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.

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

The media goes wild when politicians and celebrities being caught "cheating" on their spouses are exposed in public. Most of these types of stories focus on the person doing the "cheating," not the partner who is left behind. After the media spotlight cools down, what happens to these partners? How do they make the decision to stay or go? Is there really any hope for the future of the relationship? How do they survive the shame and move forward? "Mending A Shattered Heart" provides real hope, promise and inspiration to readers who are struggling.
Anyone who has discovered their loved one, the one person that they are supposed to trust completely, has been cheating on them will want to read this book. Readers have an opportunity to explore whether the person they are in a relationship with is simply behaving badly or truly suffers from a disease called sex addiction. Knowing the difference and knowing what to do about it can be transformational.
Author and editor, Stefanie Carnes brings together several leading experts in the field of sex addiction and family therapy to guide the reader through an assortment of difficult questions, including, Should I stay or should I go?, How Do I Set Boundaries and Keep Myself Safe?, What Does It Mean if My Partner Has Shown an Interest in Minors? and "What should I tell the kids?" Each of these topics are tackled in individual chapters producing a comprehensive guide that offers readers expertise on how to begin the painful road of mending a shattered heart.
What is unique about "Mending A Shattered Heart" is that it offers such inspiration and promise for the partner of a sex addict. It shows the seriousness of sex addiction and offers hope by showing that treatment can be successful, but hard work needs to be done--by both the partner and the addict. Without partners really examining their relationship with the sex addict, they can find themselves in a spiral of devastating relationships, essentially leaving the relationship and then falling in love with the same type of person over and over again with the same disastrous results. "Mending A Shattered Heart" shows the reader that they do have options. Even if the partner makes the decision to leave the relationship, there are things they can do to help them in their own recovery and make sure this never happens again. If they choose to stay in the relationship, they can work toward repairing the damaged relationship along with their own recovery.
All the material in "Mending A Shattered Heart" is provided in a question and answer format that delves into essential information including therapeutic and practical information that the partner can use right away. This second edition of the book includes a new focus on the impact of the trauma when a partner discovers his or her partner is cheating and what to do about it.

Compulsive pornography use, prostitutes, voyeurism and multiple affairs - no matter their "drug" of choice, men who misbehave sexually leave their partners reeling in fear, rage, incredible shame and isolation. But there is hope. Bestselling author, Claudia Black's revised and updated edition of her classic work DECEIVED offers women in relationships plagued by sexual betrayal the care and guidance to create a new path of clarity, direction and confidence. Black uses stories of real women who have been through a wide variety of experiences to help readers develop the understanding and skills to: * confront their partners * heighten their personal security by setting non-negotiable boundaries * avoid preoccupation with their partners' problems * practise forgiveness * let go of the uncontrollable * talk to their children * make positive changes derived from esteem and integrity DECEIVED empowers women to proactively emerge from emotional isolation, shed secrets and discover their power to incite positive change in their relationships.

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."

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.

*AN OBSERVER BOOK OF THE YEAR 2021* **Selected as one of TIME's 100 Must-Read Books of 2021** 'Profound and singular, smart and sad and funny. . . We need Pilgrim Bell.' TOMMY ORANGE With formal virtuosity and ruthless precision, Kaveh Akbar's second collection takes its readers on a spiritual journey of disavowal, fiercely attendant to the presence of divinity where artifacts of self and belonging have been shed. How does one recover from addiction without destroying the self-as-addict? And if living justly in a nation that would see them erased is, too, a kind of self-destruction, what does one do with the body's question, "what now shall I repair?" Here, Akbar responds with prayer as an act of devotion to dissonance - the infinite void of a loved one's absence, the indulgence of austerity, making a life as a Muslim in an Islamophobic nation - teasing the sacred out of silence and stillness. Richly crafted and generous, Pilgrim Bell's linguistic rigour is tuned to the register of this moment and any moment. As the swinging soul crashes into its limits, against the atrocities of the American empire, and through a profoundly human capacity for cruelty and grace, these brilliant poems dare to exist in the empty space where song lives - resonant, revelatory, and holy. America, I warn you, if you invite me into your home I will linger, kissing my beloveds frankly, pulling up radishes and capping all your pens. There are no good kings, only burning palaces. -from 'The Palace' 'Very few living writers write so achingly toward God as Kaveh Akbar . . . each of the poems in this collection finds its target' LAUREN GROFF

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

Substance and Behavioral Addictions: Concepts, Causes, and Cures presents the concepts, etiology, assessment, prevention, and cessation of substance (tobacco, alcohol, other drugs, and food) and behavioral (gambling, Internet, shopping, love, sex, exercise, and work) addictions. The text provides a novel and integrative appetitive motivation framework of addiction, while acknowledging and referencing multi-level influences on addiction, such as neurobiological, cognitive, and micro-social and macro-social/physical environmental. The book discusses concurrent and substitute addiction, and offers prevention and treatment solutions, which are presented from a more integrative perspective than traditional presentations. This is an ideal text for upper-level undergraduates and graduate students, practitioners, and researchers.

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).

Pregnant drug users are the focus of this new study that argues that women who abuse substances should not be treated differently during their pregnancies but should instead be treated the same way as women who have medical problems with obstetric consequences. The social issues that produce drug abuse during pregnancy are discussed, and valuable information about top practices and policies for caring for maternal drug users is provided.

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.

This book provides a first in-depth, comprehensive, and evidenced-based overview of the treatment of substance use disorders in the pregnant patient. It provides readers with materials that will not only aid them in identifying, assessing, and understanding the issues involved in treating these women, but also the practical tools to implement the best practices from comprehensive care programs specializing in this sort of treatment. Each chapter strikes a balance between the best scientific information available and reasoned, clinical wisdom to fill in where evidence-based information is unavailable - all in a form that is practical and accessible. It is a valuable tool for clinicians and service providers across disciplines.

The past thirty years have witnessed a revolution in the science of addiction, yet we still rely on outdated methods of treatment. Expensive new programs for managing addiction are also flourishing, but since they are not based in science, they offer little benefit to people who cannot afford to lose money or faith in their recovery. Clarifying the cutting-edge science of addiction for both practitioners and general readers, The Thirteenth Step pairs stories of real patients with explanations of key concepts relating to their illness. A police chief who disappears on the job illustrates the process through which a drug can trigger the brain circuits mediating relapse. One person's effort to find a burrito shack in a foreign city illuminates the reward prediction error signaled by the brain chemical dopamine. With these examples and more, this volume paints a vivid, readable portrait of drug seeking, escalation, and other aspects of addiction and suggests science-based treatments that promise to improve troubling relapse rates. Merging science and human experience, The Thirteenth Step offers compassionate, valuable answers to anyone who hopes for a better handle on a confounding disease.

Becoming a quality parent doesn't happen by accident or coincidence - it needs conscious awareness and intentional effort. Working a programme of recovery is among the greatest gifts a parent can give his or her child. It is, also, a frequently underappreciated and underutilised asset in terms of how recovering people can approach parenting. When practised, the principles of recovery not only improve the well-being and functioning of a person in recovery, but can, also, facilitate healthy, quality parenting in ways that better meet the needs of children and their parents. ROOTS AND WINGS is designed to provide the practical guidance that will help people develop the awareness and skills they need to become the parents they want to be - the parents their children need them to be or even the parents they wished they themselves had.

Integrative Addiction and Recovery offers an authentic model of comprehensive integrative modalities germane and specific to the field of addiction and recovery treatment. Although many treatment services for addiction include "holistic," "alternative," or "integrative" in their descriptions, they contain no substantive programs or services consistent with the mind, body, spirit paradigm contained within the integrative approach to health and healing. Consequently, many patients do not have the opportunity to benefit from the true spirit of an integrative approach within the discipline of addition and recovery medicine. This book sets the standard for a bona fide integrative approach for others to follow, providing information that is immediately useful in clinical practice and rigorously evidence-based. Authored by world-class experts in the field of addiction medicine, Integrative Addiction and Recovery presents both scientific and holistic data regarding a wide variety of holistic and conventional approaches to the treatment of substance abuse and behavioral addictions. Its chapters cover both conventional and holistic treatment and provide background for each of the major classes of drugs of abuse, including opiates, alcohol, tobacco, stimulants, sedative-hypnotics, hallucinogens and marijuana. It also includes chapters on the topics of food addiction and behavioral addictions such as gambling and shopping. The authors explore the major holistic modalities, providing background and theory in areas like acupuncture, Traditional Chinese Medicine, Homeopathy, Aromatherapy, and Ayurvedic Medicine, while at the same time providing spiritual approach chapters on Shamanism and Ibogaine, as well as more conventional issues with a holistic view including Co-Occurring Disorders and Psychosocial Treatment, and Group Support. The very complex issue of chronic pain and addiction is also addressed, along with relapse prevention strategies.

If you feel as if you can no longer control your gambling, if your gambling has interfered with your family, social, or working life, this workbook can help you take back control.
Though gambling has become increasingly prevalent in society, pathological gambling is a serious condition. Pathological gamblers find they are unable to participate in their social lives, have problems at work, and end up in financial trouble because they feel compelled to keep gambling. Much of this problem comes from incorrect beliefs about the nature of the game; people believe they can beat the system or learn to control the outcome of games of chance. In this treatment, you will learn not only how to avoid problem situations, but also the truth about gambling.
Overcoming Your Pathological Gambling is written by researchers who have spent over two decades studying the psychology of gambling. This book represents the treatment they have found to be most effective at controlling the urge to gamble, understanding the true nature of gambling games, and preventing future gambling problems. Intended for use in conjunction with supervised therapy, this workbook includes various self-assessments and exercises designed to help you reach the ultimate goal of complete abstinence from gambling.
This workbook and the corresponding therapist guide form a complete treatment package that will help you overcome your gambling problem and learn recovery skills that are useful for a lifetime.