The contributions to this volume clearly indicate the momentum, quality, liveliness and diversity of the research effort being di rected toward deepening our understanding of tqe alcohol withdrawal syndrome. This area of study has gained increasing interest and attention to the point where it seemed reasonable to devote a spe cial section to it at the 30th International Congress for Alcoholism and Drug Dependence in Amsterdam in September, 1972. Our goal was to share our most recent findings and stimulate others to join in the effort. With few exceptions, the papers in this publication present new data. It had been hoped that the volume would appear by the end of 1972. However, the eagerness of many of the contributors to extend their investigations made this target date impossible. Several of the papers were not presented in the section but were presented elsewhere in the Congress. However, because of their particular relevance to the topic they have been included with the generous consent of the authors."

Over the last decade the world has experienced a growing interest in problems associated with the nonmedical use of drugs. This interest has corresponded to a real growth in the extent, diversity, and social impact of the use of alcohol and drugs in many societies. As a result, the amount of research and writing on the subject of drug problems has greatly increased, and it has become very difficult for one individual to keep up with all the relevant literature. There is thus an acute need in the field for critical reviews that assess current developments, and the present series is intended to fill this need. The series is not to be an "annual review" in the usual sense. The aim is not to cover all the work reported during the preceding year in relation to a fixed selection of topics. Rather, it is to present each year evaluative papers on topics in which enough recent progress has been made to alter the general scope in a particular area. Owing to the multidisciplinary nature of problems of drug use and dependence, the papers published in each volume will be drawn from several disciplines. However, some volumes may be devoted to one partic ular problem, with individual reviews and papers examining various aspects of it. The composition of the editorial board and the international advisory board reflects these objectives. The editors are members of the senior scientific staff of the Addiction Research Foundation of Ontario."

According to the popular press in the mid twentieth century, American women, in a misguided attempt to act like men in work and leisure, were drinking more. "Lady Lushes" were becoming a widespread social phenomenon. From the glamorous hard-drinking flapper of the 1920s to the disgraced and alcoholic wife and mother played by Lee Remick in the 1962 film "Days of Wine and Roses," alcohol consumption by American women has been seen as both a prerogative and as a threat to health, happiness, and the social order. In Lady Lushes, medical historian Michelle L. McClellan traces the story of the female alcoholic from the late-nineteenth through the twentieth century. She draws on a range of sources to demonstrate the persistence of the belief that alcohol use is antithetical to an idealized feminine role, particularly one that glorifies motherhood. Lady Lushes offers a fresh perspective on the importance of gender role ideology in the formation of medical knowledge and authority.

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

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

Heroin is a worldwide scourge and a seemingly intractable one. The Life of the Heroin User: Typical Beginnings, Trajectories and Outcomes is the first book to apply a biographical approach to the lifecycle of the heroin user from birth until death. Chapters address each stage of the user's life, including childhood, routes to use, the development of dependence, problems arising from addiction, death and options for treatment and prevention. Drawing on over two decades of experience in the field of opiate research, Shane Darke examines major theoretical approaches to the development of opiate dependence and the efficacy of treatment options for opiate dependence. Key points are presented at the end of each chapter. The most detailed review available of what is likely to happen to the dependent heroin user, this is an important book for clinicians, researchers and students in the fields of drug and alcohol studies and public health.

Addiction is a significant health and social problem and one of the largest preventable causes of disease globally. Neuroscience promises to revolutionise our ability to treat addiction, lead to recognition of addiction as a 'real' disorder in need of medical treatment and thereby reduce stigma and discrimination. However, neuroscience raises numerous social and ethical challenges: * If addicted individuals are suffering from a brain disease that drives them to drug use, should we mandate treatment? * Does addiction impair an individual's ability to consent to research or treatment? * How will neuroscience affect social policies towards drug use? Addiction Neuroethics addresses these challenges by examining ethical implications of emerging neurobiological treatments, including: novel psychopharmacology, neurosurgery, drug vaccines to prevent relapse, and genetic screening to identify individuals who are vulnerable to addiction. Essential reading for academics, clinicians, researchers and policy-makers in the fields of addiction, mental health and public policy.

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.

Addiction is something that affects many different people from all walks of life and can be difficult for a therapist to treat, and the client to conquer. In this book fifteen people who have formerly had serious addictions speak about their experiences.

Survivors of Addiction draws on first-hand narratives to provide an overview of how and why people become addicted, and explores what happens after the addiction is left behind. Divided into four sections it covers:

• being caught up in addiction
• how and why users stop being addicted
• the early days after surviving addiction
• long-term outcomes.

By considering psychodynamic and Jungian perspectives as well as the clinical vignettes, this book examines the process of recovery from addiction. It will be key reading for therapists, clinicians and healthcare workers who encounter addictions in their day to day professions and will also be of great interest to those who are, or have been addicted, and their families.

This book represents a method by which students are assisted to make wise decisions about the use of alcohol and other drugs. Situations which are essential to effective daily living are employed to reach effective decisions. The role of parents in assisting the children toward a better understanding of the nature of drug use is also explored. Specifically, the use of alcohol and other drugs in the workplace places the drug situation directly in the light of the job market. The current problem of HIV and drugs is also discussed, along with drugs and pregnancy.

Dual diagnosis is the concurrent existence of substance misuse and psychiatric disorders in an individual. There has been an increase in the number of people being dual diagnosed and this impacts psychiatry services in primary care and general hospital settings. This book will provide practitioners with a comprehensive text on the contemporary issues of working with dual diagnosis patients from both clinical and theoretical perspectives.

If you or your partner is dealing with an alcohol problem, the program outlined in this book can help you both. Over the course of 12 sessions with a therapist, the drinking partner will be taught various skills and strategies for quitting drinking, as well as dealing with high-risk solutions in which there is strong temptation to drink. Throughout the program, the non-drinking partner will learn how to provide support and change certain behaviors that may contribute to the drinking partner's problem. As a couple, you will practice communication skills and participate in pleasant activities in order to improve your relationship and enhance intimacy. You and your partner will work together to overcome the drinking problem once and for all.
Teamwork and dedication are required for a successful outcome. If you and your partner are willing to work together, you will no doubt find yourselves on the way to a healthier and happier relationship at the end of the treatment.

It is well known that alcohol abuse can have a devastating effect on a person's entire life, from work to social life to family relationships. The cycle of alcohol abuse is especially damaging when the individual is in a romantic relationship. When an individual in a relationship struggles with alcohol dependence, both partners suffer and the nature of the relationship can become stressful, dysfunctional, and sometimes violent. Cognitive-behavioural therapy (CBT) has been proven to be an extremely effective method of treating alcohol abuse problems. Since both members of a couple are so affected when one partner abuses alcohol, this CBT based program is designed to treat them together, to help the drinker overcome his or her problem and the partner understand how he or she can become an agent of positive change. Often, a partner can be an unwitting trigger of alcohol abuse by misreading or miscommunicating situations. This program teaches the non-drinker how to avoid such situations and be a supportive part of the recovery effort. Partners learn to help motivate the drinker to stop, to recognise potential triggers and danger situations, and to prevent relapse once the treatment has ended successfully. This Therapist Guide outlines a 12-week program, providing session outlines and lists of materials needed to facilitate the treatment. Sessions focus on stimulus control, problem-solving, communication, and building motivation.

Cigarette smoking is the single greatest preventable cause of death, disease, and disability in the United States. It is the number one cancer killer of women, surpassing breast cancer. More than 70% of smokers have expressed a desire to quit, but are unable to do so alone. Independent cessation is extremely difficult, with a long-term success rate of 3-9%. Couple this difficulty with the fact that many female (and some male) smokers do not even try to quit because they are afraid of the resulting weight gain, and it seems a near impossibility for smokers to quit alone.
Any amount of counseling, from even one ten-minute session, drastically improves a person's chances for cessation success. Many therapists have clients who smoke, yet they do not encourage them to quit because they feel under-equipped to help them. There are very few books for mental health workers that teach smoking cessation techniques; almost all of the books on the market are self-help based. This book is to be used with the therapist guide as a resource for the monitoring forms, questionnaires and homework assignments that are crucial to cognitive-behavioral therapy (CBT.) Structured as a 16-week group program, the treatment outlined in the therapist guide and reinforced in this book teaches clients to break their smoking habit, and to avoid replacing that habit with unhealthy eating.

Cigarette smoking is the single greatest preventable cause of death, disease, and disability in the United States. It is the number one cancer killer of women, surpassing breast cancer. More than 70% of smokers have expressed a desire to quit, but are unable to do so alone. Independent cessation is extremely difficult, with a long-term success rate of 3-9%.Couple this difficulty with the fact that many female (and some male) smokers do not even try to quit because they are afraid of the resulting weight gain, and it seems a near impossibility for smokers to quit alone.
Any amount of counseling, from even one ten-minute session, drastically improves a person's chances for cessation success. Many therapists have clients who smoke, yet they do not encourage them to quit because they feel under-equipped to help them. There are very few books for mental health workers that teach smoking cessation techniques; almost all of the books on the market are self-help based. Of those that are for the clinician, most are not user-friendly at all, and none discuss the secondary concerns of weight gain. This guide teaches therapists, in easy to follow session modules, proven methods for their clients to stop smoking, and to avoid the resulting weight gain. Structured as a 16-week group program, this treatment teaches clients to break their smoking habit first, then to avoid replacing that habit with unhealthy eating. Using cognitive-behavioral therapy (CBT), this treatment emphasizes skill-building and the use of self-monitoring forms (found in the accompanying workbook) to help clients take control of their health.

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.

"Implementing Evidence-Based Practices for Treatment of Alcohol and Drug Disorders" provides managers and clinicians with results from Practice Improvement Collaboratives (PIC) that demonstrate how substance abuse treatment can be improved by increasing the exchange of knowledge between community-based service providers and the research community. The book examines improvement collaboratives and mentoring strategies for adopting and using evidence-based practices. Contributors address how to determine the best treatment processes to serve clients, how to deal with the hurdles faced in preparing and training counsellors, and how to affect the needed changes in agency activities. This unique professional resource responds to an Institute of Medicine report that found a substantial disconnect between research and practice in treatment for drug and alcohol dependence. Focusing on how to make the changes necessary to support the adoption and use of evidence-based practices, the book documents the activities of four sites to illustrate how investigators and treatment practitioners worked together to implement evidence-based practices. Contributors examine the development and early implementation of Practice Improvement Collaboratives, the investigator-provider-policymaker model, Motivational Enhancement Therapy, the use of Opinion Leaders in training, and targeted strategies that take into account the differences in clinician demographics and training. "Implementing Evidence-Based Practices for Treatment of Alcohol and Drug Disorders" is an essential tool for alcohol and drug counsellors, directors of alcohol and drug treatment clinics, and instructors in counsellor training and academic programs.

In Treating Addiction: Beyond the Pain, Edward Khantzian offers a collection of his recent works on the study and treatment of substance abuse and addiction. Based on his five decades of experience in working with substance dependent individuals, this volume builds upon Khantzian's theory of addiction as self-medication and provides insights into how addiction is rooted in human psychological suffering, and not pleasure seeking or self-destruction. Almost without exception, life histories of human discomfort, disconnection, and unhappiness leave those so burdened to be vulnerable to the appeal of addictive drugs, including alcohol. Khantzian's sensitive teaching voice weaves together an annotated collection of previously published papers into a powerful and engaging volume of effective practice-based treatments. A timely complement to his earlier collection Treating Addiction as a Human Process, this book provides an inclusive and accessible resource for mental health professionals from any background as well as graduate students and those in training.

It is during the critical first session with substance abusers that clinicians have the first, and all too often the last, opportunity to break through the wall of denial and create an atmosphere of trust that is so crucial to changing behavior. Written by a father-daughter team of clinical psychologists, The First Session with Substance Abusers outlines a proven plan for conducting an initial session that can uncover substance abuse problems with clients no matter how resistant or manipulative they may be. Applying the methods outlined in this book, psychologists and health professionals can use the first session to assess and evaluate the depth and duration of the substance abuse problem and motivate the client to begin the most appropriate form of treatment.

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.

Alcohol continues to be the substance of choice for todaya (TM)s youth, leading to serious physical, psychological, and social consequences. Alcohol Problems in Adolescents and Young Adults ably addresses this growing trend. The latest entry in the Recent Developments in Alcoholism series, it comprehensively presents a wide-ranging clinical picture of teen drinking - epidemiology, neurobiology, behavioral phenomena, diagnostic and assessment issues, prevention and treatment data - in a developmental context. Fifty expert contributors display the scientific rigor, practical wisdom, and nuanced analysis that readers have come to expect from previous volumes.

Among the subjects studied in depth:

- Initiation of alcohol use/abuse

- Risk and protective factors for alcohol dependence

- High-risk adolescent populations

- Drinking habits of college students

- Long-range consequences of teenage drinking

- Family-, school-, and community-based prevention programs

- Treatment of comorbid substance and psychiatric disorders

Clinicians, researchers, and policy makers will find this a bedrock source of evidence-based knowledge, whether onea (TM)s goal is choosing an age-appropriate assessment tool for eighth graders, preventing drinking among high school students, or understanding the alcohol-friendliness of campus culture. Here is a critical resource for all professionals dedicated to helping youngsters grow up sober.

In Sex, Drugs, and Creativity: The Search for Magic in a Disenchanted World, Kahoud and Knafo take a close look at omnipotent fantasies in three domains: sex, drugs, and creativity. They demonstrate how these fantasies emerge and how artists draw on them both to create and destroy-sometimes simultaneously - and how understanding this can help psychoanalysts work more effectively with these individuals. Using the personal statements of influential artists and entertainers, in addition to clinical material, the authors examine the omnipotence of self-destruction as it contends with that of creative artists. The authors argue that creative artists use omnipotent fantasies to imagine the world differently - this enables them to produce their art, but also leaves these artists vulnerable to addiction. Chapters devoted to Stephen King and Anne Sexton demonstrate the ways these authors used drugs and alcohol to fuel imagination and inspire creative output while simultaneously doing harm to themselves. A detailed case study also demonstrates successful clinical work with a creative substance user. Sex, Drugs, and Creativity will appeal to anyone interested in the links between creativity and substance use, and will be of great use to psychoanalysts and mental health practitioners working with these challenging clients.

Substance Use and Misuse is a comprehensive and practical text that covers the core elements of substance use and misuse in both acute and community settings. The text reflects those areas in which health-care professionals are assuming greater responsibility for those people misusing psychoactive substances. It adopts a skills-orientated approach, providing a framework of good clinical practice and is written by a group of clinicians and academics. This book is an invaluable tool for undergraduate and postgraduate students, educators and clinical practitioners in all branches of nursing, midwifery and health visiting. It is also relevant to others in the healing professions as well as generic and specialist health-care professionals.

* emphasis placed on prevention
* an up-to-date, practical and comprehensive text for students and practitioners in health care
* adopts a skills-orientated approach, supported by the latest research and case vignettes
* written by experts in clinical practice, management, education and research

Written by an experienced academic author, lecturer and practitioner, this comprehensive textbook provides an introduction to alcohol and drug misuse. It presents: the context of alcohol and drug misuse, and the nature and theories of addiction, including a historical overview and policy initiatives in contemporary society an overview of the problems associated with psychoactive substances and their impact on groups such as culturally and linguistically diverse communities, young people, women, older people and the homeless an understanding of the generic role responses to substance misuse in a variety of different settings and contexts, including primary care, the community and hospitals a framework for assessment, care planning, harm reduction approaches, dealing with overdose, intoxication and withdrawals, and psychological and pharmacological interventions an accessible and skills-oriented approach to assist students and practitioners in dealing with alcohol and drug misuse. This new edition is fully updated and includes new material on: evidence-based pharmacological interventions; recent global strategies in alcohol and drug; dual diagnosis and women; shisha smoking; and current statistics on prevalence of alcohol and drug misuse Alcohol and Drug Misuse takes into account current policy and practice for substance use and misuse and includes a range of pedagogical features to enhance learning. It is essential reading for nursing, health and social work students taking substance misuse modules, as well as related CPD courses for health and social care professionals.

A comprehensive theoretical and practical presentation on the assessment and treatment of adult children of alcoholics.

In Treating Adult Children of Alcoholics, renowned psychologist, researcher, and author Stephanie Brown develops an in-depth, integrated theory linking childhood experiences with an alcoholic parent to developmental difficulties. She emphasizes the importance of the traumatic family environment and provides rich clinical descriptions, linking systems theory and literature of the handicapped to the experience of children of alcoholics.

Dr. Brown connects environmental issues with individual development. She details the defensive maneuvers required to cope with an alcoholic parent and explores their impact on the development of the self. Finally, she outlines the process of recovery, continuing to emphasize the link between environment and individual development. She traces the recovery process from its first step—admitting parental alcoholism—through the reconstruction of personal identity based on incorporating the realities of parental alcoholism into a new vision of the self.

For mental health professionals, alcoholism counselors, graduate students, recovering alcoholics and their families, and adult children of alcoholics, Treating Adult Children of Alcoholics provides a clear understanding of the impact of parental alcoholism on the developing child. It also opens the door to a solid, realistic course of treatment that offers hope to thousands of adult children of alcoholics.