In the time of Freud, the typical psychoanalytic patient was afflicted with neurotic disorders; however, the modern-day psychotherapy patient often suffers instead from a variety of addictive disorders. As the treatment of neurotic disorders based on unconscious conflicts cannot be applied to treatment of addictive disorders, psychoanalysis has been unable to keep pace with the changes in the type of patient seeking help. To address the shift and respond to contemporary patients' needs, Ulman and Paul present a thorough discussion of addiction that studies and analyzes treatment options. Their honest and unique work provides new ideas that will help gain access to the fantasy worlds of addicted patients. The Self Psychology of Addiction and Its Treatment emphasizes clinical approaches in the treatment of challenging narcissistic patients struggling with the five major forms of addiction. Ulman and Paul focus on six specific case studies that are illustrative of the five forms of addiction. They use the representative subjects to develop a self psychological model that helps to answer the pertinent questions regarding the origins and pathway of addiction. This comprehensive book links addiction and trauma in an original manner that creates a greater understanding of addiction and its foundations than any clinical or theoretical model to date.

Why do so many women with gambling addiction relapse?

Lifelong recovery requires much more than to just stop gambling. Women s groups provide long-term benefits and support and have proven to be highly successful in promoting recovery from gambling addiction. By following the story of a real women s group for problem gambling over the course of a year, Liz Karter explains how, for women, both the cause of and the cure for gambling addiction lies in relationship.

Karter shows clearly how learning to face and cope with real life situations and relationships is essential to maintain recovery. She shares the themes which run through each women s group, such as fear of trusting others, and the guilt, shame and risk associated with being truly seen and heard. "Women s Groups for Problem Gambling" shows that with a combination of specialist intervention, women s group support, courage and compassion, women can learn to stop running from their addiction and instead find joy and support in building relationships and communities.

This highly accessible book provides a unique opportunity to gain a very personal insight into the group process, both for therapists and clinicians and for women wishing to better understand their addiction. "

First published in 1991. Routledge is an imprint of Taylor & Francis, an informa company.

This comprehensive text-noted for its facility in integrating principles into practice--prepares social work students to play a key role within an interdisciplinary health care team: that of counseling clients who are taking medications used to treat common mental health conditions. The third edition has been fully revised to include new medications and reflect changes resulting from the publication of the DSM 5. Sample treatment plans, case examples, and a full glossary of medications have been updated, and the addition of a comprehensive Instructor's Manual further enhances the text's value. Also included is information on prescription drug abuse, expanded discussions of psychopharmacological considerations related to gender and culture, a new section on medical marijuana, pregnant women, and new content related to suicide warnings and internet availability and electronic records. The third edition also features a discussion of potential interactions with medications used to treat chronic conditions and emphasizes professional collaboration. The text is replete with guidance on common medicine-related issues social workers encounter in practice, including identifying potentially dangerous drug interactions and adverse side effects, improving medication compliance, recognizing the warning signs of drug dependence, and understanding how psychopharmacology can work in conjunction with psychosocial interventions. The role of the social worker taking into account treatment planning is stressed. The text also addresses the particular needs of children, older adults, and pregnant women and the treatment of specific mental health conditions.

The second edition of Making Mandated Addiction Treatment Work integrates cutting edge research with evidence-based addiction treatments to create a unified and effective treatment model for mental health professionals and those in training. Because the largest and fastest growing segment of the community-based addiction treatment population includes those who are mandated, Barbara C. Wallace provides insightful best practices for tailoring addiction treatment to diverse and challenging clients, including those who may have a history of trauma or mental disorders, different levels of motivation, and a high risk of relapse. Applicable in a variety of treatment settings in both urban and rural communities, this text weaves together new research and vivid case studies into a concise and practical resource. This book is ideal for practitioners and students of public health, criminal justice, and social welfare services.

In Addictive Behaviors in Women, leading experts from psychiatry, psychology, sociology, and social work concisely review the addictive process and the characteristic behaviors of women who are dependent on alcohol and/or drugs. Topics include why women smoke, the role of personality in female addiction, sexuality issues in chemically dependent women, dieting and alcohol use in women, alcohol's role in sexual assault, and the impact of drug abuse on the family and pregnancy.
Addictive Behaviors in Women illuminates the causes and effects of the many lifestyle decisions women make that lead to addiction to drugs, work, sex, gambling, or to any of the many other elective aspects of our lives. It shows how addictive decisions can be avoided and/or treated, thereby making women's lives safer, more productive, and healthier.

The Open Access version of this book, available at http://www.tandfebooks.com, has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 3.0 license. Gambling is both a multi-billion-dollar international industry and a ubiquitous social and cultural phenomenon. It is also undergoing significant change, with new products and technologies, regulatory models, changing public attitudes and the sheer scale of the gambling enterprise necessitating innovative and mixed methodologies that are flexible, responsive and 'agile'. This book seeks to demonstrate that researchers should look beyond the existing disciplinary territory and the dominant paradigm of 'problem gambling' in order to follow those changes across territorial, political, technical, regulatory and conceptual boundaries. The book draws on cutting-edge qualitative work in disciplines including geography, organisational studies, sociology, East Asian studies and anthropology to explore the production and consumption of risk, risky places, risk technologies, the gambling industry and connections between gambling and other kinds of speculation such as financial derivatives. In doing so it addresses some of the most important issues in contemporary social science, including: the challenges of studying deterritorialised social phenomena; globalising technologies and local markets; regulation as it operates across local, regional and international scales; and the rise of games, virtual worlds and social media.

Shunning the disease model of alcoholism, this book delineates how narcissistic injury in early life acts as the basic psychogenic, etiological, component of addictive drinking. It provides an innovative analysis of the interrelationships between the alcoholic's overt behavioral disorders and his or her psychological make_up. Early chapters explore the role of narcissistic injury in great depth. Successive discussions examine the pathologies of character, personality, behavior, cognition and interpersonal relationships that manifest themselves in and as alcoholism. The part that early-life narcissistic injury plays in the development of anxiety, oral rage, avoidance defenses, depression, sadomasochism, paranoia, guilt, and obsessive-compulsive behaviors is detailed. A veteran of extensive work with alcoholics, the author delineates treatment strategies to modify and resolve the alcoholic's symptoms_the drinking disorder as well as the other psychological manifestations of dysfunction. Among the strategies explored in this regard are analytic, family, conjoint, behavioral, confrontation, supportive and self-help modalities. The trenchant case studies found throughout the text amplify the author's points about the global and specific psychopathology of alcoholism as well as the interventive alternatives. Alcoholism, Narcissism, and Psychopathology will prove stimulating and resourceful to psychologists, social workers, psychiatrists, counselors and therapists who are involved in the treatment and rehabilitation of alcoholics and other substance abusers.

Addiction is much misunderstood. Women and addictive gambling even more so, and for many years women have suffered in silence. This book explores how lonely, troubled lives and damaging relationships lead to the trap of problem gambling, the anxiety and chaos whilst locked inside, and then offers realistic hope of a way out.

With the significant increase in women gambling problematically, "Women and Problem Gambling" aims to answer the often asked question 'who is to blame?' the text covers:

• the role of the gambling industry
• the role of society
• women s relationships with others and themselves
• what ' hitting rock bottom ' truly is

Case studies illustrate how gambling begins as harmless escapism and how stressful and sometimes painful lives, combined with spiralling debts, lead to desperation to avoid thoughts, feelings and the reality of life in chaos. Women can, and do, stop gambling, and the author shares anecdotes from patients, and discusses therapeutic models and practical strategies to demonstrate how this is possible.

"

Women and Problem Gambling" is based on the author's research and theories developed throughout her extensive practice. The insights will be of value to anyone wanting to understand or work with problem gambling in women; from a woman with a problem herself, thorough to family, friends and any healthcare professionals or therapists involved in her care and treatment.

Addiction is much misunderstood. Women and addictive gambling even more so, and for many years women have suffered in silence. This book explores how lonely, troubled lives and damaging relationships lead to the trap of problem gambling, the anxiety and chaos whilst locked inside, and then offers realistic hope of a way out. With the significant increase in women gambling problematically, Women and Problem Gambling aims to answer the often asked question 'who is to blame?' the text covers: the role of the gambling industry the role of society women's relationships with others and themselves what ' hitting rock bottom ' truly is Case studies illustrate how gambling begins as harmless escapism and how stressful and sometimes painful lives, combined with spiralling debts, lead to desperation to avoid thoughts, feelings and the reality of life in chaos. Women can, and do, stop gambling, and the author shares anecdotes from patients, and discusses therapeutic models and practical strategies to demonstrate how this is possible. Women and Problem Gambling is based on the author's research and theories developed throughout her extensive practice. The insights will be of value to anyone wanting to understand or work with problem gambling in women; from a woman with a problem herself, thorough to family, friends and any healthcare professionals or therapists involved in her care and treatment.

The Behavioral Addictions is the first American Psychiatric Publishing title to explore the diagnosis and treatment of patients who suffer from behavioral addictions, extreme forms of which share specific characteristics with severe forms of substance use disorders. These characteristics include tolerance (the need to use the substance or perform the troublesome behavior at higher doses, or more and more frequently, in order to achieve the same effect); withdrawal (feelings of restlessness, irritability, and discontent following abrupt discontinuation of the substance or the behavior); obsessive thinking and planning that block out anything other than obtaining or engaging in the addictive agent or behavior; and accompanying external consequences in related to finances, health, interpersonal relationships, legal affairs, etc. Although not all behavioral addictions are currently recognized as such by DSM-5, both substances and behaviors can hijack a person's pleasure-and-reward brain circuitry, causing great suffering. This case-based volume is practical and engaging and offers many features that make it not only informative but also accessible and entertaining: * Behaviors covered, both those widely recognized and those less commonly accepted, involve exercise, food, gambling, Internet gaming, Internet surfing, kleptomania, love, sex, shopping, work, tanning, and e-mailing/texting.* Introductory chapters discuss the relationship of behavioral or process addictions to substance use disorders across many spheres, and they provide an overview of the behavioral addictions from neurobiological, theoretical, clinical, and forensic perspectives.* Gambling disorder is now classified in DSM-5 as a behavioral addiction, lending credence to the construct of behavioral addictions and providing precedent for future consideration of other behavioral addictions, such as those highlighted in the volume. * Each chapter focuses on a real-life case study of a patient with a behavioral addiction. Videos that accompany the volume demonstrate encounters between a clinician and a patient exhibiting an addiction. This puts material on assessment, treatment, etc. into a real-world context.* Key points for review and multiple-choice questions are included at the end of each chapter. Not simply an exaggeration of everyday social and personal ailments, these behavioral conditions present clinicians with unique and poorly researched challenges in everyday clinical practice. The Behavioral Addictions helps the reader to determine not only where to draw the line between healthy and unhealthy levels of participation in a behavior, but also how to intervene in ways that are therapeutic, effective, and evidence-based.

This new book offers professionals a practical guide to the psychological treatment of all substance abuse, including tobacco, alcohol, stimulant drugs, cannabis and opiates. It focuses on CBT interventions, which have the strongest evidence base for effectiveness in treating addictive disorders.

Written by an author team highly experienced in the treatment of addiction, "Applied Cognitive and Behavioural Approaches to the Treatment of Addiction" will be accessible to a wide range of professionals, such as specialist nurses, drug counsellors and mental health graduate workers.

The author team are all at the South London and Maudsley NHS Trust, UK.

Most of the existing literature on substance abuse and treatment is limited either solely to women or to both genders in general. Boys and men, however, have a higher rate of substance use, abuse, and addiction, and require more specialized treatment methods that take into account the unique developmental and social aspects they face throughout their lives. This text is a guidebook that takes a developmental lifespan approach to discuss the biological and psychosocial factors that may be either protective or risk factors for substance use disorders for males. This developmental approach will provide substance abuse prevention specialists and treatment clinicians with a basic understanding of male development in order to insure greater gender-sensitivity with their prevention efforts and to recognize gender-specific issues in the substance abuse assessment and treatment realms. Relevant case examples are included that illustrate work with boys and men of all ages and that address a variety of factors associated with culture, ethnicity, race, religion, and sexual orientation. Mental health practitioners working with boys and men will gain an increased awareness about substance abuse among males, a better understanding of male development in relation to substance use and abuse, and an increased skill-level to provide more comprehensive, gender-sensitive prevention and treatment practices for each developmental level outlined in the text.

Most of the existing literature on substance abuse and treatment is limited either solely to women or to both genders in general. Boys and men, however, have a higher rate of substance use, abuse, and addiction, and require more specialized treatment methods that take into account the unique developmental and social aspects they face throughout their lives. This text is a guidebook that takes a developmental lifespan approach to discuss the biological and psychosocial factors that may be either protective or risk factors for substance use disorders for males. This developmental approach will provide substance abuse prevention specialists and treatment clinicians with a basic understanding of male development in order to insure greater gender-sensitivity with their prevention efforts and to recognize gender-specific issues in the substance abuse assessment and treatment realms. Relevant case examples are included that illustrate work with boys and men of all ages and that address a variety of factors associated with culture, ethnicity, race, religion, and sexual orientation. Mental health practitioners working with boys and men will gain an increased awareness about substance abuse among males, a better understanding of male development in relation to substance use and abuse, and an increased skill-level to provide more comprehensive, gender-sensitive prevention and treatment practices for each developmental level outlined in the text.

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

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

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

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

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

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

The most addictive or problematic online activities

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

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

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

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

People have been using tobacco in a variety of forms for centuries. Remarkably, it was originally seen as something that could promote vigor and health. Of course, now we all know that tobacco use causes death and disability in epidemic proportions. If smoking is so bad for us, why in heaven’s name would anyone still smoke? Quite a bit has changed since tobacco first made the transition to a widely available agricultural product. Unfortunately, the general clinical approach to addressing this problem has failed to keep pace with tobacco technology and its addictive properties. People around the world who have fallen prey to the subtleties of nicotine addiction, or who care for those who have, would benefit from a deeper understanding of the ways in which nicotine can affect the brain’s function and change behaviors over a lifetime. Why People Smoke breaks down the science of tobacco dependence and presents it in a way that is both easily understandable and clinically useful for anyone interested in helping people break free of nicotine’s influence. Why People Smoke is a first-of-its-kind clinical guide to treating tobacco dependence. The book helps readers make meaningful connections between tobacco’s effects at the cellular level, the predictable behavioral manifestations of the disorder, and the social science and systems requirements required to make a fundamental impact on this disorder. Unlike previous publications like self-help books, step-by-step curricula, or clinical guidelines, Why People Smoke puts practical clinical insights—gained from twenty-five years of practice—into perspective, helping the reader understand how “brain change” translates into “mind change” and the persistent compulsion to smoke . . . despite a person’s desperate desire to stop. Reading Why People Smoke will change the way you see smoking forever.

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.

Isn't it unethical to pay people to do what they should be doing anyway? Won't patients just sell the reinforcers and buy drugs? Others didn't get prizes for not using. Why should they? The concerns surrounding Contingency Management (CM) are many and reflect how poorly understood and rarely utilized this evidence-based treatment model is in practice settings. Despite being identified as the most efficacious intervention for substance use disorders, a significant gap persists between research and practice, at the client's expense. Nancy Petry, an experienced researcher and consultant for organizations such as the National Institute of Health, has begun to fill this gap by authoring the first clinician-oriented text that focuses on CM protocol development and implementation. In this well-organized and clear book she provides a foundation for understanding CM and details how to design and implement a program that can work for any clinician, whether he or she works for a well-funded program or not. She also addresses realistic concerns such as: How to describe CM to eligible and ineligible patients How to calculate the costs of CM interventions How to solicit donations and raise funds to support CM interventions How to stock a prize cabinet and keep track of prizes Over 50 charts, worksheets, and tables are provided to help the clinician pinpoint exactly which behaviors to target, brainstorm how to reinforce change, and develop a treatment plan that incorporates cost, length of treatment, and method for determining patient compliance. Included with the book are downloadable resources of editable logs, forms, tables, and worksheets for personal use. More than just filling a void, Dr. Petry provides all of the tools clinicians require to successfully apply a novel treatment in practice.

How can the group setting be used to treat those with drug and alcohol problems? Many professionals working across a variety of addictions settings find themselves working in groups and tackling complex issues; however, there is often very little initial training or on-the-job support to help them in this challenging task. Principles and Practice of Group Work in Addictions has been written with the aim of addressing the key areas in working with drug and alcohol misuse while providing practical solutions to the more common problems that emerge in group work. Drawing on the expertise of clinicians who work in the field of addictions, this book offers readers practical advice for everyday practice. Divided into three sections it covers: core group work in addictions practical issues and solutions to common problems specific issues within the field of addictions. Principles and Practice of Group Work in Addictions is illustrated throughout with practical case examples, providing the reader with an insight into group work in this area. The book will supply guidance for mental health professionals including clinicians, psychologists, nurses and medical staff who encounter group work in addictions for the first time, as well as providing further knowledge and support to those who already work in the field.

Addiction is something that affects many different people from all walks of life and can be difficult for a therapist to treat, and the client to conquer. In this book fifteen people who have formerly had serious addictions speak about their experiences.

Survivors of Addiction draws on first-hand narratives to provide an overview of how and why people become addicted, and explores what happens after the addiction is left behind. Divided into four sections it covers:

• being caught up in addiction
• how and why users stop being addicted
• the early days after surviving addiction
• long-term outcomes.

By considering psychodynamic and Jungian perspectives as well as the clinical vignettes, this book examines the process of recovery from addiction. It will be key reading for therapists, clinicians and healthcare workers who encounter addictions in their day to day professions and will also be of great interest to those who are, or have been addicted, and their families.

Integrating scientific knowledge with today's most effective treatment options, Addiction Medicine: Science and Practice, 2nd Edition, provides a wealth of information on addictions to substances and behavioral addictions. It discusses the concrete research on how the brain and body are affected by addictions, improving your understanding of how patients develop addictions and how best to personalize treatment and improve outcomes. This essential text is ideal for anyone who deals with patients with addictions in clinical practice, including psychiatrists, health psychologists, pharmacologists, social workers, drug counselors, trainees, and general physicians/family practitioners. Clearly explains the role of brain function in drug taking and other habit-forming behaviors, and shows how to apply this biobehavioral framework to the delivery of evidence-based treatment. Provides clinically relevant details on not only traditional sources of addiction such as cocaine, opiates, and alcohol, but also more recently recognized substances of abuse (e.g., steroids, inhalants) as well as behavioral addictions (e.g., binge eating, compulsive gambling, hoarding). Discusses current behavioral and medical therapies in depth, while also addressing social contexts that may affect personalized treatment. Contains new information on compliance-enhancing interventions, cognitive behavioral treatments, behavioral management, and other psychosocial interventions. Includes neurobiological, molecular, and behavioral theories of addiction, and includes a section on epigenetics. Contains up-to-date information throughout, including a new definition of status epilepticus, a current overview of Lennox Gastaut syndrome, and updates on new FDA-approved drugs for pediatric neurological disorders. Features expanded sections on evidence-based treatment options including pharmacotherapy, pharmacogenetics, and potential vaccines. Addresses addiction in regards to specific populations, including adolescents, geriatric, pregnant women, and health care professionals. Includes contributions from expert international authors, making this a truly global reference to addiction medicine. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

This proposed book draws on the expertise of 35 experts in the field of Addiction Medicine to provide the reader with a current and comprehensive view of addiction as related to women, pregnancy, newborns, infants and children. The volume begins by placing current attitudes towards addicted women in a historical context, and continues with contributions on the relationship of gender to substance abuse research, addiction as a general health issue in women, and ethical dilemmas faced when approaching drug use during pregnancy. The volume discusses high-risk pregnancies and HIV infection related to maternal drug abuse. It details specific pharmacotherapy such as methadone and buprenorphine, and assesses society's punitive view toward illicit drug using women. Finally, the book describes outcomes of newborns, infants and children born following intrauterine drug exposure. Health providers in many related disciplines, specialists in Addiction Medicine, social workers and ethicists are among those who will gain insight into the complex interdisciplinary matrix of abuse in women, its unique relationship to pregnancy, and its impact on drug-exposed children. This book was published as a special issue in the Journal of Addictive Diseases.

The author visited the archives of the headquarters of A.A. in New York, and discovered new communications between Carl Jung and Bill Wilson. For the first time this correspondence shows Jung's respect for A.A. and in turn, its influence on him. In particular, this research shows how Bill Wilson was encouraged by Jung's writings to promote the spiritual aspect of recovery as opposed to the conventional medical model which has failed so abysmally. The book overturns the long-held belief that Jung distrusted groups. Indeed, influenced by A.A.'s success, Jung gave "complete and detailed instructions" on how the A.A. group format could be developed further and used by "general neurotics". Wilson was an advocate of treating some alcoholics with LSD in order to deflate the ego and induce a spiritual experience. The author explains how alcoholism can be diagnosed and understood by professionals and the lay person; by examining the detailed case histories of Jung, the author gives graphic examples of its psychological and behavioural manifestations.

This book is a treatment manual providing guidance for therapists treating clients with gambling addictions.

In this book the authors use a cognitive behavioural approach and provide a session by session guide for overcoming problem gambling. Essential topics covered include:

• assessment and psychoeducation
• cognitive behavioural strategies to stabilize gambling
• identifying and challenging thinking errors
• relaxation and imaginal exposure
• problem solving and goal setting
• managing negative emotions
• relapse prevention: maintaining a balanced lifestyle and coping with high risk situations

A Cognitive Behavioural Therapy Programme for Problem Gambling supplies detailed information to help the therapist and client understand gambling behaviours, as well as practical advice on techniques that can be used with the client to change these behaviours.

This practical guide includes handouts and exercises that can be downloaded by purchasers of the print edition. It will provide helpful guidance for addiction counsellors and therapists worldwide.