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."

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.

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.

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.

The long awaited Second Edition of Criminal Conduct and Substance Abuse Treatment, Provider's Guide is finally here. Now treatment providers and substance abuse counselors can find a wealth of information on how to implement the Strategies for Self Improvement and Change (SSC) curriculum efficiently and effectively. Although the Second Edition workbook can be used alone, the Second Edition Provider's Guide was written to build upon the foundation of the First Edition and provide enhanced information and adjunct exercises to supplement session delivery. It was also designed to help providers realize the essential traits and skills necessary to help ensure client success. The Provider's Guide is divided into three critical sections. The first section presents the core strategies upon which the SSC curriculum is built. This includes a conceptual framework which is essentially the thread of the program. Chapters 2-6 provide the foundational strategies of the curriculum, including: developing a therapeutic relationship through motivational enhancement; essential traits of providers; emphasis of the counselor as educator; a presentation of the phases of learning and stages of change; an introduction to the cognitive-behavioral approach; and finally a discussion of preventing relapse and recidivism - two major treatment goals. Section II provides the specific methods, procedures, and skills for the implementation and delivery of the SSC treatment curriculum. This includes a chapter on the assessment protocol, which is critical in order to accurately assess the issues, problems and vulnerabilities of the client. Chapter 7 outlines the operational procedures, such as the essential skills of the provider and guidelines for reentry and the aftercare plan. Finally, Section III provides guidelines for the delivery of the SSC modules and the individual treatment sessions as well as the phase closure sessions. It also provides adjunct informat

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 important work elucidates why relapse is so common for people recovering from addictive behavior problems--and what can be done to keep treatment on track. It provides an empirically supported framework for helping people with addictive behavior problems develop the skills to maintain their treatment goals, even in high-risk situations, and deal effectively with setbacks that occur. The expert contributors clearly identify the obstacles that arise in treating specific problem behaviors, review the factors that may trigger relapse at different stages of recovery, and present procedures for teaching effective cognitive and behavioral coping strategies.

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.

"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.

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.

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.

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.

'A gracefully written book about the inner strength we all have within us' Wim Hof ________________________________________________________________________________ Do you feel held back by your own thoughts? Have you gone through years of therapy but never quite resolved your problems? Whether you struggle with mental health or want to achieve more in life, this revolutionary book is your key to finally making positive changes. It's common to feel a loss of control and even feel out of touch with our own identity when we go through periods of stress or trauma. Our brains are conditioned to form beliefs about ourselves and the world around us, so when we experience adversity thoughts such as 'I'm not good enough', 'I don't deserve to be happy' and 'I don't belong here' can develop and start to hold us back in life. Left unchecked, these thoughts can leave us feeling stuck, incapable and unfulfilled but this life-changing book shows how we can de-hypnotize ourselves of those beliefs and re-discover the capable and confident person within us. Having practised as a therapist for almost thirty years, Andrew Parr has helped thousands of people to break free of their self-sabotaging thoughts and achieve things they never thought possible: from pay rises to weight loss, and from quitting smoking to overcoming insomnia. In The Real You he shares his transformative approach, combining the most effective aspects of hypnotherapy, psychotherapy, coaching and CBT, that will help you to identify and resolve problematic mental patterns more easily than with traditional talking therapy. No matter what you want to achieve, the simple, practical exercises in this book will put you back control of your thoughts, transform your self-confidence and make success possible. ________________________________________________________________________________ 'A truly unique and transformational book' Paul Hewitt, Sports Performance Specialist