing education are seen as the key to creating an environment conducive to success for the client.

Adult↗
PubMed1990

Methadone maintenance in the treatment of opioid dependence. A current perspective.

We describe the historical underpinnings of negative attitudes towards methadone and how these affect medical decisions. Current developments have increased the understanding of the origins of opioid addiction, such as how receptor system dysfunction may affect the ability to remain abstinent once out of treatment. Specialized topics include the pregnant addict, the role of methadone maintenance in limiting the spread of the acquired immunodeficiency syndrome, and patients with a dual diagnosis. We also describe issues that arise when methadone is used in conjunction with prescribed or abused drugs, noting pharmacologic alternatives and adjuncts to methadone treatment. Finally, we comment on treatment issues such as methadone patients in 12-step programs and the growing legitimacy of this treatment method.

Acquired Immunodeficiency Syndrome↗
PubMed1989

Recovery-oriented psychotherapy: patient resistances and therapist dilemmas.

This paper examines patient resistances, especially in early recovery, and explores some therapist's dilemmas and hazards arising from personal issues and gaps in professional training. To some extent, these vary according to the route by which the practitioner became involved in treating addiction. The vulnerabilities of the conventionally trained mental health therapist are contrasted with difficulties often seen among those whose training and primary experience base is in substance abuse treatment. Emphasis is given to the patient in denial and in early recovery and to the frustrations and power struggles common at those stages. The paper briefly addresses problems manifested by insulated treatment systems and other obstacles to open inquiry and dialogue among professionals.

Alcoholism↗
PubMed1989

The use of visualization as a means of integrating the spiritual dimension into treatment: Part II. Working with emotions.

This paper describes additional visualizations intended to foster the integration of the spiritual dimension into the treatment of addiction. An earlier paper described visualizations derived from Jungian principles, aiming particularly at calming, centering, and strengthening the spiritual connection. This paper focuses on work with feelings that arise in recovery. It describes the differing stance towards emotions in psychotherapy and in spiritual disciplines, and how these can be unified using visualizations.

Alcoholism↗
PubMed1988

The use of visualization as a means of integrating the spiritual dimension into treatment: a practical guide.

A recognition of the importance of the spiritual dimension in recovery is evident among many substance abuse practitioners, particularly those with strong ties to 12-Step programs. This paper describes visualization techniques derived from Jungian principles, as a practical means for the recovery-oriented psychotherapist to foster a spiritual connection. They are also useful in work on the psychological and interpersonal issues that emerge as the client establishes abstinence and progresses from there. This approach does not require allegiance to any specific religious beliefs, but allows the client to build on an inner experience as a way to develop resources in recovery.

Alcoholism↗
PubMed1986

Recovery oriented psychotherapy.

Professionals disagree about the role of psychotherapy in the treatment of drug and alcohol problems. This paper defines psychotherapy in terms of the changing ways the professional can assist in the tasks of recovery. These are examined in an evolutionary sequence: dealing with the client in the active abuse cycle; breaking the addiction cycle; consolidating abstinence and changing life styles; addressing recovery-related psychological issues; and undertaking long term psychological exploration. Differing applications of behavior shaping and insight oriented techniques are discussed.

Family Therapy↗
PubMedDate not supplied

The dream interview method in addiction recovery. A treatment guide.

The Dream Interview Method is a recently developed tool for dream interpretation that can facilitate work on addiction issues at all stages of recovery. This paper describes the method in detail and discusses examples of its application in a group composed of individuals in varying stages of the recovery process. It permits the therapist to accelerate the development of insight, and once the method is learned, it can be applied in self-help formats.

Adult↗
PubMedDate not supplied

The changing role of "using" dreams in addiction recovery.

The Dream Interview Method of dream interpretation can be applied to dreams depicting alcohol and drug use to elucidate the meaning of such dreams in relation to stages of recovery. This paper summarizes the method and demonstrates its application utilizing seven dreams collected from clients in psychotherapy and participants in dream workshops. The incorporation of such interpreted dreams into substance abuse treatment as well as their relationship to other life issues is discussed.

Adult↗
PubMedDate not supplied

Treating cocaine dependence: new challenges for the therapeutic community.

The basic treatment principles for addiction are consistent, regardless of whether the drug of choice is alcohol, heroin or cocaine. However, attention to the distinctive characteristics of both a particular class of drugs, such as stimulants, and the populations that use them, gives counselors and programs a distinct advantage in treatment. This advantage is particularly powerful in the early stages of treatment, in which simply increasing the time of retention improves the possibility of a positive outcome. Programs that wish to address the needs of the newer cocaine-abusing population seeking treatment need to focus more on the outpatient phase of treatment. In this model, the residential stage is seen as the launching platform for the recovery process, rather than the time period when the major transformations will occur. The task is to find ways to build structure in the outpatient treatment that is adequate to the changing needs of recovering clients. By so doing, programs will enrich their offerings to their existing components and most likely improve the potential of a long-term successful outcome for everyone.

Adult↗