Twisted Wires refers to the crazy mixed up world of addiction. Twisted thinking and behaviour and attitudes abound about this subject. Surely in this day and age we could have a more cohesive attitude about it all? If this were to happen, maybe, just maybe we could have a better way of treating the problem, or detecting it before it became a problem. You have to agree the statistics about this disease are devastating, to live with it or to love someone who has it is the most perplexing thing ever. Addicts are the modern day lepers of society. Shunned, despised and most definitely misunderstood.

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.

Alcohol consumption patterns are characterized as mild, moderate, social, heavy drinking, problem drinking, binge drinking and heavy episodic drinking may or may not lead to alcohol dependence. Excessive alcohol consumption has been associated with a variety of negative health consequences, acute or chronic, both the alcohol user and for society to which this drinker is inserted, ranging from injuries resulting from traffic accidents to diseases chronic such as cancer and cardiovascular disease. This book discusses alcohol consumption patterns, influences and health effects. The first chapter describes the epidemiology of global alcohol consumption, classification patterns of alcohol consumption, the influences and the deleterious effects of excessive consumption of these licit drugs can cause to the human body, and finally, the nutritional implications of this consumption. Chapter Two elucidates the risk factors associated with binge drinking from different approaches and presents the advances in prevention strategies and intervention programs for adolescents and young adults. Chapter Three discusses underlying theoretical constructs associated with alcohol-related group norms, outlines the empirical impact of social norms on binge drinking behavior, and presents secondary data analyses of two distinct nationally representative datasets. Chapter Four examines the relationship between electronic-cigarette use, alcohol consumption and smoking prohibition where alcohol is consumed. Chapter Five uses the curious case of Dr Jekyll and Mr Hyde to describe the ways individuals drink and why regular drinking (ie: our Dr Jekyll) may be very different to our event-specific drinking. Chapter Six summarizes the evidence suggesting that an unfavorable mixture of higher overall level of alcohol consumption and binge drinking pattern is a major risk factor for cardiovascular mortality in Russia. Chapter Seven is an expert commentary on current research and future directions of text message interventions for alcohol use.

This state-of-the-science reference and text has given thousands of practitioners and students a strong foundation in understanding and treating addictive disorders. Leading experts address the neurobiology of addictions and review best practices in assessment and diagnosis. Specific substances of abuse are examined in detail, with attention to real-world clinical considerations. Issues in working with particular populations--including polysubstance abusers, culturally diverse patients, older adults, chronic pain sufferers, and others--are explored. Chapters summarize the theoretical and empirical underpinnings of widely used psychosocial and pharmacological treatments and clearly describe clinical techniques. New to This Edition *Incorporates a decade's worth of major advances in research and clinical practice. *Updated for DSM-5. *Many new authors; extensively revised with the latest information on specific biological mechanisms, substances, populations, and treatments. *Chapter on motivational interviewing.

Integrating 12 Steps and Psychotherapy: Helping Clients Find Sobriety and Recovery presents a practical and applied approach to working with substance dependent clients. Designed to be accessible to a wide and multidisciplinary audience of helpers at all skill levels, this text helps future practitioners fully understand the clinical challenges with substance dependence, adjust their thinking and technique in order to match their client's phase of recovery, and optimize client retention and treatment outcomes. Utilizing educator, training, and practice perspectives, authors Kevin A. Osten and Robert Switzer explore relevant theory and techniques in integrating 12-Steps across a broad range of clinical issues including: the assessment and treatment of resistant and ambivalent pre-recovery clients; boundary setting, undoing antisocial adaption; processing counter transference reactions; and the intersection between biological functioning and ability in early recovery.

The field of addictions treatment and recovery is facing a crisis. The need for addictions treatment surpasses the treatment resources currently available. In 2006, the 21.1 million people in the U.S. needed treatment but did not receive it (SAMHSA OAS, 2006). One reason for this gap is that the current treatment workforce is too small and unprepared to meet the growing need for services. At the same time, the treatment and recovery field is part of a profession that is undergoing profound changes. Many of the treatment programs, government agencies, and professional associations that exist today were started in the 1970s, a time when the nation was just beginning to confront an unprecedented prevalence of drug abuse. Since then, the workforce has changed. Counsellor requirements are different. Knowledge and understanding about addictions and recovery have advanced. Laws have changed. New drugs of abuse have emerged. So have new treatments. The only constant is the fact that addiction continues to devastate individuals, families, and communities. This book addresses the specific needs of addictions treatment and recovery professionals and will help in understanding the current challenges and future directions of the addictions field and how they apply to workforce development.

The use and misuse of drugs is a major social, health, political and economic issue globally. This book presents a series of chapters on the impact of drug use during pregnancy; the impact of parental drug addiction on the child with recommendations for supporting children and teenagers during a parents' recovery process; the development of parental skills and renewed parent-child bonding; and how improvements in positive child outcomes can result from an inter-agency working between child protection and addiction treatment providers.

This Provider's Guide introduces a comprehensive and developmentally appropriate treatment program, Pathways for Self-Discovery and Change (PSDC), which provides the specific tools necessary for improving evaluation and treatment of at-risk youth, a particularly vulnerable patient population in the justice system. Using an adolescent-focused format, this protocol identifies psychological, biological, and social factors that contribute to the onset of adolescent deviance, and establishes guidelines for delivery of a 32-session treatment curriculum designed to rehabilitate both male and female adolescents with co-occurring substance abuse and criminal conduct. Now in its Second Edition, this guide provides treatment practitioners, program evaluators, and youth services administrators with the most up to date, comprehensive, and accessible information for the treatment and rehabilitation of juvenile justice clients. It is built on theoretical and research advances in the treatment and rehabilitation of juvenile justice clients, as well as feedback over the past seven years from PSDC counselees, treatment providers, and program administrators. SAGE offers treatment and training programs for mental health providers that you can easily incorporate into your existing programs.

Problems related to substance use, abuse and dependence are a major concern on societies today, persisting to require considerable attention from the community. For decades studies have been showing that drug consumption represents a main risk factor for physical, social and mental health problems. Unfortunately, reality shows that in many cultures and fractions of population, heavy substance use is the norm. This book examines the cognitive-behavioural indicators of substance abuse and various corresponding treatment techniques.

In a book sure to inspire controversy, Gene Heyman argues that conventional wisdom about addiction-that it is a disease, a compulsion beyond conscious control-is wrong. Drawing on psychiatric epidemiology, addicts' autobiographies, treatment studies, and advances in behavioral economics, Heyman makes a powerful case that addiction is voluntary. He shows that drug use, like all choices, is influenced by preferences and goals. But just as there are successful dieters, there are successful ex-addicts. In fact, addiction is the psychiatric disorder with the highest rate of recovery. But what ends an addiction? At the heart of Heyman's analysis is a startling view of choice and motivation that applies to all choices, not just the choice to use drugs. The conditions that promote quitting a drug addiction include new information, cultural values, and, of course, the costs and benefits of further drug use. Most of us avoid becoming drug dependent, not because we are especially rational, but because we loathe the idea of being an addict. Heyman's analysis of well-established but frequently ignored research leads to unexpected insights into how we make choices-from obesity to McMansionization-all rooted in our deep-seated tendency to consume too much of whatever we like best. As wealth increases and technology advances, the dilemma posed by addictive drugs spreads to new products. However, this remarkable and radical book points to a solution. If drug addicts typically beat addiction, then non-addicts can learn to control their natural tendency to take too much.

Social drinking refers to casual drinking in a social setting without an intent to get drunk. Social drinking plays an important (but not traditional) role in such social functions as dating, and marriage. For example, a person buying another a drink at a singles bar is a gesture that one is interested in the other and often initiates conversation, or at least flirtation. Bad news is often expressed through a drink, whilst good news is often celebrated by having a few drinks. Buying someone a drink is a gesture of goodwill, and can be used as an expression of gratitude or mark the resolution of a dispute -- to bury the hatchet, so to say. The physical act of going to a comfortable setting with friends is a large part of sharing a drink in the above situations. This new and important book gathers the latest research from around the globe in the study of social drinking and discusses several topics such as: social drinking during pregnancy can lead to foetal alcohol spectrum disorder, social influence on adolescent alcohol use, behavioural strategies for reducing high-risk drinking among college students, and others.

Substance Withdrawal Syndrome refers to the physiological and psychological symptoms associated with withdrawal from the use of a drug after prolonged administration or habituation. The concept includes withdrawal from smoking or drinking, as well as withdrawal from an administered drug. This book presents the latest research in the field.

Offering readers the most current knowledge on what works in substance abuse treatment today This one-of-a-kind anthology presents state-of-the-art material to help researchers better understand which interventions work and why, and it includes editorial commentary and critical thinking questions for each selection. The editors have organized this volume according to the process of evidence-based practice introduction to evidence-based practice, assessment, gender-based and culturally sensitive interventions, treatment issues and innovations, and policy considerations. Connecting science and clinical research to the practical needs of persons with substance and mental health disorders, this volume is a groundbreaking resource for those who need empirically based material on treatment innovations. Key Features Data on a wide range of cutting-edge issues such as housing for homeless alcoholics and use of prescription medications to reduce drug cravings Content by forward-looking experts in substance abuse treatment that promotes a public health perspective Five-part organization focused on the major practice domains of parentcentered intervention, gender-based and culturally sensitive programming, and interventions across the life span

Target Audience This is a must-have resource for substance abuse and mental health practitioners, faculty, policy makers, and students."