Adolescent Addiction, Second Edition, offers researchers and clinicians a single-volume resource on the nature, extent and treatment of addictive problems in adolescents. The book is divided into three main parts. Part one addresses the foundations of addictive problems, including developmental, social, and neurobiologicl factors. Part two addresses common addictions among adolescents. New chapters include e-cigarette, smartphone, social networking, and exercise addiction. Part three discusses challenges and recommendations for future research in adolescent addiction. All chapters in part two follow a similar format to introduction and clinical characteristics, screening and clinical assessment methods, epidemiology, cormorbidity, course and outcome, protective and risk factors, evidence-based clinical strategies for prevention and treatment, and a concise summary of key clinical points.

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

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.

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.

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.

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.

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.

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.

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.

This book is an attempt to bridge the gap between research on substance abuse treatment programs and what actually goes on in the field of substance abuse treatment. It is aimed at both the academic and practitioner market (as is Perkinson) and it clearly describes how to determine what evidence based practice is and it addresses some of the challenges that practioners and agency directors might face in implementing EBP. The book is well-written and highly practical. It contains two complete case studies that outline two examples of Evidence based practice which will be particularly useful in the course market.

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.

This timely volume explores the possible reasons that young people turn to drugs, the most effective methods to manage those who are afflicted, and ways to educate youth to prevent their initial drug involvement.

Study Guide to Substance Abuse Treatment is a question-and-answer companion that allows you to evaluate your mastery of the subject matter as you progress through The American Psychiatric Publishing Textbook of Substance Abuse Treatment, Fifth Edition. The Study Guide is made up of questions divided into individual quizzes of 10-20 questions each that correspond to the chapters in the Textbook. Questions are followed by an Answer Guide that references relevant text (including the page number) in the Textbook to allow quick access to needed information. Each answer is accompanied by a discussion that addresses the correct response and also (when appropriate) explains why other responses are not correct.

Addiction and Recovery in the UK captures the essence of the emerging addictions recovery movement and in particular the emerging evidence base that had been gathered around the umbrella of the Recovery Academy UK. The Recovery Academy was established with the aim of creating a forum for people in recovery, practitioners, commissioners and academics working together to describe and understand the principles of recovery as applied across the UK. Following the first annual conference, researchers who had been involved in academic research on recovery and innovative services and activities that had been evaluated were invited to outline UK initiatives. This book, the result of their contributions, is a vibrant collection of diverse theories and models, critiques and innovations, ranging from two linked papers describing the growing recovery movement in Edinburgh to a recovery walking group in Wales and a model for peer activities in the North of England. The projects are typically 'community up' projects whose essence has been captured within this book, and which together paint a picture of vitality and growth in the UK recovery movement. This book was originally published as a special issue of the Journal of Groups in Addiction and Recovery.

The incidence of aggression and violence is of wide concern. It is therefore vital that we try to understand the mechanisms involved. This book outlines definitions and theories of aggressive behaviour and points out the contribution of both biological and psychological factors. Aggression primarily occurs within an interpersonal exchange and is often accompanied by increased arousal and negative feelings. It is most likely to occur in response to provocation but individuals differ in what they consider constitutes provocation. Aggressive behaviour is both multicausal and multifaceted but in order to study it, we have to break it down into components and find ways in which to measure these. This book describes a body of research examining the conditions under which the behavioural, affective and physiological components of aggression are elicited. A specific experimental technique which measures behavioural aggression in the laboratory is described. The task was found to be sensitive to individual differences in aggressive disposition. Aggression is not, however, confined to a small group of extremely hostile individuals. Alcohol or substance abuse is often associated with aggression in the general population. The results of some studies examining the effects of alcohol and benzodiazepines on the feelings and behaviour of healthy volunteers are reported. The way in which people appraise a situation influences the way they feel and behave. These drugs, therefore, impair the ability to process socially relevant information which, in turn, lowers the threshold at which aggressive behaviour is likely to occur. It is only by continuing to study the complex interaction between pharmacological and psychological factors that we will gain more insight into the processes underlying aggressive behaviour.

Research on treatment outcome for addictive disorders indicates that a variety of interventions are effective. However, the progress clients make in treatment frequently is undermined by the lack of an alcohol and drug free living environment supporting sustained recovery. This book suggests that treatment providers have not paid sufficient attention to the social environments where clients live after residential treatment or while attending outpatient programs. It also describes the need for alcohol and drug free living environments. We then review the history of communal living for recovering addicts and alcoholics and provide concrete examples of the Oxford House model, which is a widespread communal living option for over 10,000 recovering persons in the US. The structure and philosophy of Oxford Houses are presented along with recent outcome studies providing support for their effectiveness. This book was published as a special issue in the Journal of Groups in Addiction and Recovery.

The Behavioral Addictions is the first American Psychiatric Publishing title to explore the diagnosis and treatment of patients who suffer from behavioral addictions, extreme forms of which share specific characteristics with severe forms of substance use disorders. These characteristics include tolerance (the need to use the substance or perform the troublesome behavior at higher doses, or more and more frequently, in order to achieve the same effect); withdrawal (feelings of restlessness, irritability, and discontent following abrupt discontinuation of the substance or the behavior); obsessive thinking and planning that block out anything other than obtaining or engaging in the addictive agent or behavior; and accompanying external consequences in related to finances, health, interpersonal relationships, legal affairs, etc. Although not all behavioral addictions are currently recognized as such by DSM-5, both substances and behaviors can hijack a person's pleasure-and-reward brain circuitry, causing great suffering. This case-based volume is practical and engaging and offers many features that make it not only informative but also accessible and entertaining: * Behaviors covered, both those widely recognized and those less commonly accepted, involve exercise, food, gambling, Internet gaming, Internet surfing, kleptomania, love, sex, shopping, work, tanning, and e-mailing/texting.* Introductory chapters discuss the relationship of behavioral or process addictions to substance use disorders across many spheres, and they provide an overview of the behavioral addictions from neurobiological, theoretical, clinical, and forensic perspectives.* Gambling disorder is now classified in DSM-5 as a behavioral addiction, lending credence to the construct of behavioral addictions and providing precedent for future consideration of other behavioral addictions, such as those highlighted in the volume. * Each chapter focuses on a real-life case study of a patient with a behavioral addiction. Videos that accompany the volume demonstrate encounters between a clinician and a patient exhibiting an addiction. This puts material on assessment, treatment, etc. into a real-world context.* Key points for review and multiple-choice questions are included at the end of each chapter. Not simply an exaggeration of everyday social and personal ailments, these behavioral conditions present clinicians with unique and poorly researched challenges in everyday clinical practice. The Behavioral Addictions helps the reader to determine not only where to draw the line between healthy and unhealthy levels of participation in a behavior, but also how to intervene in ways that are therapeutic, effective, and evidence-based.

Experts address the role of neuromodulators and opiate receptors in alcohol and drug dependence. They present innovative research techniques, new discoveries, and possible clinical correlates that allow for a much greater understanding of the clinical phenomena surrounding alcohol and narcotic use. Included in this thought-provoking volume are a comprehensive review of the current knowledge of the endogenous opiates, their interactions with the opiate receptors, and the potential relationship that these substances might have in promoting the development of dependence, tolerance, and withdrawal; the translation of the basic physiologic findings occuring during withdrawal to treatment of withdrawal symptoms in the clinical setting; and a physiological explanation for the rationale of using clonidine and naltrexone to accelaerate the detoxification process without undue discomfort.

* 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

Alcohol and its consumption is a major topic for public policy-making. Growing awareness of alcohol-related health problems among the general public has led to high levels of interest in alcohol consumption and its impact on society. This innovative collection of new perspectives on this critically important issue is informed by a leading group of international social scientists. Topics covered include alcoholism, the family, minimum pricing, paternalistic controls, and Socially Responsible Investment programs. Together, these essays reveal illuminating new insights into how public policy might be improved.

This book was originally published as a special issue of "Contemporary Social Science."