Highly Commended in the Psychiatry category at the 2010 BMA Medical Books Awards

This book serves as a manual for clinicians working with people with alcohol problems. The manual is based on previous research in addiction treatment, including family and social network interventions, as well the authors' own work developing and evaluating Social Behaviour and Network Therapy (SBNT) for example in the United Kingdom Alcohol Treatment Trial (UKATT).

Containing a range of ideas the book is guided by a key principle: the development of social support for a positive change in drinking behaviour.

Divided into three sections topics include:

• an introduction to the evidence base underpinning SBNT
• core components of the treatment
• common questions asked about the intervention.

Featuring a series of practical handouts, this book will be essential reading for clinicians, counsellors, nurses, psychologists and all those involved in the treatment of alcohol misuse and dependence.

"Coping with Drug and Alcohol Problems" aims to deepen and extend understanding of the experiences of family members trying to cope with the excessive drinking or drug taking of a relative.
Comprehensive and thoroughly up to date, this book draws on the results of the cross-cultural study of alcohol and drug problems in the family, and places these results within the broader context of the international literature on the subject. By investigating the similarities and differences in the experiences of family members in three parts of the world, the authors reveal results which have far-reaching implications for professional intervention and prevention. Subjects covered include:
- Models of Understanding: How Families Continue to be Pathologized and Misunderstood
- How Family Members Cope
- An Integrated View of Alcohol and Drug Problems in the Family
- Ways of Empowering Family Members
This book aims to demonstrate the possibility of a constructive alliance between professionals, substance misusing relatives, and the affected family members by thoroughly investigating the dilemmas that face family members and the lack of support they experience.
This fascinating insight into the impact of drugs and alcohol problems on family members will be a valuable resource for all those who are interested in substance misuse in family and cultural contexts, and particularly those who are interested in the treatment of alcohol and other drug problems.

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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First published in 2001. Routledge is an imprint of Taylor & Francis, an informa company.

First published in 2001. Routledge is an imprint of Taylor & Francis, an informa company.

There are now signs that, after decades of phenomenal growth, the era of unrestrained gambling liberalisation may be coming to an end. However, the power of the Gambling Establishment is formidable, and it will certainly fight back. Drawing on research and policy examples from around the world, the book provides a unified understanding of the dangerousness of modern commercialised gambling, how its expansion has been deliberately or inadvertently supported, and how the backlash is now occurring. The term Gambling Establishment is defined to include the industry which sells gambling, governments which support it, and a wider network of organisations and individuals who have subscribed to the 'responsible gambling' Establishment discourse. Topics covered include the psychology of how gambling is now being advertised and promoted and the way it is designed to deceive gamblers about their chances of winning; the increased exposure of young people to gambling and the alignment of gambling with sport; understanding the experience of gambling addiction; the various public health harms of gambling at individual, family, community and societal levels; and how evidence has been used to resist change. The book's final chapter offers the author's manifesto for policy change, designed with Britain particularly in mind but likely to have relevance elsewhere. With detailed examples given of the ways a number of countries are responding to these threats to their citizens' health, this book will be of global interest for academics, researchers, policymakers and service providers in the field of gambling or other addictions specifically, and public health and social policy generally.

There are now signs that, after decades of phenomenal growth, the era of unrestrained gambling liberalisation may be coming to an end. However, the power of the Gambling Establishment is formidable, and it will certainly fight back. Drawing on research and policy examples from around the world, the book provides a unified understanding of the dangerousness of modern commercialised gambling, how its expansion has been deliberately or inadvertently supported, and how the backlash is now occurring. The term Gambling Establishment is defined to include the industry which sells gambling, governments which support it, and a wider network of organisations and individuals who have subscribed to the 'responsible gambling' Establishment discourse. Topics covered include the psychology of how gambling is now being advertised and promoted and the way it is designed to deceive gamblers about their chances of winning; the increased exposure of young people to gambling and the alignment of gambling with sport; understanding the experience of gambling addiction; the various public health harms of gambling at individual, family, community and societal levels; and how evidence has been used to resist change. The book's final chapter offers the author's manifesto for policy change, designed with Britain particularly in mind but likely to have relevance elsewhere. With detailed examples given of the ways a number of countries are responding to these threats to their citizens' health, this book will be of global interest for academics, researchers, policymakers and service providers in the field of gambling or other addictions specifically, and public health and social policy generally.

Addiction exercises enormous power over all those who are touched by it. This book argues that power and powerlessness have been neglected in addiction studies and that they are a unifying theme that brings together different areas of research from the field including the disempowering nature of addiction; effects on family, community and the workplace; epidemiological and ethnographic work; studies of the legal and illegal supply; and theories of treatment and change. Examples of alcohol, drug and gambling addiction are used to discuss the evidence that addiction is most disempowering where social resources to resist it are weakest; the ways in which the dominant discourses about addictive behaviour encourage the attributing of responsibility for addiction to individuals and divert attention from the powerful who benefit from addiction; and the ways in which the voices of those whose interests are least well-served by addiction are silenced.

'Coping with Drug and Alcohol Problems' aims to deepen & extend understanding of the experiences of family members trying to cope with the excessive drinking or drug taking of a relative across three different cultures.

Review: Advance praise: 'This book brings together Jim Orford's vast knowledge of addiction research and theory and, using the unifying concept of power, it examines the multi-layered nature of how we are, at several levels, disempowered by our involvement with addictive consumptions. From the three case studies at the opening to his examples of communities reclaiming power at the end, his chapters move progressively from the individual, to families, to neighbourhoods and communities and onto the broader societal and industrial contexts that shape addictions in our lives. It is the first book on addiction I have read that thoroughly integrates so many important strands of thinking on this complex topic.' Peter J. Adams, Centre for Addiction Research, University of Auckland, and author of Fragmented Intimacy: Addiction in a Social World Advance praise: 'An important book with a powerful central message. Jim Orford masterfully weaves together wide-ranging and diverse fields of knowledge hitherto kept separate. The result is a fascinating exploration of the subtle but strong interconnections between addiction, powerless and power. Once again, Jim Orford breaks new ground.' Judith Harwin, Centre for Child and Youth Research, Brunel University Advance praise: 'This thought-provoking and beautifully written book delivers an important message for change on a broad canvas of integrated ideas: those most affected by addictions have been silenced and their voices need to be heard in the corridors of power.' Tim Stockwell, Director, Centre for Addictions Research of British Columbia, University of Victoria

Commercial gambling is a recent historical phenomenon. It has developed into a profitable industry that supplies a range of recreational activities to its customers, and is a significant way of collecting money from players to distribute to companies, state budgets, and other beneficiaries. Many of these are civil society organizations, using the money for producing services in sports, culture, social work, and health care. However, gambling can also develop into pathological behaviour. Using a public interest framework, this book discusses the policies that will best serve the public good and minimize individual and collective harms. After describing the historical context of the gambling and the current global burden of the activity, available methods of regulating the industry are evaluated using the available scientific evidence. By analysing the effectiveness of gambling policies and their alignment with the public interest, the epidemiological obstacles to successful regulation are considered in detail. There is good evidence for the effectiveness of restrictions on availability and access, but preventing gambling-related harm is not possible without limiting the overall volume of the activity, and hence the profits for the gambling industry and governments. Taking an international approach, this book delivers a comprehensive review of the epidemiological evidence documenting the harmful effects of gambling on individuals, communities, and societies. Essential reading for policymakers, social and behavioural scientists in gambling research, and public health researchers, Setting Limits examines a global view of an emerging epidemic of gambling problems.