In 1970, sociologist Jeremiah Lowney began researching a group of surfers called the 'Wall Gang' in a small community of drug and alcohol users on Golden Beach in San Diego, California. Stoned, Drunk, or Sober? is the culmination of Lowney's thirty-eight years of intensive non-participant observation of seventy-two surfers. This book offers a rare look at various qualitative techniques employed to understand alcohol and drug use. Lowney utilizes basic quantitative statistical data to complement and verify the qualitative findings, thereby providing a deeper understanding than if only one or the other had been used. Because it spans so many years, Lowney's longitudinal research offers readers an opportunity to fully grasp the various factors that contribute to substance abuse, the various paths used to overcome the severe consequences of addiction, and the histories of those who did not use drugs, those who did, and those who are now 'free and sober.'

Despite our associating addictions with crazy, out of control behavior, most addictions go unrecognized. Those who suffer from addictions often misinterpret their symptoms as a sign of some other problem. Health care professionals who are entrusted by society to identify such problems routinely fail to do so. When addictions are recognized, they are confined to substance use, which overlooks the wide array of activities that engage people in an addictive manner. Further, when addictions are detected, they are in their most advanced and difficult to treat phases. In large part this is due to the all or none way we think about addiction; either you are addicted or not. In reality, an addiction does not emerge fully formed; what starts out as just having fun, gradually, over time, becomes a problem. To limit the devastation created by late stage addictions and reap the benefits of early detection, this book provides questionnaires that screen for a wide array of chemical and behavioral addictions at all stages of development. Much in the same way we learned the early warning signs of cancer, this book explores different ways to recognize the early and often subtle signs of addiction. Unlike cancer, where people rush to get treatment, facing an addiction is associated with guilt and ambivalence. To navigate these feelings and get help, the book provides a step-by-step guide for how to prepare the addicted person, be it oneself or someone else, to change an addiction.

Smoking is the most common risk factor for the development of lung cancer, which is the leading cause of cancer death. It is also associated with many other types of cancer, including cancers of the oesophagus, larynx, kidney, pancreas, and cervix. Smoking also increases the risk of other health problems, such as chronic lung disease and heart disease. Smoking during pregnancy can have adverse effects on the unborn child, such as premature delivery and low birth weight. The health benefits of smoking cessation (quitting) are immediate and substantial. Almost immediately, a person's circulation begins to improve and the level of carbon monoxide in the blood begins to decline. (Carbon monoxide, a colourless, odourless gas found in cigarette smoke, reduces the blood's ability to carry oxygen.) A person's pulse rate and blood pressure, which may be abnormally high while smoking, begin to return to normal. Within a few days of quitting, a person's sense of taste and smell return, and breathing becomes increasingly easier. People who quit smoking live longer than those who continue to smoke. After 10 to 15 years, a previous tobacco user's risk of premature death approaches that of a person who has never smoked. Quitting smoking reduces the risk for developing cancer, and this benefit increases the longer a person remains "smoke free". Quitting smoking may cause short-term after-effects, especially for those who have smoked a large number of cigarettes for a long period of time. People who quit smoking are likely to feel anxious, irritable, hungry, more tired, and have difficulty sleeping. They may also have difficulty concentrating. Many tobacco users gain weight when they quit, but usually less than 10 pounds. These changes do subside. This book presents new and important research in this bewildering field.

This book enables the physician to exhibit greater knowledge of all aspects of substance addiction and equips the reader to better manage these types of patients in the office setting. The introductory section gives background and rationale for acquiring the requisite knowledge and skills. The majority of the book focuses on providing insight and developing practical skills that can be readily implemented in an office-based setting. It contains case presentations, and provides a crucial understanding of why and when to refer. The final portion of the book offers clinical "pearls" that further aid the reader in treating this difficult patient population.

This book is an attempt to bridge the gap between research on substance abuse treatment programs and what actually goes on in the field of substance abuse treatment. It is aimed at both the academic and practitioner market (as is Perkinson) and it clearly describes how to determine what evidence based practice is and it addresses some of the challenges that practioners and agency directors might face in implementing EBP. The book is well-written and highly practical. It contains two complete case studies that outline two examples of Evidence based practice which will be particularly useful in the course market.

Co-occurring Substance Abuse and Mental Disorder: A Practitioner's Guide is a basic overview of current evidence-based practices for treating co-occurring disorders. Co-occurring disorders, also known as dual diagnosis, refers to individuals who have both a mental illness and a co-morbid substance use disorder. The literature suggests that utilizing an "integrated" approach to treatment, treating both disorders concurrently in a program with clinicians specially trained in mental illness and substance abuse, provides the best outcomes for this population. This book is designed to provide clinicians with the basic knowledge and skills required to effectively assess and treat co-occurring disorders.

"This book takes an integrative approach to the understanding of drug use and its relationship to social-cultural factors. It is lucidly and powerfully argued and constitutes a significant achievement. The authors sensibly argue that in order to fully understand and explain drug use and abuse it is necessary to take into account different levels of analysis, reflecting distinct domains of human functioning; the biological, psychosocial, and cultural-historical?.Overall, this book represents an exceptional achievement and should be of interest to drug clinicians and researcher as well as social scientists and students."

--Professor Tony Ward, University of Melbourne

Substance use and abuse are two of the most frequent psychological problems clinicians encounter. Mainstream approaches focus on the biological and psychological factors supporting drug abuse. But to fully comprehend the issue, clinicians need to consider the social, historical, and cultural factors responsible for drug-related problems.

Substance Use and Abuse: Cultural and Historical Perspectives provides an inclusive explanation of the human desire to take drugs. Using a multidisciplinary framework, authors Russil Durrant and Jo Thakker explore the cultural and historical variables that contribute to drug use. Integrating biological, psychosocial, and cultural-historical perspectives, this innovative and accessible volume addresses the fundamental question of why drug use is such a ubiquitous feature of human society.

Addressing issues important to prevention, treatment, and public policy, the authors include

• A comprehensive, historical survey of drug use
• An exploration of the evolutionary basis of drug-taking behavior
• Historically and culturally based explanations of drug use and abuse
• Inclusive approaches that complement mainstream biopsychosocial perspectives

Designed for upper-division undergraduate and graduate students in psychology, counseling, sociology, social work, and health departments, Substance Use and Abuse: Cultural and Historical Perspectives will also be of significant interest to drug clinicians, researchers, and social scientists.

Working with clients who abuse drugs or alcohol poses formidable challenges to the clinician. Addicted persons are often confronting multiple, complex problems, from the denial of the addiction itself, to legacies of early trauma or abuse, to histories of broken relationships with parents, spouses, and children. Making matters more confusing, the treatment field is too often splintered into different approaches, each with its own competing claims. This eloquently written book proposes a narrative approach that builds a much-needed bridge between family therapy, psychodynamic therapy, and addictions counseling. Demonstrated are innovative, flexible ways to help clients form new understandings of what has happened in their lives, explore their relationships to drugs and alcohol, and develop new stories to guide and nourish their recovery.

Addiction Recovery Tools: A Practical Handbook presents verified recovery tools with a methodical "when and how" approach for each available tool. Including both Western and Eastern methods, the book catalogs the motivational, medical-pharmaceutical, cognitive-behavioral, psychosocial, and holistic tools accessible in a wide variety of settings and programs.

The contributors, all experiences addiction recovery specialists, present comprehensive descriptions of each tool as well as practical aids ? worksheets, lists, scales, guidelines, and interactive exercises ? to help the practitioner incorporate the tool into practice. Further instructional resources are supplied for training, continuing education, and career enhancement.

Addiction Recovery Tools is an invaluable resource for anyone studying or working in substance abuse, counseling, social work, clinical psychology, group work, psychotherapy, or public health who is searching for a definitive handbook on addiction recovery strategies.

This book presents a culturally informed framework for understanding and treating substance abuse problems. From expert contributors, chapters cover specific ethnocultural groups in the United States, including Americans of African, Native American, Latino, European, Middle Eastern, and Asian descent. Authors examine how ethnocultural factors may affect a person's attitudes toward alcohol and other drugs, patterns of substance use, reasons for seeking treatment, and responsiveness to various interventions. Themes addressed include the impact of migration and acculturation issues, spiritual values and traditions, family structures, gender roles, and experiences of prejudice and discrimination. Featuring a wealth of illustrative clinical material, the book makes concrete recommendations for more competent, effective assessment and intervention. It also guides clinicians toward greater awareness of the ways their own ethnocultural backgrounds may affect their interactions with clients.

When smokers inhale smoke into their lungs, they take the drug nicotine into their bodies and brains, where it affects how the smokers feel and act. When smokers display their cigarettes, they are saying something symbolic and personal about themselves. And when smokers smoke, they put themselves at risk, often knowingly, of early disability or death.

Smoking is one of the world?s most pressing public health problems. Cigarettes, Nicotine, and Health reviews the severe problems caused by smoking and examines individual and public health approaches to reducing smoking and its attendant health problems. Cigarettes are the most popular, most addictive, and most deadly form of tobacco use, with cigarette design contributing directly to the dangers of smoking; most of the book focuses on this predominant form of nicotine use.

Concept-based therapeutic communities emerged out of the informal group meetings of Charles Dederich and a number of former Alcoholics Anonymous members in California in the late 1950s. The model was exported worldwide and has not only become the most widely used approach to residential treatment but has proved enormously influential in the development of many other treatment approaches; both residential and ambulatory. Concept-based therapeutic communities are hierarchical, and the staff and residents form a chain of command. Staff are often qualified for their work by virtue of having been residents in such a community themselves. Like other types of therapeutic community, a central tenet of the approach is the emphasis on self help and the belief in the influence of the group dynamic in facilitating therapeutic interventions. Written by academics and practitioners from around the world, this is a comprehensive overview of the development of therapeutic communities and their benefits in the treatment of drug users. Contributors describe how the model operates in the community, and how it has been modified over time to fit different settings, different types of client and different referral requirements. Illustrated by descriptions of staff and client experiences, this book also provides an inside view of how this sort of therapeutic community actually operates. This authoritative study concludes by examining the research evidence for treatment effectiveness. It will be of interest to policy makers, managers and researchers in the field of drug abuse treatment.

Drugs in Prison is an essential handbook for all those who work with prisoners as well as students of penal drugs policy. Comprehensive and easy to use, it: provides up-to-date information on drugs, drug misuse and drugs legislation; outlines government and prison strategies for tackling drug misuse; describes the various methods being used to combat drugs in prison; reviews the effectiveness of these approaches and the performance of different establishments; discusses future strategy and practice.

Also featured are extensive index, a glossary, and useful appendices, case studies and checklists, which service to reinforce key learning points.

Updating and expanding the classic "Psychological Theories of Drinking and Alcoholism," this fully revised second edition incorporates state-of-the-art presentations from leaders in the alcoholism field. Contributors review established and emerging approaches that guide research into the psychological processes influencing drinking and alcoholism. The volume's multidisciplinary approach also takes into account biological, pharmacological, and social factors, offering important insights into the development and escalation of drinking problems and the various approaches to treatment. Including significantly expanded coverage of developmental, social learning, and cognitive theories, the book features new chapters on genetics, neurobiology, and emotions.

Adult and adolescent survivors of childhood abuse and other traumas often struggle with addictive disorders, yet most helping professionals are ill equipped to deal with dual problems. Providing the tools professionals need to help this population, this book systematically integrates mental health paradigms with disease models of addiction and combines psychotherapeutic techniques with 12-step recovery practices. The result is an easy-to-replicate model for the effective assessment and treatment of this often difficult-to-treat population.

This text argues that all primary alcoholics and many alcohol abusers need intensive individual psychotherapy. A structured psychodynamic therapy approach is described, which the author claims can successfully treat 80per cent of primary alcoholics in only 18 months.

Shunning the disease model of alcoholism, this book delineates how narcissistic injury in early life acts as the basic psychogenic, etiological, component of addictive drinking. It provides an innovative analysis of the interrelationships between the alcoholic's overt behavioral disorders and his or her psychological make_up. Early chapters explore the role of narcissistic injury in great depth. Successive discussions examine the pathologies of character, personality, behavior, cognition and interpersonal relationships that manifest themselves in and as alcoholism. The part that early-life narcissistic injury plays in the development of anxiety, oral rage, avoidance defenses, depression, sadomasochism, paranoia, guilt, and obsessive-compulsive behaviors is detailed. A veteran of extensive work with alcoholics, the author delineates treatment strategies to modify and resolve the alcoholic's symptoms_the drinking disorder as well as the other psychological manifestations of dysfunction. Among the strategies explored in this regard are analytic, family, conjoint, behavioral, confrontation, supportive and self-help modalities. The trenchant case studies found throughout the text amplify the author's points about the global and specific psychopathology of alcoholism as well as the interventive alternatives. Alcoholism, Narcissism, and Psychopathology will prove stimulating and resourceful to psychologists, social workers, psychiatrists, counselors and therapists who are involved in the treatment and rehabilitation of alcoholics and other substance abusers.

While knowledge on substance abuse and addictions is expanding rapidly, clinical practice still lags behind. This book brings together leading experts to describe what treatment and prevention would look like if it were based on the best science available. The volume incorporates developmental, neurobiological, genetic, behavioral, and social-environmental perspectives. Tightly edited chapters summarize current thinking on the nature and causes of alcohol and other drug problems; discuss what works at the individual, family, and societal levels; and offer robust principles for developing more effective treatments and services.

They're trying. Despite everything. They're really trying. They almost work together, beautifully. Looking at what is inherited and who is responsible, award-winning writer Charlie Josephine's new play Pops follows a father and daughter caught in a vicious cycle of addiction, and the self-inflicted shame around mental health.

If you are struggling to help a loved one recover from addiction--and to cope with the devastating impact on the whole family--you are not alone. But until now, there has been no single book that gives the millions of families like yours the comprehensive, unbiased information you need. This expertly written guide addresses the painful questions that spouses, parents, and grown children face every day. Why do addicts make such bad choices? How can you find (and afford) treatment that works--and convince your loved one to try it? Can relapse be prevented? When does being supportive cross the line to enabling? Providing science-based answers and resources, the authors cover crucial emotional, financial, and legal issues that simply aren't discussed in other books. The more your family knows about the myths and realities of addiction, the better equipped you will be to overcome it.

A fact-filled guide to coping with compulsive overeating problems by an experienced addictions doctor who draws on many patients' stories of recovery. Overeating, binge eating, obesity, anorexia, and bulimia - Food Junkies tackles the complex, poorly understood issue of food addiction from the perspective of a medical researcher and dozens of survivors. What exactly is food addiction? Is it possible to draw a hard line between indulging cravings for "comfort food" and engaging in substance abuse? For people struggling with food addictions, recognizing their condition remains a frustrating battle. This revised second edition contains the latest research as well as practical strategies for people facing the complicated challenges of eating disorders and addictions, offering an affirming and manageable path to healthy and sustainable habits.

A widely adopted practitioner resource and course text, this book shows how to apply knowledge about behavior change in general -- and the stages-of-change model in particular -- to make substance abuse treatment more effective. The authors are leaders in the field who describe ways to tailor interventions for clients with varying levels of motivation or readiness to change. They draw on cutting-edge theory and research on the transtheoretical model to explain what works (and what doesn't work) at different stages of change. Rich clinical examples illustrate the "whats," "whys," and "how-tos" of using the stages-of-change model to inform treatment planning and intervention for individuals, groups, couples, and families. New to This Edition *Reflects the ongoing development of the stages-of-change model and research advances over the past decade. *Chapter on stage-based brief interventions in health care, social service, and community settings. *Group treatment chapter has been significantly revised. *Expanded coverage of the change processes relevant to each stage. See also Group Treatment for Substance Abuse, Second Edition, by Mary Marden Velasquez et al., a manual for a group-based approach grounded in the transtheoretical model.

Providing a framework for treating substance use disorders (SUDs) in office-based psychotherapy, the second edition of this trusted work has been updated throughout and features two entirely new chapters. The authors show how clinicians from any background can leverage the therapeutic skills they already have to address clients' alcohol and drug problems competently and effectively. Vivid case examples demonstrate ways to engage clients at different stages of change; set collaborative treatment goals; address SUDs concurrently with other psychological problems; and interweave motivational, cognitive-behavioral, and other interventions, tailored to each individual's needs. Reproducible forms and handouts can be downloaded and printed in a convenient 8 1/2" x 11" size. New to This Edition *Chapter on evidence-based principles and interventions. *Chapter on moderation-focused alcohol treatment. *Revised throughout with current data, clinical techniques, and examples. *Reflects over 15 years of important changes in the field--increased demand for integrated treatment, the ongoing opioid crisis, the growth of harm reduction and medication-assisted treatments, and more.

Now revised and updated, this widely used text comprehensively reviews theories of addiction to give students and professionals a multidisciplinary foundation for clinical practice. It explores the causes and mechanisms of substance and behavioral addictions, as well as implications for helping people recover. Providing a science-based perspective, the text emphasizes the importance of using treatment and prevention strategies that are grounded in evidence. Thoroughly updated chapters address disease models; public health approaches; understanding and treating comorbidity; psychoanalytic, behavioral, cognitive, and family systems models; sociocultural approaches; behavioral addiction; and motivational models. Student-friendly features include end-of-chapter summaries and review questions. New to This Edition *Updated throughout with current research and clinical advances. *Discussions of cutting-edge topics: genetics of addiction, addiction stigma, and the opioid epidemic. *New and revised clinical vignettes and review questions.

This book presents a culturally informed framework for understanding and treating substance abuse problems. From expert contributors, chapters cover specific ethnocultural groups in the United States, including Americans of African, Native American, Latino, European, Middle Eastern, and Asian descent. Authors examine how ethnocultural factors may affect a person's attitudes toward alcohol and other drugs, patterns of substance use, reasons for seeking treatment, and responsiveness to various interventions. Themes addressed include the impact of migration and acculturation issues, spiritual values and traditions, family structures, gender roles, and experiences of prejudice and discrimination. Featuring a wealth of illustrative clinical material, the book makes concrete recommendations for more competent, effective assessment and intervention. It also guides clinicians toward greater awareness of the ways their own ethnocultural backgrounds may affect their interactions with clients.