Strengthening the Working Alliance for Clients With Substance Use Disorders and Child Maltreatment Histories

Individuals seeking treatment for substance use disorders frequently have child maltreatment histories. These clients often present with a unique set of characteristics, which may interfere with treatment retention and treatment engagement. A strong working alliance protects against premature discontinuation of counseling services and is a strong predictor of positive outcomes in counseling. Individuals with a history of child maltreatment are more likely to present with characteristics that can interfere with the counseling working alliance. This study assessed the relationships among maltreatment severity, emotion regulation, length of treatment time, and interpersonal trust in a clinical sample of adults receiving residential treatment for a substance use disorder who also met criteria for child maltreatment (n = 113). Results suggest that emotion regulation and trust significantly relate to the counseling working alliance, but only trust significantly and uniquely contributed to the regression model. Included are trauma-informed counseling recommendations for assessment of maltreatment and interventions to enhance trust and the working alliance.

Download Full-text

Diagnostic and Clinical Profile of Treatment- Seeking Men With and Without a Lifetime History of Substance Use Disorders

PsycEXTRA Dataset ◽

10.1037/e497882008-001 ◽

2008 ◽

Author(s):

Lara A. Ray ◽

Jennifer M. Lane ◽

Iwona Chelminski ◽

Diane Young ◽

Mark Zimmerman

Keyword(s):

Substance Use ◽

Substance Use Disorders ◽

Clinical Profile ◽

Treatment Seeking ◽

Lifetime History ◽

History Of

Download Full-text

Substance Use Disorders in Men Presenting to a Psychosexual Clinic

ISRN Addiction ◽

10.1155/2014/486383 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4

Author(s):

Ravi Philip Rajkumar

Keyword(s):

Substance Use ◽

Family History ◽

Sexual Dysfunction ◽

Substance Use Disorders ◽

Substance Dependence ◽

Causal Relation ◽

Alcohol Use Disorders ◽

Community Based ◽

History Of ◽

A Current

Introduction. Substance use disorders (SUDs) are commonly associated with a variety of psychiatric disorders. Community-based studies have found a significant association between SUDs and sexual dysfunction in men, with a possible causal relation in the case of nicotine. Methods. The case records of 105 men presenting to a clinic for patients with psychosexual disorders were reviewed. Men with and without comorbid SUDs were compared in terms of demographic, clinical, and familial variables. Results. 25 of the 105 men (23.8%) had a lifetime diagnosis of SUD, and 19 (18.1%) had a current SUD. The commonest substances involved were nicotine (n = 21, 20%) and alcohol (n = 9, 9.5%). Men with comorbid SUDs were more likely to report a family history of substance dependence, particularly alcoholism. Single men with SUDs were more likely to have a comorbid mood disorder. Conclusion. SUDs, particularly nicotine and alcohol use disorders, are common comorbidities in patients with psychosexual disorders. Identifying and treating these disorders in this population are important aspects of management.

Download Full-text

Utilization of addiction treatment among U.S. adults with history of incarceration and substance use disorders

Addiction Science & Clinical Practice ◽

10.1186/s13722-019-0138-4 ◽

2019 ◽

Vol 14 (1) ◽

Cited By ~ 5

Author(s):

Jack Tsai ◽

Xian Gu

Keyword(s):

Substance Use ◽

Substance Use Disorders ◽

Addiction Treatment ◽

History Of

Download Full-text

Substance Use Disorders

10.2310/cannabis.1191 ◽

2018 ◽

Author(s):

F Gerard Moeller

Keyword(s):

Substance Use ◽

Substance Use Disorders ◽

Channel Blockers ◽

Medical Problems ◽

Statistical Manual ◽

Diagnostic And Statistical Manual ◽

Life Threatening ◽

History Of ◽

Abused Drugs ◽

Nmda Receptor Channel

There is a consistent body of evidence showing that substance abuse and dependence can worsen preexisting medical conditions, can temporarily mimic medical and psychiatric disorders, and can themselves cause medical problems, including life-threatening overdose. Substance use disorders are common in young and middle-aged persons: the lifetime prevalence of these syndromes, including alcoholism, is over 20% for men and about 15% for women. This chapter discusses dependence, abuse, substance use disorder, and substance-induced disorders involving depressants, stimulants, opioids, cannabinoids, hallucinogens, N-methyl-D-aspartate (NMDA) receptor channel blockers, and inhalants. Epidemiology, etiology, pathophysiology, diagnosis (including clinical assessment and laboratory tests), and treatment are reviewed. Treatment of intoxication, overdose, withdrawal, and rehabilitation is discussed. A figure illustrates the neurocircuitry of addiction. Tables describe the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) diagnostic criteria for abuse and dependence; frequently misused drugs; neural effects of commonly abused drugs; the natural history of drug dependence; conditions affecting the outcome of urinary drug tests; and pharmacologic options for treatment of drug overdose. This chapter contains 1 figure , 6 tables and 112 references

Download Full-text

The familial aggregation of common psychiatric and substance use disorders in the National Comorbidity Survey: A family history study

The British Journal of Psychiatry ◽

10.1192/bjp.170.6.541 ◽

1997 ◽

Vol 170 (6) ◽

pp. 541-548 ◽

Cited By ~ 238

Author(s):

Kenneth S. Kendler ◽

Christopher G. Davis ◽

Ronald C. Kessler

Keyword(s):

Substance Use ◽

Psychiatric Disorders ◽

Substance Use Disorders ◽

Antisocial Personality Disorder ◽

Familial Aggregation ◽

Generalised Anxiety Disorder ◽

Familial Transmission ◽

National Comorbidity Survey ◽

Externalising Disorders ◽

History Of

BackgroundMost family studies of psychiatric disorders examine one syndrome at a time, and identify probands in clinical rather than epidemiological settings.MethodIn the National Comorbidity Survey, 5877 respondents were asked about the history of five psychiatric disorders in their parents: major depression (MD), generalised anxiety disorder (GAD), antisocial personality disorder (ASP), alcohol abuse/dependence (AAD) and drug abuse/dependence (DAD).ResultsSignificant familial aggregation was seen for all disorders. Controlling for other disorders produced only modest reductions in the odds ratios for MD. GAD and AAD and larger reductions for ASP and DAD. The familial transmission of these disorders can be explained by underlying vulnerabilities to internalising and to externalising disorders transmitted across generations with moderate fidelity.ConclusionsFamilial aggregation of common psychiatric and substance use disorders is substantial in epidemiologic samples. The examined environmental adversities account for little of the observed parent-offspring transmission of these conditions.

Download Full-text