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.

Substance-related disorders pose an increasing challenge not only to the field of psychiatry but also to public health. The rapid development of our society has also changed the face of substance use and abuse, both quantitatively and qualitatively. In this volume international experts present reviews of the latest research covering many areas ranging from neurobiology to psychological management, as well as different drugs, from alcohol to ecstasy.

In the early 1980s the transtheoretical model of change was still in its infancy. Seminal publications were just appearing, but the model already seemed to hold such promise that we made it the organizing theme for the Third International Conference on Treatment of Addictive Behaviors (ICTAB-3), which convened in Scotland in 1984. That meeting gave rise to the first edition of this volume (Miller & Heather, 1986), which focused on processes involved in moving people from one stage to the next. With the volume still in print more than a decade later, we were approached by Plenum Press with the idea of preparing this second edition. We were, obvi ously, persuaded that there was merit to the idea. Since 1986 the work of Pro chaska and DiClemente has grown exponentially in popularity and influence. In Britain and the Americas, it is now unusual to find an addiction professional who has not at least heard about the stages of change, and more sophisticated applica tions of the transtheoretical model are spreading through health care systems and well beyond. The model has influenced professional training, health care delivery, and the design of many studies including a number of large clinical trials."

Emotion Regulation Treatment of Alcohol Use Disorders provides step-by-step, detailed procedures for assessing and treating emotion regulation difficulties in individuals diagnosed with an alcohol use disorder (AUD). The Emotion Regulation Treatment (ERT) program, consisting of 12 weekly sessions, combines an empirically supported cognitive-behavioral treatment with emotion regulation strategies to help clients manage negative emotions and cravings for alcohol. This therapist guide contains all the materials needed for the clinician to implement the program, including session outlines, detailed session content with suggestions for therapist dialogue, and client assignment for between-session skill practice. It is also designed to be used with the accompanying client workbook Managing Negative Emotions Without Drinking, which includes educational materials, handouts, worksheets, and between-session skill practice.

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.

Where do the roots of addictive behavior lie -- in our genes or in our environment, in our chemistry or in our character? In the Craving Brain, Dr. Ronald Ruden asserts that the roots of addiction most defintetly do not lie in our character. Rather, they lie in a complex chain reaction that originates in an ancient survival mechanism in the brain. When this system is inappropriately activated, it drives the body to crave, sometimes with addictive behavior as the end result. In clear, straightforward language, Dr. Ruden outlines his remarkable successful treatment program which he believes can cure this problem.

The Craving Brain offers crucial insights into the world of addiction. This revolutionary book will bring hope to millions of people who suffer from a wide range of addictions, from gambling and alcohol to drugs and food.

A blend of theory and counseling techniques, this comprehensive text provides readers with an overview of several major counseling theories and their application to substance use disorders and addiction counseling, along with related techniques and interventions. Chapters incorporate cutting edge evidenced-based research on neuroscience, psychological and sociocultural theories explaining the biopsychosocial influences of substance use disorders, and examine how substance use disorder risk factors can be utilized when assessing someone who may have a substance use disorder. The text additionally helps apply theory to practice, offering intervention techniques and using accessible case studies. Throughout the text, highlighted learning opportunities and key terms further help students to practice and apply the theories, interventions and techniques that the book discusses. Mental health professionals, undergraduate and graduate students alike will benefit from this deft mix of prominent theory, innovative research and accessible case studies.

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.

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.

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.

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.

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.

Understanding addiction is no longer just about understanding neurons or genes, broken brain functioning, learning or faulty choices. Oliver J. Morgan provides a fresh take on addiction and recovery by presenting a more inclusive framework than traditional understanding. Cutting- edge work in attachment, interpersonal neurobiology and trauma is integrated with ecological-systems thinking to provide a consilient and comprehensive picture of addiction. Humans are born into connection and require nourishing relationships for healthy living. Adversities, however, bring fragmentation and create the conditions for ill health. They create vulnerabilities. In order to cope, individuals can turn to alternatives, "substitute relationships" that ease the pain of disconnection. These can become addictions. Addiction, Attachment, Trauma, and Recovery presents a model, a method and a mandate. This new focus calls for change in the established ways we think and behave about addiction and recovery. It reorients understanding and clinical practice for mental health and addiction counsellors, psychologists and social workers, as well as for addicts and those who love them.

Learn how to make real, lasting changes in your life We all have bad habits - whether it's a weakness for junk food, a smartphone addiction or a lack of exercise. But change is hard. Forty percent of dieters quit within a week. Eighty percent of New Year's resolutions don't last beyond January. How can we kick bad habits - and stick with it? According to psychologist and behaviour researcher Dr Sean Young, the answer is to stop trying to change the person, and instead change the process. In Stick With It, Dr Young draws on his own research and that of other leading experts to explain how the mind often interferes with breaking bad habits, and how we can outsmart it, increasing the likelihood of lasting change by 200%. Packed with practical exercises and real-life case studies, Stick With It shows that it is possible to control spending, stick to a diet, exercise regularly and overcome problem behaviours - forever. 'Scientifically grounded and personally implementable. It's a winner' - Robert Cialdini, author of Influence and Pre-Suasion 'A must-read for anyone who's been unable to keep a New Year's resolution or failed at making a lasting change in any other area of their life or work. - Jonah Berger, author of Contagious Dr Sean Young is one of the world's leading experts in the field of habit-forming. He is an acclaiedpsychologist and the founder and Executive Director of the UCLA Center for Digital Behavior. His research involves the study of cutting-edge ways of using social media and mobile technologies to change and predict human behaviour.

Providing a framework for treating substance use disorders (SUDs) in office-based psychotherapy, the second edition of this trusted work has been updated throughout and features two entirely new chapters. The authors show how clinicians from any background can leverage the therapeutic skills they already have to address clients' alcohol and drug problems competently and effectively. Vivid case examples demonstrate ways to engage clients at different stages of change; set collaborative treatment goals; address SUDs concurrently with other psychological problems; and interweave motivational, cognitive-behavioral, and other interventions, tailored to each individual's needs. Reproducible forms and handouts can be downloaded and printed in a convenient 8 1/2" x 11" size. New to This Edition *Chapter on evidence-based principles and interventions. *Chapter on moderation-focused alcohol treatment. *Revised throughout with current data, clinical techniques, and examples. *Reflects over 15 years of important changes in the field--increased demand for integrated treatment, the ongoing opioid crisis, the growth of harm reduction and medication-assisted treatments, and more.

A timely reference that addresses the unique issues of gay men in recovery. Winner of the 2012 Independent Book Publishers Association Benjamin Franklin Award -- GLBT Category! Gay Men and Substance Abuse fills a tremendous void, serving as a valuable resource for gay men, professionals, concerned partners, friends, and family members in need of solid information and guidance.Whether faced with a traumatic coming out process, caught up in personal struggles with body image, engulfed in the club culture, or navigating a family system that does not accept his sexuality, a gay man struggling with substance abuse or addiction often faces cultural and personal challenges unique to his life experiences. Yet many men and their loved ones in search of help are forced to adjust to a traditional treatment system, or self-help groups that center on heterosexual relationships, and family groups that neglect to include partners or address what can be a uniquely challenging family dynamic.By exploring the social and psychological factors that play into homosexual men's addictions, nationally certified treatment counselor Michael Shelton presents a timely, comprehensive look at best practices in meeting the unique needs of gay men in recovery, offering keen insight on a range of issues, including: such common therapeutic approaches as motivational enhancement therapy and 12 Step strategiessuccessful relapse prevention protocolstools for recovery from co-occurring sexual disordersthe importance of a loved one's role with regard to intervention and supportthe complicated relationship between gay male drug use and sexual behaviorhow to talk knowledgeably, and with care and sensitivityAbout the author Michael Shelton, M.S., C.A.C., is a nationally certified treatment counselor and does clinical work with males with substance abuse and sexual disorders at four facilities in Philadelphia. He's the author of four other books, including Boy Crazy: Why Monogamy Is So Hard for Gay Men and What You Can Do About It.

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.

This issue of Medical Clinics, guest edited by Drs. Jeffrey H. Samet, Patrick G. O'Connor, and Michael D. Stein, is devoted to Substance Use and Addiction Medicine. Articles in this outstanding issue include: Making Unhealthy Substance Use a Part of Behavioral Health Integration in Primary Care; The Inpatient Addiction Consult Medical Service: Expertise for Hospitalized Patients with Complex Addiction Problems; The Addiction Physician Workforce: Addiction Psychiatry and Addiction Medicine Collaboration in a New Age; Preventing Opioid Overdose in the Clinic and Hospital: Analgesia and Opioid Antagonists; The Role of Non-Traditional Maintenance Treatments: Injectable Opioid Agonist Therapies and Managed Alcohol Programs; Office-Based Addiction Treatment (OBAT) in Primary Care: Models that Work; Alcohol Use Disorder Pharmacotherapy: the Use of FDA and non-FDA Approved Medications; When and How to Treat Possible Cannabis Use Disorder; Clinical Presentations of New Drugs with Abuse Potential; Use of Technology in Addiction Therapy; Sleep Management Among Patients with Substance Use Disorders; Pain Management Among Patients with Substance Use Disorders; E-Cigarettes: A Path to Recovery or a Road to Hell?; Are Adolescent and Young Adults Different When Addressing Substance Use Disorders?; and Smoking Cessation for Those in Recovery from Substance Use Disorders.

Edited and with contributions by Lois Badey 'I have a secret. Secrets can be dangerous. They make tell lies. You can lie to others, but mostly, you lie to yourself...' - Janet Drawing from his 35,000-member strong community, one of the country's most successful sobriety coaches, Simon Chapple brings us real, raw, relatable stories from individuals who've found joy in an alcohol-free life. Powerful, healing, resonant and true, the experiences in this unforgettable book will make a real impact on anyone who is exploring their relationship with alcohol, or who needs support, inspiration, or a reason to go sober. Featuring contributions from some of the most well-known personalities in the Sober Space, sharing their own extraordinary journies, some of these stories are shocking, some are moving, some will make you cringe and others will make you laugh out loud; all are inspiring and powerfully motivating. The hope is that readers will see their own lives reflected in these incredible narratives, and find the courage to take a step forward into a new life. With a full commentary from the author alongside each chapter, to provide an easy understanding of the takeaways from each story, the book will also carry QR codes that link directly to Simon's popular YouTube channel to further help you on your journey to sober joy. Why not invest in THE SOBER JOURNAL - a space for your own reflections, marking your own journey to freedom and joy?

Internet Gaming Disorder: Theory, Assessment, Treatment, and Prevention is an informative and practical introduction to the topics of Internet gaming disorder and problematic gaming. This book provides mental health clinicians with hands-on assessment, prevention, and treatment techniques for clients with problematic gaming behaviors and Internet gaming disorder. It provides an overview of the existing research on epidemiology, risk and protective factors, and discusses the distinct cognitive features that distinguish gaming from gambling and other related activities and disorders. Clinicians will find interest in discussion of the latest developments in cognitive-behavioral approaches to gaming disorder as well as the best structure for clinical interviews. Included in clinical sections are details of the key indicators of harm and impairment associated with problem gaming and how these might present in clinical cases. Internet Gaming Disorder is strongly evidence-based, draws extensively upon the latest international research literature, and provides insights into the likely future developments in this emerging field both in terms of technological development and new research approaches.

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 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