ABSTRACT

SUMMARY. An integrated treatment approach to the treatment of the chemical dependent college student is presented. Attention is given to the impact of chemical abuse on the developmental task of identity formation. Specific phases of the addictive recovery process are outlined in a stage framework. These are: (I) development of attachment to addictive object without conscious awareness of harm; (II) attachment to addictive object with growing awareness of harm; (III) beginning detachment from addictive object and engagement in a change program; and (IV) program of maintenance of change. The therapeutic task is derived from the effect on psychological, cognitive, behavioral and physiological factors in each stage of the addictive recovery process. Case examples are detailed to illustrate the application of the integrated approach in the treatment of the chemically dependent college student.