Chapter 28. Network Therapy

Marc Galanter, M.D.
DOI: 10.1176/appi.books.9781585623440.348490



Network therapy (Galanter 1999) can be defined as a multimodal approach to rehabilitation in which specific family members and friends are enlisted to provide ongoing support and promote attitude change. The goal of this approach is the prompt achievement of abstinence, with relapse prevention and the development of a drug-free adaptation. Network members are part of the therapist's working team and are not recipients of treatment.

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FIGURE 28–1. Format for network member's recorded observation of pill ingestion by the patient.
Table Reference Number

One network member should be solicited in collaboration with the patient at the outset of treatment.

Network members, preferably three to five, should have a close ongoing relationship with the patient and should not be substance abusers.

The addictive process and the basis for diagnosis should be explained to the patient and network members.

The sessions should be framed to sustain abstinence, with a full explanation for the rationale.

Discussion should be nonjudgmental, with a tone of team support for the patient.

Ingestion of medications such as disulfiram or naltrexone should be monitored by a network member.

If urine toxicologies are employed, results should be shared with the network members.


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CME Activity

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Sample questions:
Which of the following statements concerning network therapy is false?
To develop a social therapy involving network support, one must first define the target problem clearly and then consider the effect of the network on the problem. From a clinician's perspective, what is the central difficulty for the patient receiving treatment for addiction?
Which of the following statements concerning the use of disulfiram is true?
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
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