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.

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.

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.

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.

Critics of narcology-as addiction medicine is called in Russia-decry it as being "backward," hopelessly behind contemporary global medical practices in relation to addiction and substance abuse, and assume that its practitioners lack both professionalism and expertise. On the basis of his research in a range of clinical institutions managing substance abuse in St. Petersburg, Eugene Raikhel increasingly came to understand that these assumptions and critiques obscured more than they revealed. Governing Habits is an ethnography of extraordinary sensitivity and awareness that shows how therapeutic practice and expertise is expressed in the highly specific, yet rapidly transforming milieu of hospitals, clinics, and rehabilitation centers in post Soviet Russia. Rather than interpreting narcology as a Soviet survival or a local clinical world on the wane in the face of globalizing evidence-based medicine, Raikhel examines the transformation of the medical management of alcoholism in Russia over the past twenty years. Raikhel's book is more than a story about the treatment of alcoholism. It is also a gripping analysis of the many cultural, institutional, political, and social transformations taking place in the postSoviet world, particularly in Putin's Russia. Governing Habits will appeal to a wide range of readers, from medical anthropologists, clinicians, to scholars of post-Soviet Russia, to students of institutions and organizational change, to those interested in therapies and treatments of substance abuse, addiction, and alcoholism.

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.

With rising rates of morbidity and mortality from substance abuse, addictions and mental health professionals are called upon to integrate innovative treatment modalities that are effective in supporting health and well-being, managing stress, decreasing cravings, supporting abstinence, and addressing the mental health issues that commonly occur with substance use disorders. An approach that blends the best of conventional treatment with complementary therapies and techniques, can bring optimal health and wellness based on the unique needs, preferences, and goals of each person. This book details complementary and integrative health modalities that promote physical, emotional, cognitive, and spiritual health, and recommends self-care and healthy lifestyle practices for sustainable recovery from substance use disorders. These modalities were chosen based on a body of scientific research supporting their inclusion, and with a focus on the whole person, mind, body and spirit. Practitioner delivered therapies are presented, such as Acupuncture, Healing Touch and Art Therapy. Modalities that are learned in formal treatment and then translated to personal practice after discharge, such as Meditation, Eating for Recovery, and Emotional Freedom Technique are reviewed. Case studies explore these modalities to illustrate applications and integration into conventional treatment. The book concludes a plan for self-care that can bring improved health, quality of life and vitality for long term recovery.

'SUCH AN IMPORTANT BOOK... ESSENTIAL READING FOR PARENTS' Gabby Logan 'INCREDIBLY POWERFUL... A MUST-READ' Victoria Derbyshire When Dan died, I realised many things. I realised drugs were closer to our door than I'd thought. I realised drugs have become normalised for young people. I realised drugs are more affordable, accessible and available than ever before. And I realised I didn't know enough, and nor did Dan, to navigate the choices and come back alive. When Daniel Spargo-Mabbs was 16, he went to a party and never came home. The party was an illegal rave and Daniel - bright, popular, big-hearted prom king Dan - died from a fatally strong overdose of MDMA. In the seven years since, the range of substances has become wider, the levels of exposure higher, and the threat to young people's physical and mental health from drugs greater than ever before. Despite this, there is almost no guidance for parents to help their children navigate this perilous landscape and to stay safe. To come home at night. To grow up. This book is everything Fiona Spargo-Mabbs wishes she'd known, everything she wishes she'd done, before she lost her son. Because however you parent, and whatever you do, at some point your child is likely to be in a situation where they have to make a decision about drugs. What if that decision is 'yes'? Do they know what the risks are? Do they have strategies they can bring to bear if things go wrong? I Wish I'd Known interweaves the story of one family's terrible loss with calm, measured and practical advice for parents. It explores the risks posed by illegal drugs, and explains the way the adolescent brain makes decisions. There is practical advice for saying safe, information on reducing harm, and 'talking points' for parents and their children to do, talk about, look at, look up or consider. A life lost to drugs is a loss like no other. Throughout the book, Daniel's story - his life, his death and what happened afterwards - not only provides a compelling reminder of the importance of those conversations, but also serves as an unforgettable eulogy to a son, brother, boyfriend and friend whose legacy continues to touch, and perhaps even save, the lives of other young people.

This issue of Medical Clinics, guest edited by Drs. Jeffrey H. Samet, Patrick G. O'Connor, and Michael D. Stein, is devoted to Substance Use and Addiction Medicine. Articles in this outstanding issue include: Making Unhealthy Substance Use a Part of Behavioral Health Integration in Primary Care; The Inpatient Addiction Consult Medical Service: Expertise for Hospitalized Patients with Complex Addiction Problems; The Addiction Physician Workforce: Addiction Psychiatry and Addiction Medicine Collaboration in a New Age; Preventing Opioid Overdose in the Clinic and Hospital: Analgesia and Opioid Antagonists; The Role of Non-Traditional Maintenance Treatments: Injectable Opioid Agonist Therapies and Managed Alcohol Programs; Office-Based Addiction Treatment (OBAT) in Primary Care: Models that Work; Alcohol Use Disorder Pharmacotherapy: the Use of FDA and non-FDA Approved Medications; When and How to Treat Possible Cannabis Use Disorder; Clinical Presentations of New Drugs with Abuse Potential; Use of Technology in Addiction Therapy; Sleep Management Among Patients with Substance Use Disorders; Pain Management Among Patients with Substance Use Disorders; E-Cigarettes: A Path to Recovery or a Road to Hell?; Are Adolescent and Young Adults Different When Addressing Substance Use Disorders?; and Smoking Cessation for Those in Recovery from Substance Use Disorders.

ARE YOU REALLY IN CONTROL OF YOUR RELATIONSHIP WITH ALCOHOL? ARE YOU FINDING YOUR NEED TO DRINK GETTING STRONGER? DO YOU DEPEND ON ALCOHOL TO MANAGE DAILY LIFE? In his role as a consultant psychiatrist, Dr Tim Cantopher has worked with countless people to help them overcome dependency, and this book distils his decades of experience into a series of practical, achievable, straightforward steps to reduce your own intake, or give up altogether. Problem Drinking explains why you are drinking too much, what alcohol does to you physiologically, the influence of environment and personality, and the long-term consequences of alcohol addiction. It offers supportive strategies to help you cut down or do without, including advice on relaxation and sleep, problem-solving approaches, time management skills, and insight into drug treatments, the disease concept and the role of Alcoholics Anonymous. Read this book, take it one day at a time, and don't look back.

'Darkly angelic prose... a joy to read, with the final part in particular recalling David Foster Wallace at his best' Alex Preston, Observer ________________________________ Will's mother's hokey homily, Waste not, want not... hisses in his ears as he oscillates furiously on the spot, havering on the threshold between the bedroom and the dying one... all the while cradling the plastic leech of the syringe in the crook of his arm. Oscillating furiously, and, as he'd presses the plunger home a touch more... and more, he hears it again and again: Waaaste nooot, waaant nooot..! whooshing into and out of him, while the blackness wells up at the periphery of his vision, and his hackneyed heart begins to beat out weirdly arrhythmic drum fills - even hitting the occasional rim-shot on his resonating rib cage. He waits, paralysed, acutely conscious, that were he simply to press his thumb right home, it'll be a cartoonish death: That's all folks! as the aperture screws shut forever. ________________________________________ 'Self's writing has the same technicolour velocity, malign comedy as his best novels' Evening Standard 'Refreshing . . . Self is never happier than when frolicking in the hinterland between sincerity and performative, winking hyperbole' TLS

*The bestselling addiction treatment manual, fully updated: 50% new material includes eight new sessions. *Tremendous need: counselors want to apply the stages-of-change model (also known as the transtheoretical model, or TTM) in their work. *Uniquely qualified authors have decades of experience; DiClemente is the co-developer of the model. *Provides easy-to-use, flexible, highly practical materials, with a lay-flat binding. *Online resources: all handouts are available to download and print.

Christopher Dines has profound experience of recovery and personal growth; he struggled with drug addiction for most of his young adult life, and came into recovery in 2004, after a career as a music producer and well-known electronic house DJ. In this book, he shares insights, epiphanies and practical strategies for anyone struggling with their wellbeing, but most particularly those in recovery from addiction, those in toxic relationships or those with destructive lifestyles and behaviours. Covering such resonant themes as feelings of unworthiness, the need for gentle compassion and the power of authentic relationships, this book offers an abundance of exercises to unlock a deeper understanding, and nearly 200 questions to enable a true self-appraisal. This is self-care at its most profound, resonant and visceral level - as more than just a regular yoga habit, Super Self Care offers a chance to rewrite the script that ties us to co-dependency, addictive behaviours and shame.

This acclaimed clinical guide, now substantially revised and updated, has helped thousands of clinicians put the proven principles of harm reduction into practice with therapy clients who have substance use problems. Written by pioneers in the field, the book shows how to do effective therapeutic work with people still using alcohol or other drugs. It provides clear guidelines for conducting comprehensive assessments, making collaborative treatment decisions, and implementing interventions that combine motivational, cognitive-behavioral, and psychodynamic strategies. The focus is reducing drug-related harm while also addressing co-occurring psychological and emotional difficulties. Detailed clinical illustrations are featured throughout. New to This Edition *Reflects over a decade of research advances and the tremendous growth of harm reduction clinical practice and training. *Section on applications, with chapters on community-based settings, harm reduction groups, and working with families and friends. *Chapters on biological and psychodynamic aspects of treatment. *Expanded discussions of trauma, cultural sensitivity, and ethics. *Supplemental resources and training information at the authors' website: www.harmreductiontherapy.org. See also the authors' related self-help guide, Over the Influence, Second Edition, an ideal client recommendation.

Managing Substance Use Disorder: Your Substance Use Disorder: Client Workbook Practitioner Guide provides practical and empirically-based strategies for addressing and stopping substance use, and for changing daily lifestyle and behaviors that contribute to continued use. Healthcare practitioners in medical, psychiatric, addiction, and social services settings will find comprehensive information on substance use disorders, current trends, DSM-5 substance related disorders, and causes and effects of these disorders. Designed to accompany Managing Your Substance Use Disorder: Client Workbook, this manualized guide provides a detailed description of screening and assessment strategies and treatment approaches (medications and psychosocial), integrating evidenced-based interventions with the authors' extensive clinical experiences. Mutual support programs and the impact on the family and concerned significant others are also discussed, as are the most common challenges faced by individuals with a substance use disorder, such as managing cravings, resisting social pressures to use substances, coping with negative emotions and moods, building a social support network, involving family or concerned significant others, and reducing relapse risk. This expanded third edition also includes a new chapter on the management of co-occurring psychiatric disorders.

From the Foreword: "Addiction is a disorder in self-regulation. Individuals who become dependent on addictive substances cannot regulate their emotions, self-care, self-esteem, and relationships. In this monumental and illuminating text Philip Flores covers all the reasons why this is so. But it is the domain of interpersonal relations that he makes clear why individuals susceptible to substance use disorders (SUDs) are especially vulnerable. His emphasis on addiction as an attachment disorder is principally important because he provides extensive scholarly and clinical insights as to why certain vulnerable individuals so desperately need to substitute chemical solutions and connections for human ones. The strength of Flores's paradigm of addiction as an attachment disorder is that it is a theory that effectively and wisely guides treatment, but at the same time, when properly implemented or practiced, the treatment resonates with and further enhances the theory. Flores's work here is an extraordinary one because, in parsimonious and clear language, he makes a major contribution to the literature and practice of effective psychotherapy in general and effective psychotherapy for the addictions in particular. He fills in all the gaps between theory and practice covering wide and ranging issues of what practice and empirical findings have to teach about the critical ingredients of AA, group therapy, and individual psychotherapy. This is a job well done because it helps students and experienced clinicians alike to always be mindful of how they bring their humanity to the distress and suffering of others. His theory of addiction as an attachment disorder makes it particularly clear how especially important this is for those suffering with addictive disorders. " Edward J. Khantzian, M.D., clinical professor of psychiatry, Harvard Medical School A Jason Aronson Book"

This book has a much wider focus than traditional books written about drug and alcohol addictions. This unique book is written by medical specialists who diagnose, treat and research addictive disorders in their specialities. Thus, it meets the needs of the typical medical practitioner who wants to learn about and treat patients with addictive disorders in their practices. Because alcohol and drug problems are so prevalent and affect medical conditions profoundly, the medical specialist will improve their knowledge and skill to diagnose and treat addictive disorders in their specialties.

Drug and alcohol addictions occur commonly in medical populations; 25-50% of patients seen by primary care physicians have alcohol and drug disorders, with even higher prevalence in certain medical specialty populations. Drug use (including illicit drug use and actual or perceived misuse of prescribed medications), alcohol use, and what has been called unhealthy drinking are even more common in trauma centers and our society. Currently, there are no authoritative addiction texts that focus on the identification, intervention and management of either "addictive disorders in medical populations" or "medical complications in addiction populations."

Neurobiological progress in the field of addiction has been amazing and evidence-based treatments have developed at a phenomenal pace, with bench to office applications for tobacco, alcohol and drugs. Pharmacological and psychosocial treatments are described here in detail and in practical terms. The medical and mental complications of addiction are explained comprehensively throughout the text. Clinical considerations are the predominant theme, with the standards of clinical practice grounded in the most current research. The chapters include practical presentations of both clinical and research materials, with instruments for screening and assessment and treatment.

It will be useful for all those seeking information to help a patient or family with a tobacco, alcohol or drug problem. We hope this book can give answers and direction to the identification and management of addictions and their medical complications in patient populations.

This updated and revised second edition on substance abuse in adolescents and young adults provides information on this global public health topic. We cover a wide variety of subjects within the paradigm of drug abuse and agree with the 21st century message of integrating substance abuse management with primary care services. The editors thank the many experts who so graciously and lambently provided their time and knowledge in these areas. The editors hope that the readers of this treatise find useful and beneficial information that will help them in their work seeking to understand and ameliorate the negative effects of these plants of paradise and of other chemicals that are part of the drug addiction pharmacopeia of the 21st century. The science of this field continues to evolve and this edition looks at a wide variety of concepts in this regard----including neurobiology, genetics, the role of the primary care clinicians, the US opioid epidemic, and psychosocial management. Specific drugs of abuse include tobacco, cannabis, alcohol, opioids, prescription drugs, illicit stimulant drug abuse, hallucinogens, and date rape drugs. We also look at concepts related to prenatal drug exposure, substance abuse in adolescent females, co-occurring substance use with psychiatric disorders, prescription stimulant abuse in college students, and performance enhancing drugs in sports. We conclude with a consideration of new drugs of abuse in the 21st century, the societal burden of substance abuse, and the pros as well as cons of drug legalization.

This volume brings together basic and clinical science to provide in-depth understanding and current knowledge concerning new conceptual insights into the CNS acting drugs and drugs of abuse and treatment of drug addiction.

Methamphetamine, MDMA, PMA and different solvents are the most widely abused drugs in the Europe, United States, Central America, South America and Asian Countries and their use has dramatically increased over the last two decades. These drugs of abuse are known to cause neurotoxicity in several species including not only rodents, dogs and nonhuman primates, but also humans. However, precise neurochemical mechanisms underlying this drug-induced neurotoxicity remain unclear.

This volume addresses the following:
1) Role of Genomics, Proteomics and Metabonomics in Drug-induced Neurotoxicity
2) Drugs of Abuse and Medication Development
3) Molecular Biology and Free Radicals in Drugs of Abuse-induced neurotoxicity
4) Substituted Amphetamines-induced Neurochemical Changes and Relationship to Neurotoxicity
5) Drug of Abuse and Imaging Brain Structure and Function
6) GHB/Volatile Solvent/Inhalant Neurotoxicity

"NOTE: Annals volumes are available for sale as individual books or as a journal. For information on institutional journal subscriptions, please visit www.blackwellpublishing.com/nyas."

"ACADEMY MEMBERS: Please contact the New York Academy of Sciences directly to place your order (www.nyas.org). Members of the New York Academy of Science receive full-text access to the Annals online and discounts on print volumes. Please visit http: //www.nyas.org/MemberCenter/Join.aspx for more information about becoming a member"

The last three decades have seen an explosion of social, psychological and clinical research to identify effective strategies to prevent and treat alcohol-related problems. This ""Essential Handbook"" contains an updated selection of reviews of "what works" drawn from the critically acclaimed "International" "Handbook of Alcohol Dependence and Problems."

Selected specifically for health and other professionals, who need to provide effective responses in their work, these authoritative, science-based reviews are a distillation of the more practical elements, designed to save time for the busy practitioner.

The book that revolutionized the psychotherapist's approach to treating alcoholism

When it was first published in 1985, Treating the Alcoholic challenged traditional psychotherapeutic approaches to alcoholism treatment. Since then, thousands of mental health professionals, using Dr. Stephanie Brown's treatment model, have found renewed faith in their ability to help alcoholic patients achieve lasting recovery.

The book begins by studying the experiences of people who have stopped drinking and provides firsthand descriptions of the inevitable emotional, physical, and psychological problems that follow. Dr. Brown then offers a model for treatment that replaces the notion of abstinence as a static state with a dynamic, process-oriented "continuum of recovery" principle. She translates the twelve steps of Alcoholics Anonymous into psychological terms, taking particular care to explain the crucial notion of "loss of control." Perhaps the most surprising element of Dr. Brown's model is her emphasis on the triadic therapeutic relationship in which therapist, patient, and AA counselor work in partnership to ensure ongoing recovery.

Once considered a radical departure from the conventional wisdom, Treating the Alcoholic offers a now-proven approach that enables psychiatrists, psychologists, social workers, alcoholism counselors, and other mental health professionals to understand the dynamics of alcoholism and make profound contributions to the recovery process.

The Medicare program serves as the healthcare coverage provider to over 58 million beneficiaries. In serving the over age 65 population, Medicare accounts for a large share of total opioid prescriptions. In 2016, one out of every three beneficiaries was prescribed an opioid through Medicare Part D. While many Medicare beneficiaries with serious pain-related conditions are being properly prescribed opioids, there is mounting evidence of opioid misuse in the Medicare system. This book looks at a proposed programs which seek to increase screening and thus, early detection of potential opioid use disorder upon entry into the Medicare program.