Sexual obsessions are a common symptom of OCD, but addressing them in treatment is uniquely challenging due to feelings of shame, prior misdiagnosis, and the covert nature of ritualizing behaviors. These complicating factors make it difficult for clients to disclose their symptoms and for clinicians to know how to approach treatment. Sexual Obsessions in Obsessive-Compulsive Disorder provides clinicians with the information and guidance needed to help clients experiencing unwanted and intrusive thoughts of a sexual nature. Opening with background information on sexual obsessions and OCD, including assessment and differential diagnosis, Williams and Wetterneck then offer a complete, step-by-step manual describing treatment using a combination of empirically-supported CBT strategies, such as exposure and response prevention, cognitive therapy, and acceptance and commitment therapy, as well as useful mindfulness techniques. Accompanying these practical, step-by-step instructions are educational handouts and diagrams for clients designed to promote learning. The book concludes with a discussion of relationship issues that commonly result from sexually-themed OCD, and how therapists can tackle these problems. Sexual Obsessions in Obsessive-Compulsive Disorder is an essential resource for clinicians who treat OCD, as well as students and trainees from across the mental health professions.

Addictions are responsible for vast and growing morbidity, mortality, and misery in society. Until now, not only has the theoretical underpinning of the most commonly practised treatment approaches in the addictions field been scant, but the evidence for the effectiveness of these methods has also been generally lacking. In the cue exposure paradigm there is a rare opportunity to make a vital connection between theory and practice in the rational development of new treatment approaches. Cue exposure has become a routine clinical procedure in the treatment of phobic and obsessive-compulsive disorders and shows promise in the additions field. There is always a danger, however, that new approaches will become adopted into routine practice in an uncritical fashion. This book, therefore, brings together a series of invited reviews specially prepared by addictions experts from around the world. Together these reviews provide a much needed critical analysis of the evidence. The primary audience for the book is clinical psychologists and psychiatrists interested in addictions. However, it will also appeal to all graduates in these fields as a teaching and reference work.

'A masterclass in understanding' ANNIE GRACE, author of This Naked Mind Ten questions to ask yourself, right now: * Do you have a sense that something is wrong, but you don't know what it is? * Do you have a feeling that you are hollow inside, that you are empty or have a void within? * Do you react badly to rejection? * Do you often feel sad, unhappy or down for no obvious reason? * Would you describe yourself as highly sensitive? * Do you have problems with relationships and intimacy? * Do you engage in addictive behaviour - alcohol, drugs, gambling, shopping, food, sex, work, exercise? * Do you have low self-esteem or self-worth - are you not 'good enough'? * Do you have a sense of being numb to your feelings? * Do you rarely experience true joy and happiness? If you have answered 'yes' to most of these questions, there is a strong chance you have experienced emotional neglect or trauma as a child. An emotionally neglected child may struggle to form strong and secure attachments as an adult. They may feel hollow or empty, worthless (or overly important), judge themselves harshly and struggle with addictive tendencies - drinking, eating or exercising too much, for example. If this describes you, Heal Your Inner Child will change your life and give you back the love, compassion and authenticity you needed as a child, and deserve as an adult. Fomer heavy drinker turned sobriety coach Simon Chapple is - like you - a survivor of childhood trauma. His unique brand of straight-talking, practical yet reflective and relatable advice has helped thousands of people quit drinking, and he can help you now to move on from childhood emotional neglect to a place of happiness free from past trauma. How to Heal Your Inner Child is a stepped and safe approach to confronting your past, with space for reflective and supportive strategies that will help you to foster self-compassion and break free from the destructive behaviours that have blighted your life. Clinically endorsed and verified by a psychotherapist, this deeply personal, unflinchingly honest exploration is designed to unlock your own epiphany and support you as you journey to a happier, less troubled and more authentic self.

Many of the questions related to the treatment of drug addiction originate from the confusion that still characterizes this issue, even though biology is irreversibly changing our outlook on the physiology and psychopathology of the mind. In fact, prejudices stemming from the archaic concept of mind-body dualism are so difficult to eradicate that even a skilled psychiatrist may find it hard to distinguish a psychiatric symptom from a socially transgressive behavior. The dilemma becomes even more salient for drug addiction, since many of the substances which induce abuse and dependence are illegal, and their production, trade and use are forbidden by law. If the use of heroin is connoted as a crime, it may become controversial to recognize its chronic sequelae as a disease. Hence, withdrawal symptoms may alternatively be attributed to drug effects, or labelled as immoral attitudes arising from a vicious personality. However, the physician's judgement, which has to be merely instrumental at improving the patient's quality of life, should never be influenced by such complex setting. In fact, the only concern of the physician must be that of ascertaining the causes of symptoms and of removing them: if symptoms are induced by the toxic effect of a drug, he has to use the most effective antidote, and then proceed towards a detoxification; if they are due to withdrawal, a substitutive substance should be given initially. In the case of narcotics, substitutive therapy on a maintenance basis may become mandatory.

The author describes how through theatres of ecstasy, the State, for the perpetuation of its spiritual authority, needs to tell about itself. Developing concepts of the sacred from Bataille, the post-Surreal College of Sociology, Canetti, Marx, Hobbes and Walter Benjamin, Taussig creates his own theatre of spirit-possession utitlizing popular shrines, official monuments and slogans, money, the police, the freeway system, automobiles, taxis, the stealing of the sword of the state and, through fetishization of Europe's (dead) others, Native Americans and people of African descent.

Responding to the Oppression of Addiction brings together the voices of over 40 academics and social work practitioners from across Canada to provide a diverse and multidimensional perspective to the study of addiction. This thoroughly updated edition features eight new chapters and streamlines the content of the previous editions, with chapters condensed and combined to create a more accessible text.The fourth edition features new content on themes such as residential schools, prevention initiatives, special needs of different populations, policy perspectives framed within an anti-oppression standpoint, cognitive behavioral therapy, and the emerging topic of problem gambling. Returning chapters have been updated, with contributors providing more in-depth examinations of trauma-informed approaches. The entire volume has a strengthened anti-oppressive framework, on both an overarching and by-chapter level. This celebrated and varied collection is an indispensable resource for upper-level students, graduate students, and practitioners working in the fields of social work, addictions studies, and the helping professions.

From addiction expert Dr. Nicholas Kardaras, a startling argument that technology has profoundly affected the brains of children--and not for the better. We've all seen them: kids hypnotically staring at glowing screens in restaurants, in playgrounds and in friends' houses--and the numbers are growing. Like a virtual scourge, the illuminated glowing faces--the Glow Kids--are multiplying. But at what cost? Is this just a harmless indulgence or fad like some sort of digital hula-hoop? Some say that glowing screens might even be good for kids--a form of interactive educational tool. Don't believe it. In Glow Kids, Dr. Nicholas Kardaras will examine how technology--more specifically, age-inappropriate screen tech, with all of its glowing ubiquity--has profoundly affected the brains of an entire generation. Brain imaging research is showing that stimulating glowing screens are as dopaminergic (dopamine activating) to the brain's pleasure center as sex. And a growing mountain of clinical research correlates screen tech with disorders like ADHD, addiction, anxiety, depression, increased aggression, and even psychosis. Most shocking of all, recent brain imaging studies conclusively show that excessive screen exposure can neurologically damage a young person's developing brain in the same way that cocaine addiction can. Kardaras will dive into the sociological, psychological, cultural, and economic factors involved in the global tech epidemic with one major goal: to explore the effect all of our wonderful shiny new technology is having on kids. Glow Kids also includes an opt-out letter and a quiz for parents in the back of the book.

Counseling Addicted Families, Second Edition, is an up-to-date treatment manual that fosters lasting change for families dealing with addiction and addictive disorders. Focused around the clinically esteemed Sequential Family Addictions Model, the book guides counselors through the principles of how to "progressively sequence" a client family during their change process, and explores how family counseling theories and interventions can be applied in treatment settings. This second edition aligns with the DSM-5 Substance Use Disorder criteria and terminology and includes new sections on neuroscience and cutting-edge drug detection assessment methods. Both experienced and entry-level counselors will appreciate how the Model improves their clinical skills and knowledge to address the idiosyncratic needs of each individual family system and create healthy systemic change.

A revised and expanded edition of the recovery classic by Patrick Carnes, Ph.D., a leading expert on addictive behaviours. "The Twelve Steps tap into the essential human process of change and will be regarded as one of the intellectual and spiritual landmarks in human history. "--Patrick Carnes It was out of his reverence and respect for the wisdom and therapeutic value of the Twelve Steps that Carnes wrote A Gentle Path through the 12 Steps , now a recovery classic and self-help staple for anyone looking for guidance for life's hardest challenges. Hundreds of thousands of people have found in this book a personal portal to the wisdom of the Twelve Steps. With updated and expanded concepts and a focus on the spiritual principles that lead to lifelong growth and fulfilment, Carnes' new edition invites a fresh generation of readers to the healing and rewarding experience of Twelve Step recovery.

Historically, there has been little integration of theoretical or applied research on addiction treatment and parenting intervention development. Rather, the fields of addiction and developmental research have progressed on largely separate trajectories, even though their focus powerfully and often tragically intersects each time a parent is diagnosed with a substance use disorder. Parenting and Substance Abuse is the first book to report on pioneering efforts to move the treatment of substance-abusing parents forward by embracing their roles and experiences as mothers and fathers directly and continually across the course of treatment. The chapters in this volume represent important new strides among researchers and clinicians to address and close the increasingly recognizable gap between addiction and developmental science. Chapters focus on current, state-of-the-art treatment models for parents, primarily pregnant and parenting women, including descriptions of innovative treatments currently being developed and evaluated that focus on parental addiction and the parent-child relationship within a developmental framework. Part I covers the theoretical understandings of how addiction impacts the developmental processes of parenting. Part II discusses risk assessment, evaluation, and a variety of interventions and therapies. This unique volume will be of importance to clinicians, researchers, students, and trainees in the health professions who develop, implement, and evaluate interventions for parental addiction, including in well-baby clinics, primary care settings, pediatric clinics, and residential and outpatient drug treatment programs.

Counseling Addicted Families, Second Edition, is an up-to-date treatment manual that fosters lasting change for families dealing with addiction and addictive disorders. Focused around the clinically esteemed Sequential Family Addictions Model, the book guides counselors through the principles of how to "progressively sequence" a client family during their change process, and explores how family counseling theories and interventions can be applied in treatment settings. This second edition aligns with the DSM-5 Substance Use Disorder criteria and terminology and includes new sections on neuroscience and cutting-edge drug detection assessment methods. Both experienced and entry-level counselors will appreciate how the Model improves their clinical skills and knowledge to address the idiosyncratic needs of each individual family system and create healthy systemic change.

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.

Trauma represents a loss of connection with the self and can affect ability the to engage in comfortable long-term intimacy. Unresolved trauma often times is the reason why people self-medicate. It is a shutting down of affect, dissociation from the heat of a painful or terrifying moment, a repression of unbearable feelings. Relational trauma happens a little bit at a time. Feeling unseen, misunderstood, neglected or rejected by the people we want most to be loved by is, over time, a traumatizing experience. Our need to be seen is core to valuing ourselves, to experiencing us as vital people, important to those close to us and with the potential to find a meaningful place in the world. Sociometrics offers layers of healing, many small incremental moments of healing that cumulatively help to peel back the layers of the onion revealing ever deepening and widening aspects of both the self and the self in relation to others. Sociometrics is a therapeutic role-playing practice built upon the foundation of Psychodrama and Sociometry, the pioneering group therapy concepts developed by fin-de-siecle Viennese psychiatrist Jacob Levy Moreno. Psychodrama and Sociometry have been organically embraced in the addictions field as a method of treating this kind of relational trauma. Role-play in a therapeutic environment allows a full range of mind-body emotions and physical motions to be part of the treatment process. Words, rather than being used in some hapless attempt to describe an experience one can barely remember, can come bursting forward into the here and now towards the right person at the right place at the right time. But the open-ended nature of each can make it difficult to do with safety and containment. Sociometrics solve that problem by creating an experiential process that is both healing and educational. This practice also incorporate the most up-to-date research on trauma, grief and related issues such as depression, anxiety, somatic issues and PTSD. Sociometrics is designed to fit easily into the existing programming of an addiction treatment canter or group therapy. Because they bring trauma issues forward through the stricture of the Floor Check (a series of guided emotional prompts), they remove the necessity for a lecture only approach to healing. Each time a "symptom" is explored for example, there is time for sharing how that symptom might manifest for each client and to hear how that symptom might manifest for others. This creates many "teachable and healable" moments across the room as symptoms come alive through each individual. As clients share they normalize problems and regulate their string emotions through sharing and feeling "held" by others engaged in a similar process. Resilience is natural built as they stand in the center of their own story. Emotional literacy and relational skills are strengthened and feelings are translated into words and communicated to others.

From the Foreword: "Addiction is a disorder in self-regulation. Individuals who become dependent on addictive substances cannot regulate their emotions, self-care, self-esteem, and relationships. In this monumental and illuminating text Philip Flores covers all the reasons why this is so. But it is the domain of interpersonal relations that he makes clear why individuals susceptible to substance use disorders (SUDs) are especially vulnerable. His emphasis on addiction as an attachment disorder is principally important because he provides extensive scholarly and clinical insights as to why certain vulnerable individuals so desperately need to substitute chemical solutions and connections for human ones. The strength of Flores's paradigm of addiction as an attachment disorder is that it is a theory that effectively and wisely guides treatment, but at the same time, when properly implemented or practiced, the treatment resonates with and further enhances the theory. Flores's work here is an extraordinary one because, in parsimonious and clear language, he makes a major contribution to the literature and practice of effective psychotherapy in general and effective psychotherapy for the addictions in particular. He fills in all the gaps between theory and practice covering wide and ranging issues of what practice and empirical findings have to teach about the critical ingredients of AA, group therapy, and individual psychotherapy. This is a job well done because it helps students and experienced clinicians alike to always be mindful of how they bring their humanity to the distress and suffering of others. His theory of addiction as an attachment disorder makes it particularly clear how especially important this is for those suffering with addictive disorders. " Edward J. Khantzian, M.D., clinical professor of psychiatry, Harvard Medical School A Jason Aronson Book"

Written by experienced practitioners in the fields of addiction and psychoanalysis, and illustrated by a range of moving vignettes, this groundbreaking book examines the psychological foundations of addiction in the areas of food, sex, gambling, internet usage, shopping, and work. This book not only explores the roots of addictive behavior, explaining why popular treatment options such as the 12-Step Program often fail, it also provides insights for emotional resolution and strategies for behavioral change. Beyond the Primal Addiction seeks to understand rather than pathologize addictive behaviours, now so pervasive in contemporary societies. It will be essential reading for psychoanalysts, psychotherapists, and other mental health professionals, as well as their clients.

Even as the popularity of videogames has skyrocketed, a dark cloud continues to hang over them. Many people who play games feel embarrassed to admit as much, and many who don't worry about the long-term effects of a medium often portrayed as dangerous and corruptive. Drawing on years of experience working directly with people who play games, clinical psychologist Alexander Kriss steers the discourse away from extreme and factually inaccurate claims around the role of games in addiction, violence and mental illness, instead focusing on the importance of understanding the unique relationship that forms between a game and its player. Through vivid psychotherapy case illustrations, autobiographical memoir, and a wide range of psychological theory and research, The Gaming Mind lays out an honest and humanistic vision of games, their potentials and risks, and how they can teach us more about who we are and who we could be.

The accompanying Participant's Workbook to the SSC is written to engage clients and encourage active participation in treatment and responsible living. Phase I: Challenge to Change: Building Knowledge and Skills for Responsible Living Phase II: Commitment to Change: Strengthening Skills for Self-Improvement, Change, and Responsible Living Phase III: Taking Ownership of Change: Lifestyle Balance and Healthy Living SAGE offers treatment and training programs for mental health providers that you can easily incorporate into your existing programs.

Addiction is often thought about in terms of cause, be that brain chemistry, attachment patterns or cognitive schemas. But this does not allow an understanding of what addiction "is". It does not illuminate how addiction is lived. A phenomenology of addiction reveals that addiction is characterised by an intolerance of pain, a pursuit of pleasure, immediacy, technocratic solutions, alienation, ambiguity and is drenched in deception. These are its individual clinical manifestations, but this is also the way life, in this century, is lived. The addict is thus the ultimate 21st century subject, consuming without end, intolerant of emotion and unable to grasp their own limitations. Rather than embraced, these subjects act as a denied symptom, haunting late capitalism and exposing the vampire-like nature of our culture. As such, these subjects need to be treated not just as individuals who have "gone too far", but as victims of the political agenda shaping our lives. Thus the heart of the book is a description of addiction deepened by existential-phenomenological theory. This description is then used to understand the historical emergence of addiction, its socio-political manifestation and also the crucial issue of how to clinically treat the addict-subject.

Managing Negative Emotions Without Drinking is the ideal companion to Emotion Regulation Treatment of Alcohol Use Disorders. Each of the 12 individual weekly treatment sessions presents scientifically tested strategies for managing emotions without alcohol, including mindfulness practices, direct experiencing of emotion, and cognitive and behavioral skills to manage high-risk drinking situations and prevent relapse to alcohol use. The step-by-step exercises, user-friendly worksheets, and in-session and between-session skill practice help clients gain a basic understanding of the role that emotions play in harmful alcohol use and assist them in developing the skills needed to manage these emotions and cravings without alcohol.

The second edition of Making Mandated Addiction Treatment Work integrates cutting edge research with evidence-based addiction treatments to create a unified and effective treatment model for mental health professionals and those in training. Because the largest and fastest growing segment of the community-based addiction treatment population includes those who are mandated, Barbara C. Wallace provides insightful best practices for tailoring addiction treatment to diverse and challenging clients, including those who may have a history of trauma or mental disorders, different levels of motivation, and a high risk of relapse. Applicable in a variety of treatment settings in both urban and rural communities, this text weaves together new research and vivid case studies into a concise and practical resource. This book is ideal for practitioners and students of public health, criminal justice, and social welfare services.

Wrestling with the disease of alcoholism for most of his life, Jack London tells all in his autobiography John Barleycorn. Beginning with a discussion of the prohibition movement and its effects, London explores the ways that alcohol affects daily life in the Victorian era. Because there were not many forms of affordable entertainment or reliable communication, bars were the perfect spot for social activity. People were able to sit and drink, enjoying themselves while hearing the gossip and news from the other townspeople. However, this social practice can quickly deteriorate into a disease that infects every aspect of life, damaging those at home, threatening financial security, and even risking their safety. From personal experience, London explains what being an alcoholic is like with stories of humor and shame delivered with sharp accuracy. While doing so, John Barleycorn includes tales of London's interesting and numerous careers, such his time as a sailor, oyster pirate, and gold miner. Set to the vivid backdrop of the California Bay Area, he discloses his wildest stories and paints a portrait of his stomping grounds. Featuring themes of masculinity and friendship, John Barleycorn possesses a duality of lauding the social power of alcohol while warning against falling for its addictive qualities. The fine line between enjoying a drink and struggling alcoholism is characterized in clear prose and demonstrative narratives as London both brags about and laments his personal experiences with the substance. Employing thoughtful, honest, and exceptional prose, Jack London's John Barleycorn made a debut as one of the first intelligent and empathetic narratives about alcoholism. With both emotional and historical significance, London explores the unfortunately common disease while also explaining the cultural impact of alcohol in the 19th century, bleeding even to modern times. Both original and profound, John Barleycorn has earned a reputation for leaving audiences stunned by its emotional and frank narrative. This edition of Jack London's John Barleycorn features a new, eye-catching cover design and a readable, stylish font, crafting a perfect and approachable experience for the modern reader.

The only current resource for APPs caring for people with SUDs in clear, concise format This greatly needed resource is the first to provide evidence-based information and strategies for APRNs and PAs who work with individuals with substance use disorders (SUDs). Written in a concise, bulleted style for easy access to critical information, the reference addresses often-undiagnosed medical and psychiatric conditions which may accompany SUDs and the ethical considerations of working with affected patients and families. Written by noted substance abuse experts, the resource distills key information about SUDs, explaining what they are and what they are not, and the role of APPs in helping afflicted individuals to recover. It discusses how to identify SUDs regarding signs and symptoms, emergency response, and specific disorders. Also addressed is the use of pharmacology to treat SUDs including complementary and alternative medications, person-centered care for individuals with SUDs across the lifespan, and how to care for afflicted individuals in a variety of settings. Key Features: Distills current, evidence-based information in a concise, bulleted, pocket-sized format Organized for quick access to information Delivers proven strategies for successful nursing interventions Defines substance abuse disorders across the lifespan Discusses how to de-stigmatize people with substance abuse disorders Explores legal and ethical implications surrounding provision of health care to patients with SUDs

In 1970, sociologist Jeremiah Lowney began researching a group of surfers called the 'Wall Gang' in a small community of drug and alcohol users on Golden Beach in San Diego, California. Stoned, Drunk, or Sober? is the culmination of Lowney's thirty-eight years of intensive non-participant observation of seventy-two surfers. This book offers a rare look at various qualitative techniques employed to understand alcohol and drug use. Lowney utilizes basic quantitative statistical data to complement and verify the qualitative findings, thereby providing a deeper understanding than if only one or the other had been used. Because it spans so many years, Lowney's longitudinal research offers readers an opportunity to fully grasp the various factors that contribute to substance abuse, the various paths used to overcome the severe consequences of addiction, and the histories of those who did not use drugs, those who did, and those who are now 'free and sober.'

The current volume brings together social psychological theories and concepts and discusses their relevance to understanding substance use and addiction. It identifies convergence points between traditional perspectives on addiction and social psychological theory and research. This coexistence, which acknowledges the value of the conceptual and methodological advancements in each relevant field and attempts to integrate them, promotes scientific understanding and a more effective prevention and treatment of addiction.