Shunning the disease model of alcoholism, this book delineates how narcissistic injury in early life acts as the basic psychogenic, etiological, component of addictive drinking. It provides an innovative analysis of the interrelationships between the alcoholic's overt behavioral disorders and his or her psychological make_up. Early chapters explore the role of narcissistic injury in great depth. Successive discussions examine the pathologies of character, personality, behavior, cognition and interpersonal relationships that manifest themselves in and as alcoholism. The part that early-life narcissistic injury plays in the development of anxiety, oral rage, avoidance defenses, depression, sadomasochism, paranoia, guilt, and obsessive-compulsive behaviors is detailed.
A veteran of extensive work with alcoholics, the author delineates treatment strategies to modify and resolve the alcoholic's symptoms_the drinking disorder as well as the other psychological manifestations of dysfunction. Among the strategies explored in this regard are analytic, family, conjoint, behavioral, confrontation, supportive and self-help modalities. The trenchant case studies found throughout the text amplify the author's points about the global and specific psychopathology of alcoholism as well as the interventive alternatives.
Alcoholism, Narcissism, and Psychopathology will prove stimulating and resourceful to psychologists, social workers, psychiatrists, counselors and therapists who are involved in the treatment and rehabilitation of alcoholics and other substance abusers.

Alcoholism can severely impair a drinker's sexual functioning. Both alcohol addiction and alcohol abuse directly affect patterns of sexual behavior, as resultant physiological and psychological changes alter sexual abilities and experiences of desire. In Alcoholism and Human Sexuality, renowned alcohol addiction specialist Dr. Gary G. Forrest shows how to untangle these interwoven disabilities, illustrating eclectic treatment techniques unified by the understanding that in the case of the alcoholic, successful resolution of sexual dysfunction can occur only when sobriety has been achieved

This text addresses a topic not often covered in the substance abuse treatment field - responsible drinking. This text offers guidelines for responsible drinking, discussing issues such as parental drinking behaviour and attitudes, teenager drinking and driving, entertaining and socialising, alcohol and sex, and responsible drinking in the business world.

This book goes against the tide and takes the position that all primary alcoholics and many alcohol abusers need intensive individual psychotherapy. Though the author, noted alcoholism expert Gary Forrest, presents an eclectic view of etiology and therapy, he focuses on the issue of early narcissistic injury and the resultant intense anxiety and fear of intimacy that characterizes alcohol abusers. A structured psycho-dynamic therapy approach is described which the author claims can successfully treat eighty percent of primary alcoholics in only eighteen months.
As each year in the United States several hundred thousand alcoholics and alcohol abusers seek out psychotherapy and other professional treatments, it is, according to Forrest, imperative that we know effective ways to work with them. Unfortunately, most alcoholics and alcoholic abusers never receive productive intensive psychotherapy because most alcoholism therapists and counselors are not trained and experienced in the use of this particular treatment modality. This book provides systematic and comprehensive clinical training in the use of intensive alcoholism psychotherapy. The various therapist skills and techniques that are needed to do effective intensive individual psycho-therapy with primary alcoholics are thoroughly examined throughout this volume.

Alcohol abuse among teenagers has reached epidemic proportions in the United States in the past few years. Youngsters are starting to drink earlier than ever - typically at age thirteen or fourteen - and more of them, both boys and girls, are drinking to intoxication on a regular basis. "How to Cope with a Teenage Drinker" is addressed primarily to the parents of the teenage boy or girl who has developed a pattern of alcohol abuse, but it is of relevance to any friend or relative of a youngster caught in the web of uncontrolled drinking. It offers guidelines for helping the teenager recognize his or her problem, and outlines steps for kicking the habit that accounts for tens of thousands of highway deaths and nearly half of all teenage suicides every year. With sensibility and eloquence, Dr. Forrest helps parents and families face the ugly reality of a teenager's drinking problem and shows that there is a path away from alcohol and its tragic consequences, toward a healthier, more fulfilling life style, not just for the teenage drinker but for the entire family. This book should also be of use to helping professionals who work with teenagers and their families.

Chemical Dependency and Antisocial Personality Disorder gives you the information and clinical skills necessary to assess and evaluate persons suffering from substance abuse and/or antisocial personality disorders and details how you can develop effective psychotherapy and treatment strategies. From its helpful pages that contain diagnostic criteria and clinical interviewing and assessment guidelines, you learn to accurately diagnose substance use and antisocial personality disorders. The book also provides you with the historical and clinical perspectives of such disorders and their epidemiology and etiology to give you a thorough background and understanding of the subject. Case studies and therapy vignettes are included to provide you with actual clinical examples to illustrate concepts and ideas.

You will appreciate the book’s in-depth discussions of treatment strategies that can greatly enhance your effectiveness. You’ll find this volume is an invaluable research resource for refreshing your approaches for helping persons with substance abuse and antisocial personality disorders.

Alcohol/drug counselors, psychiatrists, psychologists, and corrections, probation, and parole officers who want to be more effective in their work with chemically dependent and antisocial clients will find this a practical, helpful, and informative guide. This enlightening book examines many of the most difficult and clinically problematic issues that are associated with the psychotherapy and rehabilitation of chemically dependent and/or antisocial patients. Much of the content of Chemical Dependency and Antisocial Personality Disorder is based on the author’s two decades of experience working with patients suffering from substance use and antisocial personality disorders. Some topics addressed include accurate differential diagnosis, resistance, the use of structure in treatment, therapist-patient relationship dynamics, and treatment outcome effectiveness, relapse, and recovery. Alcohol/drug counselors, psychiatrists, psychologists, and corrections, probation, and parole officers who want to be more effective in their work with chemically dependent and antisocial clients will find this a practical, helpful, and informative guide.

Self-Disclosure in Psychotherapy and Recovery includes a unique mosaic of theoretical and practical clinical information, rich case studies, research findings, and a wealth of evidence-based practice guidelines related to therapist and client self-disclosure in the psychotherapeutic encounter. Experienced clinicians, neophyte therapists, and counselors in training will find this book provides a wealth of insight and useful information that will significantly benefit their therapeutic work. Gary G. Forrest elucidates a diversity of self-disclosure topics that pertain to a wide range of issues impacting every facet of the process and outcome of psychotherapy relationships. Self-Disclosure in Psychotherapy and Recovery represents a seminal contribution to the counseling and psychotherapy literature specific to chemical dependency counseling, addictions-focused therapy, and the self-help based recovery model. This book will be an essential resource for individuals pursuing graduate training and advanced education or supervision in the various behavioral health professions.

Substance Abuse, Homicide and Violent Behavior
Publish Date 1/91

Confrontation in Psychotherapy with the Alcoholic