Every day, huge numbers of people use drugs or alcohol for recreation, medication, celebration, stress management, social lubrication, or escape. The abuse of psychoactive chemicals touches individual lives in countless ways, and clients frequently hint in therapy sessions at problems related to substance misuse. But historically, substance abuse treatment has been regarded as a separate specialty, for which students and trainees often prepare along tracks different from those leading to licensing or certification as psychotherapists. Few non-specialists feel completely competent and willing to grapple closely with the issues these clients present, in spite of the fact that such problems are quite frequent among client populations.
In this book, Cynthia Glidden-Tracey lays out an integrated, holistic, and effective approach to clients' inevitably intertwined problems, which encourages all practitioners to develop skills for detecting, assessing, and addressing substance use whenever concerns about it emerge in the course of therapy. She describes the frequent co-occurrence of substance misuse and other mental health problems, reviews therapy models and current professional questions, and empowers practitioners with the latest scientific knowledge about the causes and effective treatment of addictions. Throughout, her points are grounded in rich clinical examples.

The consumption of drugs and alcohol, and the pleasures and problems arising from this consumption, can be understood as embedded and constitutive elements of social, family, and recreational life. At the same time, they are key sites of intervention for a broad array of state and non-state actors focused on regulation, treatment, and recovery. This edited volume showcases current research on the complex social and cultural geographies of drugs and alcohol. Taking an avowedly critical approach, the authors draw from a variety of theoretical traditions to explore the socially and spatially embedded nature of alcohol and drug consumption, regulation and treatment, and the ways in which these give rise to particular lived experiences, while foreclosing on others. Together, the chapters question taken-for-granted assumptions about the nature of, and motivations for, drug and alcohol use, and pay direct attention to both the intended and unintended consequences of regulation and treatment initiatives. Despite and, in part, because of this critical stance, chapters hold immediate implications for drug and alcohol policy and public health interventions. This book was originally published as a special issue of Social and Cultural Geography.

- Provides an easy, repeatable approach for modelling targets for grammar therapy. - Is accessible enough for parents/carers to use in home practice. - The user guide gives a range of activity ideas to assist with targeting the goals expressively. - Books are fun and engaging to assist with learning. - The series is developed from real therapy, resources of this kind are often the most useful to clinicians. - each book spotlights one grammatical form meaning the therapist can use the book to underpin an entire therapy session towards achieving a clear goal. - Teachers, therapists and parents can use the books as a springboard for other activities to encourage the child to use the new grammatical form in their own speech.

Talkabout for Teenagers is a bestselling professional workbook supporting educators and therapists who deliver social and relationship skills groups for older children and young adults with social, emotional or behavioural difficulties. It is a complete group work resource that offers a hierarchical approach, with ready-made material to assist teaching social and relationship skills specifically to older children and young adults. Resources include: an assessment framework planning and evaluation forms 37 structured session guides focussing on self-awareness and self-esteem, body language, conversational skills, friendship skills and assertiveness all the supplementary handouts and images needed to deliver the sessions. This second edition is presented with full-colour illustrations and handouts, and includes a new introduction by Alex Kelly reflecting on her own experiences of using the resources since they were first developed.

Addiction Counseling Review: Preparing for Comprehensive, Certification, and Licensing Examinations offers a clear, readable overview of the knowledge and skills those training as alcohol or other drug counselors need to pass their final degree program, certification, and licensing examinations. It is organized into six sections: Addiction Basics, Personality Development and Drugs, Common Client Problems, Counseling Theories and Skills, Treatment Resources, and Career Issues. Each chapter includes challenging study questions that enable readers to assess their own level of understanding, including true/false, multiple choice, and provocative discussion questions. Each chapter also provides a glossary of key terms and, in addition to references, annotated suggestions for further reading and Web site exploration. This book will be a resource to which students and trainees will go on referring to long after it has helped them through their examinations. In addition, faculty and established professionals will find it a useful one-stop summary of current thinking about best practice.

Addiction Counseling Review: Preparing for Comprehensive, Certification, and Licensing Examinations offers a clear, readable overview of the knowledge and skills those training as alcohol or other drug counselors need to pass their final degree program, certification, and licensing examinations. It is organized into six sections: Addiction Basics, Personality Development and Drugs, Common Client Problems, Counseling Theories and Skills, Treatment Resources, and Career Issues. Each chapter includes challenging study questions that enable readers to assess their own level of understanding, including true/false, multiple choice, and provocative discussion questions. Each chapter also provides a glossary of key terms and, in addition to references, annotated suggestions for further reading and Web site exploration. This book will be a resource to which students and trainees will go on referring to long after it has helped them through their examinations. In addition, faculty and established professionals will find it a useful one-stop summary of current thinking about best practice.

The number of eating disorders patients presenting with symptoms of self-harm is growing quickly, and yet there is surprisingly little known about this unique population. "Self-Harm Behavior and Eating Disorders" explores the prevalent but largely uncharted relationship between self-injury behaviors and eating disorders symptoms. In the first major book to focus on this area, a renowned group of international scholars and practitioners addresses the subject from a variety of theoretical and practical perspectives. The book is categorized into sections covering epidemiology, psychodynamics, assessment, and a final section covering potential treatment options, including dialectical behavioral therapy, cognitive therapy, interventions strategies, group therapy, and pharmacological approaches. This unrivaled collection of case studies, theoretical exploration, and practical application forms a benchmark for the field, and offers a stepping-stone for new research and innovative treatment strategies. In an area with little available information, previously spread out among diffuse sources, this volume represents the state-of-the-field resource for anyone working with complex eating disorders patients.

In Sex, Drugs, and Creativity: The Search for Magic in a Disenchanted World, Kahoud and Knafo take a close look at omnipotent fantasies in three domains: sex, drugs, and creativity. They demonstrate how these fantasies emerge and how artists draw on them both to create and destroy-sometimes simultaneously - and how understanding this can help psychoanalysts work more effectively with these individuals. Using the personal statements of influential artists and entertainers, in addition to clinical material, the authors examine the omnipotence of self-destruction as it contends with that of creative artists. The authors argue that creative artists use omnipotent fantasies to imagine the world differently - this enables them to produce their art, but also leaves these artists vulnerable to addiction. Chapters devoted to Stephen King and Anne Sexton demonstrate the ways these authors used drugs and alcohol to fuel imagination and inspire creative output while simultaneously doing harm to themselves. A detailed case study also demonstrates successful clinical work with a creative substance user. Sex, Drugs, and Creativity will appeal to anyone interested in the links between creativity and substance use, and will be of great use to psychoanalysts and mental health practitioners working with these challenging clients.

Contents:
Preface 1. Philip Bean and Teresa Nemitz Introduction 2 Joy Mott What Should Work: guidelines on the clinical management of opioid dependence in the UK 3. Ken Checinski and Hamid Ghodse Types of Treatments for Types of Patients 4. Michael Gossop Developments in the Treatment of Drug Problems 5. Colin Brewer Psychological and Pharmacological Components of Treatment 6. Douglas Longshore, Michael Prendergast and David Farrabee Coerced Treatment for Drug-Using Criminal Offenders 7. Nicholas Seivewright and Muhammad Iqbal Treating Patients with Comorbidities 8. Jay Carver Drug Testing as a Necessary Prerequisite for Treatment and for Crime Control 9. Philip Bean and Andrew Ravenscroft Therapeutic Addicts Revisited 10. Tammy L. Anderson and Lana Harrison Therapeutic Community Drug Treatment in the U.S. Criminal Justice System 11. Paul Hayes Treating Drug Users: the role of the National Treatment Agency for substance misuse 12. Philip Bean Linking Treatment Services to the Criminal Justice System 13. Joris Casselman Motivation Enhancement in Clients Referred from the Criminal Justice System

Individuals with complex communication needs who use Augmentative and Alternative Communication (AAC) frequently encounter barriers that limit their ability to achieve their full potential in communication and in life. These barriers include access barriers (limitations in the current capabilities of the AAC user or the communication systems that they use) as well as opportunity barriers (e.g., policy, practice, knowledge/skill, and attitude barriers that extend beyond the AAC user). It is essential to consider both access and opportunity barriers when designing systems and supports for individuals who use AAC. However, often the emphasis of research and practice is on addressing issues related to access barriers with far less attention to opportunity barriers. Supporting Individuals Who Use Augmentative and Alternative Communication: Breaking Down Opportunity Barriers is the first book to focus specifically on practical strategies for breaking down opportunity barriers experienced by individuals who use AAC. The text is divided into four sections, with each section devoted to a frequently encountered opportunity barrier (knowledge/skill, practice, attitude, and policy). Within each section, readers will (a) develop a deeper understanding of the impact of the barrier through the eyes of individuals who use AAC or their families, (b) acquire knowledge based on current research and recommended practices related to addressing the barrier, and (c) learn how professionals have successfully addressed the barrier via case examples from the field. The final chapter provides readers with information (as well as tools and examples) about how to go "beyond the book" and actively address the unique opportunity barriers they encounter. Key Features Includes in-depth interviews with individuals who use AAC and their families Identifies evidence-based and promising practices for addressing opportunity barriers Provides tips, tools, and resources for addressing opportunity barriers Illustrates successful strategies for addressing opportunity barriers through case examples and step-by-step guidelines for implementation Includes contributions from professionals in the field who have successfully addressed opportunity barriers in home, school, workplace, and community settings Who Should Read This Book This book is designed to support those who find themselves frustrated by the opportunity barriers experienced by individuals who use AAC and are searching for ways to break down those barriers, including people who rely on AAC, speech-language pathologists, special education teachers, occupational therapists, physical therapists, family members, university students, faculty in higher education, and other professionals in school, healthcare, and community settings.

Cost-effectiveness analysis is becoming an increasingly important tool for decision making in the health systems. Cost-Effectiveness of Medical Treatments formulates the cost-effectiveness analysis as a statistical decision problem, identifies the sources of uncertainty of the problem, and gives an overview of the frequentist and Bayesian statistical approaches for decision making. Basic notions on decision theory such as space of decisions, space of nature, utility function of a decision and optimal decisions, are explained in detail using easy to read mathematics. Features Focuses on cost-effectiveness analysis as a statistical decision problem and applies the well-established optimal statistical decision methodology. Discusses utility functions for cost-effectiveness analysis. Enlarges the class of models typically used in cost-effectiveness analysis with the incorporation of linear models to account for covariates of the patients. This permits the formulation of the group (or subgroup) theory. Provides Bayesian procedures to account for model uncertainty in variable selection for linear models and in clustering for models for heterogeneous data. Model uncertainty in cost-effectiveness analysis has not been considered in the literature. Illustrates examples with real data. In order to facilitate the practical implementation of real datasets, provides the codes in Mathematica for the proposed methodology. The motivation for the book is to make the achievements in cost-effectiveness analysis accessible to health providers, who need to make optimal decisions, to the practitioners and to the students of health sciences. Elias Moreno is Professor of Statistics and Operational Research at the University of Granada, Spain, Corresponding Member of the Royal Academy of Sciences of Spain, and elect member of ISI. Francisco Jose Vazquez-Polo is Professor of Mathematics and Bayesian Methods at the University of Las Palmas de Gran Canaria, and Head of the Department of Quantitative Methods. Miguel Angel Negrin is Senior Lecturer in the Department of Quantitative Methods at the ULPGC. His main research topics are Bayesian methods applied to Health Economics, economic evaluation and cost-effectiveness analysis, meta-analysis and equity in the provision of healthcare services.

Approximately 500,000 people in North America and Western Europe die from obesity-related diseases every year. This figure can only increase as efforts to stem this tide lag behind the rise of the overweight population. In the West especially, though by no means exclusively, the associated cost in human lives and suffering is accompanied by an increased strain on healthcare budgets. Partly for this reason, the biomedical community is looking beyond lifestyle changes to search for a drug or drugs that can tackle the problem. A number of potential candidates have come and gone, and still the current level of research into the pharmacotherapy of obesity is unprecedented. Pharmacotherapy of Obesity looks at the drugs currently available and those in development, exploring their mechanisms of action and their best use in the patient. However, this volume also looks at non-drug therapies, exercise regimes, surgery, behavioral treatment and alternative techniques such as acupuncture. The book closes with a look at the contribution that genomics is making to the search for new drugs, and looks ahead to what such drugs might be like. Produced by leading experts in the field, Pharmacotherapy of Obesity provides an essential, multi-disciplinary view of the treatment of obesity. It is ideal for anyone involved in obesity management, whether clinical or research-based, and for researchers in pharmacology, physiology, or the pharmaceutical industry.

Help families cope with the impact of personality dysfunction! Family Treatment of Personality Disorders: Advances in Clinical Practice examines the application of marital and family therapy approaches to the treatment of a wide range of personality disorders. Valuable on its own and doubly useful as a companion volume to Family Therapy and Mental Health: Innovations in Theory and Practice (Haworth), the book integrates traditional individual models with family systems models to provide a multidimensional approach to treating personality disorders. Each chapter is written by a family therapist with extensive experience treating personality disorders and includes a case example, an exploration of the impact of the disorder on family members, a look at cultural and gender issues, and an examination of how the model is integrated with traditional psychiatric services and the proper application of medication. Family Treatment of Personality Disorders is a single, accessible source for significant contributions to the emerging literature on family treatment approaches that, until now, have been scattered through journals representing a variety of disciplines. The book's strong clinical focus provides a concise summary of relevant theory and interventions for effective treatment, including discussion of how to manage crises and acting out behavior. Edited by a practicing frontline clinician, the book provides an overview of the personality disorders field, examines the Structural Analysis of Social Behavior model and the Interpersonal Reconstructive Therapy approach, and presents detailed descriptions of key concepts and treatment approaches. Family Treatment of Personality Disorders focuses on specific DSM-IV personality disorders, including: borderline narcissistic histrionic obsessive-compulsive passive-aggressive avoidant dependent paranoid Family Treatment of Personality Disorders: Advances in Clinical Practice is an excellent resource for clinicians treating mental health problems and for academic work in family psychopathology and family therapy and mental health.

This book provides the first comprehensive guide to enhanced cognitive behavior therapy (CBT-E), the leading empirically supported treatment for eating disorders in adults. Written with the practitioner in mind, the book demonstrates how this transdiagnostic approach can be used with the full range of eating disorders seen in clinical practice. Christopher Fairburn and colleagues describe in detail how to tailor CBT-E to the needs of individual patients, and how to adapt it for patients who require hospitalization. Also addressed are frequently encountered co-occurring disorders and how to manage them. Reproducible appendices feature the Eating Disorder Examination interview and questionnaire. CBT-E is recognized as a best practice for the treatment of adult eating disorders by the U.K. National Institute for Health and Care Excellence (NICE).

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.

'Cracked is a perfect book. I loved it. Sensitive, poignant and tender - all delivered in the grip of a white-knuckle whodunnit' - Rachael Blok, bestselling author of The Scorched Earth Seven patients. One dark secret. PHILLIP WALTON HAS BEEN MURDERED. AND THIS IS NOT THE FIRST MURDER. Jenny Nilson hasn't seen her former psychiatrist Phillip since she left the Hillside Psychiatric Unit eight years ago. She wanted to forget everything about her time there, so she kept her secrets buried deep. Especially from her new husband. But now the police are knocking at her door with evidence of her involvement in Phillip's death. It seems as though everything she's kept hidden is about to spill out. Jenny desperately needs to speak to old friends, and old enemies, from those dark years. Because they are the only ones who know what really happened at Hillside, and about the dark secret that Phillip kept for them all - that this is not the first death. Cracked is the blisteringly tense, deliciously dark and twisty debut thriller which is perfect for fans of THE SILENT PATIENT and THE WOMAN IN THE WINDOW. *Trigger Warning: This novel deals with issues of self harm and suicide that some readers may find upsetting* REAL READERS LOVE CRACKED 'I couldn't put this book down. The plot is really interesting and the setting of a psychiatric hospital was hugely captivating . . . a fantastically written and compelling book and would highly recommend it to fans of psychological thrillers' 'It's not quite like anything I've read before. . . . You get a real sense of[the characters'] pain and anguish alongside a very good and fast paced story' 'Oh my goodness this one really surprised me! I was impressed with the writing style and the characters were fantastic. Very suspenseful!' 'The ending was not what I expected! Gripping!' 'This was an excellent thriller that kept me on my toes the whole time. Exquisite character development and tons of surprises make it an entertaining and insightful read' 'I was completely drowned in this book and its characters' 'A riveting read, one which you can't put down once you've started because even when I wasn't reading it, I'd find myself wondering what would happen next' 'This novel really makes you think about mental wellbeing and how it can devastates lives. A stunning read' 'Totally engrossing, the suspense will keep you wanting to read into the wee hours'

Contents:
Dilts, Series Introduction. McCance-Katz, Clark, Book Introduction. Larimer, Palmer, Marlatt, Relapse Prevention: An Overview of Marlatt's Cognitive-behavioral Model. Noonan, Moyers, Motivational Interviewing. Carroll, Libby, Sheehan, Hyland, Motivational Interviewing to Enhance Treatment Initiation in Substance Abusers: An Effectiveness Study. Gallanter, Dermatis, Keller, Trujillo, Network Therapy for Cocaine Abuse: Use of Family and Peer Support. Miller, Meyers, Hiller-Sturmhofel, The Community Reinforcement Approach. Higgins, Alessi, Dantona, Voucher-based Incentives: A Substance Abuse Treatment Innovation. Rawson, Huber, McCann, Shoptaw, Farabee, Reiber, Ling, A Comparison of Contingency Management and Cognitive-behavior Approaches during Methadone Maintenance Treatment for Cocaine Dependence. Westermeyer, Myott, Aarts, Thuras, Self-help Strategies among Patients with Substance Abuse Disorders. Kasprow, Rosenheck, Frisman, DeLella, Residential Treatment for Dually Diagnosed Homeless Veterans: A Comparison of Program Types. Kaminer, Burleson, Psychotherpies for Adolescent Substance Abusers: 15-Month Follow-up of a Pilot Study. Martin, The Links between Alcohol, Crime and the Criminal Justice System: Explanations, Evidence, and Interventions.

This provocative and controversial book challenges a number of widely held ideas in the alcohol/drug field by critically evaluating the bases of these ideas. The field of alcohol/drug studies is fraught with conflict and controversy, and each generation of researchers and practitioners seems to have its own special areas of conflict. In this new volume, experts focus on a number of important issues of current interest and controversy. Is alcoholism a "disease" or is it not? Should federal bans on drugs like heroin and cocaine be removed and will that solve, modify, or exacerbate the problem? Can the risk for alcoholism really be predicted?Professionals from a very wide variety of disciplines--medicine and biochemistry, psychiatry and psychology, philosophy, anthropology, law, social work, and journalism--present their very differing points of view on the perception of alcoholism as a disease and on public policy issues like proposed legislative controls over alcoholic beverages. Current Issues in Alcohol/Drug Studies touches upon a number of questions that will be of interest both to people in alcohol/drug research and in alcohol/drug treatment and prevention. Because it will undoubtedly stimulate further investigation and debate, researchers and policymakers will also find it useful.

The author uses fictitious dialogue, almost novel-like, to explore the nature of drug use and the therapeutic process involved in helping someone overcome the emotional and psychological difficulties that can be associated with their drug use.

Childhood trauma, recovered memories, dissociated states are all addressed in this compelling read.

Contents:
The Basic Ingredients in the Supervisory Process: The Ground Rules of Supervision. Understanding the Historical Influences of the Field on the Past and Future of supervision. Getting Started: A Basic Framework to Integrative Supervision. The Intergenerational Structure and Dynamics of the Training System. Developmental Aspects of Supervision. The Major Theoretical Resources for Supervision. The Modalities of Supervision: Live, Videotape, Audiotape, and Case Presentations. The Formats of Supervision: Individual and Group. The Cultural and contextual Issue in Supervision. Effective Practices in Supervision: Participant's Views. Managing Issues that Interfere with the Supervisory Process. Supervisory Repsonsibilities and Administrative Tools. Articulating Your Personal Model for Supervision. Integrative Supervision in Action. Bringing the First Stage of Our Journey to a Close.

This book provides a new realism in understanding the world of alcohol counselling. It uses dialogue to enable the reader to appreciate the nature of counselling a person with an alcohol problem through the application of person-centred counselling theory. It provides deep insights into what goes on in counselling sessions and how this links into the counsellor's own supervision. It is essential reading for all counselling trainers, supervisors and trainees, provides useful approaches and frameworks for other caring professions, and includes many valuable insights for clients themselves.

Chapters written by leading authorities offer current perspectives on the origins and development of language disorders. They address the question: How can the child's linguistic environment be restructured so that children at risk can develop important adaptive skills in the domains of self-care, social interaction, and problem solving? This theory-based, but practical book emphasizes the importance of accurate definitions of subtypes for assessment and intervention. It will be of interest to students, researchers, and practitioners in the field of developmental language disorders.

The correlation between schizophrenia and substance abuse in psychology is recognized as a growing issue, yet it is one that many practitioners are often ill-prepared to address. Behavioral Treatment for Substance Abuse in People with Serious and Persistent Mental Illness addresses the specific challenges faced by the clinician treating individuals with co-occurring schizophrenia and substance abuse disorders. Designed as a treatment manual for mental health professionals, the book incorporates various treatment components, from motivational interviewing and social skills training to education, problem solving, and relapse prevention. The book presents clearly established guidelines for these treatment modes and utilizes both case examples and fictional situations to present a practical, hands-on approach. Readers will profit directly from the lessons in the book, which offers the clinician an invaluable model from which to base a treatment plan.

Chapters written by leading authorities offer current perspectives on the origins and development of language disorders. They address the question: How can the child's linguistic environment be restructured so that children at risk can develop important adaptive skills in the domains of self-care, social interaction, and problem solving? This theory-based, but practical book emphasizes the importance of accurate definitions of subtypes for assessment and intervention. It will be of interest to students, researchers, and practitioners in the field of developmental language disorders.

Despite a rapid increase in the availability of many forms of gambling, there has been little serious study in the literature of the likely effects. This book seeks to fill that gap by reviewing what is known about gambling in Britain and studying work on the nature, prevalence and possible causes of problem gambling.
Drawing on the history and recent British studies on the subject, Gambling and Problem Gambling in Britain gives an in-depth theoretical and practical viewpoint of this subject. Areas covered include:
* gambling in Britain since Victorian times
* expansion of gambling in the late twentieth century
* what we now know about problem gambling and its treatment
* a consideration of the future of gambling in Britain.
This book will be invaluable for professionals, trainees and academics in the areas of counselling, primary care, probation and social work.

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