The formation of drug policy is a complex phenomena influenced by a multi tude of sources. Among others, these influences include historical factors, contemporary public opinion regarding the nature and magnitude of drug use and abuse, the portrayal of illicit drugs and drug use in the media, and lobbying efforts by special interest groups (e. g. , The Drug Policy Foundation), including government agencies (e. g. , the Justice Department and law enforcement). An additional source of influence are the activities of specialists directly engaged in studying drug use and treating drug dependence. This includes individuals involved in drug treatment, anthropological and cultural studies, policy analy ses, basic psychological and pharmacological research, research on the epide miology of drug use and dependence, and research on prevention. This influ ence by specialists might be usefully distinguished from those influences first mentioned for two reasons: First, studies of drug use and dependence attempt to uncover empirical generalizations about drugs, and second, because these findings are empirical, there is a hope that they guide, at least to some extent, the actions of other forces that more directly determine drug policy. Psychology as an empirical discipline has long been interested in the use of psychoactive drugs. At the level of basic science in psychopharmacology, a most important contribution has been the demonstration that drugs of abuse function as reinforcers and thus enter into the same psychological processes as do other appetitive stimuli.

Mona is twenty-three, emotionally adrift and cleaning houses to get by.

While handing out clean needles to drug addicts, she falls for a man she calls Mr Disgusting, who proceeds to break her heart in unimaginable ways.

In search of healing, she decamps to New Mexico for a fresh start, but always lurking just beneath the surface are the ghosts of her past, and the crushing legacy of a chaotic, destructive childhood. It seems running further away from her problems could just leave more inventive ways for them to find her.

The last few years have seen an increasing awareness among the mental health community to the unique situations of the person suffering simultaneously from mental health disorders and substance abuse addiction. Complementing this rise in attention has been a realization of the unique challenges faced by mental health professionals engaged in the treatment of these clients, and a startling acknowledgement of the gap in the existing literature on the topic. There is currently no available treatment manual that includes specific training on how to treat this difficult population, following guidelines and practical instructions based on treatment practices already employed by the authors. This treatment manual will fill an important gap in the literature by addressing the specific challenges faced by the clinician treating individuals with co-occurring schizophrenia and substance abuse disorders.
The unique strength of the proposed volume is its close adherence to a treatment plan proven successful by empirical research and now being made available for the practicing clinician. The book is designed as a manual for mental health professionals, and follows a program which incorporates various treatment components, from motivational interviewing, urinalysis contingency, and social skills training to education and coping skills, problem solving and relapse prevention, and finally termination. Guidelines are clearly established for these treatment modes, utilizing case examples and fictional situations to allow the reader to profit more directly from the lessons in the text. The book follows a treatment outline that will allow the clinician to pattern a series of therapy sessions after thesuggested timeframe found within the text. Additionally, the format and flow of individual sessions is carefully considered and discussed, allowing the clinician a model from which to base a treatment plan.

How did an ancient spiritual practice become the preserve of the privileged? Nadia Gilani has been practising yoga as a participant and teacher for over twenty-five years. Yoga has saved her life and seen her through many highs and lows; it has been a faith, a discipline, and a friend, and she believes wholeheartedly in its radical potential. However, over her years in the wellness industry, Nadia has noticed not only yoga's rising popularity, but also how its modern incarnation no longer serves people of colour, working class people, or many other groups who originally pioneered its creation. Combining her own memories of how the practice has helped her with an account of its history and transformation in the modern west, Nadia creates a love letter to yoga and a passionate critique of the billion-dollar industry whose cost and inaccessibility has shut out many of those it should be helping. By turns poignant, funny, and shocking, The Yoga Manifesto excavates where the industry has gone wrong, and what can be done to save the practice from its own success.

'Each topic is covered in sufficient depth, currency, and clarity to be of value to the neophyte and the seasoned researcher/clinician.' --- American Journal of Psychiatry, from a review of a previous volume The current volume addresses a range of issues across this diverse field, including the effects on society, physiology and biochemistry, clinical pathology, and trends in treatment.

Your blueprint to develop and manage effective co-occurring treatment programs! Sequential or parallel treatments for co-occurring disorders are much less effective than a quality co-occurring treatment program. Most mental health and substance abuse professionals know how to provide an effective program for individuals with a substance use or mental health disorder, but few are aware of the issues involved in providing services for those with dual diagnosis. Designing, Implementing, and Managing Treatment Services for Individuals with Co-Occurring Mental Health and Substance Use Disorders: Blueprints for Action gives you with the tools you need to develop an effective program specific to co-occurring treatment as well as to implement and manage the program's services. Author Edward Hendrickson shares his knowledge from over two decades of developing and implementing co-occurring treatment services. Designing, Implementing, and Managing Treatment Services for Individuals with Co-Occurring Mental Health and Substance Use Disorders: Blueprints for Action is thorough, insightful, and informative, covering all facets of plan and execution, helping you form strategies to address a co-occurring treatment program's unique issues. The book examines the historical basis of the current dual treatment system to provide the philosophical tenets the program must follow and the essential qualities for an effective treatment program. It explores the issues in creating a new program or expanding an existing one, as well as the mechanics of day-to-day management. Helpful appendices, tables, and case examples illustrate the discussion. Designing, Implementing, and Managing Treatment Services for Individuals with Co-Occurring Mental Health and Substance Use Disorders: Blueprints for Action discusses: developing the necessary infrastructure for integrated treatment programs the eight essential qualities for an effective treatment program choosing a target population identifying specific services to implement implementation of services in an existing treatment setting implementation of services in a non-mental health or substance abuse setting hiring and training staff clinical supervision and human resource development program management issues multilevel and multi-organization systems steps to ensure program survival Designing, Implementing, and Managing Treatment Services for Individuals with Co-Occurring Mental Health and Substance Use Disorders: Blueprints for Action is more than an instructional text for students; it is an essential resource for any substance abuse and mental health professional considering implementing a co-occurring treatment program.

Your blueprint to develop and manage effective co-occurring treatment programs! Sequential or parallel treatments for co-occurring disorders are much less effective than a quality co-occurring treatment program. Most mental health and substance abuse professionals know how to provide an effective program for individuals with a substance use or mental health disorder, but few are aware of the issues involved in providing services for those with dual diagnosis. Designing, Implementing, and Managing Treatment Services for Individuals with Co-Occurring Mental Health and Substance Use Disorders: Blueprints for Action gives you with the tools you need to develop an effective program specific to co-occurring treatment as well as to implement and manage the program's services. Author Edward Hendrickson shares his knowledge from over two decades of developing and implementing co-occurring treatment services. Designing, Implementing, and Managing Treatment Services for Individuals with Co-Occurring Mental Health and Substance Use Disorders: Blueprints for Action is thorough, insightful, and informative, covering all facets of plan and execution, helping you form strategies to address a co-occurring treatment program's unique issues. The book examines the historical basis of the current dual treatment system to provide the philosophical tenets the program must follow and the essential qualities for an effective treatment program. It explores the issues in creating a new program or expanding an existing one, as well as the mechanics of day-to-day management. Helpful appendices, tables, and case examples illustrate the discussion. Designing, Implementing, and Managing Treatment Services for Individuals with Co-Occurring Mental Health and Substance Use Disorders: Blueprints for Action discusses: developing the necessary infrastructure for integrated treatment programs the eight essential qualities for an effective treatment program choosing a target population identifying specific services to implement implementation of services in an existing treatment setting implementation of services in a non-mental health or substance abuse setting hiring and training staff clinical supervision and human resource development program management issues multilevel and multi-organization systems steps to ensure program survival Designing, Implementing, and Managing Treatment Services for Individuals with Co-Occurring Mental Health and Substance Use Disorders: Blueprints for Action is more than an instructional text for students; it is an essential resource for any substance abuse and mental health professional considering implementing a co-occurring treatment program.

A major national goal is to improve the health of the populace while advancing our opportunities to pursue happiness. Simulta neously, there are both increasing health costs and increasing demands that more be accomplished with less financial support. The number of deaths attributable to the consumption of alcohol in the US is about 100,000 per year, and the annual cost of this addiction is over $100 billion. Improved treatment methods can both reduce these costs and improve health by preventing the continued exposure of abusers to the toxic effects of alcohol. This third volume of Drug and Alcohol Abuse Reviews focuses on the strategies currently thought best for the treatment of alcohol and tobacco abuse. A variety of approaches to treating alcohol abuse employ those psychosocial factors that are known to influence alcohol use in youth and adults. Pharmacotherapy has also been evaluated at the National Institute of Alcohol Abuse and Alcoholism by leaders in alcohol treatment research. One key review investigates forming a developmental framework for the treatment of adolescent alcohol abusers, a major challenge. Although the main emphasis is on the treatment of alcoholism, a major cofactor for many drug users is nicotine (tobacco) addiction, whose treatment is also reviewed. And the roles of learning and outpatient services are shown to affect treatment significantly. Thus, the problems confronted and solutions used in alcohol abuse treatment have here been analyzed in concise reviews that provide evidence for today's best hypoth eses and conclusions."

Explore the possibilities for successfully treating incarcerated or community-based substance abusers Substance Abuse Treatment with Correctional Clients: Practical Implications for Institutional and Community Settings provides key research findings and policy implications for treating alcohol- and drug-addicted correctional clients. This book addresses a range of critical issues associated with delivering treatment in institutional and community settings. The critical thinking questions, tables, extensive bibliographies, and name and subject index will help academics and practitioners in criminal justice, sociology, counseling/psychology, and public policy. Substance Abuse Treatment with Correctional Clients shares the practical knowledge of researchers and practitioners in the fields of drug and alcohol addictions, substance abuse counseling, and criminal justice. The first section provides a review of the theoretical explanations for substance abuse, best practice treatment programs for substance abusers, and the use of coerced/mandated treatment. The second section addresses the substance-addicted offender in the institutional setting, the third includes works that describe community-based treatment programs and the problems associated with them, and the fourth looks at special treatment populations, including juveniles and adolescent females. In Substance Abuse Treatment with Correctional Clients, you will find: reviews of various types of treatment programs being used to treat substance-addicted individuals a study of the predictors of success and/or failure in corrections-based substance abuse programminghow to identify and use the predictors to prevent relapse arguments for and against coerced treatment in the correctional environment, and the concept of motivation a thorough investigation of the therapeutic community (TC) program for institutional-based substance abusers descriptions of treatment programming designed specifically for substance abusing community corrections clientsdrug courts and Pennsylvania's Restrictive Intermediate Punishment treatment program Substance Abuse Treatment with Correctional Clients guides you through the major policy issues faced by those who provide substance abuse treatment under what can only be described as coercive circumstances. In this important resource, you will discover major treatment modules as well as advice for working with adult, juvenile, and male or female offenders. This book provides you with the techniques that treatment communities need for helping offenders stay clean after they re-enter the community environment.

"Internet Addiction: A Handbook and Guide to Evaluation and Treatment"

"This book provides cutting-edge coverage by expanding the field to include specific problems such as online gaming, cybersex addiction, and gambling addiction. Its extensive attention to dealing with adolescents is essential, given the rapid rise in media and technology use by both Net Generation young adults and iGeneration teenagers. I am thrilled to have this invaluable, comprehensive, well-written resource for my own work and recommend it to people who need to understand this unique form of addiction."
--Dr. Larry Rosen, Past Chair and Professor of Psychology at California State University, Dominguez Hills, author of "Rewired: Understanding the iGeneration and the Way They Learn" and "Me, MySpace, and I: Parenting the Net Generation"

"Our clients come to us when online pornography, video gaming, social networking, gambling, and surfing create untenable disruptions in their lives. If we do not understand what we are seeing and how to address it, we will not be able to provide the help they need. This book provides the practical information clinicians can use to assess and treat this growing problem."
--Hilarie Cash, PhD, coauthor of Video Games and Your Kids: How Parents Stay in Control, and cofounder of reSTART: Internet Addiction Recovery Program

""Internet Addiction: A Handbook and Guide to Evaluation and Treatment" provides an integrated and current overview of the different types of Internet addiction-gaming addiction, gambling addiction, and cybersex addiction. The authors deserve ample praise in providing such a comprehensive and informative guide for Internet addiction."
--Ran Tao, MD, Professor and Director, and Xiuqin Huang, MD, Associate Professor, Treatment Center for Internet Addiction, General Hospital of Beijing Military Region, China

The first empirically informed reference for defining, assessing, diagnosing, and treating problematic Internet use Comprehensive and timely, Internet Addiction explores:

Validated assessment tools to differentiate normal from compulsive patterns of computer and online usage

The most addictive or problematic online activities

Epidemiology and subtypes of Internet addiction such as online pornography, Internet gambling, and online gaming

Current theories on the risk factors associated with the development of an addictive disorder related to Internet usage

Evidence-based treatment strategies for helping clients of various ages, taking into account main presenting problems and individual situations and circumstances

International in scope and empirically based, the cultural and global impact of this subject is discussed, introducing practitioners to the latest clinical implications, assessment methods, and treatment approaches in working with clients suffering from this emerging addictive disorder.

The question how alcohol alters mood states and why this may end up becoming an addiction is puzzling alcohol researchers since decades. In this volume, an assembly of highly distinguished experts and leaders in alcohol addiction research provides lucid presentations of the current knowledge and research challenges as well as interesting viewpoints on future research directions aimed to stimulate communication and convergence between clinical and preclinical researchers, and to renew interest in the vibrant field of alcohol addiction research among a wide scientifically minded audience.

Five "Current Topics" are discussed in this volume: Neurobiological mechanisms of alcoholism, Genetics, Clinical phenotypes and their preclinical models, Brain imaging, and Translational approaches for treatment development, both pharmacological and non-pharmacological. These areas have in our opinion brought alcohol research substantially forward and influenced our thinking about how to reach our common paramount goal, namely to offer effective treatment solutions for an extensive group of patients with largely unmet medical needs.

Evidence-based medicine is recognizing a spiritual component in healing especially when it comes to alcohol addiction. This book brings together more than thirty contributors and reflects this change by focusing on the 12-step model of recovery.

Addiction and relationship violence are serious and undeniably prevalent societal problems with high costs to families and individuals, as well as concomitant costs to health care, school, and social systems. The co-occurence of addiction and abuse is a reality that has yet to be fully acknowledged and explored from either a theoretical or practical perspective.
The Violence and Addiction Equation: Theoretical and Clinical Issues in Substance Abuse and Relationship Violence addresses the addiction-violence overlap by assembling state-of-the-art theory and research in these areas to document the connection and the problem while also exploring prevention and treatment.
Chapters cover biological bases of addiction and abuse, personality factors in the equation, developmental, psychopathological and cognitive social-learning models, and numerous issues in clinical treatment. Also presented are perspectives on interpersonal violence and addiction across the lifespan: from adolescence and young adult through partnership, parenthood, and maturity. This book represents a primary effort to pull together separate fields and offer essential assistance to researchers and practitioners working to alleviate the combined impact of addiction and violence.

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'Raw. Vulnerable. Open. Truthful . . . This is a book that will open up the floor for even more honest conversations about the side of yoga we don't often see.' - Angie Tiwari @tiwariyoga How did an ancient spiritual practice become the preserve of the privileged? Nadia Gilani has been practising yoga for twenty-five years. She has also worked as a yoga teacher. Yoga has saved her life and seen her through many highs and lows; it has been a faith, a discipline, and a friend, and she believes wholeheartedly in its radical potential. However, over her years in the wellness industry, Nadia has noticed not only yoga's rising popularity, but also how its modern incarnation no longer serves people of colour, working class people, or many other groups who originally pioneered its creation. Combining her own memories of how the practice has helped her with an account of its history and transformation in the modern west, Nadia creates a love letter to yoga and a passionate critique of the billion-dollar industry whose cost and inaccessibility has shut out many of those it should be helping. By turns poignant, funny, and shocking, The Yoga Manifesto excavates where the industry has gone wrong, and what can be done to save the practice from its own success.

Food as a Drug provides psychologists, psychiatrists, and counselors with a unique discussion about possible addictive qualities of some foods to assist clients who are struggling with obesity or eating disorders. Examining the pros and cons of treating eating disorders with an addictions model, this book also explores the tremendous societal and personal costs of eating disorders and obesity, such as increased risk of heart disease, health care costs, and death. Thorough and concise, Food as a Drug will assist you in providing better services to clients with these types of dilemmas.Comprehensive and current, this reference provides information on relevant topics, such as diet and behavior relationships; cross-cultural perspectives on the use of foods for medicinal purposes; regulatory perspectives on drugs, foods, and nutritional supplements; and whether foods have pharmacological properties. Food as a Drug address several important topics, such as: focusing on sugar to determine the effects of food additives on children's behavioral disorders, such as attention deficit disorder and hyperactivity addressing the role that your diet plays on serotonin levels, carbohydrate craving, and depression examining the phenomenological, psychological, and physiological correlations between overeating and how foods may be used to alleviate negative moods discussing the pros and cons of treating obesity and eating disorders with addiction modelsWritten by experts in the field, this book offers you in-depth studies and information about the nature of food as a potentially addictive substance. Food as a Drug will help you understand these difficult-to-treat conditions and offer clients better and moreeffective services.

* A ground-breaking attempt to bring together in one volume all the various strands of this fundamental debate about the nature of what is called addiction. * Presents a robust evaluation of the BDMA * Neatly divided into four sections representing For; Against; Unsure; Alternative Ways of Understanding and Responding to Addiction

This book constitutes a major new resource for professionals working with hard core smokers and their families. It is designed as a practical, clinically useful and up-to-date guide for all those in a position to intervene: mental health professionals, physicians, dentists, nurses, pharmacists and other health care professionals, clergy, human resource and employee assistance program corporate staff, and teachers and guidance counselors.
New research suggests that difficult-to-treat smokers often have emotional problems adjusting to stopping smoking. Some also have psychiatric diagnoses or abuse other substances. These are factors which interfere with their efforts to quit.
Because these difficulties have been poorly understood, hard-core smokers have not been provided with adequate resources and skills to overcome their addiction. These smokers are in need of increasingly comprehensive assessment and treatment.
Despite massive public health education about the dangers of cigarette smoking, rates of smoking among the population are no longer declining in the United States and the success rates of clinical programs for smokers remain low. "Helping the Hard-Core Smoker" seeks to explain why current approaches are often inadequate and how best to help today's highly nicotine-dependent smokers who are struggling with their addiction quit.

"Recovery Zone, Volume One" picks up where "Facing the Shadow" leaves off, guiding readers to begin working tasks eight through thirteen of Dr. Patrick Carnes' innovative thirty-task model. This book helps readers understand that true recovery is achieved by learning to cope with difficult situations and emotions.Stopping addictive behavior is the only way to start recovery. However, stopping the behavior is not enough to stay in recovery. True recovery is achieved by learning to cope with difficult situations and emotions. Dr. Patrick Carnes helps readers know how to deal with difficult affective states and guides them to a place of resilience so they can decide what is important in their lives. Readers will learn how to live optimally in their Recovery Zone. The work sets the stage for recovery tasks 8-13, providing readers with a practical approach to recognize the underlying emotional causes that perpetuate the addiction cycle.

Chemical Dependency and Antisocial Personality Disorder gives you the information and clinical skills necessary to assess and evaluate persons suffering from substance abuse and/or antisocial personality disorders and details how you can develop effective psychotherapy and treatment strategies. From its helpful pages that contain diagnostic criteria and clinical interviewing and assessment guidelines, you learn to accurately diagnose substance use and antisocial personality disorders. The book also provides you with the historical and clinical perspectives of such disorders and their epidemiology and etiology to give you a thorough background and understanding of the subject. Case studies and therapy vignettes are included to provide you with actual clinical examples to illustrate concepts and ideas. You will appreciate the book's in-depth discussions of treatment strategies that can greatly enhance your effectiveness. You'll find this volume is an invaluable research resource for refreshing your approaches for helping persons with substance abuse and antisocial personality disorders.Much of the content of Chemical Dependency and Antisocial Personality Disorder is based on the author's two decades of experience working with patients suffering from substance use and antisocial personality disorders. Some topics addressed include: accurate differential diagnosis resistance the use of structure in treatment therapist-patient relationship dynamics treatment outcome effectiveness, relapse, and recovery. Alcohol/drug counselors, psychiatrists, psychologists, and corrections, probation, and parole officers who want to be more effective in their work with chemically dependent and antisocial clients will find this a practical, helpful, and informative guide. This enlightening book examines many of the most difficult and clinically problematic issues that are associated with the psychotherapy and rehabilitation of chemically dependent and/or antisocial patients. Much of the content of Chemical Dependency and Antisocial Personality Disorder is based on the author's two decades of experience working with patients suffering from substance use and antisocial personality disorders. Some topics addressed include accurate differential diagnosis, resistance, the use of structure in treatment, therapist-patient relationship dynamics, and treatment outcome effectiveness, relapse, and recovery. Alcohol/drug counselors, psychiatrists, psychologists, and corrections, probation, and parole officers who want to be more effective in their work with chemically dependent and antisocial clients will find this a practical, helpful, and informative guide.

Nicotine is almost universally believed to be the major factor that motivates smoking and impedes cessation. Authorities such as the Surgeon General of the USA and the Royal College of Physicians in the UK have declared that nicotine is as addictive as heroin and cocaine. This book is a critique of the nicotine addiction hypothesis, based on a critical review of the research literature that purports to prove that nicotine is as addictive drug. The review is based on a re-examination of more than 700 articles and books on this subject, including animal and human experimental studies, effects of nicotine replacement therapies', and many other relevant sources. This review concludes that on present evidence, there is every reason to reject the generally accepted theory that nicotine has a major role in cigarette smoking. A critical examination of the criteria for drug addiction demonstrates that none of these criteria is met by nicotine, and that it is much more likely that nicotine in fact limits rather than facilitates smoking.

Here is a comprehensive review of adolescent substance abuse issues and an expansive, empirically based curriculum for school-based programs to teach adolescents about the dangers of drugs and alcohol. The abuse of alcohol and other drugs among young people is a problem of alarming scope and gravity. Adolescent Substance Abuse explores the multiple forces which impact adolescents and can push them toward drug and alcohol abuse.Adolescent Substance Abuse proposes means by which to effect macro-level change in societal norms and values regarding substance abuse. The authors describes in detail an effective means of teaching adolescents about drugs and alcohol using an empirically based teaching method called Teams-Games-Tournaments (TGT). TGT was developed through extensive research on games used as teaching devices. It uses small groups as classroom work units and capitalizes on peer influence by using peers as teachers and supporters. The book explains an effective curriculum which utilizes the TGT approach and provides a program for parents. The curriculum is unique in that it is anchored in empirical data and delivered via adolescent peer groups. Adolescent Substance Abuse addresses other issues pertinent to the reduction of adolescent substance abuse by exploring subsystems of change, including school and peer group environments, home and family, the media, community movements, and business and industry. The book is a great source of innovative ideas for beginning and expert counselors, social workers, mental health professionals, school psychologists, and others who want to prevent adolescent abuse of drugs and alcohol.

The Importance of Measuring Alcohol Consumption To date, alcohol studies have attended far more to issues of alco hol dependence and the harmful consequences of drinking than to the level of alcohol consumption itself. This is, perhaps, not surprising since dependence on alcohol is believed to constitute a meaningful and distinct medical syndrome, regardless of the level of alcohol consumption associated with it (Edwards and Gross, 1976). Also, of society is generally more concerned with the adverse consequences drinking (e. g., traffic fatalities, homelessness, health care and legal expenses, and academiclbehavioral problems in young drinkers), than with the quantity of alcohol actually consumed. Nevertheless, accurate assessment of alcohol usage is important in its own right in at least four contexts: 1. Evaluating the effectiveness of alcoholism and alcohol abuse treatment and prevention efforts. Such efforts include both applied evaluations of existing programs and formal, well-controlled efficacy studies on experimental interventions. These investigations require rigorous methodologies to assess outcomes precisely and contrast what may be quite subtle differences between programs and between pre treatment and posttreatment outcomes. Although these studies are usually characterized by the employment of multiple measures of success-including general improvements in social and physical functioning, reduction in degree of dependence, and resolution of problems directly resultant from drinking-it is by their assessment of changes in drinking behavior that they are potentially able to achieve the highest level of objectivity and exactitude."

This text provides a comprehensive overview of psychological approaches to understanding addictions. Without denying the importance of biological factors, emphasis is placed more upon social, psychological and emotional factors as is necessary to a complete understanding of addiction. Within this framework, an addiction is not limited to substance-based behaviours such as drinking alcohol, smoking or drug use. Although these important areas are covered, a wider perspective is taken to include behavioural addictions such as gambling, violence and joy riding. Finally, prevention approaches are discussed with reference to the public health model which encompasses issues relating to the agent, the host and the environment. A list of resources and references is provided for those wishing to obtain further information.;Written in a jargon-free style, "The Psychology of Addiction" is aimed at students at the beginning of their courses. It should also be a valuable resource for professionals: nurses, social workers, police and probation officers and medical students, who often encounter the problems described in the book.