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 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.

Accelerated Ecological Psychotherapy: ETT Applications for Sleep Disorders, Pain, and Addiction describes a number of therapeutic breakthroughs for a diverse array of conditions. The means for accomplishing these advances are specific attachment-based interpersonal processes that are radically amplified by using precise elements of the client's visual ecology. Forms of visually initiated brain stimulation include (1) an innovative form of eye movement, (2) a specialized type of peripheral eye stimulation, (3) Spectral Resonance Technique that uses intense color, and (4) a tunable light device from which hundreds of precise wavelengths of light can be selected to emit into the client's eyes. The method is called Emotional Transformation Therapy (R) (ETT (R)). This approach consistently relieves disturbing emotions in seconds, alleviates physical pain in minutes, and frequently evokes states of extreme wellbeing. This book offers a new process theory of emotion focused on the nature and progression patterns of emotions. The book describes an entirely different treatment for seasonal affective disorder (SAD) that offers a radical new level of treatment outcome. Since external light controls the brain's biological clock that dictates sleep and waking patterns, ETT (R) can be used to treat a variety of sleep disorders. One of the most stunning applications of ETT (R) concerns its use for chronic physical pain. Migraines, lower back pain, arthritis, fibromyalgia, and many other forms of pain are usually alleviated in the first session and extinguished long-term after a brief series of sessions. One of the most unique discoveries of the ETT (R) method concerns the rapid, long-term elimination of substance addictive craving. Revolutionary treatment outcomes for sex addiction and other behavioral addictions offers a new advance. ETT (R) can be applied to couple psychotherapy in such a way that it facilitates radical changes in emotional dysfunctions in couple relationships. Impasses in conflict and alleviation of severely distressed couples can be resolved surprisingly fast. Of all of the breakthroughs brought forth by ETT (R), its impact on spiritual phenomena may be the most dramatic. ETT (R) includes processes to either alleviate a religious/spiritual block or to facilitate states of extreme wellbeing verified by brain scans.

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.

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.

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.

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.

One of the key topics for establishing meaningful links between brain sciences and education is the development of reading. How does biology constrain learning to read? How does experience shape the development of reading skills? How does research on biology and behaviour connect to the ways that schools, teachers and parents help children learn to read, particularly in the face of disabilities that interfere with learning? This book addresses these questions and illuminates why reading disorders have been hard to identify, how recent research has established a firm base of knowledge about the cognitive neuroscience of reading problems and the learning tools for overcoming them, and finally, what the future holds for relating mind, brain and education to understanding reading difficulties. Connecting knowledge from neuroscience, genetics, cognitive science, child development, neuropsychology and education, this book will be of interest to both academic researchers and graduate students.

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.

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.

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.

This book focuses on men and addictions. Various studies have found that the vast majority of men over 12 years of age (82.6%) had used alcohol at least once in their lifetime. The data indicate that 9% of men reported heavy alcohol use (five or more drinks at one time in the previous month), compared to 2% of women. Approximately 34% of the samples reported using illicit drugs. Studies also indicate that drug use patterns vary significantly by racial and ethnic groupings. Men are more than twice as likely to develop substance use disorders as women. Men begin using substances earlier than women and have more opportunity to try drugs. Men suffer far more adverse consequences of substance abuse than women. Clearly, the social construction of masculinity plays a significant role in these statistics. Men's attitudes toward alcohol and drugs tend to be generally less negative than women's attitudes. expectations. Co-occurring psychiatric disorders occur commonly among men.

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."

The reference book Emotional Addictions proposes that some people may actually be "addicted" in an unhealthy manner to specific emotions. The emotion could be anger, anxiety, apathy, egotism, envy, guilt, jealousy, resentment, revenge, or self-hatred. Historically, one of the greatest challenges to both mental health and substance abuse counselors has been the addict who has been clean and sober for some time, yet still has substantial difficulties coping with life. Ladd contends that emotional addiction operates under similar criteria to a physical addiction, with both forms of addiction showing characteristics of denial, compulsive behavior, dependency, tolerance, addictive thinking, and withdrawal symptoms. By combining emotions with addictions, Ladd has written a cutting-edge approach to helping people with addictions and mental health problems.

There is an urgent demand for treatment protocols designed specifically for women who abuse drugs, commit crimes, and receive treatment in correctional settings. Criminal Conduct and Substance Abuse Treatment for Women in Correctional Settings answers the clamor by targeting the biological, psychological, and social roots of female substance abuse and crime. Designed as an adjunct to the Criminal Conduct and Substance Abuse Treatment: Strategies for Self-Improvement and Change (SSC) curriculum, this provider's guide uses female-focused examples, exercises, role plays, and content enhancements that pinpoint women's treatment issues. Features and Benefits Increases the female focus of each session in the original SSC curriculum, a renowned and effective treatment model Assumes a strengths-based approach, which helps build support systems and motivate recovery for women Provides a broad perspective on psychological, social and biological issues and enhances treatment outcomes across a wide spectrum of agencies and treatment providers Intended Audience This adjunct provider's guide is essential to agencies, treatment centers, and practitioners working with women in the judicial system - offering female clients the best possible chance to get back on the road to recovery. This adjunct provider's guide is essential to agencies, treatment centers, and practitioners working with women in the judicial system - offering female clients the best possible chance to get back on the road to recovery. This volume provides an invaluable gender focus for: Criminal Conduct and Substance Abuse Treatment Strategies for Responsible Living and Change The Participant's Workbook Second Edition Kenneth W. Wanberg and Harvey B. Milkman ISBN: 978-1-4129-0591-6 The Provider's Guide Second Edition Kenneth W. Wanberg and Harvey B. Milkman ISBN: 978-1-4129-0592-3

Alcohol abuse is associated with psycho-somatic health and social problems. It leads to multi-organ, especially cardiovascular system, alimentary tract, liver, pancreas and immunologic system dysfunction. Therefore withdrawal and anti-relapse therapy should be undoubtedly undertaken in every case. Nevertheless our knowledge about alcohol withdrawal consequences is insufficient. The main purpose of the authors' investigation was to determine the metabolic, endocrine, haemostatic and immunologic changes during six-month long abstinence period. They studied the abstinence effect on exercise capacity and autonomic nervous system activity estimated by heart rate variability analysis. Their research concerned also changes in upper digestive tract macroscopic and microscopic appearance and its motility, liver function, pro- anti- oxidative balance parameters level, cytokine TNF- alpha and nitric oxide (NO) metabolites plasma concentration. The authors estimated inter-relationships between studied parameters, what seems to be very important in complete analysis. Within six-months long abstinence period pro-atherogenic metabolic changes expressed by decreased HDL and increased LDL- cholesterol plasma concentration occurred. These unfavourable changes were less expressed in patients treated with naltrexone. In the early abstinence period indirect markers of platelets activation were determined. The highest level of fibrinogen, thrombomodulin, antithrombin, markers of trombinogenesis activation in vivo (thrombin- antithrombin, TAT complexes), tissue type plasminogen activator antigen (t-PA:Ag), antigen of plasminogen activator inhibitor type 1 (PAI-1:Ag), markers of fibrinolysis activation in vivo, such as D-dimers, plasmin- alpha2- antiplasmin (PAP) complexes was also observed. Mentioned changes were expressed in patients with determinable TNF-alpha plasma level. Abstinence improved effort capacity, positively changed autonomic nervous system activity via vagal nerve influence on heart rate variability. The last finding was also affected by TNF-alpha level. No significant changes appeared in alimentary tract function, estimated by esophageal and gastric pH-metry, esophageal manometry and abdominal ultrasonography, whereas some changes were observed in endoscopic examinations and influence of patients mental status on investigated parameters became noticeable. Favourable effect on liver function tests was affected by pituitary-thyroid and pituitary-gonadal axes hormones, cytokine TNF-alpha, nutrition status, Helicobacter pylori infection and gastric acidity. Some of studied parameters, such as mean platelets volume and nitric oxide metabolites plasma level may be used as new, valuable markers of alcohol abuse. Alcohol withdrawal and early abstinence is a dynamic period with potentially harmful health consequences, especially in cardiovascular system. This suggests the need of multicentre studies to estimate clinical importance of found changes and cost- benefits analysis of selected interventions.

The most comprehensive text of its kind, this book addresses both the management of opioid withdrawal and opioid maintenance therapy, and combines up-to-date reviews of the scientific literature with evidence-based clinical guidelines for all of the relevant pharmacotherapies. A unique work, Pharmacotherapies for the Treatment of Opioid Dependence presents: * detailed information on the cost-effectiveness of the various types of opioid treatment * the range of pharmacotherapies used for the management of opioid dependence * the state of knowledge from the international research literature on the value and relative efficacy of the various pharmacological approaches. This includes pharmacotherapies used in the management of withdrawal from opioids such as clonidine, lofexidine, methadone, buprenorphine and naltrexone and also symptomatic medications. It also includes different forms of maintenance therapy using opioid agonists such as methadone, LAAM, buprenorphine, slow-release oral morphine and diamorphine, and opioid antagonists such as naltrexone. This text should appeal to researchers, to identify gaps in the research literature and provide a basis for determining appropriate research directions, to clinicians by providing clinical with clinical guidelines and information concerning the empirical basis for the treatments, and to policy makers in assisting them to make decisions about the various treatments from a public health perspective, taking into account the relative cost and effectiveness of the interventions.

Media portrayals and diagnostic criteria convey an image of an addicted person as someone whose deficient coping skills and severely compromised functioning are readily apparent. Yet addictions remain some of the most frequently missed diagnoses in health and mental health care settings. This occurs, in large part, because most people with addictions do not fit the stereotype. In the context of psychotherapy, the typical patient with an addiction will present depression, anxiety, marital problems or a general sense that life is not working. This book addresses how addictions can be recognized more often and accurately assessed in the context of psychotherapy. Along with learning about the standard assessment instruments, the reader is introduced to methods for asking the appropriate questions and listening to the clinical dialogue for signs of a undisclosed addiction. This book provides a great deal of knowledge about addictions and their assessment in a way that is relevant to clinical practice.

This book selectively discusses recent advances in human experimental models relating to the treatment of opioid dependence. The author critically reviewed three independent lines of research conducted during the past decade with heroin-dependent volunteers. One research strategy involves studying the -opioid receptor ( OR), which is the molecular target for the reinforcing and physical dependence producing effects of heroin-like drugs. This has been accomplished by varying medication dose conditions, measuring the availability of brain -receptors in vivo and plasma pharmacokinetics, then correlating these biological concentration measures with clinically relevant endpoints including opioid withdrawal symptoms, heroin craving, and blockade of the euphoric and respiratory depressant effects of -agonist challenges. These studies provide an initial benchmark for estimating OR occupancy or plasma concentration requirements for effective pharmacotherapy. A second research strategy determines the conditions under which -agonist medications function as reinforcers, and the ability of medication dose and the availability of non-drug alternative reinforcement to attenuate opioid choice. Taken together, these studies provide information relevant to the ability of the medication to stimulate adherence and reduce drug demand. A third research strategy seeks to determine whether non-opioid medications can attenuate the naloxone-precipitated (i.e. withdrawal related) discriminative stimulus, subjective and/or physiological effects in opioid-maintained individuals. These studies aim to identify compounds that may be safe and effective adjuncts during opioid detoxification and, potentially, anti-relapse agents. Evidence is also reviewed concerning individual differences identified in these models. Implications of these findings for clinical treatment are also discussed.