In Treating Addiction: Beyond the Pain, Edward Khantzian offers a collection of his recent works on the study and treatment of substance abuse and addiction. Based on his five decades of experience in working with substance dependent individuals, this volume builds upon Khantzian's theory of addiction as self-medication and provides insights into how addiction is rooted in human psychological suffering, and not pleasure seeking or self-destruction. Almost without exception, life histories of human discomfort, disconnection, and unhappiness leave those so burdened to be vulnerable to the appeal of addictive drugs, including alcohol. Khantzian's sensitive teaching voice weaves together an annotated collection of previously published papers into a powerful and engaging volume of effective practice-based treatments. A timely complement to his earlier collection Treating Addiction as a Human Process, this book provides an inclusive and accessible resource for mental health professionals from any background as well as graduate students and those in training.

Practicing Alcohol Moderation is designed to be used by clients of behavioral health care providers who have utilized The Clinician's Guide to Alcohol Moderation. This groundbreaking workbook can be used on its own or in conjunction with therapy, and additionally as a resource for family members whose loved ones are struggling with alcohol. It gives transparent, easy-to-follow, research-based explanations with questionnaires, checklists, quizzes, and worksheets. Each chapter begins with a brief overview and is interspersed with exercises and client experiences, combining research-based information with practical self-assessments, tools, and questions to answer to practice alcohol moderation. Readers can take the Alcohol Moderation Assessment to determine their likelihood of success in practicing alcohol moderation. The book provides the resources to create a personalized Alcohol Moderation Plan and suggests ways to manage its success for clinicians and general audiences alike.

Clinical Management of Sex Addiction's newest edition updates many of the original chapters from 28 leaders in the field with new findings and treatment methods in the field of sex addiction. With a growing awareness of sex addiction as a problem, plus the advent of cybersex compulsion, professional clinicians are being confronted with sexual compulsion with little clinical or academic preparation. This is the first book distilling the experience of the leaders in this emerging field. It additionally provides new chapters on emerging areas of interest, including partner counseling, trauma and sexual addiction, and adolescent sex addiction. With a focus on special populations, the book creates a current and coherent reference for the therapist who faces quickly escalating new constellations of addictive sexual behavior. Readable, concise and filled with useful interventions, it is a key text for professionals new to the field and a classic reference for all clinicians who treat sex addiction.

The Clinician's Guide to Alcohol Moderation examines alcohol use around the world and teaches a range of behavioral health care providers how to help clients practice alcohol moderation. Excavating the current treatments available for alcohol moderation, the book offers step-by-step processes of engaging clients and their families, self-assessments, and alcohol moderation tools. In addition to using it in conjunction with Practicing Alcohol Moderation: A Comprehensive Workbook, readers would benefit from the Alcohol Moderation Assessment which predicts who may be able to successfully drink in moderation as well as developing and monitoring an Alcohol Moderation Plan. The text uses recognized alcohol moderation resources throughout the world as well as real-life case studies to address typical clinician, client, and family member questions. It challenges the traditional recommendation that drinkers experiencing problems are "alcoholics." This guide is a resource for all who overdrink or know people who struggle with their alcohol use. Through its medium, a broad range of health care providers receive a step-by-step process on how to practice alcohol moderation, how to put tools into practice, case examples, and answers to the most commonly asked questions.

Media portrayals and diagnostic criteria convey an image of an addicted person as someone whose deficient coping skills and severely compromised functioning are readily apparent. Yet addictions remain some of the most frequently missed diagnoses in health and mental health care settings. This occurs, in large part, because most people with addictions do not fit the stereotype. In the context of psychotherapy, the typical patient with an addiction will present depression, anxiety, marital problems or a general sense that life is not working. This book addresses how addictions can be recognized more often and accurately assessed in the context of psychotherapy. Along with learning about the standard assessment instruments, the reader is introduced to methods for asking the appropriate questions and listening to the clinical dialogue for signs of a undisclosed addiction. This book provides a great deal of knowledge about addictions and their assessment in a way that is relevant to clinical practice.

In her New York Times bestseller Unbroken Brain, journalist Maia Szalavitz took an unflinching look at addiction, challenging the idea of the "broken brain" to offer a groundbreaking perspective on addiction as a learning disorder. Now she turns her keen eye and narrative powers to the surprisingly simple--and extremely divisive--practice of harm reduction, which is a revolutionary means to solving the drug addiction crisis. Drug overdoses now kill more Americans annually than guns, cars or breast cancer. But in the name of "sending the right message," we have criminalized drug addiction, denied those who are addicted medical care, housing and other benefits, and have deliberately allowed the spread of fatal diseases. Yet there is an alternative to our present system, one that has been proven to work, but which runs counter to the received wisdom of our criminal and medical industrial complexes. It is called harm reduction. A surprisingly simple idea with enormous power, harm reduction takes the focus off of drug use and instead works to minimize associated damage. It represents the philosophy behind needle exchange programs and providing heroin addicts with the overdose medication naloxone instead of arresting them. It is focused not on punishing pleasure but on minimizing harm; in essence, it is a wholesale refutation of the American way of justice. Undoing Drugs tells the story of harm reduction. It will show how this concept has begun to transform the treatment of addiction and how it holds the potential to revolutionize how we deal with a range of other urgent behavioral and societal issues. Harm reduction challenges people to prioritize radical empathy and kindness over punishment as a way of not only dealing with drug use, but also in questions related to racism, sexism, disability and inequality. And, as Szalavitz shows, it says unequivocally that we must be more concerned about saving lives and health than about criminalizing quality-of-life crimes. Szalavitz argues for a practical application of the Hippocratic oath to "First, do no harm" beyond medicine and to those who urgently need it most.

As gambling becomes more prevalent and more accessible in our society, pathological gambling is growing as a serious problem. In most instances, excessive gambling negatively affects a person's home, social and professional life, as well as leads to serious financial trouble. In repeated trials, cognitive-behavioural therapy has proven an extremely effective treatment for this problem. Written by the developers of an empirically supported CBT program for the treatment of pathological gambling, this Therapist Guide includes all the information and materials necessary to implement successful treatment. Most pathological gamblers exhibit misconceptions or erroneous beliefs about the nature of gambling, believing they can "beat the system". One of the central points of focus of this treatment is to help clients correct these beliefs and understand the true nature of games of chance. The authors provide step-by-step instructions for clinicians to help clients understand all of the facets of their problem. In addition to correcting erroneous beliefs about gambling, this program teaches problem solving skills, self-assessment techniques, and trigger recognition and avoidance. Designed to be used in conjunction with the corresponding workbook, this guide provides results not only in supervised therapy, but in long-term relapse prevention as well.

The word addiction these days is used to refer to a chronic condition where there is an unhealthily powerful motivation to engage in a particular behaviour. This can be driven by many different factors physiological, psychological, environmental and social. If we say that it is all about X, we miss V, W, Y and Z. So, some people think addicts are using drugs to escape from unhappy lives, feelings of anxiety and so on; many are. Some people think drugs become addictive because they alter the brain chemistry to create powerful urges; that is often true. Others think that drug taking is about seeking after pleasure; often it is. Some take the view that addiction is a choice addicts weigh up the pros and cons of doing what they do and decide the former outweigh the latter. Yet others believe that addicts suffer from poor impulse control; that is often true And so it goes on. When you look at the evidence, you see that all these positions capture important aspects of the problem but they are not complete explanations. Neuroscience can help us delve more deeply into some of these explanations, while the behavioural and social sciences are better at exploring others. We need a model that puts all this together in a way that can help us decide what to do in different cases. Should we prescribe a drug, give the person some tender loving care , put them in prison or what? Theory of Addiction provides this synthesis. The first edition was well received: Throughout the book the reader is exposed to a vast number of useful observations...The theoretical aims are timely, refreshing, ambitious and above all challenging. It opens up a new way of looking at addiction and has the potential to move the field of addiction a considerable leap forward. Thus we wholeheartedly would like to recommend the book for students as well as scholars. Read and learn! Nordic Studies on Alcohol and Drugs The book provides a comprehensive review of existing theories - over 30 in all - and this synthesis of theories constitutes an important contribution in and of itself...West is to be commended for his synthesis of addiction theories that span neurobiology, psychology and social science and for his insights into what remains unexplained. Addiction This new edition of Theory of Addiction builds on the first, including additional theories in the field, a more developed specification of PRIME theory and analysis of the expanding evidence base. With this important new information, Theory of Addiction will continue to be essential reading for all those working in addiction, from student to experienced practitioner as urged above, Read and learn!

By offering an empowering personal program of self-care in recovery, this book provides guidance for everyone affected by widespread modern 'addictiveness'. The book explores Ayurveda's understanding of both the problem of our 'one addiction process' and its solution. It offers holistic techniques that enhance any of the traditional recovery pathways and beyond any of the common diet/exercise dogma from mainstream media. It covers the stress/addictive tendencies of the doshic types, and links this to how stress affects metabolism, the main determinant of health. The program offered in the book is an integration of the philosophy, psychology and physical practices of Yoga and Ayurveda to help people shift their life trajectory. With Yoga of Recovery, author Durga Leela presents a complete resource for working with individuals recovering from addiction.

Substance Misuse and Young People: Critical Issues is a comprehensive source of information on young people's requirements for assessment, treatment and other interventions because of their misuse of substances. It highlights approaches that enhance understanding of the routes that lead young people to substance misuse and also the routes away from it. The emergence of new substances and methods of misuse makes this ever more relevant. The authors are international experts in the fields of psychiatry, paediatrics, medicine, psychology, genetics, resilience, neuropharmacology and epidemiology. This book acknowledges how widespread both substance misuse and psychiatric disorders are and explores the complex, challenging links between co-occurring conditions. Use of substances is associated with illness and premature mortality, and more so for people who have combined disorders. The authors critically assess the vital need for intervention during adolescence and early adulthood. They provide detailed clinical views of the psychosocial interventions and medications currently available and illustrate them with case studies that emphasise adolescents' experiences and thoughtful lifestyle-specific interventions. This book provides theoretical knowledge and indicates the practical skills that practitioners require for work with young people who misuse substances. It is highly applicable to medical practitioners, psychologists, pharmacists, social workers, police officers, probation officers, educationalists and related social and healthcare professionals.

For everyone who was that girl. Loose Girl is Kerry Cohen's captivating memoir about her descent into promiscuity and how she gradually found her way toward real intimacy. The story of addiction-not just to sex, but to male attention-Loose Girl is also the story of a young woman who came to believe that boys and men could give her life meaning. For everyone who knew that girl. In rich and immediate detail, Loose Girl re-creates what it feels like to be in that desperate moment, when a you try to control someone by handing over your body, when the touch of that person seems to offer proof of something, but ultimately delivers little more than emptiness. Kerry Cohen's journey from that hopeless place to her current confident and fulfilled existence is an unforgettable memoir of one young woman who desperately wanted to matter, and speaks to countless others with its compassion, understanding, and love. For the thousands of people who have found their voice in this book, and the thousands more who will.

Originally published in 1980, this book presents a detailed account of a series of investigations that examined the patterns of resort to drugs and alcohol use in college youth, and how such substance uses are linked to personality characteristics and daydreaming patterns. The Editors chose to emphasize the more "private" features of the personality, because these had often been ignored in earlier research, despite popular assumptions that there are close ties between fantasy, inwardness, "spacey" qualities (all suggesting permanent changes in mental organization), and substance use in youth. This volume will be of interest to a wider audience than just drug and alcohol researchers, because of the effort to go beyond normative patterns of substance use toward explorations of personality and consciousness.

Posttraumatic Stress and Substance Use Disorders summarizes the state of the field from a biopsychosocial perspective, addressing key domains of interest to clinicians, students, instructors, and researchers. This book is a valuable resource and reference guide for multidisciplinary practitioners and scientists interested in the evidence-based assessment and treatment of posttraumatic stress and substance use disorders. Chapters written by leaders in the field cover the latest research on assessment, diagnosis, evidence-based treatments, future directions, and much more.

This accessible guide offers a much-needed integration of family therapy into the treatment of substance use disorders. By proposing a means by which family therapy can be moved to the forefront of addiction treatment, it places the family perspective at the center of its approach and provides a multifaceted alternative to the prevalent individual-focused model. Drawing from Bowen Family Systems Theory and the principles of the 12 step program, the book presents a model of integration that addresses the needs of families struggling with addiction. Illustrated with discussion questions and case narratives of former addicts, the text guides both practitioners and families towards a goal of creating an environment that supports recovery. Offering an overview of the history and current models of addiction treatment, chapters also outline a 6 week Family Matters Program, with accompanying treatment interventions and case studies. The book concludes with an examination of how this program can be implemented by practitioners in a variety of clinical settings. Family Therapy and the Treatment of Substance Use Disorders is essential reading for anyone with an interest in understanding the diverse ways in which addiction affects families. It will be particularly relevant to students of family therapy, but clinicians who work across the fields of substance abuse treatment or family counseling will also benefit from reading this book.

Contents:
Preface 1. Philip Bean and Teresa Nemitz Introduction 2 Joy Mott What Should Work: guidelines on the clinical management of opioid dependence in the UK 3. Ken Checinski and Hamid Ghodse Types of Treatments for Types of Patients 4. Michael Gossop Developments in the Treatment of Drug Problems 5. Colin Brewer Psychological and Pharmacological Components of Treatment 6. Douglas Longshore, Michael Prendergast and David Farrabee Coerced Treatment for Drug-Using Criminal Offenders 7. Nicholas Seivewright and Muhammad Iqbal Treating Patients with Comorbidities 8. Jay Carver Drug Testing as a Necessary Prerequisite for Treatment and for Crime Control 9. Philip Bean and Andrew Ravenscroft Therapeutic Addicts Revisited 10. Tammy L. Anderson and Lana Harrison Therapeutic Community Drug Treatment in the U.S. Criminal Justice System 11. Paul Hayes Treating Drug Users: the role of the National Treatment Agency for substance misuse 12. Philip Bean Linking Treatment Services to the Criminal Justice System 13. Joris Casselman Motivation Enhancement in Clients Referred from the Criminal Justice System

Reviews the requirements of treatment planning, clinical assessment, and the historical antecedents of chemical dependency. Drawn from thirty years of experience in the treatment of chemical dependency, Dr. Ottomanelli describes clinical interventions in the context of established clinical research in addition to the presentation of predictors of relapse and relapse models which are derived from empirical studies. The interdisciplinary organization of this book provides a description of the psychological, sociological, and biological parameters of substance abuse.

This book will be of interest to faculty and students in undergraduate and graduate courses dealing with addictions. It will also be useful to counselors and clinical professionals dealing with addiction and substance abuse.

Written by experienced practitioners in the fields of addiction and psychoanalysis, and illustrated by a range of moving vignettes, this groundbreaking book examines the psychological foundations of addiction in the areas of food, sex, gambling, internet usage, shopping, and work. This book not only explores the roots of addictive behavior, explaining why popular treatment options such as the 12-Step Program often fail, it also provides insights for emotional resolution and strategies for behavioral change. Beyond the Primal Addiction seeks to understand rather than pathologize addictive behaviours, now so pervasive in contemporary societies. It will be essential reading for psychoanalysts, psychotherapists, and other mental health professionals, as well as their clients.

Originally published in 1995, this title provides a practical examination of the problems of substance abuse and abuse among persons with chronic mental disorders. Epidemiologic, diagnostic, and treatment issues are examined, as well as the problems of special populations and systems issues. This book will be of interest to practising clinicians in both the mental health and substance abuse treatment sectors.

Posttraumatic Stress and Substance Use Disorders summarizes the state of the field from a biopsychosocial perspective, addressing key domains of interest to clinicians, students, instructors, and researchers. This book is a valuable resource and reference guide for multidisciplinary practitioners and scientists interested in the evidence-based assessment and treatment of posttraumatic stress and substance use disorders. Chapters written by leaders in the field cover the latest research on assessment, diagnosis, evidence-based treatments, future directions, and much more.

Individuals bereaved by the drug- or alcohol-related death of a family member represent a sizeable group worldwide. Families Bereaved by Alcohol or Drugs is the long-awaited result of an important and ambitious research project into the experiences commonly encountered by members of this stigmatized and vulnerable group. Based on focus groups with the practitioners and service personnel who support grieving relatives following the loss of a loved one to alcohol or drugs, as well as interviews with the largest qualitative sample of adults bereaved by substance use that has been reported to date, this much-needed contribution to research on addiction and bereavement identifies four major reasons why grief following this tragic kind of death is particularly difficult. By examining the experiences of a wide range of stakeholders, including practitioners and policymakers in health, social care and the criminal justice system, the research contained within this book underscores the large number of organizations that play a role in the implementation of official procedure following a drug- or alcohol-related death and identifies significant gaps in the system that bereaved individuals must negotiate. Grounded in extensive and rigorous academic research, Families Bereaved by Alcohol or Drugs is essential reading for academics, researchers and postgraduate students in the fields of mental health and addiction, social work and social studies, psychology, family studies and bereavement. The book should also be of interest to anyone with a professional interest in bereavement or substance use.

Sex Addiction: A Guide for Couples and Those Who Help Them is a practical book that provides empathic support, guidance, information and pragmatic strategies for couples who want to survive sex and porn addiction - whether that's together, or apart. Sex and porn addiction devastates couple relationships, and unlike the impact of infidelity, there is no 'before' to get back to and no 'after'. This book adopts the metaphor of a boat, presenting addiction as the tidal wave that devastates the relation-ship, leaving both crew members fighting for survival. There's guidance to ensure each partner makes it safely back to shore and advice on surveying the damage to your relation-ship and deciding if you want to save it and set sail again. You'll find practical advice for both the partner and the addicted partner, including first-hand accounts of couples that have already undertaken the journey.

Here is the first major work that examines the benefits of applying social understanding to addiction. The author demonstrates how a social perspective shifts the paradigm from viewing a person in terms of "particles" to viewing a person in terms of relationships. This reorientation creates promising new opportunities for intervention. The book discusses recent advances in theories on community capacity building, resilience, and social ecology alongside their practical applications. Written in an engaging style, the book features numerous vignettes, key points, and illustrations that help you apply the material in your own practice.

This] volume provides a unique and advantageous perspective to the trainees and practitioners in the adolescent substance abuse field. It offers a sophisticated perspective on addiction treatment techniques developed in recent years, with a sensitivity to the social and developmental needs of the adolescent.' Marc Galanter, from the Foreword.

Originally published in 1980, recent research had produced new insights into how, at the biochemical level, alcohol and other drugs of abuse can impair metabolic and neuropsychiatric functions. Epidemiological studies were also demonstrating that even moderate drinking or drug abuse can produce significant brain damage. This book draws together the latest biochemical, physiological and clinical research on these topics at the time. The initial chapters discuss how alcohol can interfere with various functions: the adaptability of metabolic processes as governed by the ability of the liver to synthesise new enzymes, cell membrane transport, nervous transmission and the transport of nutrients into the brain. It is suggested that opiates, and possibly alcohol, may affect the endorphin system by blocking the uptake of specific amino acids. The second half of the book reports clinical investigations using biochemical studies, psychological tests, EEG investigations and Computerised Axial Tomography (CAT) scanning. It gives the first report of a long-term study by Lishman and co-workers using an improved tomography technique to assess brain damage in alcoholics. These studies give convincing evidence that heavy drinking, even at socially-acceptable levels, can cause serious brain damage in vulnerable people.