With an estimated 20 million people addicted to drugs or alcohol, America is in the grip of an unrivaled epidemic. Overcoming Addition reveals how seemingly contradictory treatment theories must come together to understand and end dangerous substance abuse. Addiction treatment has become a billion-dollar industry based on innumerable clinical and psychological perspectives. Zealous clinicians and researchers have gathered around the theories, proclaiming each as the sole truth and excluding alternate views. In this book, leading bioethicist Gregory Pence demystifies seven foundational theories of addiction and addiction treatment. From Alcoholics and Narcotics Anonymous to methadone clinics and brain chemistry studies, each method holds foundation beliefs about human nature, free will, and biology. Understanding the diversity of these theories allows us to build a framework for more effective treatment for all addiction types. For individuals suffering from addiction, their families, and those who devote their lives to ending addiction's grasp on our society, this book offers a fresh perspective and a framework for long-term solutions.

Now a Netflix Original Series! The Breakfast Club meets Leah on the Offbeat in this story of female friendships that break all the rules. The Shoplifters Anonymous meetings that sixteen-year-old Moe is forced to attend are usually punctuated by the snores of an old man and the whining of the world's unhappiest housewife. Until the day that Tabitha Foster and Elodie Shaw walk in. Tabitha has just about everything she wants: money, friends, popularity, a hot boyfriend who worships her...and clearly a yen for stealing. So does Elodie, who, despite her goodie-two-shoes attitude pretty much has "klepto" written across her forehead in indelible marker. But both of them are nothing compared to Moe, a bad girl with an even worse reputation. Tabitha, Elodie, and Moe: a beauty queen, a wallflower, and a burnout - a more unlikely trio high school has rarely seen. And yet, when Tabitha challenges them to a steal-off, so begins a strange alliance linked by the thrill of stealing and the reasons that spawn it. Hollywood screenwriter Kirsten Smith tells this story from multiple perspectives with humour and warmth as three very different girls who are supposed to be learning the steps to recovery end up learning the rules of friendship

Substance use disorders (SUDs) are common among many patients with medical and psychiatric disorders. Professionals from all medical and behavioral health disciplines must address SUDs to provide optimal care to patients. Failure to do so may contribute to morbidity and mortality in cases of more severe substance dependence.
This new volume in the Pittsburgh Pocket Psychiatry series provides a comprehensive overview of substance use disorders for medical students and psychiatric residents. It is aimed particularly at increasing student's knowledge and skills in addressing SUDs. The handy pocket-sized book focuses on those substances used, abused and leading to addiction and the clinical implications of SUDs. Epidemiology, etiology, classifications of SUDs, screening and assessment, and pharmacotherapy and psychosocial interventions are discussed alongside case histories illustrating the material covered. Questions for the reader stimulate thinking about specific cases and how the medical student or resident can help patients with SUDs.
Additional chapters focus on problems caused or worsened by SUDs such as Hepatitis C, HIV/AIDS and co-occurring psychiatric disorders. Relapse and recovery are also explored given many patients with substance dependence relapse. Adolescents with SUDs, prevention and harm reduction interventions are also reviewed.
The concept of rom SUDs is incorporated in many of the chapters. Medical, psychological, family and cultural aspects of addiction and recovery are addressed, providing the reader with a broad framework for understanding and helping patients with SUDs, as well as their families. An extensive list of online resources is provided that includes mutual support programs as well as professionals and organizations who offer helpful materials and programs for patients with SUDs.
Contributing authors represent medicine, psychiatry, social work, psychology in diverse treatment settings. Many authors are also researchers and all are educators involved in mentoring medical students, residents, fellows and other health care professionals.

Helping beginning and experienced therapists cope with the myriad challenges of working in agencies, clinics, hospitals, and private practice, this book distills the leading theories and best practices in the field. The authors provide a clear approach to engaging diverse clients and building rapport; interweaving evidence-based techniques to meet therapeutic goals; and intervening effectively with individuals, families, groups, and larger systems. Practitioners will find tools for addressing the needs of their clients while caring for themselves and avoiding burnout; students will find a clear-headed framework for making use of the variety of approaches available in mental health practice.

In Addictive Behaviors in Women, leading experts from psychiatry, psychology, sociology, and social work concisely review the addictive process and the characteristic behaviors of women who are dependent on alcohol and/or drugs. Topics include why women smoke, the role of personality in female addiction, sexuality issues in chemically dependent women, dieting and alcohol use in women, alcohol's role in sexual assault, and the impact of drug abuse on the family and pregnancy. Addictive Behaviors in Women illuminates the causes and effects of the many lifestyle decisions women make that lead to addiction to drugs, work, sex, gambling, or to any of the many other elective aspects of our lives. It shows how addictive decisions can be avoided and/or treated, thereby making women's lives safer, more productive, and healthier.

Addiction exercises enormous power over all those who are touched by it. This book argues that power and powerlessness have been neglected in addiction studies and that they are a unifying theme that brings together different areas of research from the field including the disempowering nature of addiction; effects on family, community and the workplace; epidemiological and ethnographic work; studies of the legal and illegal supply; and theories of treatment and change. Examples of alcohol, drug and gambling addiction are used to discuss the evidence that addiction is most disempowering where social resources to resist it are weakest; the ways in which the dominant discourses about addictive behaviour encourage the attributing of responsibility for addiction to individuals and divert attention from the powerful who benefit from addiction; and the ways in which the voices of those whose interests are least well-served by addiction are silenced.

While there is a wealth of published information on addiction medicine, the psychological aspects of alcohol abuse, and behavioral medicine with regard to addiction, virtually none of these resources were written with the primary care provider in mind. Addressing Unhealthy Alcohol Use in Primary Care is a resource for primary care clinicians who are confronted by patients with these problems daily, and who wish to successfully address these issues in their practice. It would focus on the literature and science relevant to primary care practice and cover the range of interventions appropriate for this setting. Topics include assessment, brief counseling interventions, pharmacotherapy, referrals to both specialty care and Alcoholics Anonymous (and other self-help programs), psychiatric co-morbidity and other drug use, and other information specific to the needs of the primary care provider.

Alcohol has always been an issue in public health but it is currently assuming increasing importance as a cause of disease and premature death worldwide. Alcohol: Science, Policy, and Public Health provides an interdisciplinary source of information that links together, the usually separate fields of, science, policy, and public health. This comprehensive volume highlights the importance of bringing scientific knowledge to bear in order to strengthen and develop alcohol public policy. The book looks at the historical evolution of alcohol consumption in society, key early studies of alcohol and disease, and the cultural and social aspects of alcohol consumption. It then goes on to cover the chemistry and biology of alcohol, patterns of consumption, gender and age-related issues, alcohol and injury, alcohol and cancer and non-malignant disease, and various current therapeutic aspects. The book concludes with a section on alcohol policy, looking at issues of poverty, the availability of alcohol and alcohol control measures. This major reference, written by international leaders in the fields of alcoholism and alcohol policy, provides a comprehensive study of one of the foremost health problems in the world, and represents the highest standards of research within the field. It will be valuable to physicians and health professionals involved with patients with alcohol-related problems, scientists, public health specialists, health policy specialists, researchers and legislators as well as students of public health.

The manner in which genetic research associated with addiction is conducted, interpreted and translated into clinical practice and policy initiatives raises important social, ethical and legal issues. Genetic Research on Addiction fulfils two key aims; the first is to identify the ethical issues and requirements arising when carrying out genetically-based addiction research, and the second is to explore the ethical, legal and public policy implications of interpreting, translating and applying this research. The book describes research guidelines on human protection issues such as improving the informed consent process, protecting privacy, responsibilities to minors and determining whether to accept industry funding. The broader public health policy implications of the research are explored and guidelines offered for developing effective social interventions. Highly relevant for clinicians, researchers, academics and policy-makers in the fields of addiction, mental health and public policy.

Over the past 40 years the rate of illicit drug use worldwide has risen dramatically, and with it the number of deaths reported among drug-using populations. What are the clinical, ethical and psychopathological implications of these deaths? In this book, Shane Darke and his team provide the first full, synthetic review of the epidemiology, causes, prevalence, demography, and associated risk factors of illicit-drug-related mortality. In addition, they examine and evaluate interventions to reduce these deaths. The major causes of death among illicit drug users are overdose, disease, suicide and trauma. Each is independently examined. This is an important book for all clinicians and policy makers involved in issues relating to illicit drug use.

Presenting the latest conclusions about the psychological processes leading to impaired self-control, this book challenges the current harm-prevention policy of "responsible gambling." The authors present the most recent and evolving research into gambling, demonstrating the psychological variables that govern the erosion or maintenance of self-control over gambling behavior. These studies provide an empirical basis for a model of impaired control of gambling. Impaired control, in its broadest sense, is considered to be the defining psychological construct of all the addictive behaviors and occupies a central position in conceptualizing the addictive aspects of gambling.

Are you in a significant relationship with someone who has an addiction? Are you frustrated with watching your addicted loved ones destroy their lives? Whether your relationship is with a family member, friend, or partner, caring about an addicted person can feel like a nightmare. If someone you love is abusing drugs or alcohol or is engaging in addictive behaviors such as disordered eating, problem gambling, smoking, Internet addiction, a controlling relationship, or compulsive overspending, there is hope. Loving an Addict, Loving Yourself: The Workbook will show you how your life can improve by helping you to understand what will and won't work in your relationship with your addicted loved one--and in your relationship with yourself. As you become familiar with the top ten survival tips for loving someone with an addiction, you will learn how to offer healthier and more effective choices to your addicted loved one. Once you do this, you will feel a sense of realistic control in your life. In turn, this will increase your self-respect, which is, without a doubt, the most important thing you can change about yourself.

When they were first released in the 1980s, Janet Woititz's groundbreaking works, Adult Children of Alcoholics, Struggle for Intimacy and The Self-Sabotage Syndrome, provided a new message of hope to adult children who had grown up in the shadow of alcoholic parents. Their message today is as profound and timeless as it was two decades ago.

Now, in this complete collection, readers will learn again the insight and healing power of Janet Wotitiz's words. The Complete ACoA Sourcebook is a compilation of three of Dr. Woititz's classic books, addressing head-on the symptoms of The Adult Children of Alcoholics syndrome and providing strategies for living a normal life as an adult. Readers will find help for themselves: at home, in intimate relationships and on the job. They will discover the reasons for the way they think, believe and feel about themselves; ACoAs often feel isolated, have difficulty in relationships, in the workplace and in feeling good about themselves.

Readers who are familiar with Woititz's work will find wisdom once again in this classic collection. Those new to ACoA will gain fresh insight into their behavior patterns and find an avenue for self-love and healing. Noted ACoA expert Dr. Robert Ackerman, author of the best-selling Perfect Daughters and Silent Sons, provides a foreword and explains why Janet Woititz's message will continue to help millions of readers for generations to come.

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.

Project MATCH was a large-scale treatment evaluation study established by the US National Institute on Alcohol Abuse to determine whether the treatment of alcoholism could be improved by matching different types of alcoholics with the most appropriate kinds of treatment. This book, edited by the two principal investigators, was the first comprehensive report of Project MATCH, the largest treatment study ever conducted with alcoholics. It describes the rationale, methods, results and implications of the study, and presents findings about how treatment works, for whom it is most effective, and who does best in different kinds of treatment. It also offers some of the first scientific evidence on the effectiveness of Alcoholics Anonymous. The audience for this book is broad, including researchers, clinicians and policy makers in the field of alcoholism and addiction.

Clinical Addiction Psychiatry is an anthology of essays that represent the most current and authoritative information now available on addiction theory, practice and research, covering dozens of provocative, fascinating and essential subdomains of the field. Each chapter is authored by a recognized authority in the field and detailed attention is paid to environment, genetics, culture and spirituality as well as treatment and pharmacology. History, street culture, and medical science are brought together in masterful discussions that encompass the full spectrum of addictive disorders, emphasizing assessment and clinical management. This unique resource gathers complex medical and scientific data in a way which is accessible to both health care professionals and readers without medical or psychology backgrounds. Essential reading for addiction counselors and other mental health professionals, this book will also be of interest to patients and their families, and residents and physicians in all fields of medicine.

This classic text provides a comprehensive, accessible overview of substance misuse and dependence with an emphasis on practical and evidence-based approaches to the assessment, management and prevention of a wide range of drug-related problems, in a variety of clinical and social settings. The book includes definitions of terms, and describes the effects and clinical characteristics of all substances of misuse. The theoretical background to these topics is clearly explained. For the fourth edition, every chapter has been revised to include the most up-to-date information, with the latest international data on the extent of the world drug problem. There is detailed emphasis on harm minimization, AIDS and hepatitis C and entirely new coverage of tobacco addiction and its management. This is an essential guide for all healthcare workers, health policy specialists, counselors and those seeking to train in areas related to addiction and substance misuse.

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. However, men and women experience substance abuse problems in different ways. Most of the literature currently on the market does not make this distinction, and treats men's and women's problems as identical. This treatment program acknowledges the differences between the two, and presents gender-specific options for each step of the treatment. Publication of this manual represents an important new step in understanding and treating alcohol abuse. Cognitive-Behavioural Therapy (CBT) has been proven to be an extremely effective method of treatment for alcohol abuse. This treatment program uses new research by the authors that include a female-specific study as well as generalised treatment for individuals. Gender-specific topics addressed include assertiveness training, coping with other drinkers in one's social network, recognising anxiety or depression as triggers for alcohol abuse, and anger management. Designed to be used in conjunction with this therapy program, this Workbook contains monitoring forms and homework that will reinforce the skills learned in therapy.

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. However, men and women experience substance abuse problems in different ways. Most of the literature currently on the market does not make this distinction, and treats men's and women's problems as identical. This treatment program acknowledges the differences between the two, and presents gender-specific options for each step of the treatment. Publication of this manual represents an important new step in understanding and treating alcohol abuse. Cognitive-Behavioural Therapy (CBT) has been proven to be an extremely effective method of treatment for alcohol abuse. This treatment program uses new research by the authors that include a female-specific study as well as generalised treatment for individuals. Gender-specific topics addressed include assertiveness training, coping with other drinkers in one's social network, recognising anxiety or depression as triggers for alcohol abuse, and anger management. Like all Treatments That Work books, this treatment is completely evidence-based. The 12-week program is outlined session by session in this easy-to-follow Therapist Guide.

Methadone has been used successfully as a substitution agent for heroin dependency for more than 30 years. As a result of its success, other effective methods of treatment have been neglected. Established as a key text on all treatment options for drug misusers, Community Treatment of Drug Misuse: More Than Methadone has been highly praised for its practical orientation based on a solid research background. For the second edition, all the main evidence-based and more pragmatic treatment approaches are reviewed, not only in the management of opiate dependence, but across the range of drugs. It focuses extensively on developments in the last few years as a result of policy initiatives and research findings, including coverage of buprenorphine treatment, the systematic treatment of cocaine abuse and work with special patient groups. This is of direct relevance to medical as well as non-medical practitioners undertaking clinical work in the addictions.

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.

The community reinforcement approach (CRA) to treating alcohol and other drug problems is designed to make changes in the client's daily environment, to reduce substance abuse and promote a healthier lifestyle. It is of proven effectiveness, and should be more widely used. This 2001 book presents research on the effectiveness of the CRA for a clinical readership. It includes the original study comparing CRA with traditional treatments of alcohol dependence, and summarizes other trials with alcohol, cocaine and heroin users. The CRA program provides basic guidelines for clinicians, focusing on communication skills, problem-solving and drink-refusal strategies, and addresses the needs of the client as part of a social community. Combining practical advice on such matters with a scientific survey of CRA in use, this book offers a treatment approach to all involved with the support and treatment of those with alcohol and drug problems.

Presenting the latest conclusions about the psychological processes leading to impaired self-control, this book challenges the current harm-prevention policy of "responsible gambling." The authors present the most recent and evolving research into gambling, demonstrating the psychological variables that govern the erosion or maintenance of self-control over gambling behavior. These studies provide an empirical basis for a model of impaired control of gambling. Impaired control, in its broadest sense, is considered to be the defining psychological construct of all the addictive behaviors and occupies a central position in conceptualizing the addictive aspects of gambling.