Finally--a road map to recovery from the nation's most original thinker on addiction

In his revolutionary book The Heart of Addiction, Dr. Lance Dodes examined the underlying emotions that drive addictive behaviors--whether drinking, gambling, sex, or eating. Now, in Breaking Addiction, Dodes presents a comprehensive guide outlining seven critical steps to overcome addiction, based on his findings.

Through his practice and research, Dodes has found that virtually every addictive act is preceded by feelings of helplessness. In his refreshingly clear style, Dodes incorporates case stories to illustrate exactly how these feelings set addiction in motion, how to recognize the path toward addiction--and then how to take back control.

Many people, discouraged by current treatments, have been hungry for an approach that digs addiction up by its roots. Since the publication of The Heart of Addiction, Dodes's ideas have been incorporated by therapists and treatment centers around the country, and are taught by universities and training centers for clinicians.

With special sections for both families and health-care professionals, Breaking Addiction is poised to be the handbook for a new, comprehensive, and in-depth understanding of addiction.

Focusing on the world of Norwegian Opioid Substitution Treatment (OST) in the aftermath of significant reforms, this book casts a critical light on the intersections between medicine and law, and the ideologies infusing the notions of "individual choice" and "patient involvement" in the field of addiction globally. With ethnographic attention to the encounters between patients, clinicians, and bureaucrats, the volume shows that OST sustains the realities it is meant to address. The chapters follow one particular patient through complex clinical and legal battles as they fight to achieve a better quality of life. The study provides ethnographic insight that captures the individual, experiential aspects of addiction treatment, and how these experiences find a register within different domains of treatment and policy, including the familial, social, legal, and clinical. Offering a rare view of addiction treatment in a Scandinavian welfare state, this book will be of interest to scholars of medical and legal anthropology and sociology, and others with an interest in drug policy and addiction treatment.

* Provides readers with a graphic model of addiction that integrates new neurobiological findings in brain research, a learning model of addiction, and subsequent clinical approaches that address embodied trauma therapies * Has broad appeal to mental health professionals who work in clinical practice, graduate students interested in the field of addiction, as well as a general non-professional audience curious about the field of addiction. Useful as a text in psychotherapy courses, addiction programs, social work, nursing, occupational therapy, psychiatry, psychology and osteopathy since it provides an overview of the field both in theory and practice. Of special interest to readers interested in Polyvagal Theory, Interpersonal Neurobiology, Trauma Therapy, Addiction Recovery, body practitioners including naturopaths, cranio-sacral practitioners, somatic experiencing, sensorimotor and EMDR practitioners, focusing teachers and focusing oriented therapists. * Combines the ground-breaking work of doctors Stephen Porges, Marc Lewis, and Eugene Gendlin

This book integrates and synthesizes numerous empirically supported positive psychological constructs and psychotherapeutic theories to help understand addiction and facilitate recovery through the lens of forgiveness. Proposing forgiveness as an alternative and critical tool to understanding the process of addiction and recovery, whether in the context of substance use, compulsive behavior, and/or suicidal behavior, the book discusses multiple theoretical points of view regarding the process of forgiveness. Additionally, foundational theories underlying the process of recovery, the psychological and spiritual nature of forgiveness, and the nature of the association of forgiveness with health all receive detailed coverage. Considerable attention is also paid to the extant empirical support for the association of forgiveness with addiction and recovery. The text's comprehensive integration of theory, research, and clinical application, including guidelines regarding forgiveness as a treatment for recovery from addiction, provide a roadmap forward for addiction counselors and other recovery specialists.

An innovative new text addressing 11 behavioral addictions in detail with a focus on recent neuroscience. This practical, approachable guide for clinicians comprehensively covers an array of behavioral addictions ranging from internet gaming addiction and sex addiction, to social media addiction and food addiction. Each chapter answers foundational questions to inform clinical practice including: How do I conceptualize it?, How do I identify it?, How do I assess it?, How do I treat it?, and How do I learn more? &Through this innovative resource, clinicians will gain valuable knowledge regarding the conceptualization, identification, assessment, and treatment of behavioral addictions. Each chapter highlights the most current research related to specific behavioral addictions, provides a synthesis of recent neuroscience, and examines diverse treatment approaches to fit the widest range of clinical styles. In addition, this book describes the evolving definition of addiction, provides examples of how to advocate for clients with behavioral addictions, and devotes an entire chapter to understanding the neuroscience of addiction. This clinical reference book will help counselors provide compassionate, effective services to clients with a variety of behavioral addictions. Purchase includes digital access for use on most mobile devices or computers. Key Features: Offers "Voices from the Field" sections in which clinicians describe their experiences working with each behavioral addiction Includes a chapter completely devoted to the neuroscience of addiction in addition to a synthesis of recent neuroscience in each chapter Synthesizes current research to aid in clinical conceptualizations Describes useful assessment instruments and how to access them Presents a wide range of treatment approaches and 12-step program options Provides abundant resources for further study

Get high. Become addicted. Commit crimes. Get arrested and be sent to jail. Get released. Repeat. It's a cycle often destined to persist, in large part because the critical step that is often missing in the process, which is treatment geared toward ensuring that addicts are able to reenter society without the constant threat of imminent relapse. The Handbook of Evidence-Based Substance Abuse Treatment in Criminal Justice Settings probes the efficacy of corrections-based drug interventions, particularly behavioral treatment. With straightforward interpretation of data that reveals what works, what doesn't, and what needs further study, this volume navigates readers through the criminal justice system, the history of drug treatment for offenders, and the practical problems of program design and implementation. Probation and parole issues as well as concerns specific to special populations such as women, juvenile offenders, and inmates living with HIV/AIDS are also examined in detail. The Handbook's wide-ranging coverage includes: * Biology and genetics of the addicted brain. * Case management for substance-abusing offenders. * Integrated treatment for drug abuse and mental illness. * Evidence-based responses to impaired driving. * Monitoring technology and alternatives to incarceration. * The use of pharmacotherapy in rehabilitation. This must-have reference work is a comprehensive and timely resource for clinicians, researchers, and graduate students across a variety of disciplines including clinical psychology, criminology and criminal justice, counseling, and educational policy makers.

Compulsive Sexual Behaviours offers a unique approach to the struggles people face with their out-of-control sexual behaviours. This comprehensive guide is deeply rooted in the science of sexology and psychotherapy, demonstrating why it is time to re-think the reductive concept of 'sex addiction' and move towards a more modern age of evidence-based, pluralistic and sex-positive psychotherapy. It is an important manual for ethical, safe and efficient treatment within a humanistic and relational philosophy. This book will be an important guide in helping clients stop their compulsive sexual behaviours as well as for therapists to self-reflect on their own morals and ethics so that they can be prepared to explore their clients' erotic mind.

This book considers how largely accepted 'legal truths' about drugs and addiction are made and sustained through practices of lawyering. Lawyers play a vital and largely underappreciated role in constituting legal certainties about substances and 'addiction', including links between alcohol and other drugs, and phenomena such as family violence. Such practices exacerbate, sustain and stabilise 'addicted' realities, with a range of implications - many of them seemingly unjust - for people who use alcohol and other drugs. This book explores these issues, drawing upon data collected for a major international study on alcohol and other drugs in the law, including interviews with lawyers, magistrates and judges; analyses of case law; and legislation. Focussing on an array of legal practices, including processes of law-making, human rights deliberations, advocacy and negotiation strategies, and the sentencing of offenders, and buttressed by overarching analyses of the ethics and politics of such practices, the book looks at how alcohol and other drug 'addiction' emerges and is concretised through the everyday work lawyers and decision makers do. Foregrounding 'practices', the book also shows that law is more fragile than we might assume. It concludes by presenting a blueprint for how lawyers can rethink their advocacy practices in light of this fragility and the opportunities it presents for remaking law and the subjects and objects shaped by it. This ground-breaking book will be of interest not only to those studying and working within the field of alcohol and drug addiction but also to lawyers and judges practising in this area and to scholars in a range of disciplines, including law, science and technology studies, sociology, gender studies and cultural studies

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.

1. Cutting-edge synthesis of key areas in substance use and misuse, which sets it apart from competing biopsychology textbooks 2. Each chapter is written by leading experts on the topic in question, recruited from research teams around the world (including UK, US, Europe, New Zealand, Canada, Asia), who have a detailed knowledge of the relevant literature. 3. Important methodological and ethical issues are explored, with reference to various cultural contexts.

1. Cutting-edge synthesis of key areas in substance use and misuse, which sets it apart from competing biopsychology textbooks 2. Each chapter is written by leading experts on the topic in question, recruited from research teams around the world (including UK, US, Europe, New Zealand, Canada, Asia), who have a detailed knowledge of the relevant literature. 3. Important methodological and ethical issues are explored, with reference to various cultural contexts.

This essential book questions the psychological construct of Internet Addiction by contextualizing it within the digital technological era. It proposes a critical psychology that investigates user subjectivity as a function of capitalism and imperialism, arguing against punitive models of digital excesses and critiquing the political economy of the Internet affecting all users. Friedman explores the limitations of individual-centered remediations exemplified in the psychology of internet addiction. Furthermore, Friedman outlines the self-creative actions of social media users, and the data processing that exploits them to urge psychologists to politicize rather than pathologize the effects of excessive net use. The book develops a notion of capitalist imperialism of the social web and studies this using the radical methods of philosopher Gilles Deleuze and psychoanalyst Felix Guattari. By synthesizing perspectives on digital life from sociology, economics, digital media theory, and technology studies for psychologists, this book will be of interest to academics and students in these areas, as well as psychologists and counselors interested in addressing Internet Addiction as a collective, societal ill.

This essential book questions the psychological construct of Internet Addiction by contextualizing it within the digital technological era. It proposes a critical psychology that investigates user subjectivity as a function of capitalism and imperialism, arguing against punitive models of digital excesses and critiquing the political economy of the Internet affecting all users. Friedman explores the limitations of individual-centered remediations exemplified in the psychology of internet addiction. Furthermore, Friedman outlines the self-creative actions of social media users, and the data processing that exploits them to urge psychologists to politicize rather than pathologize the effects of excessive net use. The book develops a notion of capitalist imperialism of the social web and studies this using the radical methods of philosopher Gilles Deleuze and psychoanalyst Felix Guattari. By synthesizing perspectives on digital life from sociology, economics, digital media theory, and technology studies for psychologists, this book will be of interest to academics and students in these areas, as well as psychologists and counselors interested in addressing Internet Addiction as a collective, societal ill.

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 is the first to provide evidence-based experience to showcase how stakeholder management can be applied within social marketing programs, as well providing contemporary discussions of social marketing research. The book aims to bring practitioners and academics together to address the calls made by scholars to address inherent challenges involved in identifying, involving and prioritising different stakeholders in social marketing interventions. Through sharing real-world experience, the text aims to extend and synthesise current knowledge in the field and contribute to establishing stronger and long-lasting alliances with stakeholders involved in social marketing interventions with an aim of ensuring sustainable behavioural change. This book features a diverse series of case studies from different countries (including but not limited to Australia, Finland, India, Slovenia, the United Kingdom) conducted in various behaviour change contexts (including alcohol consumption, nutrition intake, and breast feeding). Leading international social marketing and social science scholars provide case studies on stakeholder involvement in an intervention or multiple interventions and elucidate relevant lessons to inform theoretical as well as practical implications for multi-stakeholder social marketing interventions. This volume will be of interest to researchers, advanced students, practitioners and policy makers in social marketing and health policy.

Stories from doctors, nurses, and therapists dealing on a daily basis with the opioid crisis in Appalachia should be heartbreaking. Yet those told here also inspire with practical advice on how to assist those in addiction, from a grass-roots to a policy level. Readers looking for ways to combat the crisis will find suggestions alongside laughter, tears, and sometimes rage. Each author brings the passion of their profession and the personal losses they have experienced from addiction, and posits solutions and harm reduction with positivity, grace, and even humor. Authors representing seven states from northern, Coalfields, and southern Appalachia relate personal encounters with patients or providers who changed them forever. This is a history document, showing how we got here; an evidenced indictment of current policies failing those who need them most; an affirmation that Appalachia solves its own problems; and a collection of suggestions for best practice moving forward.

Grief and Addiction illuminates the role of grief work in addiction counseling, encouraging counselors to be more comprehensive in their treatment and to increase empathy for what the treatment process is asking of clients. Acknowledging that entering recovery includes a loss of coping skills, and that it requires building a new identity, this book focuses on addiction-specific grief work. Grief and Addiction integrates concepts like complicated grief, nonfinite loss, trauma, family grief responses, and treatment suggestions in one place-all with a focus on the application to addiction work. Featuring appendices with information and examples for clinicians, Grief and Addiction provides treatment strategies drawn from both the addiction and grief world for professionals and counselor educators.

Grief and Addiction illuminates the role of grief work in addiction counseling, encouraging counselors to be more comprehensive in their treatment and to increase empathy for what the treatment process is asking of clients. Acknowledging that entering recovery includes a loss of coping skills, and that it requires building a new identity, this book focuses on addiction-specific grief work. Grief and Addiction integrates concepts like complicated grief, nonfinite loss, trauma, family grief responses, and treatment suggestions in one place-all with a focus on the application to addiction work. Featuring appendices with information and examples for clinicians, Grief and Addiction provides treatment strategies drawn from both the addiction and grief world for professionals and counselor educators.

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.

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.

The problem of addiction is one of the major challenges and controversies confronting medicine and society. It also poses important and complex philosophical and scientific problems. What is addiction? Why does it occur? And how should we respond to it, as individuals and as a society? The Routledge Handbook of Philosophy and Science of Addiction is an outstanding reference source to the key topics, problems and debates in this exciting subject. It spans several disciplines and is the first collection of its kind. Organised into three clear parts, forty-five chapters by a team of international contributors examine key areas, including: the meaning of addiction to individuals conceptions of addiction varieties and taxonomies of addiction methods and models of addiction evolution and addiction history, sociology and anthropology population distribution and epidemiology developmental processes vulnerabilities and resilience psychological and neural mechanisms prevention, treatment and spontaneous recovery public health and the ethics of care social justice, law and policy. Essential reading for students and researchers in addiction research and in philosophy, particularly philosophy of mind and psychology and ethics, The Routledge Handbook of Philosophy and Science of Addiction will also be of great interest to those in related fields, such as medicine, mental health, social work, and social policy.

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 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.

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.