This book provides a systematic and comprehensive discussion on drug dreams by considering the various perspectives involved (such as therapy in drug addiction, neurobiology of drug craving, affective neuroscience, dream research) and, ideally, at suggesting future clinical applications for therapists (counselors, psychotherapists, clinicians) in charge of treating drug-addicted patients, as well as input for dream researchers. The book draws from the author s clinical and research experience on drug dreams among heroin-addicted patients, as well as from the scientific literature in this field. The book is composed of three parts: the Phenomenology of drug dreams, their clinical and therapeutic aspects and their implications for the dream research and theory."

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of addiction is trapped in unfounded twentieth century ideas, addiction as a crime or as brain disease, and in equally outdated treatment.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.

Drug Abuse Treatment, together with its companion volume, Alcohol Abuse Treatment, critically examines the many difficult issues and complex strategies associated with the successful treatment of substance abuse today. Because of the high cost in lives, health, and dollars, the need for improved tech-niques and strategies for the treatment and reduction of substance abuse has become a critical national priority. In this volume of Drug & Alcohol Abuse Reviews, Ronald R. Watson and key researchers in the field of drug abuse treatment evaluate both old and new methods, carefully reviewing current data to determine the value of the most important treatment programs in current use. Featured topics include: cocaine and heroin addiction treatment relapse problems and treatment nicotine abuse treatment strategy for drug treatment systems psychological correlates of drug abuse outpatient drug abuse treatment pharmacotherapy for drug abuse Drug Abuse Treatment and its complementary volume on Alcohol Abuse Treatment together offer a thorough review and analysis of drug and alcohol abuse treatment options, providing researchers and clinicians with a valuable framework for understanding, planning, and delivering the effective substance abuse treatment that is so urgently needed now.

The use of alcohol, tobacco, pharmaceutical drugs, illicit drugs and other substances are widespread throughout the world and are amongst the leading causes of disability and death. Increasingly, medical approaches of treating these disorders have established themselves as effective interventions and are of great interest to those who seek help. A range of medical disorders are commonly associated with substance use. Addiction Medicine is a new medical specialty that focuses on the treatment of disorders of substance use and related diseases. It occupies a unique place amongst the medical specialties that connects mental and physical health. The field of addiction medicine is growing heavily as the range of treatments and resulting professional interest in working in this field evolve together. Structured training in the necessary skills in physical and mental health is an essential prerequisite to the establishment of this new medical specialty. This volume describes training programs established in Europe, the Americas and the Asia-Pacific regions. It has been developed with the support of the International Society of Addiction Medicine and is therefore a significant milestone in the development of addiction medicine internationally and will assist local training programs in incorporating the best ideas worldwide. The work will play an important role in establishing standards of training and consequently of practice, leading in turn to better patient care and health outcomes. This book was originally published as a special issue of Substance Abuse.

The consumption of drugs and alcohol, and the pleasures and problems arising from this consumption, can be understood as embedded and constitutive elements of social, family, and recreational life. At the same time, they are key sites of intervention for a broad array of state and non-state actors focused on regulation, treatment, and recovery. This edited volume showcases current research on the complex social and cultural geographies of drugs and alcohol. Taking an avowedly critical approach, the authors draw from a variety of theoretical traditions to explore the socially and spatially embedded nature of alcohol and drug consumption, regulation and treatment, and the ways in which these give rise to particular lived experiences, while foreclosing on others. Together, the chapters question taken-for-granted assumptions about the nature of, and motivations for, drug and alcohol use, and pay direct attention to both the intended and unintended consequences of regulation and treatment initiatives. Despite and, in part, because of this critical stance, chapters hold immediate implications for drug and alcohol policy and public health interventions. This book was originally published as a special issue of Social and Cultural Geography.

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.

This is the basic text of the Narcotics Anonymous fellowship. Just as with alcoholism, there is no 'cure' for narcotic addiction, but recovery is possible through a program adapted from the "Twelve Steps and Twelve Traditions" of Alcoholics Anonymous. This book, written by addicts, for addicts, about addicts, sets forth the spiritual principles of Narcotics Anonymous that hundreds of thousands of addicts have used in recovery. Intended as a complete textbook for every addict seeking recovery, Narcotics Anonymous describes the N.A. program and how it works. It includes the "N.A. Twelve Steps and Twelve Traditions", as well as many personal stories of men and women who have found freedom from addiction through Narcotics Anonymous.

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 multi-disciplinary 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, multileveled analysis cuts through the traditional battle lines of the drug debate and is a model for understanding and evaluating psychotropic substances around the world.

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.

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.

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.

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.

Adolescence is a developmental period marked by dramatic and rapid biological and social transformation; it is also a time of increasing rates of experimentation with substance use. This period and the risk behaviors that often accompany it cannot be fully understood from the vantage point of any single discipline, nor can they be described by focusing on only the behavioral and social problems of the period, the characteristics of normal development, or the pharmacology and addictive potential of specific drugs. Instead, a comprehensive approach requires knowledge of the brain's systems of reward and control, genetics, psychopharmacology, personality, child development, psychopathology, family dynamics, peer group relationships, culture, social policy, and more. Drawing on the expertise of leading researchers from multiple fields, The Oxford Handbook of Adolescent Substance Abuse provides the most comprehensive summarization to date of current knowledge about substance abuse during life's most tumultuous developmental stage. The Handbook is organized into eight sections covering the literature on the developmental context of this life period, the epidemiology of adolescent use and abuse, similarities and differences in use, addictive potential, and consequences of use for different drugs; etiology and course as characterized at different levels of mechanistic analysis ranging from the genetic and neural to the behavioral and social. Two sections cover the clinical ramifications of abuse, and prevention and intervention strategies to most effectively deal with these problems. The last section addresses the role of social policy in framing the problem and in addressing it, and explores its potential role in alleviating it. This volume's authoritative treatment of these issues and the breadth of its coverage make it suitable as a compendium of what is currently known; at the same time, its level of detail provides a reference text and a jumping off place for researchers already at work in the field.

Do we remember only the stories we can live with?

The ones that make us look good in the rearview mirror? In "The Night of the Gun," David Carr redefines memoir with the revelatory story of his years as an addict and chronicles his journey from crack-house regular to regular columnist for "The New York Times." Built on sixty videotaped interviews, legal and medical records, and three years of reporting, "The Night of the Gun" is a ferocious tale that uses the tools of journalism to fact-check the past. Carr's investigation of his own history reveals that his odyssey through addiction, recovery, cancer, and life as a single parent was far more harrowing -- and, in the end, more miraculous -- than he allowed himself to remember. Over the course of the book, he digs his way through a past that continues to evolve as he reports it.

That long-ago night he was so out of his mind that his best friend had to pull a gun on him to make him go away? A visit to the friend twenty years later reveals that Carr was pointing the gun.

His lucrative side business as a cocaine dealer? Not all that lucrative, as it turned out, and filled with peril.

His belief that after his twins were born, he quickly sobered up to become a parent? Nice story, if he could prove it.

The notion that he was an easy choice as a custodial parent once he finally was sober? His lawyer pulls out the old file and gently explains it was a little more complicated than that.

In one sense, the story of "The Night of the Gun" is a common one -- a white-boy misdemeanant lands in a ditch and is restored to sanity through the love of his family, a God of his understanding, and a support group that will go unnamed. But when the whole truth is told, it does not end there. After fourteen years -- or was it thirteen? -- Carr tried an experiment in social drinking. Double jeopardy turned out to be a game he did not play well. As a reporter and columnist at the nation's best newspaper, he prospered, but gained no more adeptness at mood-altering substances. He set out to become a nice suburban alcoholic and succeeded all too well, including two more arrests, one that included a night in jail wearing a tuxedo.

Ferocious and eloquent, courageous and bitingly funny, "The Night of the Gun" unravels the ways memory helps us not only create our lives, but survive them.

The author visited the archives of the headquarters of A.A. in New York, and discovered new communications between Carl Jung and Bill Wilson. For the first time this correspondence shows Jung's respect for A.A. and in turn, its influence on him. In particular, this research shows how Bill Wilson was encouraged by Jung's writings to promote the spiritual aspect of recovery as opposed to the conventional medical model which has failed so abysmally. The book overturns the long-held belief that Jung distrusted groups. Indeed, influenced by A.A.'s success, Jung gave "complete and detailed instructions" on how the A.A. group format could be developed further and used by "general neurotics". Wilson was an advocate of treating some alcoholics with LSD in order to deflate the ego and induce a spiritual experience. The author explains how alcoholism can be diagnosed and understood by professionals and the lay person; by examining the detailed case histories of Jung, the author gives graphic examples of its psychological and behavioural manifestations.

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.

The practice of medicine is both learned and advanced through the compilation and study of cases -- vignettes that record the presentation, diagnosis, and treatment of individual patients and diseases. This is especially true of psychosomatic medicine (PSM), which depends on the "compelling case" to distill clinical knowledge and communicate it to students, residents, and clinicians. An invaluable contribution to the field, the Casebook of Psychosomatic Medicine describes the psychiatric symptoms and/or illnesses managed by the PSM psychiatrist in collaboration with other medical colleagues. The book presents a broad range of cases illustrating the medical, psychosocial, and intertwined situations psychiatrists are likely to encounter in an academic medical center setting.

No other single volume offers a broader range of engaging, detailed, and nuanced PSM cases, or grounds them so firmly in a psychiatric, psychosocial, and spiritual context. Here are just a few of this patient-centered book's most impressive and useful features: - The relevant science underlying each case is addressed in discussion sections, allowing the book to be read as a stand-alone volume. Alternatively, the cases can be read as instructive and insightful illustrations by the reader who has already absorbed the fundamentals of PSM from standard textbooks in the field.- This user-friendly book is organized by the organ system or disease type of the presenting illness or symptom.- Content rare in volumes of this kind includes detailed coverage of the diagnosis and management of cognitive disorders; the management of drug toxicity states; determinations of decisional capacity for medical decision making; and "stress and adaptation," an issue the PSM psychiatrist encounters daily.- The authors strongly believe that one of the most crucial roles for the psychiatrist is in the medical center, and the book reflects that orientation. - The book addresses the importance of understanding the impact of patients' systemic illnesses on their psychiatric symptoms, and modifying interventions and care accordingly. These abilities are critical to sound PSM practice.

Although PSM has a long and noble history, it is the newest of the psychiatric subspecialties, and as the literature expands, more and more clinicians will incorporate PSM treatment modalities into their practice. The Casebook of Psychosomatic Medicine is an essential contribution to that body of knowledge and establishes a new standard with which to face the future of this exciting field.

People have been using tobacco in a variety of forms for centuries. Remarkably, it was originally seen as something that could promote vigor and health. Of course, now we all know that tobacco use causes death and disability in epidemic proportions. If smoking is so bad for us, why in heaven’s name would anyone still smoke? Quite a bit has changed since tobacco first made the transition to a widely available agricultural product. Unfortunately, the general clinical approach to addressing this problem has failed to keep pace with tobacco technology and its addictive properties. People around the world who have fallen prey to the subtleties of nicotine addiction, or who care for those who have, would benefit from a deeper understanding of the ways in which nicotine can affect the brain’s function and change behaviors over a lifetime. Why People Smoke breaks down the science of tobacco dependence and presents it in a way that is both easily understandable and clinically useful for anyone interested in helping people break free of nicotine’s influence. Why People Smoke is a first-of-its-kind clinical guide to treating tobacco dependence. The book helps readers make meaningful connections between tobacco’s effects at the cellular level, the predictable behavioral manifestations of the disorder, and the social science and systems requirements required to make a fundamental impact on this disorder. Unlike previous publications like self-help books, step-by-step curricula, or clinical guidelines, Why People Smoke puts practical clinical insights—gained from twenty-five years of practice—into perspective, helping the reader understand how “brain change” translates into “mind change” and the persistent compulsion to smoke . . . despite a person’s desperate desire to stop. Reading Why People Smoke will change the way you see smoking forever.

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.