"The Addict" opens a window on the very private world of prescription drug addiction, revealing the harrowing story of a young woman whose life has been taken over by a need she can't extinguish.

Lucy's first appointment with Dr. Michael Stein on a sunny April day began a yearlong series of encounters that took her back to the origins of her addiction and unraveled a life driven by compulsion and the constant pursuit of the next pill. "The Addict" follows Lucy from the start of her treatment, through relapse, to her eventual long-term recovery, including her breakup with a destructive boyfriend whose own drug addiction surpassed hers. It is an unforgettable tale of a young woman living on the edge but determined to take control of her life--and a deeply personal account of a doctor on the front lines of an epidemic.

When someone is diagnosed with a serious illness, he or she is taking the first step on a challenging and confusing journey. For many, it is as if they are traveling alone to someplace entirely new, with only faded directions back to their old lives. Often, even their loved ones can only guess at what they must be experiencing. Michael Stein, M.D., uses the stories of his own patients to consider the personal narrative of sickness. Beautifully written and keenly insightful, "The Lonely Patient" is a valuable book for patients and their caregivers as well as a probing inquiry into this universal experience.

The Social Cognition and Object Relations Scale-Global Rating Method (SCORS-G) is a clinician rated measure that can be used to code various forms of narrative material. It is comprised of eight dimensions which are scored using a seven-point Likert scale, where lower scores are indicative of more pathological aspects of object representations and higher scores are suggestive of more mature and adaptive functioning. The volume is a comprehensive reference on the 1) validity and reliability of the SCORS-G rating system; 2) in depth review of the empirical literature; 3) administration and intricacies of scoring; and 4) the implications and clinical utility of the system across settings and disciplines for clinicians and researchers.

The Social Cognition and Object Relations Scale-Global Rating Method (SCORS-G) is a clinician rated measure that can be used to code various forms of narrative material. It is comprised of eight dimensions which are scored using a seven-point Likert scale, where lower scores are indicative of more pathological aspects of object representations and higher scores are suggestive of more mature and adaptive functioning. The volume is a comprehensive reference on the 1) validity and reliability of the SCORS-G rating system; 2) in depth review of the empirical literature; 3) administration and intricacies of scoring; and 4) the implications and clinical utility of the system across settings and disciplines for clinicians and researchers.

The variety and increasing availability of hypermedia information systems, which are used in stationary applications like operators' consoles as well as mobile systems, e.g. driver information and navigation systems in automobiles form a foundation for the mediatization of the society. From the human engineering point of view this development and the ensuing increased importance of information systems for economic and private needs require careful deliberation of the derivation and application of ergonomics methods particularly in the field of information systems.

This book consists of two closely intertwined parts. The first, theoretical part defines the concept of an information system, followed by an explanation of action regulation as well as cognitive theories to describe man information system interaction. A comprehensive description of information ergonomics concludes the theoretical approach.

In the second, practically oriented part of this book authors from industry as well as from academic institutes illustrate the variety of current information systems taken from different fields of transportation, i.e. aviation, automotive, and railroad. The reader thus gains an overview of various applications and their context of use as well as similarities and differences in design. This does not only include a description of the different information systems but also places them in the context of the theories and models, which were presented in the first part of this book.

We will all be patients sooner or later. And when we go to the doctor, when we're hurting, we tend to think in terms of cause and condemnation. We often look for relief not only from physical symptoms but also from our self-blame. We want from our doctors kindness under any of its many names: empathy, caring, compassion, humanity. We look for safety and forgiveness. But we forget that doctors, too, are often in need of forgivenes-from their patients and from themselves. No doctor enters the medical profession expecting to be unkind or to make mistakes, but because of the complexity of our current medical system and because doctors are human, they often find themselves acting much less kindly than they would like to. Drawing on his work as a primary care physician and a behavioral scientist, Michael Stein artfully examines the often conflicting goals of patients and their doctors. In those differences, Stein recognizes that kindness should not be a patient's forbidden or unrealistic expectation. This book leaves us with new knowledge of and insights into what we might hope for, and what might go wrong, or right, in the most intimate clinical moments.

In this age of shortened office visits, doctors take care of their patients' immediate needs and often elide their own personal histories. But as reflected in Broke, Michael Stein takes the time to listen to the experiences of his patients whose financial challenges complicate every decision in life they make. Stein asks his patients to tell him about their financial conditions not only to find out how to better treat them but also to bear witness to their very survival and the power of human resilience. Stein's intimate vignettes capture these encounters, allowing his patients to offer profound, moving, and unguarded reflections about their struggles, sometimes in a single sentence. Broke is a quietly passionate critique of a country that has grown callous to the plight of the poor, the tens of millions of people in the United States who live below the poverty line and who have no obvious path to security. Full of heartbreaking and surprising details and framed by a wry, knowing, and empathic humor, there is no other book that illuminates the experience of people facing economic hardship in this way.

We will all be patients sooner or later. And when we go to the doctor, when we're hurting, we tend to think in terms of cause and condemnation. We often look for relief not only from physical symptoms but also from our self-blame. We want from our doctors kindness under any of its many names: empathy, caring, compassion, humanity. We look for safety and forgiveness. But we forget that doctors, too, are often in need of forgivenes-from their patients and from themselves. No doctor enters the medical profession expecting to be unkind or to make mistakes, but because of the complexity of our current medical system and because doctors are human, they often find themselves acting much less kindly than they would like to. Drawing on his work as a primary care physician and a behavioral scientist, Michael Stein artfully examines the often conflicting goals of patients and their doctors. In those differences, Stein recognizes that kindness should not be a patient's forbidden or unrealistic expectation. This book leaves us with new knowledge of and insights into what we might hope for, and what might go wrong, or right, in the most intimate clinical moments.

In this age of shortened office visits, doctors take care of their patients' immediate needs and often elide their own personal histories. But as reflected in Broke, Michael Stein takes the time to listen to the experiences of his patients whose financial challenges complicate every decision in life they make. Stein asks his patients to tell him about their financial conditions not only to find out how to better treat them but also to bear witness to their very survival and the power of human resilience. Stein's intimate vignettes capture these encounters, allowing his patients to offer profound, moving, and unguarded reflections about their struggles, sometimes in a single sentence. Broke is a quietly passionate critique of a country that has grown callous to the plight of the poor, the tens of millions of people in the United States who live below the poverty line and who have no obvious path to security. Full of heartbreaking and surprising details and framed by a wry, knowing, and empathic humor, there is no other book that illuminates the experience of people facing economic hardship in this way.

How well is the field of political studies doing and where is it headed? Such questions are examined and answered in this broad world overview of political science, along with the advances and shortcomings, as well as the recommended prescriptions for the future decades of the new century. The book includes three world regional assessments of the discipline, along with an in-depth survey of various sub-disciplinary fields and a concluding critical essay on the future of political studies. This is the final volume in a book series on the development of political science, created in 2000 by Research Committee 33 of the International Political Science Association (IPSA) on the study of political science as a discipline. Contents include: Political Science in Three Asian Democracies: Disaffected (Japan), Third-Wave (Korea), and Fledgling (China) * Political Science in Europe: Its Development as a Discipline * Political Science in North America and Other Continents: Is There a Genuinely International Discipline? * Issues and Trends in Political Science at the Beginning of the 21st Century (Series: The World of Political Science - The Development of the Discipline)

A POLITICAL PROVOCATION FROM A PAIR OF PHYSICIANS WRITING OUTSIDE THEIR LANE Americans care about their health. Americans pay lots of money in hopes of maintaining their health. So why are Americans so unhealthy? The reason is simple: as a country, the United States overinvests in medical care at the expense of the social, economic, and cultural forces that produce health. The rise of medicine as a cornerstone of American life and culture has coincided with a social and political devaluation of factors demonstrated to mean more to our vitality than anything else - influences like where we live, work, and play; livable wages that create opportunity for healthy living; and gender and racial equity. In Pained, physicians Michael Stein and Sandro Galea push the conversation around American health where it belongs: toward matters of class, money, and culture. Across more than 50 essays and data illustrations, Pained casts a light on how the structural components of everyday life - like school, housing, police, even cell phones - ultimately determine who gets to be healthy in today's America. In doing so, it makes a case for reframing our political discourse in less myopic, more effectual terms. Accessible and surprising, political but not partisan, Pained is the urgent, uncomfortable conversation that American needs in this challenging moment. It will delight and infuriate readers of all political stripes.

Arthritis is the number one cause of disability in the United States. More than 40 million people show some evidence of it on x-rays and more than 16 million suffer its effects. One of the most common misconceptions regarding arthritis is that it is a single disease, when in reality there are many different types of arthritis, requiring different types of treatment. The Encyclopedia of Arthritis is a new volume in the Library of Health and Living series. It provides comprehensive coverage of the topic in an accessible A-to-Z format written for lay reader but useful to the professional. The book covers everything from definitions of specific types of arthritis, its symptoms, its causes, and diagnoses to medications, pain management, and possible treatments. Relevant appendixes listing statistics and resources, information on drugs used for treatment, directories of organizations, periodicals and internet resources, and an extensive bibliography are also included.

This issue of Medical Clinics, guest edited by Drs. Jeffrey H. Samet, Patrick G. O'Connor, and Michael D. Stein, is devoted to Substance Use and Addiction Medicine. Articles in this outstanding issue include: Making Unhealthy Substance Use a Part of Behavioral Health Integration in Primary Care; The Inpatient Addiction Consult Medical Service: Expertise for Hospitalized Patients with Complex Addiction Problems; The Addiction Physician Workforce: Addiction Psychiatry and Addiction Medicine Collaboration in a New Age; Preventing Opioid Overdose in the Clinic and Hospital: Analgesia and Opioid Antagonists; The Role of Non-Traditional Maintenance Treatments: Injectable Opioid Agonist Therapies and Managed Alcohol Programs; Office-Based Addiction Treatment (OBAT) in Primary Care: Models that Work; Alcohol Use Disorder Pharmacotherapy: the Use of FDA and non-FDA Approved Medications; When and How to Treat Possible Cannabis Use Disorder; Clinical Presentations of New Drugs with Abuse Potential; Use of Technology in Addiction Therapy; Sleep Management Among Patients with Substance Use Disorders; Pain Management Among Patients with Substance Use Disorders; E-Cigarettes: A Path to Recovery or a Road to Hell?; Are Adolescent and Young Adults Different When Addressing Substance Use Disorders?; and Smoking Cessation for Those in Recovery from Substance Use Disorders.