The research literature on the impact of alcohol on the brain has seen a rapid expansion in recent years. Alcohol and the Adult Brain presents an up-to-date overview of some of the issues relevant to understanding and working with people with cognitive impairment as a result of chronic alcohol use. One issue causing barriers to effective treatment and care is the stigma associated with alcohol dependence, resulting in the belief that difficulties associated with alcohol related brain damage (ARBD) are 'self-inflicted'. Cognitive changes resulting from alcohol excess and poor nutrition can directly affect an individual's ability to motivate themselves, make decisions, and make the informed choices that underlie behaviour change. Attitudes held by professionals, reinforced by societal norms, that a person is 'choosing to drink' and 'not motivated to engage with treatment', in combination with the often subtle cognitive deficits associated with ARBD, can result in a lack of timely intervention, with enormous personal, social and economic cost. The chapters in this book set ARBD in a social and cultural context, provide discussion of the difficulties in definition and diagnosis, and outline the structural brain changes and neuropsychological deficits associated with chronic alcohol use. The book provides an overview of recent research on ARBD, including impairments associated with Wernicke-Korsakoff Syndrome, and discusses up to date recommendations for managing and working with this complex and varied disorder. Alcohol and the Adult Brain will be essential for students and researchers working with ARBD and for practitioners in a range of health, social care and voluntary settings.

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.

Grounded in decades of CBT research and clinical practice, as well as cutting-edge cognitive science, this book provides critical tools for understanding and treating the full range of addictive behaviors. Bruce S. Liese and Aaron T. Beck explain how to systematically develop case conceptualizations and support clients in achieving their recovery goals. The authors use vivid case examples to illustrate CBT techniques, structure, psychoeducation, motivational interviewing, group treatment, relapse prevention, and other effective therapeutic components. Several reproducible forms can be downloaded and printed in a convenient 8 1/2" x 11" size. Reflecting nearly 30 years of important advances in the field, this entirely new book replaces the authors' classic Cognitive Therapy of Substance Abuse.

What is it that makes some therapists so much more effective than others, even when they are delivering the same evidence-based treatment? This instructive book identifies specific interpersonal skills and attitudes--often overlooked in clinical training--that facilitate better client outcomes across a broad range of treatment methods and contexts. Reviewing 70 years of psychotherapy research, the preeminent authors show that empathy, acceptance, warmth, focus, and other characteristics of effective therapists are both measurable and teachable. Richly illustrated with annotated sample dialogues, the book gives practitioners and students a blueprint for learning, practicing, and self-monitoring these crucial clinical skills.

Addiction and trauma are two of the most common and difficult issues that people face. In this motivating book, leading expert Lisa Najavits explains the link between addiction and trauma and presents science-based self-help strategies that you can use no matter where you are in your recovery. Every chapter features inspiring words from people who have "been there," plus carefully designed reflection questions, exercises, and other practical tools. Learn how you can: *Build coping skills so that the future is better than the past. *Keep yourself safe and find support. *Set your own goals and make a plan to achieve them at your own pace. *Choose compassion over self-blame and shame. *Move toward your best self--the person you want to be. If you are a family member or friend seeking to support a loved one--or a helping professional--this book is also for you. Now in a convenient large-size format, the revised edition features added materials for professional and peer counselors. First edition title: Recovery from Trauma, Addiction, or Both. Mental health professionals, see also the author's Seeking Safety: A Treatment Manual for PTSD and Substance Abuse, which presents an evidence-based treatment approach developed specifically for PTSD and substance abuse.

Clinical health psychologists often encounter patients needing interventions for substance use, yet rarely do practitioners receive specialized training in this area. Psychological Treatment of Medical Patients With Harmful Substance Use is designed for mental health providers in medical settings who need the knowledge and skills to assess and treat conditions relevant to substance use. This book is especially useful for mental health providers who treat adult medical outpatients for whom substance use is not their primary presenting problem. The authors clarify the distinction between nonharmful and harmful substance use, describe the signs and symptoms of substance use disorders, epidemiology, current models denoting biological and socio-cultural causes, and contributing factors (with an emphasis on cardiac, cancer, women's health, and primary care settings). They offer best-practice assessment strategies, and psychological, self-help and pharmacological treatments. Chapters also describe assessment and intervention for conditions that are often comorbid with substance use, including depression, anxiety, and sleep dysregulation, as well as treatment for family members who are dealing with a loved one's harmful substance use, relapse prevention and continuing care.

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 brave, heartfelt and extraordinary book' Corinne Sweet, author of Overcoming Addiction, psychologist and broadcaster What if the drugs that were meant to cure you slowly started to kill you? After falling dangerously ill with acute-on-chronic pancreatitis, Cathryn Kemp left hospital with a repeat prescription for fentanyl, a painkiller 100 times stronger than heroin. Within two years she was taking almost ten times the NHS maximum daily dose - all on prescription - and her life began to spiral out of control. Cathryn discovered she had just three months to live, unless she gave up the drug she clung to so desperately. After selling everything she owned and checking into rehab, Cathryn was told by the doctors that recovery was highly unlikely. Yet to everyone's amazement, she proved them wrong. Coming Clean is a poignant, vivid and honest memoir of a woman's struggle with, and subsequent victory over, her demons. It is a love story, a horror story, a survival story, and one that shows the very real dangers of the over-prescription of painkillers.

With contributions from leading international academics across the biological sciences, this handbook takes a critical look at the key contemporary issues and debates in the field. The 31 chapters are divided into four parts: Part I Determination of Substance Misuse Part II PK and PD in Relation to Patterns of Use Part III Detection and Treatment of Drug and Alcohol Use Part IV Controversies and New Approaches This Handbook is an excellent reference text for the growing number of academics, students, scientists and practitioners in the drug and alcohol studies community, and will be a vital resource to the allied professions involved in work-place drug testing, clinical toxicology, and forensic science.

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.

Tobacco kills 5 million people every year and that number is expected to double by the year 2020. Despite its enormous toll on human health, tobacco has been largely neglected by anthropologists. Drinking Smoke combines an exhaustive search of historical materials on the introduction and spread of tobacco in the Pacific with extensive anthropological accounts of the ways Islanders have incorporated this substance into their lives. The author uses a relatively new concept called a syndemic-the synergistic interaction of two or more afflictions contributing to a greater burden of disease in a population-to focus at once on the health of a community, political and economic structures, and the wider physical and social environment and ultimately provide an in-depth analysis of smoking's negative health impact in Oceania. In Drinking Smoke the idea of a syndemic is applied to the current health crisis in the Pacific, where the number of deaths from coronary heart disease, cancer, diabetes, and chronic obstructive pulmonary disease continues to rise, and the case is made that smoking tobacco in the form of industrially manufactured cigarettes is the keystone of the contemporary syndemic in Oceania. The author shows how tobacco consumption (particularly cigarette smoking after World War II) has become the central interstitial element of a syndemic that produces most of the morbidity and mortality Pacific Islanders suffer. This syndemic is made up of a bundle of diseases and conditions, a set of historical circumstances and events, and social and health inequities most easily summed up as "poverty". He calls this the tobacco syndemic and argues that smoking is the crucial behavior-the "glue"-holding all of these diseases and conditions together. Drinking Smoke is the first book-length examination of the damaging tobacco syndemic in a specific world region. It is a must-read for scholars and students of anthropology, Pacific studies, history, and economic globalization, as well as for public health practitioners and those working in allied health fields. More broadly the book will appeal to anyone concerned with disease interaction, the social context of disease production, and the full health consequences of the global promotional efforts of Big Tobacco.

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.

The first edition of Addictions established itself as a valuable resource for students and professionals alike. This authoritative new edition builds on the success of the previous book, incorporating advances in research and practice over the last ten years.

The book includes material on:

• the nature of addiction and who becomes addicted
• health consequences of alcohol and other drug dependence
• theories and causes of addiction.

The authors, experts in the field, also include new material on the controversy surrounding the possible positive effects of alcohol and cannabis use, the increased risk of interpersonal violence, and new research on theories of addiction.

Addictions will be essential reading for students, professionals and researchers seeking state of the art information about this rapidly growing field.

From addictions treatment pioneer G. Alan Marlatt and associates, this is the authoritative work on harm reduction: its principles, strategies, and practical applications. Contributors review programs that have been developed and tested for a range of high-risk behaviors, including problem drinking, tobacco use, illicit drug use, and risky sexual behavior. Flexible, tailored, culturally competent treatment approaches are described for marginalized and underserved communities. The volume also explores philosophical and policy-related debates surrounding this growing movement. New to This Edition *Reflects significant advances in research and clinical practice. *Chapters on the current status of the field, applications to psychotherapy, and treatment of dual disorders. *Chapters on additional populations (adolescent drinkers and Hispanic/Latino and Asian American substance users) and an additional substance (cannabis).

Mental health-substance use is a complex interrelation, with equally complex implications for individuals and their families, health professionals and society. Although its international recognition as an issue of critical importance is growing, clear guidance for professionals on mental health-substance use and its treatment is hard to find. The Mental Health-Substance Use series addresses this need, concentrating on concerns, dilemmas and concepts that impact on the life and well-being of affected individuals and those close to them, and the future direction of practice, education, research, services, interventions, and treatment. Having set the scene with the first book's Introduction, this second book in the series tackles service development: how to evaluate the current state from a firm knowledge base, plan and manage change to provide better services, and continue monitoring and evaluating them on an ongoing basis. The volumes in this series are designed to challenge concepts and stimulate debate, exploring all aspects of the development in treatment, intervention and care responses, and the adoption of research-led best practice. They are essential reading for mental health and substance use professionals, students and educators

Alcohol misuse is becoming an increasingly significant issue for people aged 55 and over, and providing effective counselling services to this growing client group requires a unique and specialised approach. This practical guide explores the factors that differentiate older drinkers, and introduces an innovative person-centred model that will help counsellors and other healthcare professionals to give older people with alcohol problems the help and support they need. Older people with alcohol problems often have complex personal histories, and are particularly vulnerable to long-term dependency, social isolation and self-medication. This book explores the influences, patterns and triggers that affect the development and progression of alcohol dependency in this age group, and provides a detailed description of a theoretical model and therapeutic process that has proved successful in practice. Informative case studies demonstrate the approach in action and guidance is also given for working with clients with dementia or mental health problems. This book will prove an invaluable resource for counsellors and other healthcare professionals who encounter alcohol problems in their clinical practice, including clinical psychologists, social workers, occupational therapists and community psychiatric nurses.

This revised and updated third edition is a highly practical guide to the steps that counselors can take on a day-to-day basis to help those who have problems with their use of alcohol. It is the key book recommended by most alcohol counseling courses in the UK, including the Scottish national alcohol counselors training scheme. This highly acclaimed text provides clear guidance for counselors and demonstrates the need to treat every client as an individual, attempting to understand and therefore enable the client to understand, what they are doing and why. The book has been thoroughly revised to take into account the current political, social and counseling context surrounding alcohol use. It now includes a wider range of case-studies and many new ideas which will help students and trainees develop the skills and strategies they need for working with their clients. Backed up with detailed case studies and useful resource material, the Third Edition of this bestselling text will continue to be invaluable for all practitioners, both those specializing in work with alcohol misusers and those who encounter problem drinkers in the context of a more general counseling practice.

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Understanding the phenomenon of long-lasting vulnerability to addiction is essential to developing successful treatments. Written by an international team of authorities in their respective fields, Advances in the Neuroscience of Addiction provides an excellent overview of the available and emerging approaches used to investigate the biologic mechanisms of drug addiction. It also delineates the promising research discoveries being made in relapse prevention. The book begins with current animal models of addiction, which mimic the state of humans entering treatment: recently-abstinent animals that receive common triggers for relapse (classical conditioning, stress, and neuroadaptive dysregulation). Coverage then shifts to the use of electrophysiologic approaches, which enable researchers to characterize the discharge patterns of single neurons during drug self-administration. After exploring advances in voltammetry and enzyme-linked biosensors for measuring glutamate, the book discusses the theoretical background and results of neuroimaging studies related to neuronal networks that are activated by drug-specific cues. It then describes modern genetic approaches to manipulate target proteins that influence addictive behavior. The book rounds out its coverage by illustrating how a neuroeconomic approach can inform studies of reward processing in general and addiction in particular. It is a comprehensive introduction to the methodologies of the field for students and beginning researchers and an essential reference source for established investigators.

Understanding and Working with Substance Misusers explores the complex nature of addiction and the challenges involved in responding effectively through policy and practice. It examines the biopyschosocial elements of addiction to substances (including alcohol) and, draws together key research findings from these fields to present a new framework for integrating theory and practice. The book argues that the best way to understand addictions is as examples of "complex self organising systems", which comprise many interacting component parts. In so doing, it addresses the problem of service users presenting with multiple needs (including poly drug use, mental health problems, criminal behaviour, unemployment and relationship difficulties) and the challenges that this poses for policy makers, services commissioners and practitioners alike. This book fills the need for a text which makes the complex issues surrounding substance misuse accessible to both students and practitioners. As such, it fosters a multidisciplinary and critically reflective approach to policy and practice.

Given the prevalence of substance abuse in general clinical populations, it is important for healthcare providers to have knowledge and skill in the treatment of these problems. Evidence-Based Practice (EBP) involves the integration of the best evidence with clinical expertise and patient values. This text is designed as a bridge for practitioners that will provide up-to-date evidence reviews as well as information on how to best keep up with emerging trends in the field. The editors have gathered expert authors to provide a much needed summary of the current status of the evidence based practice for both the assessment and treatment of specific substance use disorders.

In November of 2007, an eleven-year-old Vietnamese boy strangled an elderly woman for the equivalent of five U.S. dollars, then buried her body under a thin layer of sand in front of his house. When questioned by police, he said that he needed the money to play online video games. Just a month later, an eight-year-old Norwegian boy saved his younger sister's life by threatening an attacking moose and then feigning death - skills he later revealed to have learned while playing the online game World of Warcraft. As these two instances show, video game addiction can tremendously affect the minds, bodies, and lives of millions of gamers, negatively or positively. This book studies video game addiction from a cross-disciplinary approach, bridging the divide between liberal arts academics and clinical researchers. It approaches the topic of addiction from neither an anti-game nor a pro game stance, instead using accepted research in neuroscience, media studies, developmental psychology, and many other fields to reveal how today's gamers interact with and become consumed by the virtual worlds of their video games.