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In the 1980s the study of alcoholism was in a period of rapid
change, this book, originally published in 1985, identifies and
explores the three most controversial contemporary issues: changes
at the basic explanatory level in our concept of harmful drinking;
the undermining of our confidence that drinking behaviour can be
effectively modified in the traditional context of ‘treatment’;
and the changes in our concept of the effective prevention of
harmful drinking. The authors of the book came from a variety of
backgrounds, but all were members of the New Directions in the
Study of Alcohol Group. They broadly reject the disease concept of
alcoholism, but, as this volume shows, there is still scope for
vigorous debate and this book should have something of interest for
all concerned with problems of alcoholism.
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Controlled Drinking
Nick Heather, Ian Robertson
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R3,391
Discovery Miles 33 910
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Ships in 12 - 17 working days
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Originally published in 1981 and revised in 1983, Controlled
Drinking was the first scholarly review of the literature on a
controversial but increasingly practiced approach to the treatment
of alcoholism. Nick Heather and Ian Robertson analyse all the
pertinent questions that controlled drinking raises, starting with
the need to examine the ‘disease conception’ of alcoholism and
‘total abstinence’ treatment. They look at the evidence
indicating that some people, previously diagnosed as alcoholics,
are able to return to normal, controlled patterns of drinking, and
discuss therapies where controlled drinking is the treatment goal,
fully reviewing the evidence for their success and failure.
Concluding with a discussion of the theoretical and policy
implications of controlled drinking, the authors recommend that the
disease view of alcoholism be finally abandoned. For the revised
paperback edition, as well as correcting and updating the text and
references, the authors included an important postscript on the
charges of falsification of evidence and their subsequent
refutation which made up the Sobell affair. The wealth of other
material presented in Controlled Drinking supports the authors’
conclusions even if the Sobells’ work were ignored. However, this
revised edition was made more useful for student and professional
readers by the postscript’s discussion of the controversy
surrounding the most widely known and quoted controlled drinking
trial at the time.
* A ground-breaking attempt to bring together in one volume all the
various strands of this fundamental debate about the nature of what
is called addiction. * Presents a robust evaluation of the BDMA *
Neatly divided into four sections representing For; Against;
Unsure; Alternative Ways of Understanding and Responding to
Addiction
* A ground-breaking attempt to bring together in one volume all the
various strands of this fundamental debate about the nature of what
is called addiction. * Presents a robust evaluation of the BDMA *
Neatly divided into four sections representing For; Against;
Unsure; Alternative Ways of Understanding and Responding to
Addiction
About a decade ago, psychologists began exploring the commonalities
among alcohol and drug abuse, smoking, and obesity. The term sub
stance abuse evolved into the current concept of addictive
behaviors, which recognizes similarities with other behaviors that
do not involve consummatory responses (e. g., pathological
gambling, compulsions, sexual deviations). Professional societies
and journals now have been founded in both Britain and the United
States with the purpose of focus ing on research and treatment in
the area of addictive behaviors. As the field has evolved, new
models have emerged to address the questions and puzzles that face
professionals. This volume examines some of these current issues
and, in particular, explores common pro cesses of change that seem
to cut across the addictive behaviors. The chapters are based on
papers presented at the Third International Con ference on
Treatment of Addictive Behaviors, which was held at North Berwick,
Scotland, in August of 1984. The conference was organized around an
integrative model of stages and processes of change that has been
useful in organizing new knowledge about how to intervene with
addictive behaviors. This model is set forth by its authors, Jim
Prochaska and Carlo DiClemente, in Chapter 1. In Chapter 2, Fred
Kanfer ex pounds his own model of self-regulation, which overlaps
nicely with the Prochaska-DiClemente framework and provides a
behavioral-theoretical context."
In the early 1980s the transtheoretical model of change was still
in its infancy. Seminal publications were just appearing, but the
model already seemed to hold such promise that we made it the
organizing theme for the Third International Conference on
Treatment of Addictive Behaviors (ICTAB-3), which convened in
Scotland in 1984. That meeting gave rise to the first edition of
this volume (Miller & Heather, 1986), which focused on
processes involved in moving people from one stage to the next.
With the volume still in print more than a decade later, we were
approached by Plenum Press with the idea of preparing this second
edition. We were, obvi ously, persuaded that there was merit to the
idea. Since 1986 the work of Pro chaska and DiClemente has grown
exponentially in popularity and influence. In Britain and the
Americas, it is now unusual to find an addiction professional who
has not at least heard about the stages of change, and more
sophisticated applica tions of the transtheoretical model are
spreading through health care systems and well beyond. The model
has influenced professional training, health care delivery, and the
design of many studies including a number of large clinical
trials."
In the early 1980s the transtheoretical model of change was still
in its infancy. Seminal publications were just appearing, but the
model already seemed to hold such promise that we made it the
organizing theme for the Third International Conference on
Treatment of Addictive Behaviors (ICTAB-3), which convened in
Scotland in 1984. That meeting gave rise to the first edition of
this volume (Miller & Heather, 1986), which focused on
processes involved in moving people from one stage to the next.
With the volume still in print more than a decade later, we were
approached by Plenum Press with the idea of preparing this second
edition. We were, obvi ously, persuaded that there was merit to the
idea. Since 1986 the work of Pro chaska and DiClemente has grown
exponentially in popularity and influence. In Britain and the
Americas, it is now unusual to find an addiction professional who
has not at least heard about the stages of change, and more
sophisticated applica tions of the transtheoretical model are
spreading through health care systems and well beyond. The model
has influenced professional training, health care delivery, and the
design of many studies including a number of large clinical
trials."
The central problem in the study of addiction is to explain why
people repeatedly behave in ways they know are bad for them. For
much of the previous century and until the present day, the
majority of scientific and medical attempts to solve this problem
were couched in terms of involuntary behavior; if people behave in
ways they do not want, then this must be because the behavior is
beyond their control and outside the realm of choice. An opposing
tradition, which finds current support among scientists and
scholars as well as members of the general public, is that
so-called addictive behavior reflects an ordinary choice just like
any other and that the concept of addiction is a myth. The editors
and authors of this book tend to take neither view. There has been
an increasing recognition in recent literature on addiction that
restricting possible conceptions of it to either of these extreme
positions is unhelpful and is retarding progress on understanding
the nature of addiction and what could be done about it. This book
contains a range of views from philosophy, neuroscience,
psychiatry, psychology and the law on what exactly this middle
ground between free choice and no choice consists of and what its
implications are for theory, practice and policy on addiction. The
result amounts to a profound change in our thinking on addiction
and how its devastating consequences can be ameliorated. Addiction
and Choice is a thought provoking new volume for all those with an
interest in this global issue.
Choice, Behavioural Economics and Addiction is about the theory,
data, and applied implications of choice-based models of substance
use and addiction. The distinction between substance use and
addiction is important, because many individuals use substances but
are not also addicted to them. The behavioural economic perspective
has made contributions to the analysis of both of these phenomena
and, while the major focus of the book is on theories of addiction,
it is necessary also to consider the behavioural economic account
of substance use in order to place the theories in their proper
context and provide full coverage of the contribution of
behavioural economics to this field of study.
The book discusses the four major theories of addiction that have
been developed in the area of economic science/behavioural
economics. They are:
- hyperbolic discounting
- melioration
- relative addiction
- rational addiction
The main objective of the book is to popularise these ideas among
addiction researchers, academics and practitioners. The specific
aims are to articulate the shared and distinctive elements of these
four theories, to present and discuss the latest empirical work on
substance abuse and addiction that is being conducted in this area,
and to articulate a range of applied implications of this body of
work for clinical, public health and public policy initiatives.
The book is based on an invitation-only conference entitled,
Choice, Behavioural Economics and Addiction: Theory, Evidence and
Applications held at the University of Alabama at Birmingham, March
30 - April 1, 2001. The conference was attended by prominent
scientists and scholars, representing a rangeof disciplines
concerned with theories of addiction and their consequences for
policy and practice. The papers in the book are based on the papers
given at the above conference, together with commentaries by
distinguished experts and, in many cases, replies to these comments
by the presenters.
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