Alcohol abuse is a major health problem in most parts of the world. This book focuses on the way in which alcohol affects the brain, with the aim of describing advances in the neuropsychology of alcoholism in a way that makes this work accessible to clinicians from a variety of backgrounds who treat people with alcohol-related problems.; The book is divided into four parts. Part One provides an introduction to the medical and neurological conditions that can result from alcoholism, and to the process of neuropsychological assessment. The problems involved in conducting research in this area are also considered. In Part Two, research that focuses directly on changes to the nervous system is surveyed. This includes studies of both the short-term and the chronic neurological changes in the brain caused by alcohol. In Part Three, studies of the neuropsychological effects of acute intoxication, social drinking and alcohol abuse are described. Finally, in Part Four, the implications of neuropsychological research for the assessment and management of patients with alcohol problems are considered.; The objective of this book is to collate the range of research work that is relevant to understanding how alcohol affects the brain. This includes both the acute and the chronic effects, at both the biological and physiological levels.

Substance misuse is one of the more common, yet baffling, problems confronting the practising mental health professional today. The issues involved in the misuse of substances can be so complex that some practitioners are inclined to avoid working with clients who have been diagnosed with a drug abuse problem.; This new guidebook is designed to assist clinicians with the task of conceptualizing, understanding and intervening with persons who abuse substances. It accomplishes this by offering practical suggestions, assessment procedures, and change strategies directed at the thoughts, feelings and behaviours believed to support a drug lifestyle. Although the approach described in this book utilizes a number of cognitive-behavioural techniques, the approach is unique in the sense that it also deals with the fear of change that frequently interferes with a client's ability to benefit from therapy. It also considers change strategies used by people who have escaped from a drug lifestyle without any type of treatment or formal intervention.; Momentarily arresting the lifestyle is the first step of intervention. This is followed by skill development in which the conditions, choices and cognitions associated with a drug lifestyle are targeted for intervention and change. In the final phase of this approach, the client is engaged in the resocialization process whereby he or she is encouraged to develop ways of thinking and behaving that are incompatible with continued misuse of psychoactive substances. The end result is a concise, yet comprehensive, examination of ways clinicans might facilitate change in persons previously committed to a drug lifestyle.

Contents:
Introduction and Overview: Smoking's Relationship to Individual Differences, Psychopathology And Emotions; Smoking Motivation: Models, Issues, Affect and Emotion, Personality, Temperament and Psychopathology; Evidence of Affect Modulation, Performance Enhancement and Reinforcement; Mechanisms Underlying Nicotine's Reinforcing And Affect-Modulating Effects; Personality, Psychopathology, Tobacco Use and Individual Differences in Effects Of Nicotine; Gender Differences In Tobacco Use And Effects; SituationxTrait Adaptive Response STAR Model of Smoking; Implications of the SituationxTrait Adaptive Response STAR Model for Smoking Intervention.

Written by an experienced academic author, lecturer and practitioner, this comprehensive textbook provides an introduction to alcohol and drug misuse. It presents: the context of alcohol and drug misuse, and the nature and theories of addiction, including a historical overview and policy initiatives in contemporary society an overview of the problems associated with psychoactive substances and their impact on groups such as culturally and linguistically diverse communities, young people, women, older people and the homeless an understanding of the generic role responses to substance misuse in a variety of different settings and contexts, including primary care, the community and hospitals a framework for assessment, care planning, harm reduction approaches, dealing with overdose, intoxication and withdrawals, and psychological and pharmacological interventions an accessible and skills-oriented approach to assist students and practitioners in dealing with alcohol and drug misuse. This new edition is fully updated and includes new material on: evidence-based pharmacological interventions; recent global strategies in alcohol and drug; dual diagnosis and women; shisha smoking; and current statistics on prevalence of alcohol and drug misuse Alcohol and Drug Misuse takes into account current policy and practice for substance use and misuse and includes a range of pedagogical features to enhance learning. It is essential reading for nursing, health and social work students taking substance misuse modules, as well as related CPD courses for health and social care professionals.

Originally published in 1980, this book presents a detailed account of a series of investigations that examined the patterns of resort to drugs and alcohol use in college youth, and how such substance uses are linked to personality characteristics and daydreaming patterns. The Editors chose to emphasize the more "private" features of the personality, because these had often been ignored in earlier research, despite popular assumptions that there are close ties between fantasy, inwardness, "spacey" qualities (all suggesting permanent changes in mental organization), and substance use in youth. This volume will be of interest to a wider audience than just drug and alcohol researchers, because of the effort to go beyond normative patterns of substance use toward explorations of personality and consciousness.

Sex Addiction: A Guide for Couples and Those Who Help Them is a practical book that provides empathic support, guidance, information and pragmatic strategies for couples who want to survive sex and porn addiction - whether that's together, or apart. Sex and porn addiction devastates couple relationships, and unlike the impact of infidelity, there is no 'before' to get back to and no 'after'. This book adopts the metaphor of a boat, presenting addiction as the tidal wave that devastates the relation-ship, leaving both crew members fighting for survival. There's guidance to ensure each partner makes it safely back to shore and advice on surveying the damage to your relation-ship and deciding if you want to save it and set sail again. You'll find practical advice for both the partner and the addicted partner, including first-hand accounts of couples that have already undertaken the journey.

The editors of this volume have assembled recent articles discussing elements of each of the several commonly used psychosocial interventions -- including relapse prevention therapy, community reinforcement, voucher-based programs, self-help therapies, and motivational enhancement therapy--in addition to research-based articles that demonstrate the efficacy of these approaches. The selections in this book will provide the reader with a broad overview of the field as well as the specific information needed to use these therapies in a variety of clinical settings.

In recent years the growing incidence of the use and misuse of alcohol by children and adolescents has been causing increasing concern within society. This work is one of the few studies to examine the orientations towards alcohol of young children. Through a series of ingenious game-like activities, Fossey provides valuable insight into ways in which children learn about drinking. Some of the results are surprising and others are deeply disturbing, but they all emphasize the fact that most young people in drinking cultures begin to form their impressions about alcohol at a very tender age. This study suggests that there is a need for development of innovative and user-friendly alcohol education materials for use in primary as well as in secondary schools and colleges. "Growing up with Alcohol" should be useful reading for a range of people, including social science students, parents, teachers, researchers and practitioners in alcohol and health education.

Through a Trauma Lens aims to understand and highlight successful examples of health, mental health, substance abuse treatment, and other service delivery systems that have implemented an integrated trauma-informed service model. This innovative volume draws on the author's first-hand experience working alongside a number of local and state organizations as well as a nationwide survey of notable trauma-informed models. Structured around illustrative case studies, chapters that correspond to stage of adoption, and strategies for cultivating staff support, this valuable new resource include examples and strategies to be applied in any treatment or service setting.

First published in 1987. Routledge is an imprint of Taylor and Francis, an informa company.

As seen on The Today Show A page-turning memoir from a former opioid addict in an opioid addicted community-and an up-close look at America's new health crisis. Behind closed doors, millions of people abuse opioids. Nicholas Bush was one of them. In this beautifully poignant and refreshingly honest memoir, Bush boldly allows readers into his addiction-ravaged community. We see how heroin nearly claimed his life on multiple occasions, how it stole the lives of his young siblings and friends, and how it continues to wage a deadly toll on American neighborhoods-claiming thousands of lives and decreasing the average lifespan. But we also see that there is a way off of the devastating rollercoaster of opioid addiction, even for the most afflicted. Nicholas fights for recovery, claws his way out of a criminal livelihood, and finds his footing with faith and family, providing Americans with the inspirational story that is deeply needed today.

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.

Overcoming Problematic Alcohol and Drug Use is a workbook for use with clients in treatment, informed by the most current research and literature in the substance abuse field. Offering a field-tested alternative to the disease model of addiction, the book introduces a six-session curriculum for treating persons with substance abuse issues and can be used as a self-help resource, or as a practice guide for human service professionals. Drawing on years of research on cognitive-behavioral therapy, the stages of change model, motivational interviewing, and solution-focused therapy, the author has put together a comprehensive and effective guide to change.

This book is written by a New York City clinican who has worked with hundreds of crack cocaine patients individually and in group contexts. Drawing on her firsthand experience, Dr Barbara Wallace presents a practical treatment approach that was developed for crack patients but is generally applicable to chemical dependency problems. The first half of the book explains the social, biological and psychological factors in crack addiction and the various barriers to treatment and reviews clinically relevant theoretical issues. The second half of the book presents specific clinical techniques for assessment and treatment. After describing the treatments that work and those that hold promise, Dr. Wallace details techniques for the assessment phase, including elements of an effective clinical interview and strategies for engaging the ambivalent crack addict in treatment. The author also recommends techniques to help crack patients avoid relapse, examines the process of relapse in crack patients and explains the need for a multifaceted strategy to address the multideterminants of relapse.

Changing health-related behavior is for many people a lonely and isolating experience. Individual willpower is often not enough, particularly in addressing addictive behavior, but research increasingly points to the potential of group identity to shape behavior change and support recovery. This important collection explores the social and cognitive processes that enable people who join recovery groups to address their addictive issues. In an era of increasing concern at the long-term costs of chronic ill-health, the potential to leverage group identity to inspire resilience and recovery offers a timely and practical response. The book examines the theoretical foundations to a social identity approach in addressing behavior change across a range of contexts, including alcohol addiction, obesity and crime, while also examining topics such as the use of online forums to foster recovery. It will be essential reading for students, researchers and policy makers across health psychology and social care, as well as anyone interested in behavioral change and addiction recovery.

The study of drug effects on behaviour and psychological processes has a long history. Developments in the decade prior to first publication had been based on a more adequate synthesis than hitherto of psychology and pharmacology, and as a result great progress was made in establishing psychopharmacology as an interdisciplinary subject in its own right. Undergraduate courses in departments of psychology and pharmacology were increasingly including some coverage of this material, but there was a paucity of texts suitable at this level at the time. Originally published in 1984, this book was designed to provide broad coverage of psychopharmacology, with the minimum necessary focus on basic pharmacology and with carefully chosen subjects which are still likely to be of interest to psychology undergraduates and in which good empirical work is available for discussion at that level. The emphasis throughout the book is on the needs of psychology students, but the contents will also interest pharmacology students.

Originally published in 1995, this title provides a practical examination of the problems of substance abuse and abuse among persons with chronic mental disorders. Epidemiologic, diagnostic, and treatment issues are examined, as well as the problems of special populations and systems issues. This book will be of interest to practising clinicians in both the mental health and substance abuse treatment sectors.

Leadership in Drug and Alcohol Abuse Prevention blends the wisdom of numerous long-term professionals addressing drug and alcohol issues with helpful strategies and current science. Organized around the Pyramid of Success that emphasizes Competence, Confidence, and Commitment, this book offers practical and grounded approaches for better addressing substance abuse issues. Included are insights from 50 contributors, featuring professional perspectives from practitioners with decades of experience. While issues of substance abuse are not readily solved or cured, they can be better addressed - more effectively, more efficiently, and more appropriately. This timely resource offers a unique blend of science-based strategies and resourceful foundations for implementation. Designed for those working either directly or indirectly with problems associated with substance use disorders, this book will aid those in a wide variety of settings, whether in schools, communities, business, or government.

Betrayal in all its forms has been and is an ever present reality in every area of life--politics, business, and human relationships to name a few. Recent publications have chronicled the unethical actions of mental health and other human service professionals, yet the psychology of betrayal has received little public interest and attention. This book explores the many issues relating to psychotherapy and betrayal. The contributing authors of Betrayal in Psychotherapy and its Antidotes present the various faces of betrayal as may be encountered by therapists in the office or in the profession. They challenge therapists to understand the violations of trust that can occur within the therapeutic relationship. Readers are reminded that the trauma of betrayal manifests itself within all patients, regardless of of the nature and expression of psychopathology. More importantly, the authors define betrayal as experienced with specific cases and they attempt to bring out underlying principles that are useful to therapists and the larger professional community.Readers will find their understanding of the concept of betrayal much expanded from the chapters in Betrayal in Psychotherapy and its Antidotes. For example, betrayal is discussed as a failure in the interpersonal or inter-subjective relationship between therapist and client in one chapter as opposed to the concept of betrayal as an act calculated to lead another person astray, an act of deception or treachery, and a breach of confidence and trust as considered in another chapter. Other approaches to betrayal and psychotherapy include: how to determine what is betrayal in psychotherapy the use of case examples to establish the importance of the therapist striving to remain true to the genuine potentiality of a patient how to avoid colluding with the patient's rejection of life the work of Alice Miller, a psychoanalyst by training, and the betrayal of children by abuse the paradoxical nature of psychiatric practice and its necessary reliance upon moral reasoning an investigation on the link between therapists'personal maturity and the success of therapy how traditional humanistic and analytic therapies can entrap both therapist and patient into a betrayal of self and the relationship implications of the "betrayal of the feminine" in males and their work with clients in a psychotherapy setting a case portrayal of "Teddy"--the betrayal of the betrayed

Routledge Library Editions: Addictions brings together as one set, or individual volumes, a small series of six previously out-of-print titles, originally published between 1980 and 1995. The set covers a variety of perspectives and looks at a range of addictions including alcoholism, drug abuse and gambling.

Why does a large proportion of the population engage in some form of gambling, although they know they are most likely to lose, and that the gambling industry makes huge profits? Do gamblers simply accept their losses as fate, or do they believe that they will be able to overcome the negative odds in some miraculous way? The paradox is complicated by the fact that those habitual gamblers who are most aware that systematic losses cannot be avoided, are the least likely to stop gambling. Detailed analyses of actual gambling behaviour have shown gamblers to be victims of a variety of cognitive illusions, which lead them to believe that the general statistical rules of determining the probability of loss do not apply to them as individuals. The designers of gambling games cleverly exploit these illusions in order to promote a false perception of the situation. Much of the earlier interest in gambling behaviour has been centred on the traditional theories of human decision-making, where decisions are portrayed as choices among bets. This led to a tradition of studying decision-making in experiments on betting. In this title, originally published in 1988, the author argues that betting behaviour should not be used as a typical example of human decision-making upon which a general psychological theory could be founded, and that these traditional views can in no way account for the gambling behaviour reported in this book.

Originally published in 1980, recent research had produced new insights into how, at the biochemical level, alcohol and other drugs of abuse can impair metabolic and neuropsychiatric functions. Epidemiological studies were also demonstrating that even moderate drinking or drug abuse can produce significant brain damage. This book draws together the latest biochemical, physiological and clinical research on these topics at the time. The initial chapters discuss how alcohol can interfere with various functions: the adaptability of metabolic processes as governed by the ability of the liver to synthesise new enzymes, cell membrane transport, nervous transmission and the transport of nutrients into the brain. It is suggested that opiates, and possibly alcohol, may affect the endorphin system by blocking the uptake of specific amino acids. The second half of the book reports clinical investigations using biochemical studies, psychological tests, EEG investigations and Computerised Axial Tomography (CAT) scanning. It gives the first report of a long-term study by Lishman and co-workers using an improved tomography technique to assess brain damage in alcoholics. These studies give convincing evidence that heavy drinking, even at socially-acceptable levels, can cause serious brain damage in vulnerable people.

International in its scope and multidisciplinary in its approach, The International Handbook of Addiction Behaviour, originally published in 1991, set a new agenda in the addictions field. This volume brings together the full variety of scientific approaches to addiction behaviour. It broke new ground by highlighting the links between clinical work, training and research and proposes a way forward towards integrated treatment interventions. This title is a definitive teaching text and will still be a valuable resource for students in the addiction field.

Originally published in 1983, in an attempt to provide a broader knowledge base to aid both treatment and prevention, experts examine topics such as the need for an holistic approach to therapy, sexual functioning, drug abusing youths in inner city neighbourhoods, the role of the family, and much more.

Writing for both EMDR therapists and substance abuse counsellors, Laurel Parnell provides user-friendly tools to help support clients in recovery with EMDR-based techniques that can be easily integrated into all levels of addiction treatment. Emphasising the practical clinical application of principles and techniques helpful for addictions and addictive disorders, this book interweaves case material throughout the text, with some chapters presenting in-depth cases to illustrate the techniques. Topics include treating trauma and supporting resilience, tools for affect regulation, and rewiring the motivation-reward circuits.