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 pragmatic guide -- from a stellar team of authors including cognitive therapy originator Aaron T. Beck -- describes how to implement proven cognitive and behavioral addiction treatment strategies in a group format. It provides a flexible framework for conducting ongoing therapy groups that are open to clients with any addictive behavior problem, at any stage of recovery. Practical ideas are presented for optimizing group processes and helping clients build essential skills for coping and relapse prevention. Grounded in decades of research, the book features rich case examples and reproducible clinical tools that can be downloaded and printed in a convenient 8 1/2" x 11" size.

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.

A revised and expanded edition of the recovery classic by Patrick Carnes, Ph.D., a leading expert on addictive behaviours. "The Twelve Steps tap into the essential human process of change and will be regarded as one of the intellectual and spiritual landmarks in human history. "--Patrick Carnes It was out of his reverence and respect for the wisdom and therapeutic value of the Twelve Steps that Carnes wrote A Gentle Path through the 12 Steps , now a recovery classic and self-help staple for anyone looking for guidance for life's hardest challenges. Hundreds of thousands of people have found in this book a personal portal to the wisdom of the Twelve Steps. With updated and expanded concepts and a focus on the spiritual principles that lead to lifelong growth and fulfilment, Carnes' new edition invites a fresh generation of readers to the healing and rewarding experience of Twelve Step recovery.

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.

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

Here is an essential volume for educators, social workers, health care professionals, and parents who are frustrated by the consuming power of drugs over the lives of young people and looking for answers to this enormous problem. In this unique and highly practical volume, experts concentrate on the family--the foundation of mental health and social control--as the most positive force in the prevention of adolescent drug use. Despite the "war on drugs," young people in large numbers continue to use substances. This instructive guide focuses on educating and strengthening families--which makes stronger children who are less likely to use drugs--instead of the traditional efforts based on rehabilitation instead of prevention. It offers instructive background information about societal forces that affect families and make it difficult to raise drug-free youngsters. Family differences are discussed, such as family structure, parenting styles, ethnic and cultural characteristics. Contributors thoroughly examine practical, effective interventions--at home, at school, and with peers--that are positive rather than negative, instructional rather than punitive, and preventive instead of remedial.

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 new report shows that no system in the body is immune to alcohol. It discusses the role of the medical profession in identification and treatment of alcohol problems and suggests ways of implementing more effective prevention.

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.

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

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.

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.

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.

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.