Khat, marijuana, peyote-are these dangerous drugs or vilified plants with rich cultural and medical values? In this book, Lisa Gezon brings the drug debate into the 21st century, proposing criteria for evaluating psychotropic substances. Focusing on khat, whose bushy leaves are an increasingly popular stimulant and the target of vehement anti-drug campaigns, she explores biocultural and socioeconomic contexts on local, national, and global levels. Gezon provides a multidisciplinary examination of the plant's direct physical and psychological effects, as well as indirect social and structural effects on income and labor productivity, identity, gendered relationships, global drug discourses, and food security. This sophisticated, multi-leveled analysis cuts through the traditional battle lines of the drug debate and is a model for understanding and evaluating psychotropic substances around the world.

This ethnography continues the "thick description" of faith-based and science-based drug programs begun in Addiction Treatment. Using extensive interviews and his own participation in daily rounds of treatment, Hood provides a vivid comparison of resident experience at each type of institution.

Redemption and Recovery tells the stories of two houses in the Bronx, NY that serve people with drug problems: "Redemption House" and "Recovery House." These stories include the direct accounts of residents' "druggin'" lives before treatment and their search for normalcy after recovery or redemption. Other chapters dissect the religion of science-based treatment and compare success rates, religious vs. secular.

Addiction Treatment had detailed a similar process of personal conversion central to both treatments. This sequel uses the "contextualized demographics" of residents to uncover profound parallels between the two "unique" programs and debunk their shared ideology of abstinence.

Understanding and Treating Sex and Pornography Addiction demonstrates why people's lives are being destroyed by compulsive sexual behaviour and what we can do to help them. The book examines the latest research into these conditions and outlines the new integrative C.H.O.I.C.E. Recovery Model, a practical, sex-positive model which incorporates CBT, ACT and psychodynamic theories to help people enjoy lifetime recovery. This new edition has been updated throughout, with new material covering pornography addiction, ChemSex, internet offending and female sex and love addiction. Written in a clear and informative manner, this book contains support and advice for both the clinician and for those who suffer from sex addiction, and provides tools for securing confident and rewarding recovery. Understanding and Treating Sex and Pornography Addiction is essential reading for anyone looking to make an enduring recovery from these conditions, as well as for clinicians new to the field and those wanting to update their skills and knowledge.

A moment comes for every addict when the consequences are so great or the pain is so bad that the addict's life becomes out of control because of his or her behavior. Some are news making moments, such as the public censure when a congressman, minister, general, or professional athlete is cited for unacceptable sexual behavior. For most people those moments are followed by resolves to "never do it again," but somehow after the promise is made, they often find themselves in the exact same location doing something they vowed to never do again. That is addiction.
And for some, this addiction is more difficult to diagnose than in others. Such is the case for gay men. For some gay men fully committed to open sexual choices and experiences, modifying their sexual behavior and restricting their sexual freedoms is like going back in time and surrendering to homophobic attitudes often found in conservative culture. It just doesn't feel right. After all, the urban gay male culture surrounding him fully supports his sexual exploits as long as the sex is safe. And since gay male sex addicts may not discuss their sexual behavior even with good friends, nobody challenges them on their late-night exploits in unsafe places, their arrest record or brushes with the law, or potential health risks because of their behavior.
The truth is gay male sex addicts are not compulsively sexual because of their sexual orientation, but rather as a consequence of their individual psychological issues and biological predisposition toward addiction. This is exactly the same set of risk factors presented by straight male sex addicts.
Unfortunately, for the gay (sex) addict, his increasingly destructive patterns of behavior take place against a cultural background of dramatically greater sexual and social freedoms than those enjoyed by his heterosexual peers. The single urban gay man who has problems with sex, alcohol, or drugs is in some ways a prisoner of his own freedoms, having fewer cultural opportunities for self-examination and less cultural support for behavior change than does an average heterosexual male.
Finally, there is a resource that can help gay men determine if they are indeed a sex addict and whether or not they are willing to explore behavior change because of their sexual behavior.

Robert Weiss, LCSW, CSAT-S, is director of sexual disorders services for Elements Behavioral Health and founding director of The Sexual Recovery Institute, an outpatient sexual addiction treatment center in Los Angeles, California. His media appearances include ESPN, The Discovery Channel, the "Today "show, "The Oprah Winfrey Show," "Anderson Cooper 360," and "Dateline NBC."

Drugs in Prison is an essential handbook for all those who work with prisoners as well as students of penal drugs policy. Comprehensive and easy to use, it: provides up-to-date information on drugs, drug misuse and drugs legislation; outlines government and prison strategies for tackling drug misuse; describes the various methods being used to combat drugs in prison; reviews the effectiveness of these approaches and the performance of different establishments; discusses future strategy and practice.

Also featured are extensive index, a glossary, and useful appendices, case studies and checklists, which service to reinforce key learning points.

The success or failure of drug treatment programs have long been evaluated by assessing the clients' progress while in treatment and their status upon completion. This approach does not provide a complete assessment or an adequate picture of treatment outcomes over time. A comprehensive evaluation of the success or failure of treatment should also include client status in the years following treatment for a fair assessment of the long-term efficacy of any drug-treatment program.

What happens to former clients who left treatment? What influence did the treatment have on their lives? These are the questions that Marvin R. Burt seeks to answer with the follow-up studies included in this book. By selecting samples of former clients treated by two of the largest drug treatment agencies in the U.S. and control groups, Burt compares client behavior in terms of drug abuse, criminal activity, and socioeconomic productivity before, immediately following, and well after treatment.

The findings in this book challenge many common assumptions about drug treatment programs. Burt finds larger than expected positive behavioral changes in clients regardless of treatment duration or type, and demographic or background characteristics. Whether the results are attributable to the clients' maturation, commitment to change, or a reduction in the availability of drugs, the positive results of treatment are encouraging. This volume provides valuable insight into the natural history of drug abuse and outcomes for client groups.

Eating disorders, addictions, and substance use disorders are each challenging in their own right, but they also commonly co-occur, causing major challenges for clinicians. This book presents cutting-edge research on the overlap of these complex disorders and reviews integrative assessment strategies and treatment approaches, including enhanced cognitive behavioral therapy, dialectical behavior therapy, abstinence approaches, motivational enhancement, mindfulness meditation, and pharmacotherapy. The issue of whether eating-disordered behaviors such as dieting, binge eating, and excessive exercise are merely other forms of addictive behavior is examined. The authors argue both for and against the concept of food addiction in research, clinical treatment, and public policy. The book will be of interest to psychiatrists, addiction medicine physicians, mental health/substance abuse clinicians, dieticians, researchers, and those affected by the disorders.

A blend of theory and counseling techniques, this comprehensive text provides readers with an overview of several major counseling theories and their application to substance use disorders and addiction counseling, along with related techniques and interventions. Chapters incorporate cutting edge evidenced-based research on neuroscience, psychological and sociocultural theories explaining the biopsychosocial influences of substance use disorders, and examine how substance use disorder risk factors can be utilized when assessing someone who may have a substance use disorder. The text additionally helps apply theory to practice, offering intervention techniques and using accessible case studies. Throughout the text, highlighted learning opportunities and key terms further help students to practice and apply the theories, interventions and techniques that the book discusses. Mental health professionals, undergraduate and graduate students alike will benefit from this deft mix of prominent theory, innovative research and accessible case studies.

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 Clinician's Guide to Alcohol Moderation examines alcohol use around the world and teaches a range of behavioral health care providers how to help clients practice alcohol moderation. Excavating the current treatments available for alcohol moderation, the book offers step-by-step processes of engaging clients and their families, self-assessments, and alcohol moderation tools. In addition to using it in conjunction with Practicing Alcohol Moderation: A Comprehensive Workbook, readers would benefit from the Alcohol Moderation Assessment which predicts who may be able to successfully drink in moderation as well as developing and monitoring an Alcohol Moderation Plan. The text uses recognized alcohol moderation resources throughout the world as well as real-life case studies to address typical clinician, client, and family member questions. It challenges the traditional recommendation that drinkers experiencing problems are "alcoholics." This guide is a resource for all who overdrink or know people who struggle with their alcohol use. Through its medium, a broad range of health care providers receive a step-by-step process on how to practice alcohol moderation, how to put tools into practice, case examples, and answers to the most commonly asked questions.

Practicing Alcohol Moderation is designed to be used by clients of behavioral health care providers who have utilized The Clinician's Guide to Alcohol Moderation. This groundbreaking workbook can be used on its own or in conjunction with therapy, and additionally as a resource for family members whose loved ones are struggling with alcohol. It gives transparent, easy-to-follow, research-based explanations with questionnaires, checklists, quizzes, and worksheets. Each chapter begins with a brief overview and is interspersed with exercises and client experiences, combining research-based information with practical self-assessments, tools, and questions to answer to practice alcohol moderation. Readers can take the Alcohol Moderation Assessment to determine their likelihood of success in practicing alcohol moderation. The book provides the resources to create a personalized Alcohol Moderation Plan and suggests ways to manage its success for clinicians and general audiences alike.

The History of Gay People in Alcoholics Anonymous documents and honors the ways thousands of LGBT people have carried Alcoholics Anonymous' message. This illuminating chronicle includes interviews and documents that detail the compelling history, recovery, and wisdom of gay people in AA. The book examines the challenges AA faced as the fellowship endeavored to become a more inclusive and cohesive community. The first-person accounts narrate the important work of influential gay and straight AA members that led key events in AA's history. The author includes material on the steps and traditions of AA, and on becoming an ally to LGBT people on the road to recovery. Topics in The History of Gay People in Alcoholics Anonymous include: the gay origins of AA's Third Tradition a comparison of treatments for alcoholism and homosexuality compelling portraits of sober gay life in the 1950s and 1960s the debate in AA over meetings for gay alcoholics interviews with members and co-founders of the first gay AA meetings the history of the first gay AA/Al-Anon conference interviews with pioneering gay addiction professionals the history of AA pamphlet "AA and the Gay/Lesbian Alcoholic" Alcoholics Together, and why a parallel AA organization for gay alcoholics formed in southern California strategies AA's gay members developed to make their meetings simultaneously safe and public-and why some of them are still necessary today much more The History of Gay People in Alcoholics Anonymous is an enlightening book for members of the LGBT and heterosexual recovering community, alcoholism and addiction professionals, as well as physicians, counselors, psychiatrists, psychologists, social workers, clergy, historians, sociologists, educators, students, and anyone interested in learning more about AA or this aspect of the community's history.

The History of Gay People in Alcoholics Anonymous documents and honors the ways thousands of LGBT people have carried Alcoholics Anonymous' message. This illuminating chronicle includes interviews and documents that detail the compelling history, recovery, and wisdom of gay people in AA. The book examines the challenges AA faced as the fellowship endeavored to become a more inclusive and cohesive community. The first-person accounts narrate the important work of influential gay and straight AA members that led key events in AA's history. The author includes material on the steps and traditions of AA, and on becoming an ally to LGBT people on the road to recovery. Topics in The History of Gay People in Alcoholics Anonymous include: the gay origins of AA's Third Tradition a comparison of treatments for alcoholism and homosexuality compelling portraits of sober gay life in the 1950s and 1960s the debate in AA over meetings for gay alcoholics interviews with members and co-founders of the first gay AA meetings the history of the first gay AA/Al-Anon conference interviews with pioneering gay addiction professionals the history of AA pamphlet "AA and the Gay/Lesbian Alcoholic" Alcoholics Together, and why a parallel AA organization for gay alcoholics formed in southern California strategies AA's gay members developed to make their meetings simultaneously safe and public-and why some of them are still necessary today much more The History of Gay People in Alcoholics Anonymous is an enlightening book for members of the LGBT and heterosexual recovering community, alcoholism and addiction professionals, as well as physicians, counselors, psychiatrists, psychologists, social workers, clergy, historians, sociologists, educators, students, and anyone interested in learning more about AA or this aspect of the community's history.

Important reading for current and future addictions treatment cliniciansthis book synthesizes and integrates the expanding body of knowledge about combined trauma/addiction treatment to specifically address the needs of clinicians in addiction treatment environments Here, in a single source, is an essential overview of trauma treatment for people in addiction treatment settings. Psychological Trauma and Addiction Treatment presents specific methodologies and techniques for clients in inpatient and outpatient addiction/mental health settings. The contributorsleading clinicians and researchers in the fieldprovide a comprehensive set of scientific treatment approaches addressing a broad spectrum of trauma disorders. Psychological Trauma and Addiction Treatment brings you up-to-date, authoritative coverage of: the dynamics of co-occurring psychological trauma and addiction all of the primary treatment frameworks currently utilized in trauma treatment treatment frameworks that take gender into account cognitive therapies in treating these co-occurring disorders the role of psychodynamic psychotherapies in treatment attachment disorders and their relation to trauma and addiction treatment EMDR as a treatment for traumatized addicts the psychoneurology of trauma and the implications of psychoneurology in addictions and trauma treatment how self-help groups can contribute to and limit recovery for psychologically traumatized clients forgiveness therapy as an adjunct to trauma treatment counselor self-care for those who work with this client population Ultimately, this is a book of hope. Every author in this text has a firm belief that people with co-occurring trauma and addiction can recover, can maintain quality relationships, can confront life's challenges as they arise, and can be happy and fulfilled. Psychological Trauma and Addiction Treatment is designed as essential reading for entry-level and experienced addiction counselors, social workers, professional counselors, psychologists, and others working in the trauma treatment field.

More people than ever before see themselves as addicted to, or recovering from, addiction, whether it be alcohol or drugs, prescription meds, sex, gambling, porn, or the internet. But despite the unprecedented attention, our understanding of addiction is trapped in unfounded twentieth century ideas, addiction as a crime or as brain disease, and in equally outdated treatment. Challenging both the idea of the addict's "broken brain" and the notion of a simple "addictive personality," Unbroken Brain offers a radical and groundbreaking new perspective, arguing that addictions are learning disorders and shows how seeing the condition this way can untangle our current debates over treatment, prevention and policy. Like autistic traits, addictive behaviors fall on a spectrum - and they can be a normal response to an extreme situation. By illustrating what addiction is, and is not, the book illustrates how timing, history, family, peers, culture and chemicals come together to create both illness and recovery - and why there is no "addictive personality" or single treatment that works for all. Combining Maia's personal story with a distillation of more than twenty-five years of science and research, Unbroken Brain provides a paradigm-shifting approach to thinking about addiction.

This handbook provides mental health professionals with a thorough understanding of the biopsychosocial nature of disordered gambling and shares current evidence-based theories, interventions and strategies to use in clinical practice. It provides guidance for working with individuals of any age and covers different gambling modes, activities and subtypes, including new forms of gambling through online and virtual platforms. Drawing on the authors' substantial experience working with and researching gambling addiction, it considers how treatment can be specialized for particular client groups, including trauma survivors, military, older adults, adolescents and diverse communities. It provides detailed diagnostic and screening resources and includes important information on the financial and legal aspects. This is essential reading for any therapist treating clients with gambling disorder.

In this ground-breaking book, Michael Clemmens offers a new model of treatment for long-term recovery which goes beyond the traditional "disease" paradigm. Working from the belief that a fuller life for the recovering addict is grounded on a foundation of abstinence, the author explores a "self-modulation" approach which leads to a change in the behavior from within the individual while developing and expanding connection with others.

Biomedicalization is seen as the natural outgrowth of continued scientific progress--a movement towards improving the quality and quantity of life through scientific inquiries using biomedical perspectives and methods. This approach carries with it the assumption that with "proper" risk assessment, detection, and treatment, our lives can be lengthened, improved, and indeed more fulfilling. Yet critics question biomedicalization's ability to deliver. There is concern about how biomedicalization can change our traditional concepts of health as we discover more conditions for which we are at risk, and health maintenance is seen as the responsibility of the individual.

The purpose of the book is to describe, assess, and critique biomedicalization and its influence as a larger social trend on the health field and specifically in the area of alcohol research, policy, and programs. Chapter 1 gives a broad overview of biomedicalization. Chapter 2 lays the groundwork for a historical understanding of how medicalization and biomeidcalization have developed and are expressed in diverse fields such as aging, psychiatry/mental health, and women's health. Chapter 3 focuses in-depth on alcoholism and assesses the development and assumptions underlying the two movements that have greatly influenced the substance abuse field: the medicalization of deviance and the growth of the disease model of alcoholism. Chapter 4 discusses the origins and development of the National Institute on Alcohol Abuse and Alcoholism (NIAAA) from its inception in 1970. Chapter 5 illustrates the growing biomedicalization that has occurred in the alcohol field prior to NIAAA's movement to the National Institute of Health (NIH). Chapter 6 assesses how Sweden has handled alcohol problems and currently funds alcohol research. Chapter 7 concludes with a rationale for an expanded discourse between social scientists and biomedical researchers working on social problems, particularly alcohol issues.

This volume will stimulate discussion of the processes by which social problems, and specifically alcohol issues, are framed, managed, and studied. It will hold particular interest for researchers and students in the areas of alcohol studies, social science, and social welfare. "Lorraine Midanik" is a professor in the School of Social Welfare, University of California, Berkeley.

Offers a holistic, comprehensive approach to addiction treatment that combines standard EMDR therapy with specialty protocols This innovative and brand new EMDR therapy guide for healing addiction is the first book to underscore the efficacy of EMDR therapy as a primary modality for treating trauma and addiction. Targeting the trauma lurking beneath the addiction, the resource presents a comprehensive collection of best practices and strategies for using EMDR therapy to treat addictive disorders, and guides practitioners in incorporating their protocols of choice into EMDR treatment. While illuminating underlying theory, the book focuses on practice knowledge and how therapists can translate this knowledge into clinical settings in order to provide clinicians with a fully-integrated approach to the diagnosis, treatment, and management of addiction across populations Written in user-friendly language by two prominent practitioners and trainers of EMDR therapy, the book helps therapists to address the complexity of addictive disorders by providing a comprehensive guide to the standard eight-phase protocol and adaptive information processing model as groundwork for case conceptualization and treatment. Chapters contain case studies with commentary on relevant decision-making points along with discussion questions to enhance critical thinking. Abundant "Tips and Tricks" learned in the trenches make the text come alive with clinical relevance, and references to many of the best specialty protocols and strategies for treating clients suffering from addiction due to trauma, guide readers to choose the best protocol for each situation. Purchase includes digital access for use on most mobile devices or computers. Key Features: Authors' lived experience brings a wealth or real-world application Introduces the standard EMDR therapy protocol as a modality of choice for treating trauma and addiction disorders Rates popular specialty protocols for addiction and provides guidance on how to integrate them into treatment Delivers a wealth of best practices and strategies for working with clients with addiction issues Addresses effectively working with dissociation in EMDR therapy Focuses on best practice informed by a thorough review of up-to-date scholarly literature Uses abundant case studies, "Tips and Tricks from the Field" and practical exercises to reinforce knowledge

There are nearly two million inmates in America today. Are there better alternatives to incarceration? Criminal Justice: Retribution vs. Restoration presents new answers and unconventional suggestions addressing America's overcrowded prisons and jails, high recidivism rates, and weakened family and community relationships with ex-prisoners. Experts in the field discuss the benefits and failures of America's criminal justice system at various times in history and today, then explore possibilities to improve on that system. This groundbreaking book introduces encouraging, therapeutic approaches to criminal justice that include treatment, rehabilitation, and the direct involvement the victims, the families, and the communities. Criminal Justice looks at America's over-reliance on punishment and retribution as the means of responding to prevalent social problems and examines the justice system's tendency to incarceraterather than treatminority, mentally ill, poor, and drug-dependent offenders. The authorswho are all active in some field of criminal justiceargue for a restorative model of correction that is more humane to both offenders and victims. This model opens up dialogue between offenders and their victims, families, and communities by promoting hallmark programs, including victim offender mediation, conferencing, peacemaking circles, restitution, and community projects and services. Criminal Justice includes such intriguing topics as: the social costs and moral economy of incarceration drug policyshould drug users be incarcerated or rehabilitated? the potential of restorative justicea first-hand account from a prison inmate restorative justice and faith communities the practice and efficacy of restorative justice the path from fury to forgivenessthe emotions of the mother of a murdered child strategies for creating safe and just communities women in prisontheir special needs both during incarceration and after re-entry social work and criminal justicehow they work together grassroots advocacy for criminal justice reforma look back over the last 30 years by the founders of CURE (Citizens United for Rehabilitation of Errants) This book's foundation rests on the Biblical concepts of restoration, healing, forgiveness, reconciliation, and responsibility. Criminal Justice: Retribution vs Restoration is an eye-opening look at the negative effects of our current system of blame and punishment and offers hope for better, more humane methods in the future. This holistic, empowering, and strengths-based perspective offers insight and suggestions that are valuable for students, social workers, policymakers, and criminal justice professionals.

As the controversial field of sex addiction treatment reaches for legitimacy across the disciplines of medicine, psychiatry and psychotherapy, Getting Real About Sex Addiction: A Psychodynamic Approach to Treatment applies psychoanalytic framework to concepts of addiction and sex, as well as related concepts of personality and attachment development. Authors Graeme Daniels and Joe Farley explore the intersection of sex and culture and address social undercurrent relating to gender, such as objectification and sexual aggression and how those influence conceptualization goals and procedures in treatment. Through number case illustrations and vignettes, this text demonstrates psychodynamic method across treatment contexts, in formats of individual, couples, and group therapy. The result is a work that critiques theoretical, intervention, and gender biases that have infiltrated this important yet embattled field, and provides a fresh, alternative approach from a source with the oldest pedigree in modern psychology.