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 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 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.

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.

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.

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.

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.

Alcohol has played a major part in British life for centuries. It has led do the rise and fall of governments, financed wars, provoked civil disorder and even acts of terrorism. In this book, two of the leading authorities on alcohol and its problems take a look at the UK and its alcohol addiction.

Alcohol has played a major part in British life for centuries. It has led to the rise and fall of governments, financed wars, provoked civil disorder and even acts of terrorism. In many countries, alcohol consumption has been decreasing in recent years but in Britain we are drinking more and more, and from an earlier age. With the relaxation of licensing hours there is real concern that the current epidemic of binge drinking will get even worse. So why has this problem not arisen in most of the continent? Why are British adolescents drinking more now than ever? What will be the effect of the relaxation of licensing hours? Why have so many city centres become no-go zones - filled with social unrest and violence? Is it just that we can't hold our drink - or that we don't know when to stop? The authors of this book are two of the leading authorities on alcohol and its problems. In this highly topical book, the first ever on binge drinking, they take a look at the UK and its alcohol problem. They review the role of alcohol in Britain in the past 1500 years. Binge Britain looks at why our drinking culture is maintained and why politicians seem reluctant to act effectively to reduce the problem. The authors examine the power of the alcohol industry, and the huge amount of money it contributes in taxes. The book provides an informed overview of recent developments in alcohol consumption and alcohol-related problems, together with a commentary on and critique of the development of recent policy and the national response to this policy. Informative, authoritative, and accessibly written, Binge Britain provides a fascinating look at our need for intoxication.

Anger Management Based Alcohol Treatment: Integrated Therapy for Anger and Alcohol Use Disorder is an innovative, hands-on guide that introduces clinicians to research-based anger management skills for treating clients with alcohol use disorder. Research has demonstrated an important infl uence of anger-related emotions on drinking behavior and risk for relapse among individuals with drinking problems. This book will empower clinicians to address clients' alcohol use and anger emotions through an effective blend of cognitive, relaxation, and sober coping skills. This combination of skills offers clinicians a concrete method for helping clients manage anger-related emotions and disconnect the anger-alcohol linkage, thereby improving clinical outcomes. The book also features useful ideas for client self-monitoring and accessible tools for evaluating progress in treatment. Three case studies are presented and followed to illustrate the full course of treatment. Practical therapeutic techniques are explained and demonstrated through clinical dialogue examples. This book is ideal for developing clinicians, for experienced clinicians looking to enhance skills, and as an instructional text in training programs.

This comprehensive reference guide describes more than 130 alphabetically arranged drugs of abuse, including both pharmaceutical and natural products. The book begins with a discussion of federal drug scheduling and drug categories. Individual entries for particular substances of abuse follow. Drug descriptions include: correct pronunciation, nicknames or street names, legal status, historical and present uses and misuses, abuse factors, interactions with other drugs, and findings of cancer risks and birth defects.

Scientific information is presented in a clear, simple manner designed for students and general readers alike. In addition to the A-Z descriptions, Miller provides an explanation of general drug types, such as stimulants and hallucinogens, as well as the aspects of drug abuse, including tolerance and withdrawal. A list of print and electronic sources is also included for readers seeking further information.

Gambling Disorder: A Clinical Guide to Treatment is a systematic, eloquent, and exhaustive examination of the etiology, psychopathology, neurobiology, and treatment of the disorder, which was reclassified for DSM-5. Building on its 2004 predecessor, Pathological Gambling, which was groundbreaking for its era, the second edition has been thoroughly restructured and is designed to prepare clinicians to diagnose, treat, and-most important of all-understand their patients with the disorder. More common than previously supposed, gambling disorder is associated with decreased self-esteem, comorbid substance use disorders, financial and legal difficulties, relationship and family stress, and suicidality. Yet, many clinicians are unaware of the personal and social consequences of this disorder, as well as its implications for public health. Accordingly, the book provides a detailed look at the effects of gambling on societal, familial, and individual health and well-being and prepares clinicians to accurately assess their patients and provide effective treatments. As befits a field that has been the recent focus of so much innovative and promising research, the new edition boasts a fresh roster of contributors, each of whom bring special insight to their areas of expertise. Noteworthy topics include: * Currently available screening and assessment instruments for diagnosing gambling disorder and monitoring symptom change are discussed in-depth, including psychometric properties, norms, administration methods, and scoring and interpretation of each instrument. * Online gambling and gambling-gaming convergence is considered in a new chapter, which explores the complex interplay between gambling and technology. Highlighted issues include the growth of interactive platforms, role of new player experiences and reward structures, tailoring of products to individuals, and integration into other online activities, such as gaming and social media.* Gender differences in epidemiology, phenomenology, psychiatric comorbidity, and biology have been identified among patients with gambling disorder, with important treatment implications. Similarly, older adults and young people can exhibit significant differences in behavior. These are explored in separate, clinically rich, chapters.* The always evolving field of gambling and criminal/legal issues is explored in a chapter on forensic issues in gambling, which examines the relationship of gambling disorder to antisocial personality disorder and domestic abuse, and looks at the interface between gambling and the legal system.* Tremendous advances in the treatment of gambling disorder have been made since the last edition, and these are reflected in comprehensive chapters on psychosocial and pharmacological treatments. Full of expert clinical knowledge and cutting-edge research, Gambling Disorder: A Clinical Guide to Treatment is the clinician's comprehensive guide to helping patients with gambling disorder find relief from this disabling disorder.

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 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.

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

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

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.

This new, and heavily revised, edition of Psychopharmacology, provides a comprehensive scientific study of the effects of drugs on the mind and behaviour. With the growing prevalence of psychiatric and behavioral disorders and the rapid advances in the development of new drug therapies, this textbook offers an essential understanding of the necessary details of drug action. The book presents its coverage in the context of the behavioral disorders they are designed to treat, rather than by traditional drug classifications, to strengthen understanding of the underlying physiology and neurochemistry, as well as the approaches to treatment. Each disorder from the major diagnostic categories is discussed from a historical context along with diagnostic criteria and descriptions of typical cases. In addition, what we presently know about the underlying pathology of each disorder is carefully described. Providing a solid foundation in psychology, neuroanatomy and physiology, the book also offers a critical examination of drug claims, as well as coverage of evidence-based alternatives to traditional drug therapies. Throughout, this text discusses how drug effectiveness is measured in both human and animal studies. Topics new to this edition include: a stronger emphasis on the environmental impacts on drug effectiveness; more on the mechanisms of adverse reactions to drugs and information on managing drug side effects; the risks and benefits of using "mood stabilizing drugs" to address behavior in youth with ADHD or ASD; and discussion of the research-to-practice gap in pharmacological care for children and adolescents. Accompanied by a robust companion website of instructor materials, this textbook is ideal for undergraduate and pre-professional students on courses in Psychopharmacology, Clinical Psychopharmacology, Drugs and Behavior. It is a valuable contribution to highlight the symbiotic relationship between psychopharmacology and the neural and behavioral sciences.

This new, and heavily revised, edition of Psychopharmacology, provides a comprehensive scientific study of the effects of drugs on the mind and behaviour. With the growing prevalence of psychiatric and behavioral disorders and the rapid advances in the development of new drug therapies, this textbook offers an essential understanding of the necessary details of drug action. The book presents its coverage in the context of the behavioral disorders they are designed to treat, rather than by traditional drug classifications, to strengthen understanding of the underlying physiology and neurochemistry, as well as the approaches to treatment. Each disorder from the major diagnostic categories is discussed from a historical context along with diagnostic criteria and descriptions of typical cases. In addition, what we presently know about the underlying pathology of each disorder is carefully described. Providing a solid foundation in psychology, neuroanatomy and physiology, the book also offers a critical examination of drug claims, as well as coverage of evidence-based alternatives to traditional drug therapies. Throughout, this text discusses how drug effectiveness is measured in both human and animal studies. Topics new to this edition include: a stronger emphasis on the environmental impacts on drug effectiveness; more on the mechanisms of adverse reactions to drugs and information on managing drug side effects; the risks and benefits of using "mood stabilizing drugs" to address behavior in youth with ADHD or ASD; and discussion of the research-to-practice gap in pharmacological care for children and adolescents. Accompanied by a robust companion website of instructor materials, this textbook is ideal for undergraduate and pre-professional students on courses in Psychopharmacology, Clinical Psychopharmacology, Drugs and Behavior. It is a valuable contribution to highlight the symbiotic relationship between psychopharmacology and the neural and behavioral sciences.

Addiction is a significant health and social problem and one of the largest preventable causes of disease globally. Neuroscience promises to revolutionise our ability to treat addiction, lead to recognition of addiction as a 'real' disorder in need of medical treatment and thereby reduce stigma and discrimination. However, neuroscience raises numerous social and ethical challenges: * If addicted individuals are suffering from a brain disease that drives them to drug use, should we mandate treatment? * Does addiction impair an individual's ability to consent to research or treatment? * How will neuroscience affect social policies towards drug use? Addiction Neuroethics addresses these challenges by examining ethical implications of emerging neurobiological treatments, including: novel psychopharmacology, neurosurgery, drug vaccines to prevent relapse, and genetic screening to identify individuals who are vulnerable to addiction. Essential reading for academics, clinicians, researchers and policy-makers in the fields of addiction, mental health and public policy.

Heroin is a worldwide scourge and a seemingly intractable one. The Life of the Heroin User: Typical Beginnings, Trajectories and Outcomes is the first book to apply a biographical approach to the lifecycle of the heroin user from birth until death. Chapters address each stage of the user's life, including childhood, routes to use, the development of dependence, problems arising from addiction, death and options for treatment and prevention. Drawing on over two decades of experience in the field of opiate research, Shane Darke examines major theoretical approaches to the development of opiate dependence and the efficacy of treatment options for opiate dependence. Key points are presented at the end of each chapter. The most detailed review available of what is likely to happen to the dependent heroin user, this is an important book for clinicians, researchers and students in the fields of drug and alcohol studies and public health.

Self-help organizations across the world, such as Alcoholics Anonymous, Croix D'Or, The Links, Moderation Management, Narcotics Anonymous, and SMART Recovery, have attracted tens of millions of individuals seeking to address addiction problems with drugs or alcohol. This book provides an integrative, international review of research on these organizations, focusing in particular on the critical questions of how they affect individual members and whether self-help groups and formal health care systems can work together to combat substance abuse. Keith Humphreys reviews over 500 studies into the efficacy of self-help groups as an alternative and voluntary form of treatment. In addition to offering a critical review of the international body of research in this area, he provides practical strategies for how individual clinicians and treatment systems can interact with self-help organizations in a way that improves outcomes for patients and for communities as a whole.

1. This book brings the large fields of policing and drugs together; two distinct areas rarely studied together. 2. This book also has a market among public health scholars, given the overlapping areas of interest.