In both developed nations and the developing world, there is a clear trend towards addressing alcohol, tobacco, and other drug problems through health and social services. There are several persuasive arguments for this shift beyond pure economics, which include comorbidity, cost effectiveness, coordination of care and effectiveness.
This is the first volume to pull together effective methods that can be used for addressing substance abuse through health and social service systems. It also integrates interventions for a range of drugs of abuse, rather than focusing on only one (such as alcohol). The book's international perspective also makes this a unique contribution to the existing literature.

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."

*Bestseller with over 125,000 in print, completely rewritten; over 90% new material reflects advances in MI as well as the changing health care landscape. *Authoritative--Rollnick and Miller are the renowned co-developers of this in-demand, empirically supported method. *Tailor made for busy health care providers; concise, accessible, affordable, practical, and illustrated with clinical dialogues. *For providers in any setting, from private practice and hospitals to health clinics, rehab centers, pharmacies, and schools. *A key to effective health care is patient adherence; MI tackles behavior change head-on. *New or expanded coverage of working with hostile or resistant patients, vaccine hesitancy (not Covid-specific), and delivering bad news.

What is it that makes some therapists so much more effective than others, even when they are delivering the same evidence-based treatment? This instructive book identifies specific interpersonal skills and attitudes--often overlooked in clinical training--that facilitate better client outcomes across a broad range of treatment methods and contexts. Reviewing 70 years of psychotherapy research, the preeminent authors show that empathy, acceptance, warmth, focus, and other characteristics of effective therapists are both measurable and teachable. Richly illustrated with annotated sample dialogues, the book gives practitioners and students a blueprint for learning, practicing, and self-monitoring these crucial clinical skills.

*A to Z revision of the seminal bestseller (over 450,000 in print); the bible of a proven, highly effective therapeutic technique. *Virtually all-new, the book extends MI to more fields, yet is 25% shorter and has less technical jargon. *Popular worldwide--clinical reference sales are supplemented by heavy text use and workshop-driven demand from numerous MI trainings. *Broad market--originally developed for treating addictions, the approach is now widely used throughout mental health and health care specialties. *More than just preparing people to change behavior, MI helps people continue to grow; examples and sample dialogues show MI in action. *Chapter summaries, lists of key concepts, and "Personal Perspective" and "For Therapists" boxes aid in learning.

In both developed nations and the developing world, there is a clear trend towards addressing alcohol, tobacco, and other drug problems through health and social services. There are several persuasive arguments for this shift beyond pure economics, which include comorbidity, cost effectiveness, coordination of care and effectiveness. This is the first volume to pull together effective methods that can be used for addressing substance abuse through health and social service systems. It also integrates interventions for a range of drugs of abuse, rather than focusing on only one (such as alcohol). The book's international perspective also makes this a unique contribution to the existing literature.

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."

Experimental stress analysis is an important tool in the overall design and development of machinery and structures. While analytical techniques and computer solutions are available during the design stage, the results are still dependent on many assumptions that must be made in order to adapt them to the problems at hand. One popular method of finding structural and design weaknesses is through the use of the electrical resistance strain gage. These devices are relatively low in cost, easily applied by a reasonably skilled technician, and require little investment in instrumentation (for the general user), yet they yield a wealth of information in a relatively short time period. The information and its validity is, of course, dependent on the training and knowledge of the engineer who plans the tests and reduces the data. In addition to serving as a reference for engineers, this practical, instructive book has a high potential as a textbook for senior and first-year graduate students in engineering and related fields, such as engineering physics and geology. A solutions manual is available to instructors using the book as a text. To request a free copy of the manual, please write: Peter Gordon, Engineering Editor, Oxford University Press, 198 Madison Avenue, New York, NY 10016.

The community reinforcement approach (CRA) to treating alcohol and other drug problems is designed to make changes in the client's daily environment, to reduce substance abuse, and to promote a healthier lifestyle. This is the first book to present research on the effectiveness of the CRA for a clinical readership. It includes the original study comparing CRA with traditional treatments of alcohol dependence, and summarizes other trials with alcohol, cocaine, and heroin users. The CRA program provides basic guidelines for clinicians, focusing on communication skills, problem solving and drink refusal strategies, and addresses the needs of the client as part of a social community. Combining practical advice on such matters with a scientific survey of CRA in use, this book offers a new treatment approach to all involved with the support and treatment of those with alcohol and drug problems.

From a leading researcher and practitioner, this volume provides an innovative framework for understanding the role of spirituality in people's lives and its relevance to the work done in psychotherapy. It offers fresh, practical ideas for creating a spiritual dialogue with clients, assessing spirituality as a part of their problems and solutions, and helping them draw on spiritual resources in times of stress. Written from a nonsectarian perspective, the book encompasses both traditional and nontraditional forms of spirituality. It is grounded in current findings from psychotherapy research and the psychology of religion, and includes a wealth of evocative case material.

This widely respected text and practitioner guide, now revised and expanded, provides a roadmap for effective clinical practice with clients with substance use disorders. Specialists and nonspecialists alike benefit from the authors' expert guidance for planning treatment and selecting from a menu of evidence-based treatment methods. Assessment and intervention strategies are described in detail, and the importance of the therapeutic relationship is emphasized throughout. Lauded for its clarity and accessibility, the text includes engaging case examples, up-to-date knowledge about specific substances, personal reflections from the authors, application exercises, reflection questions, and end-of-chapter bulleted key points. New to This Edition *Chapters on additional treatment approaches: mindfulness, contingency management, and ways to work with concerned significant others. *Chapters on overcoming treatment roadblocks and implementing evidence-based treatments with integrity. *Covers the new four-process framework for motivational interviewing, diagnostic changes in DSM-5, and advances in pharmacotherapy. *Updated throughout with current research and clinical recommendations.

Millions of people would like to cut down on their drinking without giving it up altogether and this encouraging book has helped many make that goal a reality. Distinguished clinician-researchers William R. Miller and Ricardo F. Munoz have spent more than 40 years studying whether moderation works, who it works (and doesn't work) for, and how to achieve it. Armed with authoritative facts about how much is too much, readers can set realistic, customized moderation goals. Loads of practical strategies, stories, and planning tips are included. Readers learn new ways to enjoy social events, defuse tension and stress, and cope with difficult emotions with or without a glass in hand. Updated with the latest scientific data, the second edition is designed to be even more interactive, and features a new chapter on mindfulness.

*Noted psychologist and bestselling author Miller shows readers that ambivalence--far from a sign of weakness--can be a positive force for change. *Known as the co-developer of the motivational interviewing technique, Miller weaves in motivational concepts in an engaging, empathic style. *Practical tools help readers think through consequential decisions. *Scientific research is used adroitly to back up key ideas. *An inspiring read, filled with examples from everyday life, literature, and history.

While knowledge on substance abuse and addictions is expanding rapidly, clinical practice still lags behind. This state-of-the-art book brings together leading experts to describe what treatment and prevention would look like if it were based on the best science available. The volume incorporates developmental, neurobiological, genetic, behavioral, and social-environmental perspectives. Tightly edited chapters summarize current thinking on the nature and causes of alcohol and other drug problems; discuss what works at the individual, family, and societal levels; and offer robust principles for developing more effective, humane treatments and services.