Integrating scientific knowledge with today's most effective treatment options, Addiction Medicine: Science and Practice, 2nd Edition, provides a wealth of information on addictions to substances and behavioral addictions. It discusses the concrete research on how the brain and body are affected by addictions, improving your understanding of how patients develop addictions and how best to personalize treatment and improve outcomes. This essential text is ideal for anyone who deals with patients with addictions in clinical practice, including psychiatrists, health psychologists, pharmacologists, social workers, drug counselors, trainees, and general physicians/family practitioners. Clearly explains the role of brain function in drug taking and other habit-forming behaviors, and shows how to apply this biobehavioral framework to the delivery of evidence-based treatment. Provides clinically relevant details on not only traditional sources of addiction such as cocaine, opiates, and alcohol, but also more recently recognized substances of abuse (e.g., steroids, inhalants) as well as behavioral addictions (e.g., binge eating, compulsive gambling, hoarding). Discusses current behavioral and medical therapies in depth, while also addressing social contexts that may affect personalized treatment. Contains new information on compliance-enhancing interventions, cognitive behavioral treatments, behavioral management, and other psychosocial interventions. Includes neurobiological, molecular, and behavioral theories of addiction, and includes a section on epigenetics. Contains up-to-date information throughout, including a new definition of status epilepticus, a current overview of Lennox Gastaut syndrome, and updates on new FDA-approved drugs for pediatric neurological disorders. Features expanded sections on evidence-based treatment options including pharmacotherapy, pharmacogenetics, and potential vaccines. Addresses addiction in regards to specific populations, including adolescents, geriatric, pregnant women, and health care professionals. Includes contributions from expert international authors, making this a truly global reference to addiction medicine. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Although there is a strong and growing literature in the two areas of desistance and addiction recovery, they have developed along parallel pathways with little systematic assessment of the empirical evidence about the co-occurrence of the relationship or how one area can learn from the other. This book aims to fill that gap by bringing together emerging literature on the relationship between offending and substance use. Instead of focusing on the active period of its onset and persistence, this book examines the mechanisms that support desistance, addiction recovery, and the common themes of reintegration and rehabilitation. With contributions from a wide range of international experts in the fields of desistance and addiction recovery, the book focuses on a strengths-based, relational and community-focused approach to long-term change in offending and drug-using populations, as well as the shared barriers to effective reintegration for both. This book will be highly informative for a wide audience, from academics and students interested in studying desistance and recovery to those working in addiction services and the criminal justice system as well as policy makers and the people undertaking their own journeys to desistance and recovery.

Although there is a strong and growing literature in the two areas of desistance and addiction recovery, they have developed along parallel pathways with little systematic assessment of the empirical evidence about the co-occurrence of the relationship or how one area can learn from the other. This book aims to fill that gap by bringing together emerging literature on the relationship between offending and substance use. Instead of focusing on the active period of its onset and persistence, this book examines the mechanisms that support desistance, addiction recovery, and the common themes of reintegration and rehabilitation. With contributions from a wide range of international experts in the fields of desistance and addiction recovery, the book focuses on a strengths-based, relational and community-focused approach to long-term change in offending and drug-using populations, as well as the shared barriers to effective reintegration for both. This book will be highly informative for a wide audience, from academics and students interested in studying desistance and recovery to those working in addiction services and the criminal justice system as well as policy makers and the people undertaking their own journeys to desistance and recovery.

There are now signs that, after decades of phenomenal growth, the era of unrestrained gambling liberalisation may be coming to an end. However, the power of the Gambling Establishment is formidable, and it will certainly fight back. Drawing on research and policy examples from around the world, the book provides a unified understanding of the dangerousness of modern commercialised gambling, how its expansion has been deliberately or inadvertently supported, and how the backlash is now occurring. The term Gambling Establishment is defined to include the industry which sells gambling, governments which support it, and a wider network of organisations and individuals who have subscribed to the 'responsible gambling' Establishment discourse. Topics covered include the psychology of how gambling is now being advertised and promoted and the way it is designed to deceive gamblers about their chances of winning; the increased exposure of young people to gambling and the alignment of gambling with sport; understanding the experience of gambling addiction; the various public health harms of gambling at individual, family, community and societal levels; and how evidence has been used to resist change. The book's final chapter offers the author's manifesto for policy change, designed with Britain particularly in mind but likely to have relevance elsewhere. With detailed examples given of the ways a number of countries are responding to these threats to their citizens' health, this book will be of global interest for academics, researchers, policymakers and service providers in the field of gambling or other addictions specifically, and public health and social policy generally.

Bringing together scholars from different disciplines in the humanities and social sciences, this multidisciplinary Handbook offers a comprehensive critical overview of intoxicants and intoxication. The Handbook is divided into 34 chapters across eight thematic sections covering a wide range of issues, including the meanings of intoxicants; the social life of intoxicants; intoxication settings; intoxication practices; alternative approaches to the study of intoxication; scapegoated intoxicants; discourses shaping intoxication; and changing notions of excess. It explores a range of different intoxicants, including alcohol, tobacco, coffee, tea, and legal and illicit drugs, including amphetamine, cannabis, ecstasy, khat, methadone, and opiates. Chapter length case studies explore these intoxicants in a variety of countries, including the USA, the UK, Australia, Bosnia & Herzegovina, Brazil, Denmark, Ireland, Japan, Kyrgyzstan, Nigeria, Singapore, and Sweden, across a broad timespan covering the nineteenth century to the present day. This wide-ranging Handbook will be of great interest to researchers, students, and instructors within the humanities and social sciences with an interest in a wide range of different intoxicants and different intoxication practices.

Addiction Debates explores the tumultuous landscape of addiction research, policy and practice. Covering all the 'hot topics' of the day in a balanced and informative manner, Comiskey provides international perspectives on each topic, stimulating debate and discussion via the different approaches taken globally. Considering the complexities of debates around legalisation, rehabilitation, abstinence, harm reduction, and the current opioid epidemic, this SAGE Swift also looks into the health and social concerns related to drug consumption. Less-often debated topics include the ageing population of people who use drugs, the rights of the child of parents who use drugs, and the pressure these unique factors put on public health and associated services. A relevant text for a range of disciplines and people, sure to inform, challenge and continue the debate.

This is the first book to provide a comprehensive overview of the social and technological context from which eHealth applications have arisen, the psychological principles on which they are based, and the key development and evaluation issues relevant to their successful intervention. Integrating how eHealth applications can be used for both mental and physical health issues, it presents a complete guide to what eHealth means in theory, as well as how it can be used in practice. Inspired by the principles and structure of the CeHRes Roadmap, a multidisciplinary framework that combines and uses aspects from approaches such as human-centred design, persuasive technology and business modelling, the book first examines the theoretical foundations of eHealth and then assesses its practical application and assessment. Including case studies, a glossary of key terms, and end of chapter summaries, this ground-breaking book provides a holistic overview of one of the most important recent developments in healthcare. It will be essential reading for students, researchers and professionals across the fields of health psychology, public health and design technology.

This practical and timely book provides comprehensive, state-of-the-art guidance on how primary care clinicians can best care for patients with substance use disorders. The book covers the major drugs of abuse, as well as the more recent ones, detailing the biology of various addictions and all dimensions of clinical diagnosis and management. It is organized in four parts: (1) The Basics, (2) Psychoactive Substance Dependencies, (3) Diagnosis, Treatment, Recovery, Relapse, and the Family, and (4) Special Groups. Part I, The Basics, consists of an overview, the various definitions of substance dependence, and the pharmacology of addictive substances. Chapter 1, Overview, is an introductory chapter that covers material common to the entire field of substance dependence. Chapter 2 covers the various definitions of substance dependence, and Chapter 3 reviews the pharmacology of addictive substances. Part II, Psychoactive Substance Dependencies, explains the various drug dependencies-alcohol dependence, sedative-hypnotic dependence, opioid dependence, stimulant dependence, nicotine dependence, cannabis dependence, dissociative dependence, inhalant dependence, hallucinogen dependence, and anabolic steroid dependence. Part III addresses diagnosis, treatment, recovery, relapse, and the family. Part IV, Special Groups, discusses substance dependence in women, adolescents, the elderly, ethnic minority groups, co-occurring disorders, LGBT patients, HIV positive patients, and the impaired physician. In addition to primary care physicians, Substance Use Disorders: A Guide for the Primary Care Provider will serve as an invaluable resource to primary care nurse practitioners and physician assistants, as well as medical students, primary care residents, emergency medicine physicians, ASAM and APA certified addictionists and those studying for certification in those specialties, psychiatrists, psychologists, and alcohol/drug counselors.

This classic text provides a comprehensive, accessible overview of substance misuse and dependence with an emphasis on practical and evidence-based approaches to the assessment, management and prevention of a wide range of drug-related problems, in a variety of clinical and social settings. The book includes definitions of terms, and describes the effects and clinical characteristics of all substances of misuse. The theoretical background to these topics is clearly explained. For the fourth edition, every chapter has been revised to include the most up-to-date information, with the latest international data on the extent of the world drug problem. There is detailed emphasis on harm minimization, AIDS and hepatitis C and entirely new coverage of tobacco addiction and its management. This is an essential guide for all healthcare workers, health policy specialists, counselors and those seeking to train in areas related to addiction and substance misuse.

For everyone who was that girl. Loose Girl is Kerry Cohen's captivating memoir about her descent into promiscuity and how she gradually found her way toward real intimacy. The story of addiction-not just to sex, but to male attention-Loose Girl is also the story of a young woman who came to believe that boys and men could give her life meaning. For everyone who knew that girl. In rich and immediate detail, Loose Girl re-creates what it feels like to be in that desperate moment, when a you try to control someone by handing over your body, when the touch of that person seems to offer proof of something, but ultimately delivers little more than emptiness. Kerry Cohen's journey from that hopeless place to her current confident and fulfilled existence is an unforgettable memoir of one young woman who desperately wanted to matter, and speaks to countless others with its compassion, understanding, and love. For the thousands of people who have found their voice in this book, and the thousands more who will.

Childhood Abuse, Body Shame, and Addictive Plastic Surgery explores the psychopathology that plastic surgeons can encounter when seemingly excellent surgical candidates develop body dysmorphic disorder postoperatively. By examining how developmental abuse and neglect influence body image, personality, addictions, resilience, and adult health, this highly readable book uncovers the childhood sources of body dysmorphic disorder. Written from the unique perspective of a leading plastic surgeon with extensive experience in this area and featuring many poignant clinical vignettes and groundbreaking trauma research, this heavily referenced text offers a new explanation for body dysmorphic disorder that provides help for therapists and surgeons and hope for patients.

This newly revised and expanded edition of Women's Drug and Substance Abuse: A Comprehensive Analysis and Reflective Synthesis offers a unique analysis and synthesis of theory, empirical research, and clinical guidance for treating substance abuse among young, middle-aged, and older women of various racial and sociocultural backgrounds in the United States, 2000 to 2018. This text uses the most current research findings to examine the actions and effects of drugs, women's patterns of medical and personal use and abuse, and common mental disorders associated with drug use. The authors also present their own empirically-based assessment model as well as prevention and treatment approaches specifically designed for women. Also included in the text is a comprehensive, cross-referenced subject index. Clear, comprehensive, accessible, and fully referenced, this book will be an invaluable resource for students and for professionals in all health and social care disciplines. Women's Drug and Substance Abuse is the 18th clinical pharmacology text that the Pagliaros have written over the past 40 years and is the 6th that deals exclusively with drug and substance abuse.

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.

Integrating Psychological and Pharmacological Treatments for Addictive Disorders distills the complex literature on addiction, offering a curated toolbox of integrated pharmacological and psychotherapeutic treatments in chapters authored by leading experts. Introductory chapters on the epidemiology, etiology, and fundamentals of addiction treatment provide a concise overview of the state of the field. Subsequent chapters then focus on the treatment of specific substance use disorders and on gambling disorder. Finally, a chapter on the treatment of addiction in primary care addresses the opportunities for clinical care in non-specialist outpatient settings. Physicians, psychologists, social workers, and other mental health professionals will come away from the book with an essential understanding of evidence-based practice in treating addiction and the scientific foundations of those approaches. .

Individuals bereaved by the drug- or alcohol-related death of a family member represent a sizeable group worldwide. Families Bereaved by Alcohol or Drugs is the long-awaited result of an important and ambitious research project into the experiences commonly encountered by members of this stigmatized and vulnerable group. Based on focus groups with the practitioners and service personnel who support grieving relatives following the loss of a loved one to alcohol or drugs, as well as interviews with the largest qualitative sample of adults bereaved by substance use that has been reported to date, this much-needed contribution to research on addiction and bereavement identifies four major reasons why grief following this tragic kind of death is particularly difficult. By examining the experiences of a wide range of stakeholders, including practitioners and policymakers in health, social care and the criminal justice system, the research contained within this book underscores the large number of organizations that play a role in the implementation of official procedure following a drug- or alcohol-related death and identifies significant gaps in the system that bereaved individuals must negotiate. Grounded in extensive and rigorous academic research, Families Bereaved by Alcohol or Drugs is essential reading for academics, researchers and postgraduate students in the fields of mental health and addiction, social work and social studies, psychology, family studies and bereavement. The book should also be of interest to anyone with a professional interest in bereavement or substance use.

Addictive Substances and Neurological Disease: Alcohol, Tobacco, Caffeine, and Drugs of Abuse in Everyday Lifestyles is a complete guide to the manifold effects of addictive substances on the brain, providing readers with the latest developing research on how these substances are implicated in neurological development and dysfunction. Cannabis, cocaine, and other illicit drugs can have substantial negative effects on the structure and functioning of the brain. However, other common habituating and addictive substances often used as part of an individual's lifestyle, i.e., alcohol, tobacco, caffeine, painkillers can also compromise brain health and effect or accentuate neurological disease. This book provides broad coverage of the effects of addictive substances on the brain, beginning with an overview of how the substances lead to dysfunction before examining each substance in depth. It discusses the pathology of addiction, the structural damage resulting from abuse of various substances, and covers the neurobiological, neurodegenerative, behavioral, and cognitive implications of use across the lifespan, from prenatal exposure, to adolescence and old age. This book aids researchers seeking an understanding of the neurological changes that these substances induce, and is also extremely useful for those seeking potential treatments and therapies for individuals suffering from chronic abuse of these substances.

Treating Addictions: The Four Components offers a unique and coherent understanding of addiction. The book begins with a chapter discussing the framework of addiction and the four essential components of treatments-the fundamentals of addiction, co-occurring disorders, quality of life, and macro factors-and subsequent chapters elaborate on each component. Most currently available addiction treatment books present knowledge and skills in separate chapters and fail to integrate all chapters within a single framework that can weave all concepts into a meaningful tapestry. Using a unified framework, this book offers students a comprehensive skill set for treating addictions.

Obesity and eating disorders have stubbornly refused to respond to treatment since the 1990's. This book organizes the evidence for a possible answer, i.e., that the problem could be one of addiction to processed foods. In a Processed Food Addiction (PFA) model, concepts of abstinence, cue-avoidance, acceptance of lapses, and consequences all play a role in long-term recovery. Application of these concepts could provide new tools to health professionals and significantly improve outcomes. This book describes PFA recovery concepts in detail. The material bridges the research into practical steps that health professionals can employ in their practices. It contains an evidence-based chapter on concepts of abstinence from processed foods. It rigorously describes PFA pathology according to the DSM 5 Addiction Diagnostic Criteria. It applies the Addiction Severity Index to PFA so that health practitioners can orient themselves to diagnosing and assessing PFA. It contains ground-breaking insight into how to approach PFA in children. Because the book is evidence-based, practitioners can gain the confidence to put the controversy about food addiction to rest. Practitioners can begin to identify and effectively help their clients who are addicted to processed foods. This is a breakthrough volume in a field that could benefit from new approaches.

This is the first book to provide a comprehensive overview of the social and technological context from which eHealth applications have arisen, the psychological principles on which they are based, and the key development and evaluation issues relevant to their successful intervention. Integrating how eHealth applications can be used for both mental and physical health issues, it presents a complete guide to what eHealth means in theory, as well as how it can be used in practice. Inspired by the principles and structure of the CeHRes Roadmap, a multidisciplinary framework that combines and uses aspects from approaches such as human-centred design, persuasive technology and business modelling, the book first examines the theoretical foundations of eHealth and then assesses its practical application and assessment. Including case studies, a glossary of key terms, and end of chapter summaries, this ground-breaking book provides a holistic overview of one of the most important recent developments in healthcare. It will be essential reading for students, researchers and professionals across the fields of health psychology, public health and design technology.

By offering an empowering personal program of self-care in recovery, this book provides guidance for everyone affected by widespread modern 'addictiveness'. The book explores Ayurveda's understanding of both the problem of our 'one addiction process' and its solution. It offers holistic techniques that enhance any of the traditional recovery pathways and beyond any of the common diet/exercise dogma from mainstream media. It covers the stress/addictive tendencies of the doshic types, and links this to how stress affects metabolism, the main determinant of health. The program offered in the book is an integration of the philosophy, psychology and physical practices of Yoga and Ayurveda to help people shift their life trajectory. With Yoga of Recovery, author Durga Leela presents a complete resource for working with individuals recovering from addiction.

This edited volume aims to facilitate the evolution of the new public health approach towards gambling. Bringing together the work of international experts, it gives a current overview of the field, highlighting the need for a coordinated framework of prevention and harm reduction measures to replace current "player protection" measures. Chapters begin by exploring the impact of problem gambling, looking at its effects on several levels, ranging from the individual to the family and society. Subsequently an overview of prevention and harm reduction models is presented, bringing the reader to an in-depth understanding of what a public health approach to gambling would entail. Later chapters focus on potential challenges to monitoring and evaluation, inviting the reader to envisage possible barriers towards implementation and ways of overcoming these. The book concludes with recommendations on how to take a harm reduction approach, from a political and human rights perspective. This work gives a rare synopsis of the present-day issues when considering the implementation of a harm reduction strategy for gambling. Recent work by key professionals is presented in order to encourage further developments in this ever-changing domain. Such issues will be relevant to all those with an interest in the field of problem gambling, from clinicians, students and healthcare professionals, to politicians.

Substance Misuse and Young People: Critical Issues is a comprehensive source of information on young people's requirements for assessment, treatment and other interventions because of their misuse of substances. It highlights approaches that enhance understanding of the routes that lead young people to substance misuse and also the routes away from it. The emergence of new substances and methods of misuse makes this ever more relevant. The authors are international experts in the fields of psychiatry, paediatrics, medicine, psychology, genetics, resilience, neuropharmacology and epidemiology. This book acknowledges how widespread both substance misuse and psychiatric disorders are and explores the complex, challenging links between co-occurring conditions. Use of substances is associated with illness and premature mortality, and more so for people who have combined disorders. The authors critically assess the vital need for intervention during adolescence and early adulthood. They provide detailed clinical views of the psychosocial interventions and medications currently available and illustrate them with case studies that emphasise adolescents' experiences and thoughtful lifestyle-specific interventions. This book provides theoretical knowledge and indicates the practical skills that practitioners require for work with young people who misuse substances. It is highly applicable to medical practitioners, psychologists, pharmacists, social workers, police officers, probation officers, educationalists and related social and healthcare professionals.

Colin Mathers who leads the Global Burden of Disease group in WHO has confirmed that, in the 2004 GBD, 13.1% of global Daily Adjusted Life Years are attributable to mental or neurological disorders. While the proportions vary very widely from about 10% in low income countries to over 25% in high income countries, it is clear that there is a need for understanding how to address this issue. This volume aims to provide a comprehensive overview of the public health principles of mental and neurological disorders. This vast range of health conditions affects people across the life course, from developmental disabilities in childhood, to schizophrenia and substance abuse in adults, and dementia in old age. Despite this diversity, they all share many features: they are mostly mediated through brain dysfunction or abnormalities, are often chronic in course, typically benefit from multi-component interventions, and are amongst the most neglected conditions in global health. The volume will bring together chapters from the Psychiatry, Neurology, Substance Abuse and Child Development sections of the Encyclopedia of Public Health. The volume will be the first comprehensive text on a public health approach to this diverse group of health conditions and has no obvious competitor.

Research increasingly suggests that addiction has a genetic and neurobiological basis, but efforts to translate research into effective clinical treatments and social policy needs to be informed by careful ethical analyses of the personal and social implications. Scientists and policy makers alike must consider possible unintended negative consequences of neuroscience research so that the promise of reducing the burden and incidence of addiction can be fully realized and new advances translated into clinically meaningful and effective treatments. This volume brings together leading addiction researchers and practitioners with neuroethicists and social scientists to specifically discuss the ethical, philosophical, legal and social implications of neuroscience research of addiction, as well as its translation into effective, economical and appropriate policy and treatments. Chapters explore the history of ideas about addiction, the neuroscience of drug use and addiction, prevention and treatment of addiction, the moral implications of addiction neuroscience, legal issues and human rights, research ethics, and public policy.

This timesaving resource features: * Treatment plan components for 25 behaviorally based presenting problems * Over 1,000 prewritten treatment goals, objectives, and interventions plus space to record your own treatment plan options * A step-by-step guide to writing treatment plans that meet the requirements of most insurance companies and third-party payors The Co-Occurring Disorders Treatment Planner provides all the elements necessary to quickly and easily develop formal treatment plans that satisfy the demands of HMOs, managed care companies, third-party payors, and state and federal review agencies. * A critical tool for mental health professionals treating patients coping simultaneously with mental illness and serious substance abuse * Saves you hours of time-consuming paperwork, yet offers the freedom to develop customized treatment plans * Organized around 25 main presenting problems with a focus on treating adults and adolescents with alcohol, drug, or nicotine addictions, and co-occurring disorders including depression, PTSD, eating disorders, and ADHD * Over 1,000 well-crafted, clear statements describe the behavioral manifestations of each relational problem, long-term goals, short-term objectives, and clinically tested treatment options * Easy-to-use reference format helps locate treatment plan components by behavioral problem * Includes a sample treatment plan that conforms to the requirements of most third-party payors and accrediting agencies (including HCFA, JCAHO, and NCQA)