Interact Treatment Manual & Participant Workbook: Based on the Self Help Theory of Jim Maclaine
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PSYCHOLOGY
InterACT Treatment Manual & Participant Workbook
for Addictive Disorders based on the self-help
theory of Jim Maclaine.
Melinda L. Lake
This treatment manual has been developed for health professionals working with people suffering from addictive disorders to develop a self-help recovery process. It includes practical session guides and worksheets for participants. It follows the therapy methods of author psychologist Melinda L. Lake, in which participants undertake all 15 sessions in sequence, ideally over a five day period.
The modules are best undertaken in a small group setting of 8 to 12, however are easily adapted for use in private practice. People suffering directly from addiction may also find this manual helpful.
The InterACT Programme is a treatment protocol specifically targeting the addicted brain. It links the psycho-education of current neuroscience with cognitive therapy and the therapeutic principles of Acceptance Commitment Therapy. It is an inter-personal (group based) treatment method which lays the foundation for a solid self-help recovery process, and it moves participants through Prochaska & DiClementes (1982) stages of change from a contemplative state to the maintenance stage.
It aims to break the pathological attachment to the intoxicated state and the various defensive processes that protect that attachment.
The approach is based on the Interact Therapy Program devised by Psychologist Jim Maclaine in the 1980s. A programme that successfully treated thousands of patients with addictions and emotional disturbances for several decades in Australian accredited private hospitals.
For more information on this treatment approach or implementing the programme at your facility please contact the author at www.re-psycle.com.au
Melinda L. Lake
Melinda L Lake is a consultant psychologist for the NSW Alcohol & Drug Foundation’s rehabilitation service for women with children, and staff supervisor for Phoenix House, a specialist support service for at risk youth. She is a member of the Alcohol and other Drugs Council of Australia and the Australian and New Zealand Mental Health Association. Her 17 years’ experience in the AOD sector has included publicly funded programs and employment in the addictions units of several private hospitals. She lives in Sydney Australia with her husband and daughter.
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Interact Treatment Manual & Participant Workbook - Melinda L. Lake
Copyright © 2014 Melinda L. Lake.
All rights reserved. No part of this book may be used or reproduced by any means, graphic, electronic, or mechanical, including photocopying, recording, taping or by any information storage retrieval system without the written permission of the publisher except in the case of brief quotations embodied in critical articles and reviews.
Balboa Press books may be ordered through booksellers or by contacting:
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Because of the dynamic nature of the Internet, any web addresses or links contained in this book may have changed since publication and may no longer be valid. The views expressed in this work are solely those of the author and do not necessarily reflect the views of the publisher, and the publisher hereby disclaims any responsibility for them.
The persons shown in photographs in this manual are stock photography models and are not actual patients of, nor are they affiliated with, the InterACT treatment programme, Re-psycle or the author. The rights to use the photographs were obtained via license agreements with a third party stock photography company and the author’s use of the photographs is in compliance with the terms of those license agreements.
ISBN: 978-1-4525-9733-1 (sc)
ISBN: 978-1-4525-9734-8 (e)
Library of Congress Control Number: 2014908135
Balboa Press rev. date: 05/29/2014
13978.pngTo the memory of Jim Maclaine
and to
Paul Harrison, in loving gratitude.
Preface
This treatment manual has been developed for health professionals working with people suffering from addictive disorders to develop a self-help recovery process. It includes practical session guides and worksheets for participants. It follows the therapy methods of author psychologist Melinda L. Lake, where participants are guided to undertake all 15 sessions in sequence, ideally over a five day period.
The modules are best undertaken in a small group setting of 6 to 10, however are easily adapted for use in private practice. People suffering directly from addiction may also find this manual helpful.
The InterACT Programme is a treatment protocol specifically targeting the addicted brain. It links the psycho-education of current neuroscience with cognitive therapy and the therapeutic principles of Acceptance Commitment Therapy. It is an inter-personal (group based) treatment method which lays the foundation for a solid self-help recovery process, and it moves participants through Prochaska & DiClemente’s (1982) stages of change from a contemplative state to the maintenance stage.
It aims to break the pathological attachment to the intoxicated state and the various defensive processes that protect that attachment.
The approach is based on the Interact therapy programme devised by psychologist Jim Maclaine in the 1980’s. A programme that successfully treated thousands of patients with addictions and emotional disturbances for several decades in Australian accredited private hospitals. It has its roots in the developmental psychology of Jean Piaget (1950) and the metaphysical philosophies of P. F Strawson (1954) and L. Wittgenstein (1953). It is beyond the scope of this training manual to provide a thorough grounding in the theoretical principles which led to its formulation, however for the academically minded background readings are included in the reference list.
The InterACT Programme was introduced over 5 days at The Alcohol and Drug Foundation’s Kathleen York House, a residential rehabilitation service for women with substance dependence in April 2012. Funded through the Department of Health and Aging’s Improved Services Initiative. Due to the small sample size (12 participants), assessment measure changes were unable to reach significance, however at 16 months follow-up, 9/12 had not relapsed, and of the 3 that had 1 returned to another rehabilitation facility. Therefore 75% of participants had continuous sobriety at 16month follow-up.
Any data collected on the efficacy of this treatment approach would be gratefully accepted by the author via the website (www.re-psycle.com.au)
For more information on undertaking this treatment or implementing the programme at your facility please contact the author at melindalake@re-psycle.com.au
Acknowledgements
The Author is grateful to Joshua Fairfax for artistic flair and graphic design, Linda O’Malley the punctuation queen and Victoria Murray for the opportunity to pilot this approach. Thanks also goes to the passionate staff and courageous women at Kathleen York House who continue to inspire me. To Gael Maclaine for her kindness and green light, and to the team who mentored and supported me when I first worked with Jim; Angus Boyle, Julie Faquenot and Dr Michelle Gunner. Also to Professor Marc Lewis for his tutelage via email and finally to the countless men and women impacted by addiction who continue to teach me.
Informed Consent/Treatment Contract
The Australian Psychological Society Code of Ethics (2007) articulates specific standards to guide both psychologists and the public in their expectations of what is considered proper professional conduct, it is important therefore, that the following points be discussed and accepted prior to commencing this treatment.
1. The purpose of this treatment programme is to assist you to develop a self-help process to break