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.

The first edition of Addictions established itself as a valuable resource for students and professionals alike. This authoritative new edition builds on the success of the previous book, incorporating advances in research and practice over the last ten years.

The book includes material on:

• the nature of addiction and who becomes addicted
• health consequences of alcohol and other drug dependence
• theories and causes of addiction.

The authors, experts in the field, also include new material on the controversy surrounding the possible positive effects of alcohol and cannabis use, the increased risk of interpersonal violence, and new research on theories of addiction.

Addictions will be essential reading for students, professionals and researchers seeking state of the art information about this rapidly growing field.

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.

The contemporary opioid crisis is widely seen as new and unprecedented. Not so. It is merely the latest in a long series of drug crises stretching back over a century. In White Market Drugs, David Herzberg explores these crises and the drugs that fueled them, from Bayer's Heroin to Purdue's OxyContin and all the drugs in between: barbiturate "goof balls," amphetamine "thrill pills," the "love drug" Quaalude, and more. As Herzberg argues, the vast majority of American experiences with drugs and addiction have taken place within what he calls "white markets," where the prescription of addictive drugs is legal and medically approved. These markets are widely acknowledged but no one has explained how they became so central to the medical system in a nation famous for its "drug wars"--until now. Drawing from federal, state, industry, and medical archives alongside a wealth of published sources, Herzberg re-connects America's divided drug history, telling the whole story for the first time. He reveals that the driving question for policymakers has never been how to prohibit the use of addictive drugs, but how to ensure their availability in medical contexts, where profitability often outweighs public safety. Access to white markets was thus a double-edged sword for socially privileged consumers, even as communities of color faced exclusion and punitive drug prohibition. To counter this no-win setup, Herzberg advocates for a consumer protection approach that robustly regulates all drug markets while caring for people with addiction by ensuring them safe, reliable access to medication-assisted treatment. Accomplishing this requires rethinking a drug/medicine divide born a century ago that, unlike most policies of that racially segregated era, has somehow survived relatively unscathed into the twenty-first century. By showing how the twenty-first-century opioid crisis is only the most recent in a long history of similar crises of addiction to pharmaceuticals, Herzberg forces us to rethink our most basic ideas about drug policy and addiction itself--ideas that have been failing us catastrophically for over a century.

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.

Co-occurring Substance Abuse and Mental Disorder: A Practitioner's Guide is a basic overview of current evidence-based practices for treating co-occurring disorders. Co-occurring disorders, also known as dual diagnosis, refers to individuals who have both a mental illness and a co-morbid substance use disorder. The literature suggests that utilizing an "integrated" approach to treatment, treating both disorders concurrently in a program with clinicians specially trained in mental illness and substance abuse, provides the best outcomes for this population. This book is designed to provide clinicians with the basic knowledge and skills required to effectively assess and treat co-occurring disorders.

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.

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.

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.

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.

This comprehensive issue on Substance Abuse in youth begins with articles on epidemiological trends, genetic risk factors, neurobiology of substance use disorders, and race and gender associations, and then provides detailed reviews on prevention and various treatment methodologies.? Treatments discussed include individual and group interventions (motivational interviewing and cognitive behavioral therapy), contingency reinforcement, multidimentional family therapy, pharmacotherapy, and post-treatment aftercare.? Also reviewed in detail are substance use disorders and psychiatric comorbidity.? The issue then takes a close look at two emerging areas of concern in youth: gambling and internet occupation, and energy drink use. By all accounts, a must-read issue for psychiatrists everywhere.

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."

Solution-Focused Substance Abuse Treatment describes the standard of care for substance abuse treatment, demonstrates how solution-focused brief therapy exceeds this standard, and shows how it can effectively be used in substance abuse evaluation, case management, and both individual and group treatment. Beginning and advanced concepts are provided to address the questions of even the most advanced clinician, all placed in the context of cultural awareness.

Most importantly, the author answers the many questions professionals may have about how solution-focused brief therapy can be successfully integrated into the field of substance abuse. It provides a thorough understanding of the issues that therapists face when working with this at times challenging population, and demonstrates how the use of solution-focused brief therapy can minimize power struggles and enhance client success. Sample forms and handouts are included, as are additional resources for effective evaluation and treatment.

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.

Responding to the Oppression of Addiction brings together the voices of over 40 academics and social work practitioners from across Canada to provide a diverse and multidimensional perspective to the study of addiction. This thoroughly updated edition features eight new chapters and streamlines the content of the previous editions, with chapters condensed and combined to create a more accessible text.The fourth edition features new content on themes such as residential schools, prevention initiatives, special needs of different populations, policy perspectives framed within an anti-oppression standpoint, cognitive behavioral therapy, and the emerging topic of problem gambling. Returning chapters have been updated, with contributors providing more in-depth examinations of trauma-informed approaches. The entire volume has a strengthened anti-oppressive framework, on both an overarching and by-chapter level. This celebrated and varied collection is an indispensable resource for upper-level students, graduate students, and practitioners working in the fields of social work, addictions studies, and the helping professions.

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.

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.

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.