Coyote Speaks describes the strengths, the strategies, and the resilience a therapist needs to work successfully with alcoholics and addicts. It reports what a therapist sees, hears, smells, and feels in the midst of treating those yet to achieve sobriety, those recently sober, and those with years of recovery behind them. In the Navajo cosmology, those possessed by Coyote are neither inherently evil nor morally lacking, but like alcoholics and addicts they suffer from a malady of the soul as much as the body. The provocative humor of Coyote stories illustrates the mercurial and quixotic nature of the alcoholic and addict in treatment, while evocative case histories from the author's private practice reveal the humanity behind a disease that binds two individuals in a struggle toward honesty, humility, and sobriety. Coyote Speaks explores the darkness of alcohol and drug addiction, the humility we accept when we acknowledge our limitations as therapists, and the redemption we witness as we attend to a disease that is at best treatable. It is about caring enough, sometimes too much, and about knowing when to let go. It is about the importance of examining the trickster in each of us, and it is about listening, when Coyote speaks.

The practice of medicine is both learned and advanced through the compilation and study of cases -- vignettes that record the presentation, diagnosis, and treatment of individual patients and diseases. This is especially true of psychosomatic medicine (PSM), which depends on the "compelling case" to distill clinical knowledge and communicate it to students, residents, and clinicians. An invaluable contribution to the field, the Casebook of Psychosomatic Medicine describes the psychiatric symptoms and/or illnesses managed by the PSM psychiatrist in collaboration with other medical colleagues. The book presents a broad range of cases illustrating the medical, psychosocial, and intertwined situations psychiatrists are likely to encounter in an academic medical center setting.

No other single volume offers a broader range of engaging, detailed, and nuanced PSM cases, or grounds them so firmly in a psychiatric, psychosocial, and spiritual context. Here are just a few of this patient-centered book's most impressive and useful features: - The relevant science underlying each case is addressed in discussion sections, allowing the book to be read as a stand-alone volume. Alternatively, the cases can be read as instructive and insightful illustrations by the reader who has already absorbed the fundamentals of PSM from standard textbooks in the field.- This user-friendly book is organized by the organ system or disease type of the presenting illness or symptom.- Content rare in volumes of this kind includes detailed coverage of the diagnosis and management of cognitive disorders; the management of drug toxicity states; determinations of decisional capacity for medical decision making; and "stress and adaptation," an issue the PSM psychiatrist encounters daily.- The authors strongly believe that one of the most crucial roles for the psychiatrist is in the medical center, and the book reflects that orientation. - The book addresses the importance of understanding the impact of patients' systemic illnesses on their psychiatric symptoms, and modifying interventions and care accordingly. These abilities are critical to sound PSM practice.

Although PSM has a long and noble history, it is the newest of the psychiatric subspecialties, and as the literature expands, more and more clinicians will incorporate PSM treatment modalities into their practice. The Casebook of Psychosomatic Medicine is an essential contribution to that body of knowledge and establishes a new standard with which to face the future of this exciting field.

This is the basic text of the Narcotics Anonymous fellowship. Just as with alcoholism, there is no 'cure' for narcotic addiction, but recovery is possible through a program adapted from the ""Twelve Steps and Twelve Traditions"" of Alcoholics Anonymous. This book, written by addicts, for addicts, about addicts, sets forth the spiritual principles of Narcotics Anonymous that hundreds of thousands of addicts have used in recovery. Intended as a complete textbook for every addict seeking recovery, ""Narcotics Anonymous"" describes the N.A. program and how it works. It includes the ""N.A. Twelve Steps and Twelve Traditions"", as well as many personal stories of men and women who have found freedom from addiction through Narcotics Anonymous.

Women, Girls, and Addiction is the first book on the efficacy of treatment approaches and interventions that are tailored to working with addicted women, and the first publication of any kind to provide a feminist approach to understanding the experience of addiction from the female perspective. Part I of the book provides an overview of feminist theory and addiction counseling, followed by an historical look at women and addiction (research, treatment, demographics). The three chapters in part two give an in-depth look at the biological, psychological, and social factors of the experience of addiction as unique in women. The final section of the book presents a series of chapters spanning the lifespan, which each feature age-specific special issues, treatment strategies, interventions, and commonly encountered topics in therapy with the population.

Patients who have both a psychiatric disorder and a substance abuse problem cause most clinicians to throw up their hands in despair. The clinical problems that these "dual diagnosis" patients present are enor mously complex. Diagnostically, how is one to tell if disorders of mood and thinking, for instance, are signs of a mental illness or consequences of substance abuse? How is one to obtain important historic information when the patient may be unable or unwilling to provide it and there are no readily available collateral sources of information? In any case, why bother? Treatments for dually diagnosed patients are ineffective; patients won't stay in treatment; recidivism occurs at a very high rate. To make matters even more difficult, traditional health care reim bursement mechanisms do not provide for the multimodality clinical programs and special services needed by the patient who is both mentally ill and a substance abuser. So the clinician needs an effective bureaucratic strategy as well as a treatment strategy. For the most part, clinicians have handled the problem by ignoring it."

Now in its sixth edition, Living with Drugs continues to be a well-respected and indispensable reference tool. Michael Gossop has updated this new edition to take account of new laws and practices that have come in to place since the previous edition, published in 2000. Written in an accessible style and providing a balanced perspective, the book is ideal for non-specialists in training, such as student nurses and social workers and for anyone with an interest in this complex, ever-present and emotive issue.

This classic study is concerned with addiction to opiate-type drugs and their synthetic equivalents. Lindesmith proposes and systematically elaborates a rational, general theoretical account of the nature of the experiences which generate the addict's characteristic craving for drugs. While this theoretical position has obvious implications for addictions that resemble opiate addiction in that they also involve drugs which produce physical dependence and withdrawal distress, the author does not extend the theory to these other forms of addiction, such as alcoholism.

The central theoretical problem is posed by the fact that some persons who experience the effects of opiate-type drugs and use them for a period sufficient to establish physical dependence do not become addicts, while others under what appear to be the same conditions, do become addicted. The focus of theoretical attention is on those aspects of addiction which may reasonably he regarded as basic or essential in the sense that they are invariably manifested by all types of addicts regardless of place, time, method of use, social class, and other similar variable circumstances. Lindesmith then makes a brief statement of a view of current public policy concerning addiction in the United States reform which, it is believed, would substantially reduce the evils now associated with addiction and the large illicit traffic in drugs. He interviews approximately fifty addicts over a fairly extended period of time sufficient to establish an informal, friendly relationship of mutual trust.

The attempt to account for the differential reactions among drug users requires specification of the circumstances under which physical dependence results in addiction and in the absence of which it does not. It also requires careful consideration of the meaning of "addiction," spelled out in terms of behavior and attitudes characteristic of opiate addicts everywhere. This book strives to understand these aspects of addiction with the ultimate goal of understanding the factors which create its foundations.

Alfred R. Lindesmith (1905-1991) was professor of sociology at Indiana University and was one of the first scholars to provide a well-researched account on the subject of addiction. He believed that opiate addiction was based on dramatic shifts of an individual's mental and motivation states.

Three out of four people addicted to heroin probably started on a prescription opioid, according to the director of the Centers for Disease Control and Prevention. In the United States alone, 16,000 people die each year as a result of prescription opioid overdose. But perhaps the most frightening aspect of the prescription drug epidemic is that it's built on well-meaning doctors treating patients with real problems. In Drug Dealer, MD, Dr. Anna Lembke uncovers the unseen forces driving opioid addiction nationwide. Combining case studies from her own practice with vital statistics drawn from public policy, cultural anthropology, and neuroscience, she explores the complex relationship between doctors and patients, the science of addiction, and the barriers to successfully addressing drug dependence and addiction. Even when addiction is recognized by doctors and their patients, she argues, many doctors don't know how to treat it, connections to treatment are lacking, and insurance companies won't pay for rehab. Full of extensive interviews-with health care providers, pharmacists, social workers, hospital administrators, insurance company executives, journalists, economists, advocates, and patients and their families- Drug Dealer, MD, is for anyone whose life has been touched in some way by addiction to prescription drugs. Dr. Lembke gives voice to the millions of Americans struggling with prescription drugs while singling out the real culprits behind the rise in opioid addiction: cultural narratives that promote pills as quick fixes, pharmaceutical corporations in cahoots with organized medicine, and a new medical bureaucracy focused on the bottom line that favors pills, procedures, and patient satisfaction over wellness. Dr. Lembke concludes that the prescription drug epidemic is a symptom of a faltering health care system, the solution for which lies in rethinking how health care is delivered.

This text argues that all primary alcoholics and many alcohol abusers need intensive individual psychotherapy. A structured psychodynamic therapy approach is described, which the author claims can successfully treat 80per cent of primary alcoholics in only 18 months.

"The Wiley Concise Guides to Mental Health: Substance Use Disorders" uses clear, highly accessible language to guide the reader through the entire continuum of addiction care and present the latest scientific understanding of substance use and abuse. This comprehensive, informative reference provides a complete overview of diagnosis, treatment, research, emerging trends, and other critical information about chemical addictions. Both biomedical and psychiatric conditions and complications are thoroughly covered.

Like all the books in the "Wiley Concise Guides to Mental Health" series, "Substance Use Disorders" features a compact, easy-to-use format that includes: Vignettes and case illustrationsA practical approach that emphasizes real-life treatment over theoryResources for specific readers such as clinicians, students, or patients

In addition to the fundamentals of chemical addictions and treatment, "Substance Use Disorders" covers some of the most cutting-edge topics in the field, including innovative treatment approaches, outcome demands, brain science, relapse-prevention strategies, designer drugs, spirituality, and other areas. This straightforward resource is admirably suited for a wide variety of readers, from those in the helping professions, to law enforcement personnel, to recommended reading for clients currently in treatment.

Research in the past decade has shown that substance abuse and substance dependence are treatable. The field has witnessed the introduction of evidence-based psychological and specific pharmacological treatments. Unfortunately, many of the empirical supported therapies for addictions are still not widely applied by practitioners. The third volume in the "Practical Clinical Guidebooks Series (PCG), Evidence-Based Treatment in Substance Abuse "and Dependence would encompass the developments in the field over the last decade, blending theory, techniques and clinical flexibility. The book will provide case illustrations on assessment as well as therapy, and will be suitable for practitioners and students training in clinical and counseling psychology, psychiatry, social work and related fields.
The book would define the characteristics, classification, and prevalence of substance use disorders, and provide the clinician with practical guidelines applicable across a variety of treatment settings and patient groups. Drawing on the recent research in the field, the authors will provide the practicing clinician and student with an up-to-date understanding of the epidemiology, etiology, course and prognosis of substance abuse disorders that would be relevant to clinical practice. In addition to describing phenomenology and etiology, the book provides a comprehensive guide to the assessment and treatment of DSM-IV-TR substance abuse disorders (SUDs), including abuse and dependence of alcohol, stimulants, opiates, hallucinogens, cannabis/marijuana, sedative, and party drugs. Illustrative case histories will help the reader to understand the phenomenology and assessment of SUDs. Lastly, thepresentation of empirically-based therapeutic approaches will help the clinician to decide with treatment will match his/her patient's needs.

Until recently, psychoanalysis has failed - on either a theoretical or clinical level - to keep pace with the significant changes in the type of patient seeking psychoanalytically-oriented psychotherapy. This book provides new ideas - on both a theoretical and clinical level - to fill the void left by the therapeutic collapse en route to contemporary psychotherapy.
It presents an evolved self-psychological model of addiction, including emphasis on clinical approaches, to treat challenging narcissistic patients with major forms of addiction. This is done via an in-depth study of the state of psychoanalysis and an introduction to the model and its place within the therapy of addicted patients. Cases are used to represent and illustrate analytic therapy with the five major forms of addiction.

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"Implementing Evidence-Based Practices for Treatment of Alcohol and Drug Disorders" provides managers and clinicians with results from Practice Improvement Collaboratives (PIC) that demonstrate how substance abuse treatment can be improved by increasing the exchange of knowledge between community-based service providers and the research community. The book examines improvement collaboratives and mentoring strategies for adopting and using evidence-based practices. Contributors address how to determine the best treatment processes to serve clients, how to deal with the hurdles faced in preparing and training counsellors, and how to affect the needed changes in agency activities. This unique professional resource responds to an Institute of Medicine report that found a substantial disconnect between research and practice in treatment for drug and alcohol dependence. Focusing on how to make the changes necessary to support the adoption and use of evidence-based practices, the book documents the activities of four sites to illustrate how investigators and treatment practitioners worked together to implement evidence-based practices. Contributors examine the development and early implementation of Practice Improvement Collaboratives, the investigator-provider-policymaker model, Motivational Enhancement Therapy, the use of Opinion Leaders in training, and targeted strategies that take into account the differences in clinician demographics and training. "Implementing Evidence-Based Practices for Treatment of Alcohol and Drug Disorders" is an essential tool for alcohol and drug counsellors, directors of alcohol and drug treatment clinics, and instructors in counsellor training and academic programs.

Every day, huge numbers of people use drugs or alcohol for recreation, medication, celebration, stress management, social lubrication, or escape. The abuse of psychoactive chemicals touches individual lives in countless ways, and clients frequently hint in therapy sessions at problems related to substance misuse. But historically, substance abuse treatment has been regarded as a separate specialty, for which students and trainees often prepare along tracks different from those leading to licensing or certification as psychotherapists. Few non-specialists feel completely competent and willing to grapple closely with the issues these clients present, in spite of the fact that such problems are quite frequent among client populations.
In this book, Cynthia Glidden-Tracey lays out an integrated, holistic, and effective approach to clients' inevitably intertwined problems, which encourages all practitioners to develop skills for detecting, assessing, and addressing substance use whenever concerns about it emerge in the course of therapy. She describes the frequent co-occurrence of substance misuse and other mental health problems, reviews therapy models and current professional questions, and empowers practitioners with the latest scientific knowledge about the causes and effective treatment of addictions. Throughout, her points are grounded in rich clinical examples.

Every day, huge numbers of people use drugs or alcohol for recreation, medication, celebration, stress management, social lubrication, or escape. The abuse of psychoactive chemicals touches individual lives in countless ways, and clients frequently hint in therapy sessions at problems related to substance misuse. But historically, substance abuse treatment has been regarded as a separate specialty, for which students and trainees often prepare along tracks different from those leading to licensing or certification as psychotherapists. Few non-specialists feel completely competent and willing to grapple closely with the issues these clients present, in spite of the fact that such problems are quite frequent among client populations.
In this book, Cynthia Glidden-Tracey lays out an integrated, holistic, and effective approach to clients' inevitably intertwined problems, which encourages all practitioners to develop skills for detecting, assessing, and addressing substance use whenever concerns about it emerge in the course of therapy. She describes the frequent co-occurrence of substance misuse and other mental health problems, reviews therapy models and current professional questions, and empowers practitioners with the latest scientific knowledge about the causes and effective treatment of addictions. Throughout, her points are grounded in rich clinical examples.

Addiction Counseling Review: Preparing for Comprehensive, Certification, and Licensing Examinations offers a clear, readable overview of the knowledge and skills those training as alcohol or other drug counselors need to pass their final degree program, certification, and licensing examinations. It is organized into six sections: Addiction Basics, Personality Development and Drugs, Common Client Problems, Counseling Theories and Skills, Treatment Resources, and Career Issues. Each chapter includes challenging study questions that enable readers to assess their own level of understanding, including true/false, multiple choice, and provocative discussion questions. Each chapter also provides a glossary of key terms and, in addition to references, annotated suggestions for further reading and Web site exploration. This book will be a resource to which students and trainees will go on referring to long after it has helped them through their examinations. In addition, faculty and established professionals will find it a useful one-stop summary of current thinking about best practice.

Addiction Counseling Review: Preparing for Comprehensive, Certification, and Licensing Examinations offers a clear, readable overview of the knowledge and skills those training as alcohol or other drug counselors need to pass their final degree program, certification, and licensing examinations. It is organized into six sections: Addiction Basics, Personality Development and Drugs, Common Client Problems, Counseling Theories and Skills, Treatment Resources, and Career Issues. Each chapter includes challenging study questions that enable readers to assess their own level of understanding, including true/false, multiple choice, and provocative discussion questions. Each chapter also provides a glossary of key terms and, in addition to references, annotated suggestions for further reading and Web site exploration. This book will be a resource to which students and trainees will go on referring to long after it has helped them through their examinations. In addition, faculty and established professionals will find it a useful one-stop summary of current thinking about best practice.

A psychiatrist examines how the world's four most important mind-altering substances- alcohol, cocaine, nicotine, and opiates-have played a significant role throughout human history, and explains how these powerful drugs affect the brain and cause addiction. Alcohol, cocaine, nicotine, and opiates have spurred some of the greatest human pleasure and pain across time. Providing information that ranges as widely as from ancient Egypt to modern times, this book comprehensively addresses the good, the bad, and the very ugliest aspects of these substances, examining their history, their effects on the brain and body, and on civilization itself. Frances R. Frankenburg, MD, employs accessible, everyday language to explain the neurology of addiction and describe how these "brain-robbing" substances work to hijack the brain's pleasure systems to create powerful addictions. The author also provides perspective into the intertwined, inescapable, and often uneasy relationship between these substances and human culture, economics, and politics-for example, how individuals become physically or psychologically addicted to alcohol, cocaine, nicotine, and opiates, while governments become financially "addicted" to the revenue, such as taxes, that can be collected from the sale and use of these substances. Presents a historical review of four plant-derived drugs-alcohol, cocaine, nicotine, and opiates-and their effects throughout human civilization, as well as a fascinating exploration of the mystery and misery of addiction Provides comprehensive explanations of medical and psychiatric effects of these drugs Supplies stories of people who made discoveries about these drugs or who had their lives altered by them Describes the discovery of the way in which the brain works Includes illustrations of brain pathways and of the four plants of origin for these drugs, and maps showing drug trade triangles

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

This volume provides a comprehensive review of the essentials of the Therapeutic Community (TC) theory and its practical "whole person" approach to the treatment of substance abuse disorders and related problems. Part I outlines the perspective of the traditional views of the substance abuse disorder, the substance abuser, and the basic components of this approach. Part II explains the organizational structure of the TC, its work components, and the role of residents and staff.

The chapters in Part III describe the essential activities of TC life that relate most directly to the recovery process and the goals of rehabilitation. The final part outlines how individuals change in the TC behaviorally, cognitively, and emotionally. This is an invaluable resource for all addictions professionals and students.

Counsellors and therapists sometimes work with clients who present particular issues, in which the therapist has no specialist training. Issues may highlight the need for specialist advice, so that they can continue to work with the client, or can decide if specialist help is required. This book is written in a question and answer style, with several types of reader in mind. It is intended primarily as a source of help for established counsellors and therapists, who wish to enhance their capacity to offer help to those affected by problematic drug use. It will be of help also to those studying to become counsellors and therapists. It will also appeal to those who may wish to enquire further into the process of counselling those who use drugs, whatever the reasons for their curiosity. Typical questions about alcohol and drug use are answered by a series of experts in the field.

Contents:
Dilts, Series Introduction. McCance-Katz, Clark, Book Introduction. Larimer, Palmer, Marlatt, Relapse Prevention: An Overview of Marlatt's Cognitive-behavioral Model. Noonan, Moyers, Motivational Interviewing. Carroll, Libby, Sheehan, Hyland, Motivational Interviewing to Enhance Treatment Initiation in Substance Abusers: An Effectiveness Study. Gallanter, Dermatis, Keller, Trujillo, Network Therapy for Cocaine Abuse: Use of Family and Peer Support. Miller, Meyers, Hiller-Sturmhofel, The Community Reinforcement Approach. Higgins, Alessi, Dantona, Voucher-based Incentives: A Substance Abuse Treatment Innovation. Rawson, Huber, McCann, Shoptaw, Farabee, Reiber, Ling, A Comparison of Contingency Management and Cognitive-behavior Approaches during Methadone Maintenance Treatment for Cocaine Dependence. Westermeyer, Myott, Aarts, Thuras, Self-help Strategies among Patients with Substance Abuse Disorders. Kasprow, Rosenheck, Frisman, DeLella, Residential Treatment for Dually Diagnosed Homeless Veterans: A Comparison of Program Types. Kaminer, Burleson, Psychotherpies for Adolescent Substance Abusers: 15-Month Follow-up of a Pilot Study. Martin, The Links between Alcohol, Crime and the Criminal Justice System: Explanations, Evidence, and Interventions.

The author uses fictitious dialogue, almost novel-like, to explore the nature of drug use and the therapeutic process involved in helping someone overcome the emotional and psychological difficulties that can be associated with their drug use.

Childhood trauma, recovered memories, dissociated states are all addressed in this compelling read.

This book provides a new realism in understanding the world of alcohol counselling. It uses dialogue to enable the reader to appreciate the nature of counselling a person with an alcohol problem through the application of person-centred counselling theory. It provides deep insights into what goes on in counselling sessions and how this links into the counsellor's own supervision. It is essential reading for all counselling trainers, supervisors and trainees, provides useful approaches and frameworks for other caring professions, and includes many valuable insights for clients themselves.

Despite a rapid increase in the availability of many forms of gambling, there has been little serious study in the literature of the likely effects. This book seeks to fill that gap by reviewing what is known about gambling in Britain and studying work on the nature, prevalence and possible causes of problem gambling.
Drawing on the history and recent British studies on the subject, Gambling and Problem Gambling in Britain gives an in-depth theoretical and practical viewpoint of this subject. Areas covered include:
* gambling in Britain since Victorian times
* expansion of gambling in the late twentieth century
* what we now know about problem gambling and its treatment
* a consideration of the future of gambling in Britain.
This book will be invaluable for professionals, trainees and academics in the areas of counselling, primary care, probation and social work.

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