Widely recognized as one of the most inventive and iconic science fiction writers of all time, Philip K. Dick is an author whose literary sophistication elevated the sci-fi genre into the storytelling powerhouse it is today. His works, known for their portrayals of simulated realities interspersed with universal and philosophical themes, have become enormously influential among writers of all genres and have inspired numerous television and film adapations, including the 1982 cult classic Blade Runner. Underneath the veneer of fame, Dick's personal life matched the dramatic intensity of his most beloved works. Beginning with the tragic death of his twin sister, his life took on a fantastical, science fiction-like quality when, in 1974, he had what some consider to be a psychotic episode and what others believe to be a mystical experience of some kind. According to Dick, a pink light beamed psychic information into his brain, awakening memories of a past life as a Christian revolutionary and granting him contact with time-traveling extraterrestrials. He also had visions of ancient Rome superimposed over his neighborhood in suburban San Francisco, and later on, attempted to warn local police that he was a machine programmed to self-destruct. As a result, Philip K. Dick spent the rest of his life trying to fathom the meaning of what he called his "divine madness." Was it schizophrenia? Or did he experience a genuine prophecy of the sacred order? In The Divine Madness of Philip K. Dick, clinical psychologist Kyle Arnold probes the fascinating mystery at heart and mind, and shows readers how early traumas opened Dick to profound spiritual experiences while also predisposing him toward drug dependency and violence. By disputing allegations of schizophrenia, Arnold contends that Dick's paranoia was instead caused by his addiction to speed, and that his mental illness was borne out of the powerful scenes of spirituality depicted in the sci-fi stories he helped to create.

Alcoholism is a pathological behavioural syndrome, characterised by comp- sive alcohol use, craving and relapses, even recurring after many years of abstinence. It is suggested that chronic alcohol abuse leads to persistent changes within several neurochemical pathways in the brain and furthermore that an imprinted drug and addiction memory may scarcely be extinguished. Hence, the question arises as to whether there ought to be a reasonable hope that pharmacological drugs will be developed that interfere with an addiction memory, and as a result, finally lead to a cure? In this book, leading preclinical and clinical experts in the field of alcohol relapse prevention strive to furnish an answer to this question. None of the researchers or clinicians believes in a magic bullet that will be of help to all alcoholic patients in overcoming this disease. However, there is now convi- ing evidence demonstrating that specific subpopulations of alcoholic patients experience satisfactory benefit from currently available treatments. Today we have two medications for relapse prevention on the market - acamprosate and naltrexone. Although, currently, only a minority of alcoholic patients benefit from these medications, the approval of these compounds may be considered a hallmark in the field of psychopharmacology, even comparable to the era when the first antidepressant compounds were introduced. In recent years we have been witnessing an enormous growth in the science and knowledge regarding the field of relapse prevention.

This book presents an in-depth qualitative study carried out with inpatients under treatment for substance use disorders (SUDs) in seven therapeutic communities (TCs) located in three countries: Peru, Nicaragua and Czech Republic. By comparing the experiences in these different cultural contexts, the book presents a grounded theory of SUDs treatment in TCs from a cross-cultural perspective, identifying factors that influence the efficacy of SUDs treatment in TCs based on interviews carried out with inpatients. Based on rigorous qualitative research methods, this book presents not only a comparative analysis of TCs located in different cultural contexts, but also analyzes the cross-cultural nature of the therapeutic programs adopted in these communities, such as the combination of traditional Amazonian medicine based on the therapeutic use of ayahuasca with conventional psychotherapy and occupational therapy, among other approaches. Departing from the interviews carried out with inpatients, the authors present a comparative analysis of how the different TCs address important issues related to SUDs treatment, and complement this analysis with machine-generated summaries of relevant scientific papers. These summaries contain results of similar research projects conducted in other cultural contexts. Substance Use Disorders Treatment in Therapeutic Communities: A Cross-Cultural Approach presents the results of a unique comparative study with great translational potential which will be of interest to both researchers and practitioners working in TCs. This unique comparative study identifies factors affecting the efficacy of therapeutic programs and proposes a grounded theory which aims to serve as an important source of information for therapists and other professionals working with SUDs treatment and for the replication of applied therapeutic methods in other TCs.

Obsessive-compulsive disorder affects approximately one person in 40 and causes great suffering. Effective treatments are available that can help many, and our understanding of the psychology, neurobiology, and clinical treatment of the disorder has advanced dramatically over the past 25 years. Nevertheless, much remains to be learned, and a substantial minority of patients benefit little even from the best treatments we have to offer today. This volume provides the first comprehensive summary of the state of the field, summarizing topics ranging from genetics and neurobiology through cognitive psychology, clinical treatment, related conditions, societal implications, and personal experiences of patients and clinicians. This book is unique in its comprehensive coverage that extends far beyond the realm of cognitive-behavioral therapy. As such it will serve as a valuable introduction to those new to the field, a fascinating resource for OCD suffers and their families, and an essential reference for students, clinicians, and researchers.

This book provides professionals with the confidence and know-how to build a complete substance misuse management programme and deliver it within their respective workplace, regardless of sector or discipline. Organizations are frequently in the dark about their rights and obligations where substance misuse takes place in their workplace, affects performance or employee wellbeing, or in extreme cases has a devastating impact on both the company and its employees. There is no formal training for HR, Occupational Health or Health and Safety professionals, solicitors, union representatives and many more situations. This book is written in such a way that as to help those professions, as well as individuals, understand the step-by-step process for building a complete workplace substance and alcohol misuse programme. Managing Workplace Substance Misuse is written by the UK's only registered expert witness for substance misuse policy writing, implementation and mediation. With decades of expertise and first-hand experience of implementing effective policies in some of the UK and world's biggest organizations, Trevor Hall helps all organizations navigate this complex problem, offering consultancy advice and a roadmap to policy development and its implementation, providing you with a comprehensive consultancy in one volume. He explains, too, the central role industry and commerce plays in the identification of substance misuse and the rehabilitation of staff, as well as what organizations can do to protect themselves from the culpability of getting things wrong in a litigious society.

" The problems and needs of rural substance abusers vary from those of abusers in urban areas. Accordingly, the means of treatment must acknowledge and address these differences. Despite this call for specialized care, no theoretically grounded therapy has yet been made available to rural patients. Behavioral Therapy for Rural Substance Abusers, developed and piloted over three years by University of Kentucky faculty and staff and substance abuse counselors in rural eastern Kentucky, provides a model for effective treatment for this segment of the population. A two-phase outpatient treatment, this approach combines group and individual sessions in an environment that is both comfortable and useful for the client. The success of this method lies in its regional approach to therapy. Rather than using role-playing techniques to examine old behaviors, therapy is designed around storytelling activities. Rural patients respond more positively to such time-honored traditions and thus become active participants in their own treatment. This manual offers a clear and well-constructed guide through the strategies of Structured Behavioral Outpatient Rural Therapy (SBORT). Supplemented with illustrations, sample exercises, and case studies, Behavioral Therapy for Rural Substance Abusers is a vital tool in meeting the treatment needs of an otherwise ignored rural population.

A new understanding of substance abuse explores treatment issues based on subtypes of addicts, with a special focus on antisocial personality disorder and functional addiction. Professionals in the treatment of substance abuse have long recognized the dismal success rate in addressing this pervasive problem. A fresh view of addiction may offer long-sought answers. Intervention and treatment strategies can be made more effective, maintains veteran addiction educator and psychologist Gary L. Fisher, through identification of addict subtypes. That is the goal of Understanding Why Addicts Are Not All Alike: Recognizing the Types and How Their Differences Affect Intervention and Treatment. The book provides an in-depth, research-based analysis of three specific subtypes of substance abusers: addicts who fit the disease model, addicts with antisocial personality disorder, and functional addicts-those who lead otherwise successful lives. Particular attention is paid to the latter two groups, which have not been adequately studied previously. Characteristics of the three subtypes are illustrated through case studies that clearly demonstrate how subtype impacts prevention, intervention, and treatment. Most important, the book recommends practical intervention and treatment strategies that will enable concerned parties to identify-and help-each of these distinct groups. Case studies of real people that illustrate the three subtypes of addicts Offers specific intervention and treatment recommendations based on subtype Gives a firsthand look at actual functional addicts who continue to use illicit drugs Presents a realistic discussion of the poor prognosis for antisocial personality addicts and what can be done to manage this population

to the Animal Models Volumes This volume describes animal models of drug addiction. Because of increasing public concern over the ethical treatment of animals in research, we felt it incumbent upon us to include this general preface in order to indicate why we think further research using animals is necessary. Animals should only be used when suitable alternatives are not available, and humans can only be experimented upon in severely proscribed circumstances. Alternative procedures using cell or tissue culture are inadequate in any models requiring assessments of behavioral change or of complex in vivo p- cesses. However, when the distress, discomfort, or pain to the animals outweighs the anticipated gains for human welfare, the research is not ethical and should not be carried out. It is imperative that each individual researcher examine his/ her own research from a critical moral standpoint before eng- ing in it, and take into consideration the animals' welfare as well as the anticipated gains. Furthermore, once a decision to p- ceed with research is made, it is the researcher's responsibility to ensure that the animals' welfare is of prime concern in terms of appropriate housing, feeding, and maximum reduction of any uncomfortable or distressing effects of the experimental conditions.

The book is unique in bringing a female perspective to the field of addictions.

Equips the upcoming generation of addiction counselors with crucial knowledge to skillfully treat current and future addictionsGrounded in leading-edge, evidence-based research, this hands-on text applies a step-by-step approach to addictions counseling. This book encompasses assessment, diagnosis, and treatment planning; case management; and relapse prevention, with an incisive focus on process addictions and co-occurring disorders. The text covers all essential topics as outlined in the gold standard SAMSHA Counselor Training Manual. Included are detailed guidelines on how to write succinct treatment plans and conduct effective client sessions; case studies; role-playing exercises; and clinical applications to assessment and diagnosis, treatment planning, and case management. Counselor Perspectives--interviews with experienced clinicians working with varied populations throughout the country--offer the wisdom of those who have been there. Critical topics unique to the book include the role of neuroscience in addiction treatment, relapse prevention, and advocacy. In addition, the text offers specific chapters on process addictions and co-occuring disorders as well as a separate chapter on multicultural counseling covering gender, racial, ethnic, sexual orientation, age, religion, and disability issues. It is also distinguished by an abundance of downloadable forms and documents, including screening instruments, treatment plan format templates, treatment plan examples, biopsychosocial assessment forms, informed consent forms, confidentiality forms, case management forms, and more. Pedagogical elements to help learners process and apply concepts inlcude key terms, learning activities, discussion questions, recommended readings/resources and chapter summaries. Faculty aides include an instructor's manual with sample syllabi, CACREP mapping tools, test bank, and PowerPoint slides. This essential resource will be valued as a primary textbook for any course that focuses on addiction counseling and treatment. Purchase includes digital access for use on most mobile devices or computers. Key Features: Describes a variety of etiological models and how they become a means of assessing biopsychosocial risk factors Delivers step-by-step guidelines on how to write concise treatment plans and for conducting effective treatment sessions Devotes a chapter to motivational interviewing to promote willingness to change Includes cutting-edge research pertaining to neuroscience and its applications and evidence-based treatment practices Provides separate chapter on multicultural counseling and substance use disorders among people of diverse races, ethnicities, genders, class, ages, and spirituality Offers real-world insights with "Notes from the Field" feature Facilitates practical application through role play exercises, treatment technique and assessment case examples, biopsychosocial assessment guidelines, how to provide client feedback, and more Includes multiple digital downloadable tools

This book provides clinicians and students with insights on the use of psychodynamic therapy to treat drug abuse and addiction, combining theory with clinical case material. The perspectives of analysts such as Abraham, Rado, Zimmel, Tibout, Wurmser, Khanzian, Krystal and McDougall are reviewed alongside original and more recent conceptualizations of drug addiction and recovery based on Kleinian, Winnicottian and Kohutian ideas. The case material deals with clinical phenomena that characterize working with this complex population, such as intense projective identification, countertransference difficulties and relapses. The theoretical analysis covers a range of concepts, such as John Steiner's psychic shelters and Betty Joseph's near-death-addiction, which are yet to be fully explored in the context of addiction. Prevalent topics in the addiction field, such as the reward system, the cycle of change and the 12-step program, are also discussed in relation to psychodynamic theory and practice. Written by an experienced therapist, Psychodynamic Approaches for Treatment of Drug Abuse and Addiction is useful reading for anyone looking to understand how psychodynamic thought is applicable in the treatment of drug abuse and addiction. It may also be of some relevance to those working on treating alcohol use disorders and behavioral addictions.

This book examines the drug dealer in contemporary society from an interdisciplinary perspective and considers the increasingly blurred demarcation between illegitimate and legitimate drug markets. It explores the motives and drivers of those involved in drug supply and dispels common and stereotypical myths and misconceptions surrounding illegal drug markets and those who operate within them. The drug dealer has become one of our foremost contemporary ‘folk devils’. Those who trade in substances prohibited by law are the subject of array of inaccurate myths and urban legends. Criminology has tended either to shoehorn drug dealers into neat typologies or portray them as ‘victims’ of an uncaring, predatory post-modern society. In reality, we know relatively little about the complex and diverse world of drug markets and our concentration inevitably falls on low-end ‘retail’ dealers who operate in the most visible sectors of the illegal economy. Bringing together an international group of experts, this book considers perspectives from around the world, including UK, USA, South America, Spain, India and Australia. This book will be of interest to students and researchers across criminology, law, sociology, criminal justice and public health, and will be essential reading for those taking courses on drugs, drug markets and substance misuse.

This book explores both the existence and prevalence of addiction in South and East Africa, departing from traditional assumptions about addiction in the region. The authors employ an interdisciplinary approach to understand the actual prevalence of addiction and the forms it takes in South and East Africa. The book also addresses the perceptions and conceptualisation of addiction in the region, in addition to discussing specific issues related to drug and alcohol abuse and addiction, social media addiction, and sex addiction.

This book presents the main theoretical and practical tools provided by behavior analysis to diagnose and treat substance use disorders. Based on the theoretical framework of radical behaviorism, first developed by B.F. Skinner, behavior analysis offers a distinctive biopsychosocial approach to substance use disorders by considering both the biogenetic and environmental influences on behaviors associated with substance use, enabling the development of more integrative and effective diagnostic, prevention, and treatment strategies at the individual and collective level. The volume is divided in three parts. Part one presents an introduction to core concepts in behavior analysis and related disciplines, such as behavioral pharmacology, and their specific applications in substance use disorders diagnostics and treatment. Part two shows how different types of behavioral-analytical clinical and social interventions can be applied in practice to treat substance use disorders, such as: Contingency Management Exposure Therapy Functional Analytical Psychotherapy (FAP) Dialectical Behavioral Therapy (DBT) Acceptance and Commitment Therapy (ACT) Therapy by Contingencies of Reinforcement (TCR) Motivational Interviewing Finally, part three covers special topics, such as the interfaces between neurosciences and behavior analysis on drug use and dependence, effects of substance use in romantic relationships and their relationship with violence against women. Behavior Analysis and Substance Dependence will be a valuable tool for clinical and health psychologists, as well as other health professionals and social workers dealing with substance use disorders, by presenting, in one single volume, an overview of the tools offered by behavior analysis to deal with this serious health issue.

This newly updated and streamlined edition of Group Psychotherapy with Addicted Populations provides proven strategies for combating alcohol and drug addiction through group psychotherapy. The interventions discussed in the book build on a foundation of addiction as an attachment disorder rooted in the understanding of addiction as a family disease. An appreciation of group and organizational dynamics is used to address the complex experience of developmental trauma that underlies addiction. Having identified the essential theoretical underpinnings of supporting recovery from addiction, the second half of the book gives a thorough nuts and bolts description of constructing a psychotherapy group and engaging productively in the successive phases of its development from initiation of treatment to termination. The book concludes with specific recommendations for group psychotherapists to increase their competence with groups, deepen their appreciation of group and organizational dynamics and develop a community of support for their own well-being. These methods are important for psychotherapists working with addicted populations who are inexperienced with group psychotherapy as well as seasoned group psychotherapists wishing to enhance their work.

Increasing numbers of therapists are coming into contact with the problem of compulsive sexual behaviour disorders. However, it is still a relatively new field and there is little in the current literature available that enables the therapist to work with and treat this problem. CBT for Compulsive Sexual Behaviour: A guide for professionals addresses this by providing a guide to cognitive-behavioural theory and practice which includes the assessment, diagnosis and treatment of addictive sexually compulsive disorders. Beginning with a description of addictive sexuality and an overview of cognitive behavioural therapy in which CBT is presented as the most useful response, Thaddeus Birchard provides clear therapeutic information about the implementation of CBT treatment intervention. The chapters included cover the neuroscience that underpins the addictive process; a 'how to' chapter on the use of groups; paraphilias; trauma and attachment; comorbid disorders and cross-addictions and analysis on the function of internet pornography, all written from a cognitive behavioural stance. Using case vignettes throughout, Thaddeus Birchard draws on his own experience as a psychosexual therapist, along with the latest research in the field, to enable the therapist to treat a range of compulsive sexual problems in a way that can be applied in individual practice or in a group setting as well as how to prevent relapse. This book will be essential reading for psychosexual therapists, cognitive behaviour therapists and other professional working with sexual compulsive disorders.

Drug addictions are often difficult to treat. The most successful treatments begin with studying why individuals become addicted to drugs and how to change their thinking and behaviour. Cognitive, Clinical, and Neural Aspects of Drug Addiction focuses on the theories that cause drug addiction, including avoidance behavior, self-medication, reward sensitization, behavioral inhibition and impulsivity. Dr. Moustafa takes this book one step further by reviewing the psychological and neural causes of relapse including the role of stress, anxiety and depression. By examining both the causes of drug addiction and relapse, this book will help clinicians create individualized treatment options for patients suffering from drug addiction.

Flexible Applications of Cognitive Processing Therapy: Evidence-Based Treatment Methods provides a detailed roadmap on how to apply therapy to a wide-range of complex patients. Starting with an exploration of the development of CPT, the book then segues into a practical discussion on flexible adaptations of therapy. Dissemination and implementation of CPT is covered next, and the book concludes with directions for future research. It provides clinical guidance on treating PTSD with patients who express high levels of anger, shame, guilt, and other forms of emotionality, while also providing insight on research on the effectiveness of CPT on other comorbid disorders. The book also reviews the outcomes of clinical trials of CPT inside and outside the United States, including examining modifications and outcomes in a diverse array of patient populations.

Adolescent Addiction, Second Edition, offers researchers and clinicians a single-volume resource on the nature, extent and treatment of addictive problems in adolescents. The book is divided into three main parts. Part one addresses the foundations of addictive problems, including developmental, social, and neurobiologicl factors. Part two addresses common addictions among adolescents. New chapters include e-cigarette, smartphone, social networking, and exercise addiction. Part three discusses challenges and recommendations for future research in adolescent addiction. All chapters in part two follow a similar format to introduction and clinical characteristics, screening and clinical assessment methods, epidemiology, cormorbidity, course and outcome, protective and risk factors, evidence-based clinical strategies for prevention and treatment, and a concise summary of key clinical points.

Mindfulness-Based Substance Abuse Treatment for Adolescents is a group-based curriculum incorporating mindfulness, self-awareness, and substance-abuse treatment strategies for use with adolescents dealing with substance use. The evidence-based, how-to format provides a curriculum for professionals to implement either partially, by picking and choosing sections that seem relevant, or in full over a number of weeks. Each session comes equipped with clear session agendas, example scripts and talking points, what-if scenarios that address common forms of resistance, and optional handouts for each session. Sections cover the major principles of working with adolescents-relationship building, working with resistance, and more-along with a full curriculum. The book is a natural fit for psychotherapists, but addiction counselors, school counselors, researchers, mentors, and even teachers will find that Mindfulness-Based Substance Abuse Treatment for Adolescents changes the way they work with young people.

This book chronicles the author's experience with sobriety and recovery, offering relief and hope to recovering substance abusers and their loved ones. With optimism and humor, the author explores an enduringly human struggle--living with a consciousness addicted to alteration. While documenting the world of active addiction and his recovery from substance abuse, the author guides others on their own journey with sobriety. Chapters provide reminders and meditations to the newly recovering; lists of activities and life experiences to enjoy in sobriety; insights into a world seen through "clear" eyes; etiquette for the refined recoverer; behavioral observations and humorous anecdotes from addicts on the mend. Wrapped in satire and wit, this honest and personally reflective guidebook will be recognizable and helpful to recovering addicts and to their friends and families.