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."

This revised and updated third edition is a highly practical guide to the steps that counselors can take on a day-to-day basis to help those who have problems with their use of alcohol. It is the key book recommended by most alcohol counseling courses in the UK, including the Scottish national alcohol counselors training scheme. This highly acclaimed text provides clear guidance for counselors and demonstrates the need to treat every client as an individual, attempting to understand and therefore enable the client to understand, what they are doing and why. The book has been thoroughly revised to take into account the current political, social and counseling context surrounding alcohol use. It now includes a wider range of case-studies and many new ideas which will help students and trainees develop the skills and strategies they need for working with their clients. Backed up with detailed case studies and useful resource material, the Third Edition of this bestselling text will continue to be invaluable for all practitioners, both those specializing in work with alcohol misusers and those who encounter problem drinkers in the context of a more general counseling practice.

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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."

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.

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.

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.

Self-help organizations across the world, such as Alcoholics Anonymous, Croix D'Or, The Links, Moderation Management, Narcotics Anonymous, and SMART Recovery, have attracted tens of millions of individuals seeking to address addiction problems with drugs or alcohol. This book provides an integrative, international review of research on these organizations, focusing in particular on the critical questions of how they affect individual members and whether self-help groups and formal health care systems can work together to combat substance abuse. Keith Humphreys reviews over 500 studies into the efficacy of self-help groups as an alternative and voluntary form of treatment. In addition to offering a critical review of the international body of research in this area, he provides practical strategies for how individual clinicians and treatment systems can interact with self-help organizations in a way that improves outcomes for patients and for communities as a whole.

The first book on the recovery management approach to addiction treatment Combines theory, research, and practice within the same text Contributors include the major theoreticians, researchers, systems administrators, clinicians and recovery advocates who developed the model Addiction Recovery Management: Theory, Research, and Practice is the first book on the recovery management approach to addiction treatment and post-treatment support services. Distinctive in combining theory, research, and practice within the same text, this ground-breaking title includes authors who are the major theoreticians, researchers, systems administrators, clinicians and recovery advocates who have developed the model. State-of-the art and the definitive text on the topic, Addiction Recovery Management: Theory, Research, and Practice is mandatory reading for clinicians and all professionals who work with patients in recovery or who are interested in the field. Content Level Professional/practitioner Related subjects Internal Medicine - Medicine - Neurology - Physical Medicine & Rehabilitation

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)

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.

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.

Leadership in Drug and Alcohol Abuse Prevention blends the wisdom of numerous long-term professionals addressing drug and alcohol issues with helpful strategies and current science. Organized around the Pyramid of Success that emphasizes Competence, Confidence, and Commitment, this book offers practical and grounded approaches for better addressing substance abuse issues. Included are insights from 50 contributors, featuring professional perspectives from practitioners with decades of experience. While issues of substance abuse are not readily solved or cured, they can be better addressed - more effectively, more efficiently, and more appropriately. This timely resource offers a unique blend of science-based strategies and resourceful foundations for implementation. Designed for those working either directly or indirectly with problems associated with substance use disorders, this book will aid those in a wide variety of settings, whether in schools, communities, business, or government.

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.

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.

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.

"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.

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.

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.

Millions of individuals diagnosed with severe mental illness also suffer from an equally powerful substance use disorder. If you or someone you love has been diagnosed with dual disorders, this book can help.
Addiction and Mood Disorders: A Guide for Clients and Families is designed primarily to educate individuals with dual disorders and their families about mood and addictive use disorders. It not only gives a message of hope, but also provides practical suggestions on ways to manage these disorders. The author provides guidelines and strategies for recovery from dual disorders based on, and adapted from various treatments that have proven effective for addiction, mood disorders, or both. This book is filled with case examples that show growth and positive change, as well as the difficulties many individuals struggling with a dual diagnosis face. Advocating a recovery model in which the affected individual takes responsibility for getting the most out of professional treatment and self-help programs, this book shows that being an active participant is the key to getting the most out of your recovery.
This book is for use not only by those individuals who suffer from addiction and mental illness, but also by their family, friends, and other members of their support system. Professionals who work with these individuals will find this book to be a useful guide in their clinical work as well.

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

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.