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.

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.

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.

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

Originally published in 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.

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.

"The Addiction Inoculation is a vital look into best practices parenting. Writing as a teacher, a mother, and, as it happens, a recovering alcoholic, Lahey's stance is so compassionate, her advice so smart, any and all parents will benefit from her hard-won wisdom." -Peggy Orenstein, author of Girls & Sex and Boys & Sex In this supportive, life-saving resource, the New York Times bestselling author of The Gift of Failure helps parents and educators understand the roots of substance abuse and identify who is most at risk for addiction, and offers practical steps for prevention. Jessica Lahey was born into a family with a long history of alcoholism and drug abuse. Despite her desire to thwart her genetic legacy, she became an alcoholic and didn't find her way out until her early forties. Jessica has worked as a teacher in substance abuse programs for teens, and was determined to inoculate her two adolescent sons against their most dangerous inheritance. All children, regardless of their genetics, are at some risk for substance abuse. According to the National Center on Addiction and Substance Abuse, teen drug addiction is the nation's largest preventable and costly health problem. Despite the existence of proven preventive strategies, nine out of ten adults with substance use disorder report they began drinking and taking drugs before age eighteen. The Addiction Inoculation is a comprehensive resource parents and educators can use to prevent substance abuse in children. Based on research in child welfare, psychology, substance abuse, and developmental neuroscience, this essential guide provides evidence-based strategies and practical tools adults need to understand, support, and educate resilient, addiction-resistant children. The guidelines are age-appropriate and actionable-from navigating a child's risk for addiction, to interpreting signs of early abuse, to advice for broaching difficult conversations with children. The Addiction Inoculation is an empathetic, accessible resource for anyone who plays a vital role in children's lives-parents, teachers, coaches, or pediatricians-to help them raise kids who will grow up healthy, happy, and addiction-free.

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.

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.

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."

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

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.

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.

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 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.

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.

Here is helpful information about joint activities for prevention researchers and practitioners. Prevention Practice in Substance Abuse provides cutting-edge information related to prevention research and practice. Too frequently, researchers and practitioners do not communicate from a basic understanding of concepts and principles. This book begins to fill that void by providing information and recommendations for practitioners and researchers to develop projects jointly so both groups become more effective in their work.Chapters in Prevention Practice in Substance Abuse are grouped into three areas: background chapters contain information related to prevention in the United States, data-based chapters present the most recent national and international evaluation findings, and conceptual chapters stimulate thought about drug abuse prevention. A concluding chapter explores recommendations for joint activities and presents methods for both practice and research to enhance knowledge development. Specific topics addressed by the contributing authors include: mass media campaigns morality and substance abuse Hungarian adolescent drug abuse parenting practices social influences-oriented substance abuse prevention curricula choosing a paradigm to guide research and practicePrevention Practice in Substance Abuse is an ideal guide for drug and alcohol practitioners and researchers who wish to become more effective in their work using strategies for cooperating with each other to combat the use and abuse of drugs and alcohol.

Here is a practical and clearly written guide to the use of Neuro-Linguistic Programming in the treatment of alcoholism and other addictions. This comprehensive volume illustrates how the focus of Neuro-Linguistic Programming (NLP) on the individual and the family increases the effectiveness of counseling by targeting the uniqueness of each individual and his or her family system. Professionals will also learn how NLP facilitates effective interventions and helps alcoholics create internal coping skills to begin and maintain the recovery process. Neuro-Linguistic Programming in Alcoholism Treatment is a wealth of innovative, state-of-the-art information on the history of NLP, basic NLP assumptions, concepts for establishing rapport with clients, and essential family participation in NLP.Each chapter directs itself either to a specific NLP technique, featuring clear case demonstrations and a step-by-step outline for applying the technique to the development of the counseling process in working with addicted systems, or to a particular group affected by addiction, such as alcoholics, children of alcoholics, or the addicted family as a unit. Clinicians focus on alcoholism and other addictions as treatable conditions, applying specific strategies and techniques--initially developed in Neuro-Linguistic Programming and Hypnotherapy--adapted to meet the demands of alcoholism and addiction treatment specialists. This important volume allows for a substantial increase in the repertoire of treatment choices available to professionals and enables clinicians to individualize treatment. An extensive bibliography is included to further assist readers in gaining additional skills in the treatment of alcoholics and other addicts.

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.

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.

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.

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.

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.

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."

The research literature on the impact of alcohol on the brain has seen a rapid expansion in recent years. Alcohol and the Adult Brain presents an up-to-date overview of some of the issues relevant to understanding and working with people with cognitive impairment as a result of chronic alcohol use. One issue causing barriers to effective treatment and care is the stigma associated with alcohol dependence, resulting in the belief that difficulties associated with alcohol related brain damage (ARBD) are 'self-inflicted'. Cognitive changes resulting from alcohol excess and poor nutrition can directly affect an individual's ability to motivate themselves, make decisions, and make the informed choices that underlie behaviour change. Attitudes held by professionals, reinforced by societal norms, that a person is 'choosing to drink' and 'not motivated to engage with treatment', in combination with the often subtle cognitive deficits associated with ARBD, can result in a lack of timely intervention, with enormous personal, social and economic cost. The chapters in this book set ARBD in a social and cultural context, provide discussion of the difficulties in definition and diagnosis, and outline the structural brain changes and neuropsychological deficits associated with chronic alcohol use. The book provides an overview of recent research on ARBD, including impairments associated with Wernicke-Korsakoff Syndrome, and discusses up to date recommendations for managing and working with this complex and varied disorder. Alcohol and the Adult Brain will be essential for students and researchers working with ARBD and for practitioners in a range of health, social care and voluntary settings.