The problems of substance abuse affect not only the abuser but the people involved in his or her life. Family members and significant others often confront therapists, requesting recommendations on how they can contribute to the abusers recovery. The traditional attitude of therapists has been that the substance abuser cannot be helped until he or she is motivated. Therefore, significant others have typically been given little advice or guidance. Family Recovery offers clinicians a structured, research-based approach to working with significant others involved with substance abusers. Unilateral family therapy offers methods for therapists to improve the well-being of concerned significant others of substance abusers and to teach them how to restructure their relationship to the abuser in ways that may enhance the substance abuser's motivation to change. Family Recovery will be useful to both experienced clinicians and those who are training to be clinical social workers, clinical psychologists, family therapists, and substance abuse counselors.

Responding to Drug Misuse provides a unique insight into the current shape of the drugs treatment system in England.

Reporting findings from research linked to the government's ten year drugs strategy Tackling Drugs to Build a Better Britain, the book places these in the context of policy, practice, and service development. It goes on to discuss the implications of these findings for the government s new strategy Drugs: Protecting Families and Communities. Throughout the book contributors reflect on current debates on drug strategies and social policy and consider the relevance of the findings for policy and practice. Topics discussed include:

• recent trends in drug policy and how these link to crime
• responses of dedicated drug treatment services
• service users' perceptions and suggestions for improvement
• the impact of drug misuse on children, families and communities.

This timely addition to the literature on drug misuse will be essential for substance use practitioners, including social workers, psychiatrists, psychologists and nurses. It will also supply helpful guidance for health and social care commissioners and policy providers.

Methamphetamine: A Love Story presents an insider's view of the world of methamphetamine based on the life stories of thirty-three adults formerly immersed in using, dealing, and manufacturing meth in rural Oklahoma. Using a respectful tone towards her subjects, Shukla illuminates their often decades-long love affair with the drug, the attractions of the lifestyle, the eventual unsustainability of it, and the challenges of exiting the life. These personal stories reveal how and why people with limited economic means and inadequate resources become entrapped in the drug epidemic, while challenging longstanding societal views about addiction, drugs, drug policy, and public health.

This book is not intended as a comprehensive take on dagga, aka cannabis, marijuana, bhanga, ganga, pot, zol, weed, etc., but as a conversation piece. It is, as a pocket book, simply a brief overview. Its hope is to provide a background to dagga in South Africa and, by putting all the dope into one joint, so to speak, ignite debate on emerging issues such as licensing, legalisation and taxation.

In 1968, the International Olympic Committee (IOC) implemented sex testing for female athletes at that year's Games. When it became clear that testing regimes failed to delineate a sex divide, the IOC began to test for gender--a shift that allowed the organization to control the very idea of womanhood. Ranging from Cold War tensions to gender anxiety to controversies around doping, Lindsay Parks Pieper explores sex testing in sport from the 1930s to the early 2000s. Pieper examines how the IOC in particular insisted on a misguided binary notion of gender that privileged Western norms. Testing evolved into a tool to identify--and eliminate--athletes the IOC deemed too strong, too fast, or too successful. Pieper shows how this system punished gifted women while hindering the development of women's athletics for decades. She also reveals how the flawed notions behind testing--ideas often sexist, racist, or ridiculous--degraded the very idea of female athleticism.

Is opium a vile curse on society, a blessed medicine from God, or possibly both? This fresh history offers surprising new insights. Opium and its derivatives morphine and heroin have destroyed, corrupted, and killed individuals, families, communities, and even whole nations. And yet, for most of its long history, opium has also been humanity's most effective means of alleviating physical and mental pain. This extraordinary book encompasses the entire history of the world's most fascinating drug, from the first evidence of poppy cultivation by stone-age man to the present-day opium trade in Afghanistan. Dr. Thomas Dormandy tells the story with verve and insight, uncovering the strange power of opiates to motivate major conflicts yet also inspire great art and medical breakthroughs, to trigger the rise of global criminal networks yet also revolutionize attitudes toward well-being. Opium: Reality's Dark Dream traverses the globe and the centuries, exploring opium's role in colonialism, the Chinese Opium Wars, laudanum-inspired sublime Romantic poetry, American "Yellow Peril" fears, the rise of the Mafia and the black market, 1960s counterculture, and more. Dr. Dormandy also recounts exotic or sad stories of individual addiction. Throughout the book the author emphasizes opium's complex, valuable relationship with developments in medicine, health, and disease, highlighting the perplexing dual nature of the drug as both the cause and relief of great suffering in widely diverse civilizations.

This practical resource provides a wealth of activities and photocopiable worksheets to use with children and young people affected by parental substance misuse. Children living in substance abusing homes are at risk of many different negative outcomes, such as behavioral problems, low academic achievement, depression and anxiety, low self-esteem, as well as self-blame for their parent's substance abuse. The activities and worksheets in this book have been designed to assist counselors, therapists and other professionals to facilitate group sessions for children of addicted parents. Each chapter reviews a different issue related to children living in substance abusing homes, and gives step-by-step instructions for leading a group session, accompanied by the latest research and suggestions for discussions based on best practices. Children will learn to reduce feelings of shame and isolation, better understand the nature of addiction, increase self-care and create healthy interactions. This is an essential resource for professionals working with children affected by parental substance misuse, including counselors, child psychologists, therapists, and youth workers.

Written for both lay and professional readers, this book offers new approaches to understanding addiction and the public policies necessary to successfully battle its detrimental effects on society. The author explains why current policies are ineffective and how they fail to cure the "problem." He argues that they actually encourage addiction by allowing people to feel blameless for the consequences of their choices.

There is no doubt that smoking is damaging global health on an unprecedented scale. However, there is continuing debate on the economics of tobacco control, including the costs and consequences of tobacco control policies. This book aims to fill the analytic gap around this debate This book brings together a set of critical reviews of the current status of knowledge on tobacco control. While the focus is on the needs of low-income and middle- income countries, the analyses are relevant globally. The book examines tobacco use and its consequences including new analyses of welfare issues in tobacco consumption, poverty and tobacco, and the rationale for government involvement. It provides an evidence-based review of policies to reduce demand including taxation, information, and regulation. It critically reviews supply-side issues such as trade and industry and farming issues, including new analyses on smuggling. It also discusses the impact of tobacco control programs on economies, including issues such as employment, tax revenue and welfare losses. It provides new evidence on the effectiveness and cost-effectiveness of control interventions. Finally, it outlines broad areas for national and international action, including future research directions. A statistical annex will contain information on where the reader can find data on tobacco consumption, prices, trade, employment and other items. The book is directed at academic economists and epidemiologists as well as technical staff within governments and international agencies. Students of economics, epidemiology and public policy will find this an excellent comprehensive introduction to economics of tobacco control.

Why is it that even amidst affluence and power, our culture is plagued by a variety of addictions? In this pioneering work, Bruce Wilshire searches for answers by giving serious attention to our genetic legacy from our hunter-gatherer ancestors as well as to the unique ways we adapt to our environment through the practice of science and the creation of art and cities. The work considers remedies for specific addictions_including drugs, alcohol, cigarettes, and gambling_suggesting that wilderness exploration, in the arts, myths, and ceremonies, can help us rediscover what it means to be human creatures. Bringing together the insights of philosophy, religion, cultural anthropology, behavioral biology, and the vast socio-medical literature on addiction, Wilshire ingeniously explores the limits of our adaptive capacity and the costs of depleting the natural regenerative functions of the body.

This textbook introduces students to the various arguments for and against the prohibition of recreational drugs. The arguments are carefully presented and analyzed, inviting students to consider the competing principles of liberty rights, paternalism, theories of punishment, legal moralism, and the social consequences of drug use and drug laws. Meyers extends this examination by presenting alternatives to the prohibition/legalization dichotomy, including harm reduction, decriminalization, and user licensing or on-premise use. The presentation invites readers to think clearly about the reasons and principles that should determine public policy and law, while also delving into the deeper philosophical questions underlying the drug prohibition debate. Is it morally wrong to use drugs? If so, would that be reason enough to make it illegal? Are there good reasons in favor of using illicit drugs? Do addicts lack free will, and if so, would it be unjust to punish them? What is (or ought to be) the purpose of punishment? Is the state justified in limiting the freedom of competent adults for their own good? What should be the goal of drug policy, reduced use or reduced harm? The purpose of the book is twofold. First, it is a review of the arguments for and against drug prohibition, a useful tool for policy makers, activists, and concerned citizens with an understanding of the relevant considerations for determining how we should reform our failing drug policy. Second, the book serves as a case study in the deeper issues of justice, the nature of law, rights and liberties, and the public good. Students studying applied ethics, political science, or public policy will benefit greatly from Meyers' approach.

Stigma and discrimination of people with substance use disorders (SUD) contribute massively to the harm done by their condition: stigma has negative effects on service engagement, life opportunities, and personal shame, both for those who struggle with substance abuse and their families. Overcoming the stigma of substance use disorders is essential to aid recovery in those with SUD. This book provides an in-depth understanding of the stigma of SUD, and proposes ways to overcome it in different settings from the criminal justice system to healthcare. Combining a multitude of viewpoints within a consistent theoretical framework, this book both summarizes the latest evidence and gives hands-on advice and future directions on how to combat the stigma of SUD. People with lived experience of SUD, advocates, family members, policy makers, providers and researchers in the field of addiction stigma will greatly benefit from reading this book.

Working with Drug and Alcohol Users provides an accessible guide to substance use and working with substance users. Using transactional analysis theory, the author explains why some people use substances, exploring different personality types, and covers the basic components of drug counseling. The book then outlines different counseling techniques used to treat and manage substance users, using transactional analysis models. These include motivational interviewing, harm reduction counseling, drug use ambivalence work and relapse process work. A chapter on teenage drug users is also included. Case examples feature throughout to demonstrate the ideas in practice. This will be an essential guide for all those working with drug and alcohol users, including counselors, psychotherapists, psychologists and support workers.

Adolescents in Public Housing incorporates data from multiple public-housing sites in large U.S. cities to shine much-needed light on African American youth living in non-HOPE VI public-housing neighborhoods. With findings grounded in research, the book gives practitioners and policy makers a solid grasp of the attitudes toward deviance, alcohol and drug abuse, and depressive symptoms characterizing these communities, and links them explicitly to gaps in policy and practice. A long-overdue study of a system affecting not just a minority of children but the American public at large, Adolescents in Public Housing initiates new, productive paths for research on this vulnerable population and contributes to preventive interventions that may improve the lives of affected youth.

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.

Alcohol misuse presents a major risk for health and well-being throughout the life-span, but youth have a special vulnerability. Alcohol is the most widely used drug by adolescents. For some, this may be one or two isolated occasions of youthful experimentation; for others, the use becomes excessive, placing them in danger of immediate adverse consequences such as accidental injury and alcohol poisoning, or encouraging other high-risk behavior patterns including unprotected sex. Moreover, a pattern of heavy drinking established in adolescence and young adulthood may continue into an adult pattern of alcohol abuse.
Concerned communities and institutions across the nation are tackling the problem of alcohol use and abuse by young people. Research-based knowledge is urgently needed to inform these efforts and to ensure that limited prevention resources are used as effectively as possible. The origins of youthful alcohol use and abuse are found within the complex interplay of individual characteristics, family and peer influences, the larger societal context for alcohol use, environmental conditions, and maturational processes that accompany adolescence.
This volume, which began as a special issue of the "Journal of Research on Adolescence," contains all of the material from the journal issue plus additional chapters. It helps researchers to meet the tremendous challenge of disentangling the key determinants of risk, and developing effective interventions. Primary sources of influence on youthful alcohol use are described, ranging from individual expectancies about alcohol effects and cognitive decision processes to parenting practices, peer influences, social environments, and economic factors; and a corresponding range of prevention interventions is discussed. This book will serve as a primer to those with an interest in developing and improving effective programs and activities to reduce alcohol-related problems among young people. For those engaged in prevention research, the text will provide useful reviews and current findings that should aid in directing future research activities.

Find fresh perspectives on the treatment of addictions and effective methods for helping recovering alcohol and drug abusers in this valuable book!Addiction in Human Development provides practical strategies based on theories of human development for working with clients recovering from alcoholism and drug addiction. An understanding of these theories will help therapists and addictions counselors recognize stages of recovery and better select appropriate interventions for every phase of treatment of addicted clients.Addiction in Human Development shows how a developmental perspective is particularly appropriate to the treatment of alcohol and substance abusers and the patterns involved in their addiction. Disruptions in clients'childhood or adolescent development, stemming from their own or a parent's drug abuse, can influence their present recovery process. This informative book also describes the developmental course of addiction and provides tools designed to interrupt addictive patterns. In addition, stages in the developmental process of recovery are identified to help therapists select appropriate interventions.Some of the topics related to human development and addiction covered in this insightful volume include developmental deficits and developmental arrest in recovering clients, delayed reactions to sexual abuse and other childhood trauma, stages in recovery from alcoholism or drug addiction, developmental issues in the professional's own life, and multi-problem families with a multigenerational history of substance abuse. Applying these developmental strategies to work with addicted individuals will significantly improve communication and rapport between helpingprofessionals and recovering addicts and lead to more success in alcohol and drug addiction therapy.

Traffickers presents new findings into the most mythologised and least understood area of crime and law enforcement. The chamelion reality of the world of drug trafficking is described in the words of traffickers and detectives. Drug enforcement combines the banal and spectacular in surveillance, covert operations and criminal intelligence. The war on drugs is a harbinger of wider changes in the organisation of policing and international cooperation. Traffickers explores the struggle that transforms policing and punishment as it stimulates the imagination.

Contents:
Acknowledgments. Introduction. PART 1: DRUG TRAFFICKERS. 1: The Good Old Days: reciprocity and public service. 2: Going for Cover: trafficking as a sideline. 3: Things Get Nasty: enter the criminal diversifier. 4: Contested Streets: retailing into the 1990s. PART 2: ENFORCEMENT STRATEGIES 5: Policing Localities: street operations. 6: Inner City Drug Squads: surveillance and but operations. 7: Policing Localities: street operations. PART 3: KEY ISSUES IN DRUG ENFORCEMENT. 8: Informants and Stings: tradition and innovation in plainclothes work. 9: Intelligence Rules: the centralisation of British policing. 10: The Punishment Illusion: your money and your life?. Conclusion: A Little Knowledge. Appendix: Extracts form ACPO's `Broome Report'. Bibliography. Subject Index. Author Index.

Note: This is the standalone book. In this widely popular guide, future and practicing clinicians and counselors get a sound base of knowledge about alcohol, tobacco, and other drugs (ATOD) and practical help for working with clients who are misusing or abusing these drugs. Now updated to cover the changing substance abuse problems in our nation and around the world, Substance Abuse Counseling, 6/e by Stevens and Smith includes informative case studies and includes individual chapters on special populations and the health disparities related to substance abuse among minorities.

Drawing on an analysis of issues surrounding the consumption of alcohol in a diverse range of source materials, including novels, newspapers, medical texts, and archival records, this lively and engaging interdisciplinary study explores sociocultural nation-building processes in Mexico between 1810 and 1910. Examining the historical importance of drinking as both an important feature of Mexican social life and a persistent source of concern for Mexican intellectuals and politicians, Deborah Toner's Alcohol and Nationhood in Nineteenth-Century Mexico offers surprising insights into how the nation was constructed and deconstructed in the nineteenth century. Although Mexican intellectuals did indeed condemn the physically and morally debilitating aspects of excessive alcohol consumption and worried that particularly Mexican drinks and drinking places were preventing Mexico's progress as a nation, they also identified more culturally valuable aspects of Mexican drinking cultures that ought to be celebrated as part of an "authentic" Mexican national culture. The intertwined literary and historical analysis in this study illustrates how wide-ranging the connections were between ideas about drinking, poverty, crime, insanity, citizenship, patriotism, gender, sexuality, race, and ethnicity in the nineteenth century, and the book makes timely and important contributions to the fields of Latin American literature, alcohol studies, and the social and cultural history of nation-building.

After arriving from South Asia approximately a thousand years ago, cannabis quickly spread throughout the African continent. European accounts of cannabis in Africa-often fictionalized and reliant upon racial stereotypes-shaped widespread myths about the plant and were used to depict the continent as a cultural backwater and Africans as predisposed to drug use. These myths continue to influence contemporary thinking about cannabis. In The African Roots of Marijuana, Chris S. Duvall corrects common misconceptions while providing an authoritative history of cannabis as it flowed into, throughout, and out of Africa. Duvall shows how preexisting smoking cultures in Africa transformed the plant into a fast-acting and easily dosed drug and how it later became linked with global capitalism and the slave trade. People often used cannabis to cope with oppressive working conditions under colonialism, as a recreational drug, and in religious and political movements. This expansive look at Africa's importance to the development of human knowledge about marijuana will challenge everything readers thought they knew about one of the world's most ubiquitous plants.

How do you engage a reluctant client in discussing alcohol/drug use and build motivation for change?

Hermine L. Graham and her team of co-authors have specifically developed this treatment manual for clinicians and therapists who work with clients presenting with co-existing severe mental health and substance misuse problems.

"Cognitive-Behavioural Integrated Treatment(C-BIT)" provides a framework that is structured but flexible, assisting clinicians to initially engage with clients and collaboratively tackle alcohol and drug problems in the context of the client's mental health difficulties. The book is set out in three parts:

Part I sets the scene by outlining some of the background issues concerning co-existing substance use and mental health problems.

Part II is a step-by-step manual and will guide you through the C-BIT approach, with practical strategies on how to deliver integrated interventions appropriate to your client's stage of engagement with you.

Part III addresses some of the key issues involved in the process of implementing integrated treatment. It highlights some of the implementation obstacles that can often arise during the developmental stages, with suggested strategies to address these issues.

Each Part has supporting worksheets clearly displayed in the Appendices.

This essential resource and handbook will be invaluable for clinicians, students, researchers, managers and health purchasers/providers in mental health and substance misuse settings.

From hallucinogenic mushrooms and LSD, to coca and cocaine; from Homeric warriors and the Assassins to the first Gulf War and today's global insurgents - drugs have sustained warriors in the field and have been used as weapons of warfare, either as non-lethal psychochemical weapons or as a means of subversion. Lukasz Kamienski explores why and how drugs have been issued to soldiers to increase their battlefield performance, boost their courage and alleviate stress and fear - as well as for medical purposes. He also delves into the history of psychoactive substances that combatants 'self- prescribe', a practice which dates as far back as the Vikings. Shooting Up is a comprehensive and original history of the relationship between fighting men and intoxicants, from Antiquity till the present day, and looks at how drugs will determine the wars of the future in unforeseen and remarkable ways.