First Session with Substance Abusers

NICHOLAS A. CUMMINGS is the president of the Foundation for Behavioral Health and Distinguished Professor at the University of Nevada, Reno. He is the former president of the American Psychological Association, founder of California School of Professional Psychology, and founding CEO of American Biodyne. JANET L. CUMMINGS is president of The Nicholas and Dorothy Cummings Foundation and in the indepAndent practice of psychotherapy in Scottsdale, Arizona. She was formerly a staff psychologist at American Biodyne. Series Editor, Jeanne Heaton, author of Building Basic Therapeutic Skills, is a psychologist at Ohio University's Counseling and Psychology Services and is in private practice in Athens, Ohio.

"Therapists may have failed to detect underlying addictions because they had no compelling model for assessment and treatment. Cummings and Cummings illuminate this previously murky area and provide an easy-to-follow beacon for clinicians of all persuasions. My highest recommAndation." (Jeffrey K. Zeig, director, The Milton H. Erickson Foundation) "Full of insights and pearls of clinical wisdom. The Cummings' experience spans over five decades-they have seen trAnds come and go, and as a result they have rather solid information as to what truly works. Also, since a substantial number of clients seen in psychotherapy settings have substance abuse problems unknown to the therapist, the effective and modern clinician cannot afford not to have this book nearby." (J. Lawrence Thomas, neuropsychologist, New York University Medical Center, and author of Do You Have Attention Deficit Disorder?) "The First Session with Substance Abusers is a book built on the authors' combined 50 years of rich clinical experience. The father-daughter team of Drs. Nick and Janet Cummings have written a book full of practical suggestions, anecdotes, stories, and sage perceptions. For all of those working in the field of substance abuse treatment, this book provides a clear point of view and specific ideas about ways to carry out the challenging task of treating substance abuse." (Simon H. Budman, president, Innovative Training Systems, Inc., and assistant professor, Harvard Medical School and staff, Children's Hospital, Boston) "Drs. Cummings skillfully describe the biopsychosocial ramifications of substance abuse. Anyone who treats substance abusers but is not fully familiar with the facts that this book so eloquently documents is bound to bypass significant assessment-treatment processes-to the detriment of their patients and themselves." (Arnold A. Lazarus, distinguished professor emeritus of psychology, Rutgers University) "This book is a worthwhile addition to the book shelves of addiction counsellors and health professionals in general." (Addiction Today, September 2001)

• Foreword, Jeanne Albronda Heaton. Introduction. Who Is the Substance Abuser? Presenting Problems: Different Tugs from Different Drugs. Identifying the Problem in the First Session. Modalities of Treatment. Diagnostic and Treatment Considerations. Establishing the Therapeutic Alliance. Further Interviewing Strategies: The Games. The First Interview with the Enabler. Countertransference: Denial Is a Two-Way Street. Appendix. Suggested Readings. The Authors.