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.

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."

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.

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.

Sex and pornography addiction are growing problems that devastate the lives of partners as well as sufferers. Sex Addiction: The Partner's Perspective has been written to help partners and those who care about them to survive the shock of discovering their partner is a sex addict and to help them make decisions about the future of their relationships and their lives. First and foremost, it is a practical book, full of facts, and self help exercises to give partners a much needed sense of stability and control. Like its sister book, Understanding and Treating Sex Addiction, it includes case examples and survey results revealing the reality of life for partners of sex addicts. Sex Addiction: The Partner's Perspective is divided into three parts. Part I explores the myths surrounding sex addiction and provides up to date information about what sex addiction is and what causes it before moving on to explain why the discovery hurts partners so much. Part II is about partners' needs and includes self-help exercises and strategies to help partners regain stability, rebuild self-esteem and consider their future. The controversial topic of co-dependency is also explored with guidance on how to identify it, avoid it and overcome it. Part III focuses on the couple relationship starting with the difficult decision of whether to stay or leave. Whatever the decision, partners will then find help and support for rebuilding trust and reclaiming their sexuality. This book has been written to help partners not only survive, but to grow stronger and move on with their lives - whether alone, or in their relationship. Readers will find revealing statistics and real life stories shared by partners who kindly took part in the first UK survey of sex addiction partners. This book will this book be a valuable guide for partners, but also for the therapists who seek to support them on their journey of recovery.

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.

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.

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.

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.

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.

Make 2020 the year you quit the cigarettes for good with this ground-breaking book ________ Allen Carr will help you break addiction for ever in this fully updated edition of The Only Way to Stop Smoking Permanently. You'll soon be able to: - Achieve the right frame of mind to quit - Avoid weight gain - Quit without dependence on rules or gimmicks - Enjoy the freedom and choices that non-smokers have in life - Quit without willpower It's time to begin your new life as a non-smoker with Allen Carr's The Only Way to Stop Smoking Permanently. ________ 'A different approach... a stunning success' Sun 'I was exhilarated by a new sense of freedom' Independent 'His skill is in removing psychological dependence' Sunday Times 'Allow Allen Carr to help you escape painlessly today' Observer

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.

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"

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.

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.

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.

'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.

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.

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.

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.

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.