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CONTENTS
Introduction
Family based conceptualization of substance use
Rationale for Use of Couple Therapy
Factors influencing recovery, couple functioning, and/or
relationship longevity
The practice of Behaviour Couple Therapy
Process of Behaviour Couple Therapy
Interventions techniques
Conclusion
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Introduction
Drug/ alcohol abuse is a complex phenomenon, which has
Prevalence
Epidemiological surveys in India indicated, alcohol
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coexist
These sets of problems are often interwined
Addressing both problems at the same time results
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dissatisfaction,
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There
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diminished if
1. the partners alcohol or substance abuse is very
severe and debilitating,
2.
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often drink
(Lammers et al.,1995)
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Practice of BCT
Structure of the therapy process:
BCT is not a suitable intervention for all substanceabusing individuals involved in intimate relationships.
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conditions, such as
gross cognitive impairment or
psychosis, that would significantly interfere with
learning new information,
practicing skills, or
completing assigned tasks.
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Purpose of BCT
To build support for abstinence
To improve relationship functioning among married or
conducive to abstinence.
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Assessments
The best practice assessment methods include :
1. Clinical interviewing with partners, together and
separately;
2. Paper-and-pencil assessment measures pertaining
Questionnaires
Drinking pattern questionnaire (DPQ) Zitter & McCrady,
(1993)
This is an inventory that both spouses complete to identify
marital problems,
relationship with parents,
problems with children,
emotional factors, and
recent major life events
This inventory also focuses on major positive and
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problems.
68-item Coping Questionnaire
Each taking the form of a statement, in the past tense,
placed on
achieving and maintaining sobriety,
strengthening the relationship, and finally
a dedicated program for relapse prevention is
developed.
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stay abstinent
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Relationship-focused interventions
Adjustments To recovery:
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Assigned.
No Threats of Divorce or Separation.
Focus on the Present, Not the Past or the Future.
No Angry Touching.
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behaviours.
Eg. "I liked it when you.... It made me feel ....",
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Homework
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Caring Day
A final assignment is that each partner give the other a
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Definition:
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practice
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Listening skills:
help each spouse to feel understood and supported, and
slow down couple interactions to prevent the quick
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Speaking skills:
Expressing both positive and negative feelings
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Relapse Prevention
Three methods are employed in BCT to ensure long-
than BMT-only throughout the 30 months of followup, with the superiority of BMT-plus-RP over BMTonly being greatest for wives with poorer pretreatment marital adjustment during the later months
of follow-up.
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BMT-plus-RP
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In
During
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During
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CBT- BCT
Behavioural Couples Therapy (BCT) for alcohol
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Limitations
Although
its efficacy, it is not yet widely used in communitybased alcoholism and drug abuse treatment settings.
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Conclusion
Understanding of how partner interaction influences
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References
Farrell, O. T. J., & Stewart, F. W. (2006) Behavioral
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Orford, J., Natera, G., Davies, J., Nava, A., Mora, J. A. N.,
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