At last, a book that defines a new language for treating substance abuse in an increasingly culturally diverse population. Until now, therapists, counselors, and teachers who treat addiction within the context of the whole family have had to make do with outdated one-size-fits-all theories and treatment programs.

Bridges to Recovery is the first book to bring together experts from three major fields within psychotherapy -- family therapy, addiction counseling and multicultural treatment -- to provide a practical and flexible framework for working with families within their individual cultural contexts. Drawing upon case studies, clinical anecdotes and proven treatment methods, Bridges to Recovery provides practitioners with a unique insight into the individual cultural nuances that make addiction recovery a very personal journey.

Jo-Ann Krestan, co-author of the classic book The Responsibility Trap: A Blueprint for Treating the Alcoholic Family, and her contributors integrate the latest ideas and research to offer a foundation for addiction treatment that brings to the forefront the cultural thinking that affects alcohol and drug use/abuse among Native Americans, Jewish Americans, African Americans, West Indians, Asian Americans, Mexican Americans, Puerto Ricans and groups of European origin. This book will be an invaluable asset to teachers and students in clinical social work, psychology and substance abuse counseling programs, setting the standard for education and treatment at the beginning of the 21st century.

Evaluates the findings of close to 600 studies aimed at determining whether the health risks associated with tobacco use are enhanced by co-exposure to numerous chemical, biological, and physical agents commonly found in the workplace. Co-exposures in the domestic and general environment, which are especially important in newly industrializing countries, are also considered in this comprehensive review. Although all forms of tobacco use are covered, particular attention is given to risks arising from exposure to mainstream and sidestream smoke from cigarettes. The book has four chapters. The first summarizes what is known about the health risks caused by tobacco use. A brief overview of the history of tobacco use is followed by a detailed explanation of the chemistry of processed tobacco and the many toxic compounds found in tobacco and in mainstream and sidestream smoke. The chapter also includes an overview of all documented acute and chronic adverse effects of tobacco, including smokeless tobacco. The second and most extensive chapter evaluates the evidence on health effects caused by interactions between tobacco smoke and asbestos, non-asbestos fibres, seven inorganic chemicals, five organic chemical agents, including ethanol, four physical agents, and seven biological agents, including two widespread infectious agents. The chapter also includes an explanation of the concept of interaction and how it can be measured, a discussion of vector effects, whereby cigarettes become contaminated with toxic chemicals in the workplace, and a review of data indicating that tobacco smoking can alter the metabolism of therapeutic drugs and other chemicals. Chapter three considers whether adverseeffects following co-exposure to tobacco smoke and other agents are separate effects or possible interactions. The report found evidence for synergism in the production of adverse effects, including cancer, between tobacco smoking and exposure to asbestos, ethanol, silica, and radiation. The report also found evidence that tobacco smoking affects the health risks of exposure in coal mining, pesticide handling, and in the rubber and petroleum industries. In addition, tobacco smoking can increase the risk of byssinosis produced by exposure to cotton dust, and nasal cancer caused by exposure to wood dusts. On the basis of this evaluation, the final chapter concludes that all possible measures should be taken to eliminate tobacco use, particularly smoking. To avoid interaction with occupational exposure and to eliminate hazards arising from exposure to environmental tobacco smoke, the report concludes that smoking in the workplace should be prohibited.

The Addictions and Trauma Recovery Integration Model (ATRIUM) presented here provides a blend of psychoeducation, process, and expressive activities, all of which are structured to address key issues linked to the experience of both trauma and addiction. The mind-body-spirit approach offers interventions to address these three dimensions of recovery in an integrated program of healing and empowerment. This how-to manual introduces new ways of thinking about self-care, self-soothing, and self-expression. It provides a practical and empathic approach to the dysregulated mind-body experience of people with addictions who struggle with the impact of trauma. The recovery model described here may be used in conjunction with 12-step or other addiction treatment programs, as a supplement to trauma-focused psychotherapy, or as an independent model for healing. Each treatment component includes clearly articulated, illustrated explanations and interventions to be used collaboratively by professionals and consumers in groups or individual treatment. Handouts allow consumers to work on coping skills between sessions.

A detailed guide to the Twelve-Step method of addressing alcoholism and addiction. Prepares clinicians to use their skills and training in concert with this spiritual approach to recovery.

A clear, concise introduction to substance abuse treatment for non-specialist physicians. Provides information on the nature of addiction, brain chemistry, pharmacology, current treatment protocols, and specific populations such as women, adolescents, and the aged.

Manual of Therapeutics for Addictions

Edited by Norman S. Miller, MD, Mark S. Gold,MD, and David E. Smith, MD

Here is a much-needed practical guide to the effective diagnosis and treatment of alcohol and drug addictive disorders. Designed to meet the diverse needs of family and primary care physicians, psychiatrists and mental health professionals, and medical students and residents, this authoritative text offers clear, step-by-step recommendations on the selection and application of both pharmacological and psychosocial therapies. Arranged in an easy-to-use outline format, Manual of Therapeutics for Addictions:

• Covers the pharmacology, neurochemistry, and treatment options for alcohol and such drugs as marijuana, cocaine, and opiates
• Includes material on eating, sexual, and gambling addictions
• Contains age-, cultural-, and gender-specific information for diagnosis and treatment
• Addresses relevant medical complications and psychiatric interactions
• Features contemporary topics such as managed care, minority concerns, and forensic issues

Your spouse complains about your drinking. Your boss suggests Alcoholics Anonymous. You know you have a problem. You need a solution; you need a miracle. The authors ask readers to imagine such a miracle: Suppose that while you are asleep tonight a miracle happens and your problem is solved, just like that! Because you were sleeping, you didnt know that this miracle occurred. What is the first thing tomorrow morning that will let you know that there has been a miracle and that your problem is solved? From that "first thing," the authors help readers to imagine a future where drinking is not a problem and to specify small, concrete, obtainable goals that will make that future a reality. Neither the humiliation of "hitting bottom" nor a lifetime commitment to AA is necessary to make this approach work. Instead the individual learns to recognize exceptions (times when drinking is not a problem), catch himself "doing things right," handle setbacks, and revise the "miracle picture" when things arent working. Highly practical, The Miracle Method is a radically new and effective approach to problem drinking.

This volume provides an in-depth look at the genetic influences that contribute to the development of alcoholism. Part I: Epidemiologic Studies contains five chapters that examine the various approaches employed in the study of the genetics of alcoholism. It provides a historical perspective and details all the essentials of this subject. Part II: Selective Breeding Studies highlights the results of research involving the selective breeding of rodents. This type of research has produced homogenous strains exhibiting specific behavioral responses considered significant in the development and maintenance of alcohol dependence. The studies presented in Part III: Phenotypic Studies investigate and analyze phenotypic markers that serve as correlates to the genotypic determinants of alcoholism. Through its broad scope, this volume provides for the first time a panoramic view of the knowledge available on the hereditary influences of alcoholism.

"A clear and vivid picture of cocaine addiction: the drug, the progression of drug dependence, and most important, the outpatient treatment and recovery process." —Sheila B. Blume, M.D., South Oaks Hospital, Amityville, New York

Cocaine is America's fastest growing drug problem, especially since the appearance of crack. This concise, highly practical book is a detailed guide to clinical assessment and treatment of cocaine addiction, with emphasis on outpatient treatment and relapse prevention strategies. In a straightforward, uncomplicated style, the author provides a wealth of practical information that is useful not only to professionals but also to cocaine users themselves, as well as to their families, friends, and employers—all of whom can benefit from an increased understanding of the addiction and its treatment.

In this groundbreaking book, Arnold M. Ludwig--a doctor with over twenty-five years of experience working with alcoholics--penetrates the minds of alcoholics in order to explain the behaviors and thought processes they use to get and stay sober. He has worked with over one thousand alcoholics from all walks of life and within many different settings, including hospital clinics, Alcoholics Anonymous meetings, detoxification centers, and private homes. Using clinical vignettes, research findings, and personal anecdotes, he documents the basic principles necessary for conquering craving and achieving recovery.

Alcoholics Anonymous is one of the most significant self-help books of the twentieth century with an estimated thirty-seven million copies sold, translated into seventy languages. Released in 1939, the Big Book, as it is commonly known, has spawned a number of recovery communities around the world and remains a vibrant tool in introducing a plan of recovery from addiction in all its manifestations. It has been forty years since the last scholarly history of Alcoholics Anonymous (A.A.), Ernie Kurtz's Not God, published in 1979. Since then, all books that focus on one or more aspects of A.A. history have relied almost exclusively on the anecdotal stories told long after the fact by Bill Wilson and number of other early members, accounts that have proved at times to be inaccurate. Writing the Big Book is the result of eleven years of in-depth research into the formative years of A.A. Granted unprecedented access to the GSO archive, among others, the author reveals the inner workings of the early Fellowship, the conflicts, personalities, failures, and dispels myths of canonical texts such as Dr. Bob and the Good Old Timers, Alcoholics Anonymous Comes of Age, and A Brief History of the Big Book. Relying, whenever possible, on primary, real-time documents, the author pulls various threads into a remarkably coherent narrative. While the story focuses primarily on the eighteen months between October 1937 (when a book was first proposed) and April, 1939 (when Alcoholics Anonymous was published), relevant events both before and shortly after those dates are fully incorporated. Across the span of these eighteen months, the wealth of available archival materials allows a week-by-week accounting of events, which is presented here through an amazing amount of previously unreported details in a comprehensive and compelling story.

Bringing together leading experts, this book demonstrates the unique value of brief motivational interventions for addressing adolescent alcohol and other substance use in a range of clinical contexts. It presents cutting-edge knowledge on the etiology and developmental context of adolescent addictive behaviors and reviews exemplary treatment approaches. Effective strategies are described for intervening with diverse populations, such as college students, youth in the justice system and in foster care, those with co-occurring substance abuse and psychiatric problems, LGBT youth, and Latino and American Indian adolescents. This book replaces the editors' influential earlier work, Adolescents, Alcohol, and Substance Abuse, with an expanded focus on practical applications. Most of the chapters are completely new.

Throughout the nineteenth and twentieth centuries alcoholism was seen largely as a vice of the poor and its treatment rested almost entirely with the missions and the workhouse. The theory that alcoholism is a disease that can affect anyone regardless of social position is by no means universally accepted even today. Although in the last twenty-five years there has been a rapid increase in the number of public institutions for the treatment of alcoholics, the possibility remains that class status still influences the diagnosis and care they receive. This study observes a sample of patients of a public clinic, from their source of referral for treatment to termination of therapy, to determine the influences of class position on the therapy used in each case. The findings indicate that specific treatments are assigned along class lines. The authors of this study offer a number of necessary recommendations which ask for a more rational link between therapy and diagnosis than is currently evident in clinical practice. This is an extremely important and topical study, the findings of which are applicable beyond the treatment of alcoholism to the treatment of all behavioural disorders.

This book reports the findings of a study of the treatment of alcoholism in the out-patient clinics and the related in-patient facilities of state-supported alcoholism programmes in the United States. The authors compared a number of clinics simultaneously, and were thus able to investigate the influence of a variety of treatment programmes on a variety of patients. They show that clinics play a valuable role in assisting patients who have retained social stability despite their problem by maintaining contact with such patients, but that they are rarely useful for modifying either drinking habits or other aspects of malfunctioning in the case of patients whose social stability has crumbled. The study further shows that improvement in drinking habits (either by abstinence or by controlled drinking) is related to what the clinic does and to changes in the patient's social and interpersonal environment outside the clinic.

Creole Son is the compelling memoir of a single white mother searching to understand why her adopted biracial son grew from a happy child into a troubled young adult who struggled with addiction for decades. The answers, E. Kay Trimberger finds, lie in both nature and nurture. When five-A day-A old Marco is flown from Louisiana to California and placed in Trimberger's arms, she assumes her values and example will be the determining influences upon her new son's life. Twenty-A six years later, when she helps him make contact with his Cajun and Creole biological relatives, she discovers that many of his cognitive and psychological strengths and difficulties mirror theirs. Using her training as a sociologist, Trimberger explores behavioral genetics research on adoptive families. To her relief as well as distress, she learns that both biological heritage and the environment- and their interaction- shape adult outcomes. Trimberger shares deeply personal reflections about raising Marco in Berkeley in the 1980s and 1990s, with its easy access to drugs and a culture that condoned their use. She examines her own ignorance about substance abuse, and also a failed experiment in an alternative family lifestyle. In an afterword, Marc Trimberger contributes his perspective, noting a better understanding of his life journey gained through his mother's research. By telling her story, Trimberger provides knowledge and support to all parents- biological and adoptive- with troubled offspring. She ends by suggesting a new adoption model, one that creates an extended, integrated family of both biological and adoptive kin.

The year 1961 marked the beginning of the second decade of operation of the Alcoholism Research Foundation of Ontario. It also marked the end, in certain respects, of a stage in its development as a research organization. The most concrete event in this regard was an amendment to the act governing the Foundation, which added the words 'Drug Addiction' to its name and broadened its legitimate scope to include the study of virtually all forms of addictive behaviour. The year appeared to mark the end of a formative and largely exploratory stage of research and the beginning of a period characterized by a more precise sense of overall direction. This is best revealed through an examination of the history of the Foundation's research endeavour and of the character and results of the numerous projects which have been conducted under its auspices. Such an examination was attempted in the research section of the 1961 Annual Report of the Foundation. However, because of the special purpose and highly restricted readership for which this report was designed, it seemed desirable to publish the material subsequently in a form suitable for wider distribution. Accordingly, the present volume was prepared, and comprises a somewhat revised and expanded version of the original review. It is hoped that it will prove of value not only to research workers but also to those whose primary responsibilities in the alcoholism field are in the realm of treatment, education, or the administration of programs with these functions.

This book is a survey of current literature on chronic alcoholism and alcohol addiction. The authors are interested, however, not only in those individuals who are unable to give up alcohol (i.e. the addicts), but also in the more numerous abnormal drinkers all of whom are potential secondary addicts, who have developed a physiological and ultimately also a psychological need in the proceed of habituation, but in whose management of life alcohol has not played an essentially dominant role.

Filling a crucial need, this manual presents the Women's Recovery Group (WRG), an empirically supported treatment approach that emphasizes self-care and developing skills for relapse prevention and recovery. Grounded in cognitive-behavioral therapy, the WRG is designed for a broad population of women with alcohol and drug use disorders, regardless of their specific substance of abuse, age, or co-occurring disorders. Step-by-step intervention guidelines are accompanied by 80 reproducible clinical tools, including participant handouts, session outlines, bulletin board materials, and more. The large-size format facilitates photocopying; purchasers also get access to a Web page where they can download and print the reproducible materials.

The guided sobriety journal inspired by the Sunday Times bestseller Ever sworn off alcohol for a month and found yourself drinking by the 7th? Think there's 'no point' in just one drink? Welcome! Quitting drinking, whether for a month or for life, is enormously satisfying, but also fiendishly difficult. -There's the getting started ('But I have that party next week!') -There's the feeling clenched and socially anxious. -Throw in a sizeable amount of social pressure and suspicious questions ('So, do you have a drinking problem?' -Finally, chuck in the hundreds of pro-drinking messages we see every day; films where a round of shots always comes with a whoop; fridge magnets that say 'I don't trust people who don't drink'; pub clapboards announcing 'Strong people need strong drinks'; and memes declaring 'Beer: it's a holiday in a glass.' Whew. It's no wonder we find it tricky to stay teetotal. But don't worry. We're going to tackle all of the above. I'm going to give you tools that enable you to clear all of these stumbling blocks with the grace of a gazelle. So, let's get started, shall we? PRAISE FOR CATHERINE GRAY'S WRITING: "An icon of the Quit Lit movement." - Conde Nast Traveller "Fascinating." - Bryony Gordon. "Not remotely preachy." - The Times "Jaunty, shrewd and convincing." - The Telegraph "Admirably honest, light, bubbly and remarkably rarely annoying." - The Guardian "Truthful, modern and real." - Stylist "Brave, witty and brilliantly written." - Marie Claire "Haunting, admirable and enlightening." - The Pool 'No other author writes about sober living with as much warmth or emotional range as Catherine Gray. Her deep insight into the subtle psychologies of drinking, and of life, means that everything she writes is both utterly relatable and stretches our minds. Hers is a rare wisdom.' - Dr Richard Piper, CEO, Alcohol Change UK

Substance addiction is a chronic, relapsing disorder characterized by a compulsion to take a substance despite potential consequences. Addiction, second edition offers a clear and succinct overview of the brain science underpinning substance addiction. Focusing on the nature of addiction as a brain disorder, this resource discusses a range of different behavioural traits such as impulsivity and reward dependence, and looks at the critical role of kinetic and pharmacological factors. All chapters have been fully updated to provide readers with a quick-reference guide to the latest research on pharmacological and non-pharmacological treatments for addition, and feature helpful key points and further reading sources. In addition, two new chapters on nicotine addiction and appetite hormones have been added to ensure the reader is kept abreast of the most recent discussions in the field of research.

Drug use is a major challenge for public services, healthcare professionals and policy-makers all over the world. This book offers a complete overview of the issues associated with substance misuse from an interdisciplinary perspective. It begins by providing a reference guide to the different psychoactive substances, looking at the biological and psychological impact of their use. Key issues in the effect drugs have on society are then addressed, before outlining methods of recovery and therapy. Chapters include: Reflective questions to challenge readers' assumptions Case studies to help students understand the impact of substances on individuals Links to further resources to expand readers' knowledge It will be valuable reading for those studying on degrees in criminology, health, nursing, social work and counselling.