The purpose of this book is to review our state of knowledge about the neurobehavioral and psychosocial processes involved in behavioral inhibitory processes and to provide an insight into how these basic research findings may be translated into the practice of drug abuse prevention interventions. Over the last decade, there has been a wealth of information indicating that substance use disorders do not simply reflect an exaggeration of reward seeking behavior, but that they also represent a dysfunction of behavioral inhibitory processes that are critical in exercising self-control. A number of studies have determined that individuals with substance use disorders have poor inhibitory control compared to non-abusing individuals. In addition, the fact that the adolescent period is often characterized by a lack of inhibitory control may be one important reason for the heightened vulnerability for the initiation of drug use during this time.

Controlled experiments utilizing neuroscience techniques in laboratory animals or neuroimaging techniques in humans have revealed that individual differences in prefrontal cortical regions may underlie, at least in part, these differences in inhibitory control. Although a few excellent journal reviews have been published on the role of inhibitory deficits in drug abuse, there has been relatively little attention paid to the potential applications of this work for drug abuse prevention. The current book will provide both basic and applied researchers with an overview of this important health-relevant topic. Since translational research cuts across multiple disciplines and most readers are not familiar with all of these disciplines, the reading level will be geared to be accessible to graduate students, as well as to faculty and researchers in the field.

The book will be organized around three general themes, encased within introductory and concluding chapters. The first theme will review basic neurobehavioral research findings on inhibition and drug abuse. Chapters in this theme will emphasize laboratory studies using human volunteers or laboratory animals that document the latest research implicating a relation between inhibition and drug abuse at both the neural and behavioral levels of analysis. The second theme will move the topic to at-risk populations that have impulse control problems, including children, adolescents and young adults. The third theme will concentrate on prevention science as it relates to inhibitory control. Chapters in this theme will be written by experts attempting to develop and improve prevention interventions by integrating evidence-based knowledge about inhibitory control processes. In all of the chapters, writers will be asked to speculate about innovative approaches that may be useful for the practice of prevention.

Dual Diagnosis, the second volume in the Key Readings in Addiction Psychiatry Series, broadly illuminates the nature, presentation, evaluation and treatment of persons with co-occurring mental and substance use disorders. Selected from high quality, peer-reviewed journals, the presented articles are authored by some of the most eminent researchers in their respective fields. The reader will come away with up-to-date, evidence-based information on identification and intervention regarding comorbidity of substance use and mood, anxiety, personality and severe mental disorders such as schizophrenia and bipolar disorder.

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Drugs and drug use are an integral part of human culture. Yet we know hardly anything about drugs, at least not the kind of knowledge that would help us to understand how drugs affect people and how people beome addicted to drugs. This is most surprising in the light of the vast amount of knowledge accumulated in the sciences. Psychoanalysis might

The concept of sexual addiction has gained increasing recognition in the academic and healthcare communities since the 1990s. It has also captured the attention of the media, where there has been much debate over whether it can truly be described as an addiction. What is certain is that many people struggle with out of control sexual behaviour, which takes over their lives and has harmful consequences for their relationships, careers and finances. The Routledge International Handbook of Sexual Addiction brings together a comprehensive range of perspectives on sexual addiction from a worldwide selection of scholars and therapists. It sets out to define sexual addiction and to study its causes from a range of different psychological perspectives. A series of presentations of sexual addiction are outlined, including internet sexual addiction and the relationship between paraphilias and sex addiction. The handbook considers both individual and group treatment strategies, drawing on a wide range of approaches, including cognitive behavioural therapy, mindfulness and 12-step programmes. The book studies sex addiction in specific populations including women, adolescents and men who have sex with men. Finally, it considers some of the alternative discourses surrounding the concept of sexual addiction. This is the first comprehensive reference book to bring together global viewpoints on advances in research, theory and practice in one volume. This handbook provides an essential guide for academics and students of psychotherapy, counselling, nursing, addiction, sexualities, social work and health and social care, as well as professionals in practice and in training working with sexual addiction and related issues.

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

The field of drug addiction and substance abuse, which was initially confined to behavioral studies, has broadened dramatically. It now includes a vast array of cellular and molecular approaches as well as sophisticated electrophysiological and neurochemical methodologies that bridge the gap between cellular/molecular events and behavior. In many cases, these techniques are used to clarify and characterize specific dimensions of the addictive process or actions of potential abuse.

Methods of Drug Abuse Research: Cellular and Circuit Level Analyses assembles this information in one volume. It bridges the gap between cellular and molecular studies of drug actions and behavioral approaches to questions in drug abuse research. The book presents state-of-the-art technical information and critical reviews of the experimental strategies used to dissect the problem of compulsive drug use and addiction at the systems or whole brain level. Chapters provide examples of the use of neurochemical and delectrophysiological the techniques in drug studies, as well as insight into the pros and cons of these various experimental strategies.

Focusing on neurochemical and neurophysiological techniques that assess drug actions on neural circuits and neural networks in intact animals, this state-of-the-art reference provides detailed descriptions of procedures as well as methods and equipment used in experiments that often employ multiple technical approaches. Methods of Drug Abuse Research brings together pertinent issues in drug abuse research and systems level investigative techniques, thus allowing you to effectively grasp the critical conceptual and technical issues associated with modern drug abuse studies.

You don't have to reinvent the wheel--select and implement an effective substance abuse program from this essential book This essential book is the first ever published on exemplary models of adolescent drug treatment. It delivers detailed descriptions of exemplary drug treatment models and gives you the latest information on substance use and its consequences to aid your work with adolescents who use alcohol and drugs. The in-depth examinations of treatment models you'll find in this book include programs serving adolescent substance users from a wide range of ethnic and cultural backgrounds (African Americans, Hispanics, Whites, Native Americans, Russian Immigrants). With sections covering outpatient, residential, family-oriented, and modified therapeutic community (TC) programs, this book is a vital reference for educators and students as well as practitioners. Adolescent Substance Abuse Treatment in the United States: Exemplary Models from a National Evaluation Study gives you thoughtful examinations of: trends in adolescent substance use and treatment approaches three exemplary outpatient treatment programs, including program design, treatment issues, and client characteristics the Multidimensional Family Therapy Approach (MDFT), a family-oriented outpatient treatment model used to intervene with younger adolescents a 30- to 60-day residential treatment program that is based on a medical model which blends in treatment approaches from the therapeutic community model the special treatment needs and issues of substance-using Native American youths issues of gender differences as they relate to drug use and trauma three different modified therapeutic community treatment models and much more Adolescent Substance Abuse Treatment in the United States is an invaluable source of information for anyone working with this vulnerable population. Use it to choose and implement the program that will work best for you and your clients

The classic text--thoroughly updated for 2002 Managing the Dually Diagnosed Patient: Current Issues and Clinical Approaches, Second Edition provides a wealth of useful information on effectively treating substance abusers who also suffer from mental illness. This second edition is updated to apply the latest information on the assessment, treatment, and management of co-existing disorders. It includes new information on special treatment considerations for women and adolescents and examines the restrictions placed on treatment in the age of managed care. Certain to enhance your knowledge about a highly misunderstood population, this updated volume addresses the theoretical, conceptual, and practical issues involved in caring for dually diagnosed patients. Treatment professionals from hospitals, medical schools, addiction treatment programs, and dual disorder units come together to examine the critical issues in the assessment and treatment of dually diagnosed individuals and offer an up-to-date review of the latest knowledge in research and rehabilitation.Managing the Dually Diagnosed Patient: Current Issues and Clinical Approaches, Second Edition delivers up-to-date information on: substance abuse and psychopathology psychodiagnostic assessment training issues for dealing with comorbidity how collaboration with other helping professionals can improve your treatment of dually diagnosed patients understanding and treating the psychiatric problems common within chemically dependent populations-affective disorders, anxiety disorders, personality disorders, and schizophreniaThis updated volume contains new case studies, treatment protocols, and a comprehensive overview of the existing literature on dual diagnosis assessment and treatment that integrates practical clinical considerations and approaches based on the authors'extensive experience. Add it to your reference shelf today

Working with Substance Misusers is a practical handbook for students and those who work with people who misuse drugs or alcohol. Written by experienced teachers and clinicians, the book introduces:
* the substances themselves
* theories relevant to substance use and misuse
* the skills necessary to work with this client group
* the broad range of approaches to treatment
* particular problems of specific groups.

The reader is encouraged to read and reflect on the material in relation to their own practice. To help this process, each topic has an identified set of learning objectives. Activities designed to reinforce learning include discussion points, case studies, role plays and group exercises.

Working with Substance Misusers makes clear the connection of theory to practice and encourages a skills-based, but reflective, approach to work in this complex field. Cutting across professional boundaries, it provides both new and more experienced practitioners with a key text.

Recent years have seen a growth in the numbers of studies of substance abuse and dependence in adolescence, focusing on prevalence, risk factors, comorbidity, course and outcome. At the same time, numerous prevention and intervention strategies have been developed. Substance Abuse and Dependence in Adolescence presents a comprehensive review of state-of-the-art empirical and practical information on this topic.
Cecilia A. Essau, along with an eminent group of international researchers and clinicians, summarises the most recent empirical findings and state-of-the-art knowledge on substance abuse and dependence in adolescence and includes comprehensive information on prevention and treatment. Substance Abuse and Dependence in Adolescence contains:
* general issues related to substance use disorders
* epidemiology, comorbidity, course, outcome and risk factors
* the prevention and intervention of substance abuse and dependence
* a discussion of progress and unresolved issues in substance use disorders
* recommendations for future studies in the field.
Substance Abuse and Dependence in Adolescence will be an invaluable resource for students, researchers, and other professionals working in the fields of psychology, psychiatry, paediatrics, social work and other mental health professions.

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At a world level addiction and the fall-out from substance use is affecting more and more lives. Professionals are increasingly being confronted with puzzling, multifaceted aspects of substance use, whether they work in a clinic, the laboratory or the community.
If you are a member of any caring profession, sooner or later you will encounter problems caused by drugs, alcohol and tobacco. In order to understand substance use and substance users, no single discipline can provide all the answers. In a novel way, this book integrates biological science, social science and clinical experience. It draws together contributions from experts in these diverse and rapidly growing fields, providing the reader with a deeper capacity to engage with problems effectively.
Drink, Drugs and Dependence includes thought-provoking examples, illustrations and test questions to support problem-based learning. Designed to be read consecutively or as a reference text, it will be a welcome resource for all those working in the field of addiction.

At a world level addiction and the fall-out from substance use is affecting more and more lives. Professionals are increasingly being confronted with puzzling, multifaceted aspects of substance use, whether they work in a clinic, the laboratory or the community.
If you are a member of any caring profession, sooner or later you will encounter problems caused by drugs, alcohol and tobacco. In order to understand substance use and substance users, no single discipline can provide all the answers. In a novel way, this book integrates biological science, social science and clinical experience. It draws together contributions from experts in these diverse and rapidly growing fields, providing the reader with a deeper capacity to engage with problems effectively.
Drink, Drugs and Dependence includes thought-provoking examples, illustrations and test questions to support problem-based learning. Designed to be read consecutively or as a reference text, it will be a welcome resource for all those working in the field of addiction.

Contents:
EPIDEMIOLOGY
Warner, L.A., Kessler, R.C., Hughes, M., Anthony, J.C., and Nelson, C.B. 'Prevalence and Correlates of Drug Use and Dependence in the United States. Results from the National Comorbidity Survey.' Archives of General Pychiatry 52 (1995).

GENETICS
Sigvardsson, S., Bohman, M., and Cloninger, C.R., 'Replication of the Stockholm Adoption Study of Alcoholism Confirmatory Cross-Fostering Analysis.' Archives of General Psychology 53 (1996).
Merikangas, K.R., Stolar, M., Stevens, D.E., Goulet, J., Preisig, M.A., Fenton, B., Zhang, H., O'Malley, S.S., and Rounsaville, B.J. 'Familial Transmission of Substance Use Disorders.' Archives of General Psychiatry 55 (1998).

NATURAL HISTORY
McLellan, A.T., Lewis, D.C., O'Brien, C.P., and Kleber, H.D. 'Drug Dependence, a Chronic Mental Illness: Implications for Treatment, Insurance, and Outcomes Evaluation.' Journal of the American Medical Association 284 (2000).
Schuckit, M.A., and Smith, T.L. 'An 8-Year Follow-Up of 450 Sons of Alcoholic and Control Subjects.' Archives of General Psychiatry 53 (1996).
Vaillant, G.E. 'A Long-Term Follow-Up of Male Alcohol Abuse.' Archives of General Psychiatry 53 (1996)

EVOLUTION
Nesse, Randolph M. 'An Evolutionary Perspective on Substance Abuse.' Ethology and Sociobiology 15 (1994).

NEUROBIOLOGY OF DISEASE
Berke, J.D., and Hyman, S.E. 'Addiction, Dopamine, and the Molecular Mechanisms of Memory.' Neuron 25 (2000).
O'Brien, Charles P., Childress, Anna Rose, Ehrman, Ronald, and Robbins, Steven J. 'Conditioning Factors in Drug Abuse: Can they Explain Compulsion?' Journal of Psychopharmacology 12 (1998).
Robinson, T.E. and Berridge, K.C. 'The Neural Basis of Drug Craving: An Incentive-Sensitization Theory of Addiction.' Brain Research Reviews 18 (1993).
Tiffany, Stephen T. 'A Cognitive Model of Drug Urges and Drug-Use Behavior: Role of Automatic and Nonautomatic Processes.' Psychological Review 97 (1990).
Volkow, N.D., Wang, G.J., Fowler, J.S., Logan, J., Gatley, S.J., Hitzemann, R., Chen, A.D., Dewey, S.L., and Pappas, N. 'Decreased Striatal Dopaminergic Responsiveness in Detoxified Cocaine-Dependent Subjects.' Nature 386 (1997).

This provocative and controversial book challenges a number of widely held ideas in the alcohol/drug field by critically evaluating the bases of these ideas. The field of alcohol/drug studies is fraught with conflict and controversy, and each generation of researchers and practitioners seems to have its own special areas of conflict. In this new volume, experts focus on a number of important issues of current interest and controversy. Is alcoholism a "disease" or is it not? Should federal bans on drugs like heroin and cocaine be removed and will that solve, modify, or exacerbate the problem? Can the risk for alcoholism really be predicted?Professionals from a very wide variety of disciplines--medicine and biochemistry, psychiatry and psychology, philosophy, anthropology, law, social work, and journalism--present their very differing points of view on the perception of alcoholism as a disease and on public policy issues like proposed legislative controls over alcoholic beverages. Current Issues in Alcohol/Drug Studies touches upon a number of questions that will be of interest both to people in alcohol/drug research and in alcohol/drug treatment and prevention. Because it will undoubtedly stimulate further investigation and debate, researchers and policymakers will also find it useful.

Adolescent substance use is a serious-and potentially deadly-problem with many repercussions for the adolescent, the family, and society at large. It is also an issue that too few education professionals feel prepared to address even as they see it playing out in their schools and classrooms. Struggling with Substance Use: Supporting Students' Social Emotional Learning presents evidence on the magnitude of the problem and the many underlying factors and commonly co-occurring disorders associated with student substance use. It covers the risk factors for adolescent substance use (e.g., trauma, ADHD, peer pressure, and family dysfunction) and contrasts each with specific protective factors that education professionals need to consider when designing schoolwide programs and classroom initiatives. Each chapter concludes with an example of an evidence-based program that has made a difference for students and families. Armed with knowledge, understanding, and examples of proven programs, school professionals can incorporate the necessary protective factors to provide hope and help for struggling students and their families.

The Clinical Manual for Treatment of Alcoholism and Addictions provides a concise overview of addiction treatment issues relevant to physicians, nurses, psychologists, social workers, alcohol and drug counselors, and rehabilitation therapists who are involved in the care of patients with substance use disorders.

Drawing from their extensive experience in treating addictions in both inpatient and outpatient settings, the authors have assembled a wealth of clinical information condensed into one easy-to-read guide. The manual - Presents an overview of the genetics, biological markers, and pathophysiology of addiction.- Covers specific addictive substances in detail -- including epidemiology, presentation, and diagnosis.- Highlights underlying issues related to each substance and includes sections on polysubstance abuse and psychiatric comorbidity.- Touches on various evaluation and assessment tools- Reviews psychosocial and pharmacological treatment modalities.

Throughout the book, complex material is made accessible through the generous use of tables and charts, and key points summarize the important take-away points for each chapter In addition, the manual offers extensive coverage of many different aspects of addiction psychiatry: - Specific patient populations, such as children and adolescents, seniors, mentally and physically handicapped persons, the chronically ill, and the homeless- Various treatment settings, such as general hospitals, outpatient medical settings, and emergency departments- Behavioral addictions, such as pathological gambling, kleptomania, and compulsive buying- Violence, crime, and suicidal behavior

With their vast impact on our culture and society, substance use disorders may well become one of the main challenges for psychiatry in the twenty-first century. Effective approaches to substance use disorders require treatment combinations tailored specifically to each individual. The Clinical Manual for Treatment of Alcoholism and Addictions is an invaluable tool for informing clinicians about the wide array of treatment options available to help their patients who struggle with substance abuse problems.

This is a comprehensive clinical resource for addiction counselors who want to learn about the psychological components of the problem, for individual therapists--dynamic, cognitive, and behavioral--who want to understand systems approaches in order to draw on a broader repertoire of useful interventions, and for couple and family therapists who want to learn more about the intrapsychic, biological, and pharmacological aspects of addiction. Dr. Jerome D. Levin takes the reader down the parallel paths of addiction treatment and individual and family therapy until they meet on the bridge of actual clinical practice. Practitioner, professor, prolific author, and respected authority in the field, Dr. Levin uses approaches to the treatment of alcoholism as a model for illustrating how theory, research, technique, and flying by the seat of the professional pants can integrate into a therapeutic style to help substance abusers and their partners and families.

The consumption of drugs and alcohol, and the pleasures and problems arising from this consumption, can be understood as embedded and constitutive elements of social, family, and recreational life. At the same time, they are key sites of intervention for a broad array of state and non-state actors focused on regulation, treatment, and recovery. This edited volume showcases current research on the complex social and cultural geographies of drugs and alcohol. Taking an avowedly critical approach, the authors draw from a variety of theoretical traditions to explore the socially and spatially embedded nature of alcohol and drug consumption, regulation and treatment, and the ways in which these give rise to particular lived experiences, while foreclosing on others. Together, the chapters question taken-for-granted assumptions about the nature of, and motivations for, drug and alcohol use, and pay direct attention to both the intended and unintended consequences of regulation and treatment initiatives. Despite and, in part, because of this critical stance, chapters hold immediate implications for drug and alcohol policy and public health interventions. This book was originally published as a special issue of Social and Cultural Geography.

Often, people use nicotine, caffeine, and some level of alcohol in varying combinations at different times of the day in order to optimize their functioning and feelings of well-being, whether at work, in leisure time, or in a social context. However, until now, studies on the effects of this everyday practice have been diverse, widespread, and insufficiently summarized. Recently developed methods to study the effects in more detail have received little attention, especially among a nonscientific readership.
Nicotine, Caffeine and Social Drinking focuses readers' attention on the effects of normal, socially accepted psychoactive substances on cognitive performance and on the brain. Divided into three sections, this book studies each substance individually before examining the effects of their combined usage.

The most revolutionary, humanistic guide to counteracting chemical dependency on the market, Chemical Dependency Treatment: Innovative Group Approaches presents group models of intervention with substance using and chemically dependent clients across the continuum of care. In it, you'll find strategies that will help you engineer your own effective group interventions at different stages of the treatment process. Taking into account the ravaging nature of addiction and the rampant spread of AIDS, this book gives you the sensitivity and skills necessary to seek out the earliest possible healing for your beloved family and friends. In Chemical Dependency Treatment, you'll build upon existing literature on the subject of group work within the chemical dependency field. In doing so, you'll glean your own individualized expertise from this excellent collection of essays and qualify yourself to orchestrate compassionate and holistic chemical dependency interventions. You'll get detailed information about: early community-based intervention for injected drug use (IDU) the transition from inpatient to outpatient status for chemically dependent clients psychoeducational help for chemically dependent gays and lesbians strategies for hospital-based early recovery groups for HIV-infected inner-city clients treatment during the early phases of outpatient therapy outpatient group psychotherapy with cluster-B personality disordered men multiple oppression in group psychotherapyIf you know someone who is chemically dependent, or if you're interested in becoming more informed about what your family or community can do to quell the epidemic of chemical dependency, Chemical Dependency Treatment will put you on the sure pathway to a more caring, more immediate group intervention.

Anthropologist Michael Taussig portrays the postmodern state in terms of spirit possession. This unusual book of ficto-criticism begins with a conversation with the spirit queen as to the nourishment of the state by the dead--notably the spirits of those whose blood was spilled during the European conquest and the anti-colonial Wars of Independence.
Taussig describes how through theaters of ecstasy, composed of fragments of the great story that the State, for the perpetuation of its spiritual authority, needs to tell about itself, these spirits are provided a reservoir of magical powers. Developing concepts of the sacred from Bataille, the post-Surreal College of Sociology, Canetti, Marx, Hobbes, and Walter Benjamin, Taussig creates his own whirlwind theater of spirit-possession, utilizing popular shrines, official monuments and slogans, money, the police, the freeway system, automobiles, taxis, the stealing of the sword of the state and, last but not least, through fetishization of Europe's (dead) Others--Native Americans and people of African descent.

When does a harmless habit become an addition? Why do only some of us get addicted? What can make recovery possible? The Psychology of Addiction is a fascinating introduction to the psychological issues surrounding addiction and the impact they have on social policy, recovery and an addict's everyday life. The book focuses on drug and alcohol addiction and tackles topics such as whether drug use always leads to addiction and the importance of social networks to recovery. It also looks at how people can become addicted to activities like gambling, gaming and sex. In a society that still stigmatises addiction The Psychology of Addiction emphasises the importance of compassion, and provides a sensitive insight to anyone with experience of addiction.

Illicit drugs, despite the "war" waged by the United States government, remain a tremendous drain on the American economy and continue to take their toll on the lives of countless Americans. A comprehensive text with an instructor's manual, Drug Abuse and Social Policy in America analyzes why current US policy on the use of licit and illicit mood-altering drugs has failed. This groundbreaking book addresses differences between decriminalization, legalization, and "zero tolerance"--areas and philosophies that are poorly understood--and suggests a multipronged approach to diminish inappropriate drug use. Physicians, health care providers, teachers, law enforcement officers, policymakers, social service providers, and students of public policy and health will gain a better understanding of substance abuse as a societal problem, rather than an individual problem, and see that the billions of dollars spent on law enforcement would be better spent on education, prevention, treatment, and providing alternatives to drug use.Currently the leading risk factor associated with the transmission of HIV, illicit drugs continue to destroy the fabric of life in many inner-city communities. Yet, drugs are a problem for Americans from every corner of society, from suburban teenagers to pro athletes to homeless people. Author Barry Stimmel demonstrates in Drug Abuse and Social Policy in America that the drug problem is not being addressed adequately because of a lack of commitment from the majority of Americans and government leaders. The issues Drug Abuse and Social Policy in America asks readers to confront include: Why do we provide insufficient treatment facilities and incarcerate users, yet wonder why more prison space is needed? Why do we readily agree to build more prisons rather than community centers that provide alternatives for youths? Why are we concerned with teenage smoking and drinking, yet allow advertising of these substances? Why do we advocate rehabilitation, but not hire people in recovery? Why do we ask pregnant women with drug problems to seek help, then try to take custody of their children rather than provide social support while they receive treatment?Drug Abuse and Social Policy in America challenges academics, practitioners, and future social service providers and policymakers to rethink their entire conception of the problem of substance abuse in America with a cutting question: "Have we made any substantial progress in diminishing the sue of nicotine, the excessive consumption of alcohol, or the inappropriate use of prescription drugs, all of which are responsible for more illnesses and societal costs than all illicit drugs combined?" Identifying this as the place where all efforts to curb drug use must start, Drug Abuse and Social Policy in America offers readers many ways that individuals, communities, organizations, and society can take action and be more effective in convincing both those who consume drugs and those who profit from their sale that their actions are inappropriate and unacceptable.

From the Foreword: "Addiction is a disorder in self-regulation. Individuals who become dependent on addictive substances cannot regulate their emotions, self-care, self-esteem, and relationships. In this monumental and illuminating text Philip Flores covers all the reasons why this is so. But it is the domain of interpersonal relations that he makes clear why individuals susceptible to substance use disorders (SUDs) are especially vulnerable. His emphasis on addiction as an attachment disorder is principally important because he provides extensive scholarly and clinical insights as to why certain vulnerable individuals so desperately need to substitute chemical solutions and connections for human ones. The strength of Flores's paradigm of addiction as an attachment disorder is that it is a theory that effectively and wisely guides treatment, but at the same time, when properly implemented or practiced, the treatment resonates with and further enhances the theory. Flores's work here is an extraordinary one because, in parsimonious and clear language, he makes a major contribution to the literature and practice of effective psychotherapy in general and effective psychotherapy for the addictions in particular. He fills in all the gaps between theory and practice covering wide and ranging issues of what practice and empirical findings have to teach about the critical ingredients of AA, group therapy, and individual psychotherapy. This is a job well done because it helps students and experienced clinicians alike to always be mindful of how they bring their humanity to the distress and suffering of others. His theory of addiction as an attachment disorder makes it particularly clear how especially important this is for those suffering with addictive disorders. " Edward J. Khantzian, M.D., clinical professor of psychiatry, Harvard Medical School A Jason Aronson Book"

The correlation between schizophrenia and substance abuse in psychology is recognized as a growing issue, yet it is one that many practitioners are often ill-prepared to address. Behavioral Treatment for Substance Abuse in People with Serious and Persistent Mental Illness addresses the specific challenges faced by the clinician treating individuals with co-occurring schizophrenia and substance abuse disorders. Designed as a treatment manual for mental health professionals, the book incorporates various treatment components, from motivational interviewing and social skills training to education, problem solving, and relapse prevention. The book presents clearly established guidelines for these treatment modes and utilizes both case examples and fictional situations to present a practical, hands-on approach. Readers will profit directly from the lessons in the book, which offers the clinician an invaluable model from which to base a treatment plan.