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.

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.

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.

For all addicts, a moment comes when they realize they have a problem. There is sudden clarity--the insight that life has become unmanageable. That moment, however, is fragile. It is easily lost to craving and denial. People struggling with sex addiction find the old refrains creeping back into their thinking: "My situation is different. . . . This will all blow over. . . . People are over-reacting to my behavior." Or, "This is hopeless. I'm just too perverted to change."

"If any of those thoughts occur to you, you are exactly where you should be," notes Dr. Patrick Carnes in the introduction to "Facing the Shadow." Starting with those gentle words, he guides readers through a series of reflections and exercises that pierce denial and light the path to healing from sex addiction.

"Facing the Shadow," used by thousands of therapists with their clients, is based on the thirty-task model of recovery from addiction that forms the basis of Carnes's work. This newly revised and expanded edition takes readers through the first seven of those tasks, including specific performables that are built in to the exercises. The model also supports Twelve Step recovery programs.

Patrick Carnes, PhD, is a therapist, speaker, trainer, and author whose books include "Out of the Shadows: Understanding Sexual Addiction," " A Gentle Path Through the Twelve Steps," "Contrary to Love: Helping the Sexual Addict," and "Don't Call It Love: Recovery From Sexual 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.

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"

* Provides readers with a graphic model of addiction that integrates new neurobiological findings in brain research, a learning model of addiction, and subsequent clinical approaches that address embodied trauma therapies * Has broad appeal to mental health professionals who work in clinical practice, graduate students interested in the field of addiction, as well as a general non-professional audience curious about the field of addiction. Useful as a text in psychotherapy courses, addiction programs, social work, nursing, occupational therapy, psychiatry, psychology and osteopathy since it provides an overview of the field both in theory and practice. Of special interest to readers interested in Polyvagal Theory, Interpersonal Neurobiology, Trauma Therapy, Addiction Recovery, body practitioners including naturopaths, cranio-sacral practitioners, somatic experiencing, sensorimotor and EMDR practitioners, focusing teachers and focusing oriented therapists. * Combines the ground-breaking work of doctors Stephen Porges, Marc Lewis, and Eugene Gendlin

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.

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.

First published in 1996. Routledge is an imprint of Taylor & Francis, an informa company.

Welcome to the Clinics Collections! We have taken a multidisciplinary approach and selected the most recent and vital articles throughout all of our Clinics series and combined them into a single source on Addiction Medicine. Articles are featured from multiple Clinics to highlight the range of specialties covering this major medical issue. Such information is essential to successful interdisciplinary teamwork and patient care. The articles within, written from different medical perspectives, will give deeper insight into how each specialty cares for its patients. The challenge in Addiction Medicine involves specialized treatment planning with the ultimate goal of successful patient outcomes. The articles selected provide a unique entry into sharing best concepts for the entire medical team to learn and implement.Welcome to the Clinics Collections! We have taken a multidisciplinary approach and selected the most recent and vital articles throughout all of our Clinics series and combined them into a single source on Addiction Medicine. Articles are featured from multiple Clinics to highlight the range of specialties covering this major medical issue. Such information is essential to successful interdisciplinary teamwork and patient care. The articles within, written from different medical perspectives, will give deeper insight into how each specialty cares for its patients. The challenge in Addiction Medicine involves specialized treatment planning with the ultimate goal of successful patient outcomes. The articles selected provide a unique entry into sharing best concepts for the entire medical team to learn and implement. Areas of focus include opioids, alcoholism, cannabis, and prescription medicine. Each article begins with keywords and key points for immediate access to the most critical information. Articles are presented in an easy-to-digest and concisely worded format.

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.

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.

An unforgettable memoir about the turmoil of antidepressant withdrawal and the work it takes to unravel the stories we tell ourselves to rationalize our suffering-all unfurled against a global backdrop. Brooke Siem was among the first generation of teens to be prescribed antidepressants. Initially prescribed a cocktail of drugs at fifteen years old, she and her mother accepted the recommended ""solution"" with no understanding of how the chemicals might change her developing mind or how she might stop the drugs down the road. A decade and a half later, still on the same set of drugs, Brooke was contemplating suicide. If the antidepressants were working, then why did she still want to take her own life? And if the drugs weren't working, who might she be without them? May Cause Side Effects is the gripping story of what happened when, after fifteen years and 10,000 antidepressants, Siem was forced into harrowing antidepressant withdrawal when an opportunity to travel around the world dropped into her lap. An illuminating memoir for those who take, prescribe, or are considering drugs to blunt the pain and experiences that shape our reality, May Cause Side Effects is an honest reminder that the road to true healing and happiness is not found on a prescription pad, but in deep self-work that pushes us to the agonizing edges of who we are.

This text provides a comprehensive overview of psychological approaches to understanding addictions. Without denying the importance of biological factors, emphasis is placed more upon social, psychological and emotional factors as is necessary to a complete understanding of addiction. Within this framework, an addiction is not limited to substance-based behaviours such as drinking alcohol, smoking or drug use. Although these important areas are covered, a wider perspective is taken to include behavioural addictions such as gambling, violence and joy riding. Finally, prevention approaches are discussed with reference to the public health model which encompasses issues relating to the agent, the host and the environment. A list of resources and references is provided for those wishing to obtain further information.;Written in a jargon-free style, "The Psychology of Addiction" is aimed at students at the beginning of their courses. It should also be a valuable resource for professionals: nurses, social workers, police and probation officers and medical students, who often encounter the problems described in the book.

Find fresh perspectives on the treatment of addictions and effective methods for helping recovering alcohol and drug abusers in this valuable book Addiction in Human Development provides practical strategies based on theories of human development for working with clients recovering from alcoholism and drug addiction. An understanding of these theories will help therapists and addictions counselors recognize stages of recovery and better select appropriate interventions for every phase of treatment of addicted clients.Addiction in Human Development shows how a developmental perspective is particularly appropriate to the treatment of alcohol and substance abusers and the patterns involved in their addiction. Disruptions in clients'childhood or adolescent development, stemming from their own or a parent 's drug abuse, can influence their present recovery process. This informative book also describes the developmental course of addiction and provides tools designed to interrupt addictive patterns. In addition, stages in the developmental process of recovery are identified to help therapists select appropriate interventions.Some of the topics related to human development and addiction covered in this insightful volume include developmental deficits and developmental arrest in recovering clients, delayed reactions to sexual abuse and other childhood trauma, stages in recovery from alcoholism or drug addiction, developmental issues in the professional 's own life, and multi-problem families with a multigenerational history of substance abuse. Applying these developmental strategies to work with addicted individuals will significantly improve communication and rapport between helping professionals and recovering addicts and lead to more success in alcohol and drug addiction therapy.

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.

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.

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.

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.

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.

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.

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.

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