Drug addiction as a brain disease is this book's theme. Among the many volumes on drugs written for lay readers, it is unique in the breadth and depth of its coverage. In clear scientific terms-- with may striking examples from the author's experience as a scientist and clinician --it describes the nature of chemical addiction and addictive behavior, the seven families of addictive drugs, and the muddied effort to develop effective drug control policies and laws.

Treatment of an ever-increasing variety of addictive behaviours owes much to a wide range of psychotherapeutic approaches which have tended to roll continuously in and out of fashion. Over recent years, an initiative has been established to appraise critically the use of psychotherapy in all areas of psychiatry. This work serves as a timely review of psychological treatments in the addictions field and provides a rare combination of expertise both from addiction specialists and those who use psychotherapeutic approaches to solve a wide range of personal problems. Its coverage includes contextual ideas which are basic to the choice of approach to therapy, and an exploration of particular treatment strategies. Throughout, this volume is able both to provide authoritative statements and to engage the reader in the excitement of debate. It forms a valuable reference which is sure to appeal to a wide range of practitioners and researchers concerned with alcohol and drug problems.

Anne McTiernan begins her second memoir at age twenty-nine, soon after completing her doctoral training in public health research at the University of Washington. She and her husband are now parents to four-year-old and three-month-old girls. She realizes that jobs in her field are scarce, especially for women and decides she needs better credentials to land a job. Overcoming her fear and life-long struggle with inadequacy, Anne moves the family 3,000 miles to New York, where she begins medical school. Within a few months of starting this new life, Anne is in deep trouble. She cannot handle the competing demands and feels isolated. The stress builds, until Anne suffers a series of paralyzing panic attacks that threaten her ability to function. She begins psychotherapy and starts on a journey of self-discovery, realizing she has to change to survive. Cured is the follow-up to her 2016 release Starved and differs from other physician memoirs in its themes of motherhood, mental illness, and the perspective of a female physician on how she turned adversity into a strength and set of skills.

Since the first edition of this book in 1996, the addiction treatment field continues to undergo changes that affect the usefulness of this book. In an effort to include information that assists students and practitioners to use best practices, we have added a substantial amount of information and included additional resources for further investigation. Our format integrates current information and research, principles of sound clinical practice and practical experience. Our intention is to outline the procedures and rationale of case management and clinical documentation to give readers some background as well as information regarding current practice.

Drugs in Society: Causes, Concepts, and Control, Eighth Edition, focuses on the many critical areas of America's drug problem, providing a foundation for rational decision-making within this complex and multidisciplinary field. Lyman offers a comprehensive big-picture examination of the US drug problem, dealing with drugs, abusers, drug enforcement, and public policy. Organized in three sections: Understanding the Problem, Gangs and Drugs, and Fighting Back, topics covered include the business of drugs and the role of organized crime in the drug trade, drug legalization and decriminalization, legal and law enforcement strategies, an analysis of the socialization process of drug use and abuse, and a historical discussion of drug abuse that puts the contemporary drug problem into perspective. Suitable for upper-level undergraduates in Criminal Justice, Criminology, and related programs, Drugs in Society, Eighth Edition, uses logical organization and strong pedagogy (case studies, focused text boxes with related information, critical thinking tasks) to support learning objectives.

Presenting state-of-the-art, accessible reviews of the expanding science of alcohol treatment, integrated with down to earth, practical guides to the management of a wide range of clinical situations, this new edition is compassionate toward patients, optimistic about treatment, and candid about the clinical and professional challenges embedded in the treatment endeavour. The coverage updates the science that has occurred in the half-decade since the last edition, most notably in the areas of neuroscience, neuroimaging and pharmacotherapy, and includes expanded discussion of historical and public policy forces that have shaped the alcohol treatment field. The book recognizes that drinking problems occur across all social structures and cannot be neatly confined to the specialist addiction treatment sector. This text is relevant to all those working to help those with a drinking problem, meeting the needs of general medical practitioners, psychiatrists and other medical specialists, nurses, psychotherapists, counselors, psychologists, alcohol support workers, social workers and occupational therapists, amongst others.

Dentists have been inundated by patients with an array of complicated medical conditions and pain/sedation management issues. This is in addition to a variety of legal regulations dentists must follow regarding the storage and recordkeeping of controlled substances. Avoid unknowingly putting your practice at risk by becoming victim to a scam or violating a recordkeeping requirement with The ADA Practical Guide to Substance Use Disorders and Safe Prescribing. This Practical Guide is ideal for dentists and staff as they navigate: Detecting and deterring substance use disorders (SUD) and drug diversion in the dental office (drug-seeking patients) Prescribing complexities Treating patients with SUD and complex analgesic and sedation (pain/sedation management) needs and the best use of sedation anxiety medication Interviewing and counselling options for SUD Federal drug regulations Commonly used illicit, prescription, and over-the-counter drugs, as well as alcohol and tobacco, are also covered. Special features include: Clinical tools proven to aid in the identification, interviewing, intervention, referral and treatment of SUD Basic elements of SUD, acute pain/sedation management, and drug diversion Summary of evidence-based literature that supports what, when and how to prescribe controlled substances to patients with SUD Discussion of key federal controlled substance regulations that frequently impact dental practitioners Checklists to help prevent drug diversion in dental practices Chapter on impaired dental professionals Case studies that examine safe prescribing and due diligence

This pragmatic guide -- from a stellar team of authors including cognitive therapy originator Aaron T. Beck -- describes how to implement proven cognitive and behavioral addiction treatment strategies in a group format. It provides a flexible framework for conducting ongoing therapy groups that are open to clients with any addictive behavior problem, at any stage of recovery. Practical ideas are presented for optimizing group processes and helping clients build essential skills for coping and relapse prevention. Grounded in decades of research, the book features rich case examples and reproducible clinical tools that can be downloaded and printed in a convenient 8 1/2" x 11" size.

The cigarette is the deadliest artifact in the history of human civilization. It is also one of the most beguiling, thanks to more than a century of manipulation at the hands of tobacco industry chemists. In "Golden Holocaust," Robert N. Proctor draws on reams of formerly-secret industry documents to explore how the cigarette came to be the most widely-used drug on the planet, with six trillion sticks sold per year. He paints a harrowing picture of tobacco manufacturers conspiring to block the recognition of tobacco-cancer hazards, even as they ensnare legions of scientists and politicians in a web of denial. Proctor tells heretofore untold stories of fraud and subterfuge, and he makes the strongest case to date for a simple yet ambitious remedy: a ban on the manufacture and sale of cigarettes.

Addiction is the United States' most pervasive and damaging public health problem, yet most Americans receive care that results in a failure rate that is both astronomically high and shielded from public view. The New Addiction Treatment examines the current state of the addiction treatment business and explores the reasons why (unlike those for all other behavioral, psychological, or neurological disorders) the treatment of addiction has been stagnant and little improved since the founding of Alcoholics Anonymous in 1935. After describing the size and scope of the problem and examining actual recovery rates for those who undergo treatment, David A. Patterson Silver Wolf asserts that there are effectively two kinds of treatment regimes in the United States: those that medical doctors receive, and those for the rest of us. The former has about an 80% success rate, the latter about an 80% failure rate. Drawing from his own experience as a former patient and person in long-term recovery, as well as his 22 years as a clinician, professor, and researcher, Patterson Silver Wolf describes many of the impediments to effective treatment today. This book offers a plausible and cost-effective way to disrupt the dismal status quo and realistically aspire to a higher success rate for everyone who receives professional help for a substance use disorder.

"Scripting Addiction" takes readers into the highly ritualized world of mainstream American addiction treatment. It is a world where clinical practitioners evaluate how drug users speak about themselves and their problems, and where the ideal of "healthy" talk is explicitly promoted, carefully monitored, and identified as the primary sign of therapeutic progress. The book explores the puzzling question: why do addiction counselors dedicate themselves to reconciling drug users' relationship to language in order to reconfigure their relationship to drugs?

To answer this question, anthropologist Summerson Carr traces the charged interactions between counselors, clients, and case managers at "Fresh Beginnings," an addiction treatment program for homeless women in the midwestern United States. She shows that shelter, food, and even the custody of children hang in the balance of everyday therapeutic exchanges, such as clinical assessments, individual therapy sessions, and self-help meetings. Acutely aware of the high stakes of self-representation, experienced clients analyze and learn to effectively perform prescribed ways of speaking, a mimetic practice they call "flipping the script."

As a clinical ethnography, "Scripting Addiction" examines how decades of clinical theorizing about addiction, language, self-knowledge, and sobriety is manifested in interactions between counselors and clients. As an ethnography of the contemporary United States, the book demonstrates the complex cultural roots of the powerful clinical ideas that shape therapeutic transactions--and by extension administrative routines and institutional dynamics--at sites such as "Fresh Beginnings."

Adolescent substance use is a serious-and potentially deadly-problem with many repercussions for the adolescent, the family, and society at large. It is also an issue that too few education professionals feel prepared to address even as they see it playing out in their schools and classrooms. Struggling with Substance Use: Supporting Students' Social Emotional Learning presents evidence on the magnitude of the problem and the many underlying factors and commonly co-occurring disorders associated with student substance use. It covers the risk factors for adolescent substance use (e.g., trauma, ADHD, peer pressure, and family dysfunction) and contrasts each with specific protective factors that education professionals need to consider when designing schoolwide programs and classroom initiatives. Each chapter concludes with an example of an evidence-based program that has made a difference for students and families. Armed with knowledge, understanding, and examples of proven programs, school professionals can incorporate the necessary protective factors to provide hope and help for struggling students and their families.

When does a harmless habit become an addition? Why do only some of us get addicted? What can make recovery possible?

The Psychology of Addiction is a fascinating introduction to the psychological issues surrounding addiction and the impact they have on social policy, recovery and an addict’s everyday life. The book focuses on drug and alcohol addiction and tackles topics such as whether drug use always leads to addiction and the importance of social networks to recovery. It also looks at how people can become addicted to activities like gambling, gaming and sex.

In a society that still stigmatises addiction The Psychology of Addiction emphasises the importance of compassion, and provides a sensitive insight to anyone with experience of addiction.

Table of Contents

Introduction

Chapter 1. Addiction: from prejudice to compassion

Chapter 2. Is addiction a choice?

Chapter 3. If it’s the drugs that are addictive, why doesn’t everyone get addicted?

Chapter 4. You can teach an old dog new tricks: addiction and recovery

Chapter 5. Safety in numbers: nourishing the hungry ghosts

Chapter 6. Make love not war: if drug policy understood the science of compassion

　

　

One of the Washington Post's Ten Best Books of 2013

More than twenty-three thousand women die from heavy drinking in the United States each year. Incidents of binge drinking and so-called drunkorexia are on the rise, contributing to an exponential increase in the number of health conditions and cancers among women.

Combining in-depth research with her own personal story of recovery, the award-winning journalist Ann Dowsett Johnston tells of maintaining her high-powered career as a vice principal of McGill University while wrestling with the demon that defeated her own mother: alcohol addiction. After a very private exit from her professional life, Dowsett Johnston went to rehab; now sober, she has dedicated her career to examining the relationship between women and high-risk drinking.

In Drink, Dowsett Johnston dissects the psychological, social, and workplace factors that contribute to this crisis, and explores its far-reaching effect on both society at large and individual lives. Comprehensive and emotionally compelling, Drink is a brave and powerful story, beautifully told, and an important investigation into an epidemic that we can no longer afford to ignore.

Now more than ever, sufferers of opioid use disorder (OUD) need an authoritative guide. Brimming with expert advice and actionable tips from noted addiction psychiatrist Dr. Adam Bisaga, Overcoming Opioid Addiction demystifies addiction and destigmatises medication-assisted treatment. In this book, OUD sufferers, their loved ones, and professionals alike will learn everything they need to know, including: * The science that underlies addiction and why the opioid epidemic has taken hold and become so deadly * The different stages and effective methods of treatment, including detoxification vs. maintenance medications, as well as behavioural therapy * How to deal with relapses and how to thrive despite OUD. Complete with a brief guide tailored to families that offers crucial, life-saving information, such as how to select the best program, manage medications, and reverse an overdose, this is the ultimate guide to identifying, treating, and overcoming OUD - once and for all.

Treating patients with eating disorders (ED) is a notoriously challenging undertaking. Patients tend to be medically compromised and have a deep ambivalence towards their symptoms, and treatment dropout and relapse rates are high. Further complicating matters, a sizable number of patients present with additional characteristics that set them apart from the patients for whom empirically supported treatments were developed. Up to 50% of current ED diagnoses are classified as atypical and do not fit into existing diagnostic categories, and many more present with complex comorbidities. Clinical Handbook of Complex and Atypical Eating Disorders brings together into one comprehensive resource what is known about an array of complicating factors for patients with ED, serving as an accessible introduction to each of the comorbidities and symptom presentations highlighted in the volume. The first section of the book focuses on the treatment of ED in the presence of various comorbidities, and the second section explores the treatment of ED with atypical symptom presentations. The third section focuses on how to adapt ED treatments for diverse populations typically neglected in controlled treatment trials: LGBT, pediatric, male, ethnically diverse, and older adult populations. Each chapter includes a review of clinical presentation, prevalence, treatment approaches, resources, conclusions, and future directions. Cutting edge and practical, Clinical Handbook of Complex and Atypical Eating Disorders will appeal to researchers and health professionals involved in treating ED.

Addictions have increased markedly in contemporary societies over the past decades. As well as widely acknowledged issues surrounding illegal substance addictions, there are increasing numbers of problems related to behavioural addictions such as the use of legal substances such as antidepressants and amphetamines. These addictions are concerning for a range of public policy fields, not least, public health and social cohesion. As a result, cohesive governance of addictive substances and behaviours is paramount to future public policy. This book is based on the findings of a five year, multidisciplinary project (Addictions and Lifestyles in Contemporary Europe - Reframing Addictions Project) studying the pace and impact of addictions in Europe, and is the concluding volume in the Governance of Addictive Substances and Behaviours series. Authored by 11 leading figures in the fields of public health, psychology, sociology, psychiatry, addiction studies, epidemiology, and social and public policy, the book takes a truly comprehensive approach to the study of the current state of addiction governance in Europe and proposals for a future governance framework. No one country has yet got governance polices right. The project's outcome is a plan for the redesign of addictions governance, which includes amendments to key metrics used in research, promoting individual-level to society-level scope of understanding in policy approaches, and bringing the impact of dependency on societal well-being to the fore. New Governance of Addictive Substances and Behaviours is an unprecedented study, both in terms of international reach and scope of issues addressed. It will be a key resource for anyone with an interest in research-driven European policy change in public health and the field of addictive substances and behaviours.

Addiction: A biopsychosocial perspective provides students with an evidence-based approach to addiction whilst covering a broad range of topics, critical perspectives and influential theories in addiction. With chapters discussing key theories, psychological, biological and societal aspects of addiction, this is a highly accessible and essential resource for students and researchers that: Offers an evidence-based discussion of addiction Addresses the neuroscience and psychology of addiction Provides a critical account of the science and research in addiction Includes chapter overviews and summaries, learning aims and case studies to help students in their study

Written by leaders in the addictions field, 100 authors from six countries, this handbook is a thoroughly comprehensive resource. Philosophical and legal issues are addressed, while conceptual underpinnings are provided through explanations of appetitive motivation, incentive sensitization, reward deficiency, and behavioral economics theories. Major clinical and research methods are clearly mapped out (e.g. MRI, behavioral economics, interview assessments, and qualitative approaches), outlining their strengths and weaknesses, giving the reader the tools needed to guide their research and practice aims. The etiology of addiction at various levels of analysis is discussed, including neurobiology, cognition, groups, culture, and environment, which simultaneously lays out the foundations and high-level discourse to serve both novice and expert researchers and clinicians. Importantly, the volume explores the prevention and treatment of such addictions as alcohol, tobacco, novel drugs, food, gambling, sex, work, shopping, the internet, and several seldom-investigated behaviors (e.g. love, tanning, or exercise).

Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE) is a cognitive-behavioral psychotherapy program designed for patients who have posttraumatic stress disorder (PTSD) and a co-occurring alcohol or drug use disorder. COPE represents an integration of two evidence-based treatments: Prolonged Exposure (PE) therapy for PTSD and Relapse Prevention for substance use disorders. COPE is an integrated treatment, meaning that both the PTSD and substance use disorder are addressed concurrently in therapy by the same clinician, and patients can experience substantial reductions in both PTSD symptoms and substance use severity. Patients use the COPE Patient Workbook while their clinician uses the Therapist Guide to deliver treatment. The program is comprised of 12 individual, 60 to 90 minute therapy sessions. The program includes several components: information about how PTSD symptoms and substance use interact with one another; information about the most common reactions to trauma; techniques to help the patient manage cravings and thoughts about using alcohol or drugs; coping skills to help the patient prevent relapse to substances; a breathing retraining relaxation exercise; and in vivo (real life) and imaginal exposures to target the patient's PTSD symptoms.

Written by leaders in the addictions field, 100 authors from six countries, this handbook is a thoroughly comprehensive resource. Philosophical and legal issues are addressed, while conceptual underpinnings are provided through explanations of appetitive motivation, incentive sensitization, reward deficiency, and behavioral economics theories. Major clinical and research methods are clearly mapped out (e.g. MRI, behavioral economics, interview assessments, and qualitative approaches), outlining their strengths and weaknesses, giving the reader the tools needed to guide their research and practice aims. The etiology of addiction at various levels of analysis is discussed, including neurobiology, cognition, groups, culture, and environment, which simultaneously lays out the foundations and high-level discourse to serve both novice and expert researchers and clinicians. Importantly, the volume explores the prevention and treatment of such addictions as alcohol, tobacco, novel drugs, food, gambling, sex, work, shopping, the internet, and several seldom-investigated behaviors (e.g. love, tanning, or exercise).

'Darkly angelic prose... a joy to read, with the final part in particular recalling David Foster Wallace at his best' Alex Preston, Observer ________________________________ Will's mother's hokey homily, Waste not, want not... hisses in his ears as he oscillates furiously on the spot, havering on the threshold between the bedroom and the dying one... all the while cradling the plastic leech of the syringe in the crook of his arm. Oscillating furiously, and, as he'd presses the plunger home a touch more... and more, he hears it again and again: Waaaste nooot, waaant nooot..! whooshing into and out of him, while the blackness wells up at the periphery of his vision, and his hackneyed heart begins to beat out weirdly arrhythmic drum fills - even hitting the occasional rim-shot on his resonating rib cage. He waits, paralysed, acutely conscious, that were he simply to press his thumb right home, it'll be a cartoonish death: That's all folks! as the aperture screws shut forever. ________________________________________ 'Self's writing has the same technicolour velocity, malign comedy as his best novels' Evening Standard 'Refreshing . . . Self is never happier than when frolicking in the hinterland between sincerity and performative, winking hyperbole' TLS