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A practical companion to the New York Times and international bestseller Dopamine Nation, for individuals, families, counselors, therapists, teachers, and anyone who wants to go beyond the narrative and engage in practices that will reset reward pathways for a more flourishing life In Dopamine Nation, Dr. Lembke introduced readers to her groundbreaking research that demonstrates how abundance itself is a stressor, contributing to rising rates of addiction, depression, and anxiety. Since the book's publication, she has often been asked: When will there be a workbook helping people apply these ideas to their own lives? With her signature warm, authoritative voice, Dr. Lembke has written the workbook that her readers have been asking for. Full of interactive exercises and inspiring examples, the workbook helps readers identify the substances and behaviors they struggle to moderate, undertake a dopamine fast, and reset reward pathways for a happier and more fulfilling life.

This book introduces the Recovery Cycle, the only relatable model for positive change in sobriety and a simple roadmap for sober living. The author, a clinician in recovery herself, demonstrates how to talk to clients or anyone with an interest in sobriety in a pragmatic, like-minded way. The easy, conversational style encourages cultivation of solid, sober relationships and spiritual connections, all with an achievable, open-minded approach. Concrete methods honor the thinking and feeling parts of the recovering individual, thereby promoting personal empowerment and choice rather than generic prescriptive advice. The book speaks to all addiction disorders and discusses what every addicted person must go through to love their sober life, no matter what program they choose, no matter what addiction. Readers will find the journey toward emotional sobriety and spiritual recovery discussed in a simple, straightforward way, with depth and compassion.For clinicians who want to guide clients in recovery or for any motivated individual in recovery desiring to transform their life from one of pain and struggle to a beautiful work of heart, this book will be a welcome spark of inspiration and support—without the snore factor of a dry textbook.

In this revelatory and original book, award-winning author of the acclaimed surf memoir On a Wave illuminates the connection between waves, addiction, and recovery, exploring what surfing can teach us about the powerful undertow of addictive behaviors and the ways to swim free of them.Addiction is arguably the dominant feature of contemporary life: sex, gambling, exercise, eating, shopping, Internet use—there's virtually no pleasurable activity that can't morph into a destructive obsession. For Americans under the age of fifty-five, the leading cause of death is drug overdose. But there is another side of addiction.In some instances, the very activities that can lead to addiction can also lead out of it. As neurologists have recently discovered, surfing is a kind of study in the mechanism of addiction, delivering dopamine to the'pleasure'center of the brain and reshaping priorities and desire in a feedback loop of narrowing focus. Thad Ziolkowski knows this dynamic intimately. A lifelong surfer, he has been surrounded by addiction since his boyhood. In this unique, groundbreaking book, part addiction memoir, part sociological study, part spiritual odyssey, Ziolkowski dismantles the myth of surfing as a radiantly wholesome lifestyle immune to the darker temptations of the culture and discovers among the rubble a new way to understand and ultimately overcome addiction. Combining his own story with insights from scientists, progressive thinkers and the experiences of top surfers and addicts from around the world, Ziolkowski shows how getting on a board and catching a wave is a unique and deeply instructive means of riding out of the darkness and back into the light. Yet while surfing is his salvation, its lessons can applied to other activities that can pull us free from the lethal undertow of addiction and save lives.

Grief and Addiction illuminates the role of grief work in addiction counseling, encouraging counselors to be more comprehensive in their treatment and to increase empathy for what the treatment process is asking of clients.Acknowledging that entering recovery includes a loss of coping skills, and that it requires building a new identity, this book focuses on addiction-specific grief work. Grief and Addiction integrates concepts like complicated grief, nonfinite loss, trauma, family grief responses, and treatment suggestions in one place—all with a focus on the application to addiction work.Featuring appendices with information and examples for clinicians, Grief and Addiction provides treatment strategies drawn from both the addiction and grief world for professionals and counselor educators.

Written by experienced practitioners in the fields of addiction and psychoanalysis, and illustrated by a range of moving vignettes, this groundbreaking book examines the psychological foundations of addiction in the areas of food, sex, gambling, internet usage, shopping, and work.This book not only explores the roots of addictive behavior, explaining why popular treatment options such as the 12-Step Program often fail, it also provides insights for emotional resolution and strategies for behavioral change.Beyond the Primal Addiction seeks to understand rather than pathologize addictive behaviours, now so pervasive in contemporary societies. It will be essential reading for psychoanalysts, psychotherapists, and other mental health professionals, as well as their clients.

The concept of sexual addiction has gained increasing recognition in the academic and healthcare communities since the 1990s. It has also captured the attention of the media, where there has been much debate over whether it can truly be described as an addiction. What is certain is that many people struggle with out of control sexual behaviour, which takes over their lives and has harmful consequences for their relationships, careers and finances.The Routledge International Handbook of Sexual Addiction brings together a comprehensive range of perspectives on sexual addiction from a worldwide selection of scholars and therapists. It sets out to define sexual addiction and to study its causes from a range of different psychological perspectives. A series of presentations of sexual addiction are outlined, including internet sexual addiction and the relationship between paraphilias and sex addiction. The handbook considers both individual and group treatment strategies, drawing on a wide range of approaches, including cognitive behavioural therapy, mindfulness and 12-step programmes. The book studies sex addiction in specific populations including women, adolescents and men who have sex with men. Finally, it considers some of the alternative discourses surrounding the concept of sexual addiction. This is the first comprehensive reference book to bring together global viewpoints on advances in research, theory and practice in one volume. This handbook provides an essential guide for academics and students of psychotherapy, counselling, nursing, addiction, sexualities, social work and health and social care, as well as professionals in practice and in training working with sexual addiction and related issues.

Psychoanalytic thought has already transformed our basic assumptions about the psychic life of individuals and cultures. Those assumptions often take on the valence of common sense. However, this can mean that their original and important meanings often become obscured. Disruptive ideas become domesticated. At War with the Obvious aims to return those ideas to their original disruptive status. Donald Moss explores a wide range of issues—the loosening of constraints on deep systematized forms of hatred, clinical, and technical matters, the puzzling status of revenge and forgiveness, a consideration of the dynamics of climate change denial, and an innovative look at the problem of voice in the clinical situation. Because it is rooted in a profound reconsideration of the origins of psychic life, psychoanalysis remains vital, in spite of the perennial efforts to keep it effaced and quieted. Moss covers a range of central psychoanalytic concepts to argue that only by examining and challenging our everyday assumptions about issues like sexuality, punishment, creativity, analytic neutrality, and trauma, can psychoanalysis offer a radical alternative to other forms of therapy.At War with the Obvious will appeal to psychoanalysts and psychoanalytic psychotherapists, cultural theorists and anyone for whom incisive psychoanalytic thought matters.

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.

International in its scope and multidisciplinary in its approach, The International Handbook of Addiction Behaviour, originally published in 1991, set a new agenda in the addictions field. This volume brings together the full variety of scientific approaches to addiction behaviour. It broke new ground by highlighting the links between clinical work, training and research and proposes a way forward towards integrated treatment interventions. This title is a definitive teaching text and will still be a valuable resource for students in the addiction field.

Integrated Approaches to Drug and Alcohol Problems: Action on Addiction provides a pathway through the field of addiction, giving a clear description of points along that path, from the beginning of problematic use of drugs and alcohol, to treatment, support, recovery and reintegration in society. The book illustrates the principle of integrated approaches to tackling the rise in problems with addiction. Practical applications of these approaches are demonstrated in the work of UK charity Action on Addiction, one organisation which has been influenced by, and contributed to, the research and practice of the authors. The interventions illustrated within Integrated Approaches to Drug and Alcohol Problems demonstrate how the findings of international research can be brought together to provide effective services for individuals, families and communities suffering from addiction-related problems.Some of the foremost internationally recognized addiction researchers, clinicians and trainers from the UK, USA and Canada have contributed chapters to this book. It will be of interest to all those working in the field of drug and alcohol addiction, including counsellors and therapists, as well as GPs, nurses and public health officers. Integrated Approaches to Drug and Alcohol Problems will also have general appeal to anyone studying Psychology and Mental Health courses at undergraduate or postgraduate level, plus those affected by addiction.

Sex and pornography addiction are growing problems that devastate the lives of partners as well as sufferers. Sex Addiction: The Partner's Perspective has been written to help partners and those who care about them to survive the shock of discovering their partner is a sex addict and to help them make decisions about the future of their relationships and their lives. First and foremost, it is a practical book, full of facts, and self help exercises to give partners a much needed sense of stability and control. Like its sister book, Understanding and Treating Sex Addiction, it includes case examples and survey results revealing the reality of life for partners of sex addicts.Sex Addiction: The Partner's Perspective is divided into three parts. Part I explores the myths surrounding sex addiction and provides up to date information about what sex addiction is and what causes it before moving on to explain why the discovery hurts partners so much. Part II is about partners'needs and includes self-help exercises and strategies to help partners regain stability, rebuild self-esteem and consider their future. The controversial topic of co-dependency is also explored with guidance on how to identify it, avoid it and overcome it. Part III focuses on the couple relationship starting with the difficult decision of whether to stay or leave. Whatever the decision, partners will then find help and support for rebuilding trust and reclaiming their sexuality. This book has been written to help partners not only survive, but to grow stronger and move on with their lives – whether alone, or in their relationship. Readers will find revealing statistics and real life stories shared by partners who kindly took part in the first UK survey of sex addiction partners. This book will this book be a valuable guide for partners, but also for the therapists who seek to support them on their journey of recovery.

Often it is difficult for parents to recognize when their child is abusing alcohol, using illegal drugs, or in trouble with other substances that are hazardous to their health, safety, and wellbeing. Clearing the Haze is a guide designed to help parents determine whether their child may have a substance problem and, if so, how to begin to address it. The book includes the voices and insight of experts in substance abuse counseling, young people in recovery, and parents who have lived the nightmare of adolescent addiction. The book moves readers through an overview of adolescent brain development, the warning signs of drug use and addiction, treatment options, what families should expect of therapy, the basics of productive communication, and the difficulties of dealing lovingly with addicted teens. The authors encourage families entering the 12th step of “giving back” to consider advocacy for smarter public policies surrounding drug access and addiction treatment. They also provide a list of resources parents may find useful. A necessary resource for every community, this book will help parents, teachers, friends, and others help kids who need help.

With chapters from Rik Loose, Fabian Naparstek, Patricia Gherovici, Bruce Fink, Thomos Svolos and many others, the anthology is for people interested in the topic of addictions, or in Lacanian psychoanalysis, and especially for those interested in how the two intersect. Lacan and Addiction is based on papers presented at a 2006 conference where Lacanians from around the world gathered to speak about addictions. Conference participants explored the complexity of the problem for the individual, society, clinicians, and for treatment. In the current climate, where addiction is mostly treated by variations of twelve step approaches and psychopharmacological'countermeasures', it is all too easy to lose sight of the dimensions of addiction that render it not just a disease to be managed but rather a significant form of human suffering and a subjective responsibility, both of which are critical components of addiction treatment. More and more, addiction treatment is turning away from psychological and psychoanalytic theorization and towards psychopharmacological measures; this anthology attempts to rectify that situation.

Rooted in research and clinical practice, Compulsive Buying examines the drive that compels people to compulsively purchase and hoard their acquisitions. The authors and contributors cover the entire scope of this behavior and discuss what clinicians need to know in order to better understand and treat their clients. Among the key subjects examined are case reports, correct diagnosis, assessment and instruments, comorbidity, treatment, research, and directions for future research. The book ends with a useful guide for therapists, which includes data and research; and a treatment manual, which includes questionnaires and exercises for clinician and client alike.

Media portrayals and diagnostic criteria convey an image of an addicted person as someone whose deficient coping skills and severely compromised functioning are readily apparent. Yet addictions remain some of the most frequently missed diagnoses in health and mental health care settings. This occurs, in large part, because most people with addictions do not fit the stereotype. In the context of psychotherapy, the typical patient with an addiction will present depression, anxiety, marital problems or a general sense that life is not working. This book addresses how addictions can be recognized more often and accurately assessed in the context of psychotherapy. Along with learning about the standard assessment instruments, the reader is introduced to methods for asking the appropriate questions and listening to the clinical dialogue for signs of a undisclosed addiction. This book provides a great deal of knowledge about addictions and their assessment in a way that is relevant to clinical practice.

The purpose of this book is to explain, first, what happens when we become too involved in our work, and, second, how we avoid being controlled by our work and how we prevent family members, friends, colleagues, or employees from being so. In addition, it is hoped that the book will help bring about a debate about our work habits and initiate thought and discussion about our values and how much space work should be allowed to take up in our lives. The book is addressed to everyone who deals with the psychological working environment, among them business managers and counsellors who treat people with work-related problems. In addition, anyone who wishes to establish a better balance between their work life and private life would benefit from reading the book.

Addictive behaviors beg for an informed explanation to guide patients, families, students, and clinicians through the maddening and often incomprehensible nature of the addictions. Too often addiction is perceived to be merely a moral weakness or purely a brain disease, ignoring the deep personal pain that can permeate the lives of the addicted. But taking an honest look at the underlying emotional or mental issues can more clearly illuminate not only the causes of the addiction, but also the cure. Doctors Edward J. Khantzian and Mark J. Albanese, leading researchers in the field of addiction, see addictions primarily as a kind of self medication—a self medication that can temporarily soothe anxiety or pain, but that ultimately wreaks havoc on the lives and health of both the addicted and their loved ones. With practical advice, compelling case studies, and nuanced theory drawn from their years in clinical practice, Doctors Khantzian and Albanese look at the core reasons behind many addictions and provide a pathway to hope. Understanding Addiction as Self Medication looks at a range of addictions, including alcohol and substance abuse, and clearly explains how to understand other addictive behaviors through the lens of the Self Medication Hypothesis. This book provides a much-needed guide to both understanding addictions and working towards healing.

Longing: Psychoanalytic Musings on Desire is a contemporary, interdisciplinary exploration of one of psychoanalysis's most foundational and fascinating areas of investigation. This anthology explores the vicissitudes and varieties of desire, its public and private, normative and transgressive, its light and dark expressions. It examines desire in its relational, cultural, clinical, physical, sexual and aesthetic forms. Collectively, these essays demonstrate an understanding of the difficulties of identifying and realizing desire, precisely because it is multiple, omnipresent, shape-shifting, ongoing and, perhaps, always ultimately unfulfillable. They question whether desire is by definition something that cannot be satisfied, and contemplate how we relate to our desires? Interpersonal psychoanalytic practice and theory understands desire not merely as an intrapsychic drive but also as a force shaped by and shaping interpersonal relationships. From within this perspective, a number of the contributors examine a broad variety of clinical manifestations of desire as it struggles for expression or suppression.

In the time of Freud, the typical psychoanalytic patient was afflicted with neurotic disorders; however, the modern-day psychotherapy patient often suffers instead from a variety of addictive disorders. As the treatment of neurotic disorders based on unconscious conflicts cannot be applied to treatment of addictive disorders, psychoanalysis has been unable to keep pace with the changes in the type of patient seeking help. To address the shift and respond to contemporary patients'needs, Ulman and Paul present a thorough discussion of addiction that studies and analyzes treatment options. Their honest and unique work provides new ideas that will help gain access to the fantasy worlds of addicted patients.The Self Psychology of Addiction and Its Treatment emphasizes clinical approaches in the treatment of challenging narcissistic patients struggling with the five major forms of addiction. Ulman and Paul focus on six specific case studies that are illustrative of the five forms of addiction. They use the representative subjects to develop a self psychological model that helps to answer the pertinent questions regarding the origins and pathway of addiction. This comprehensive book links addiction and trauma in an original manner that creates a greater understanding of addiction and its foundations than any clinical or theoretical model to date.

Where do you go for help when no one believes you're really sick? The doctors can't explain your symptoms, but you know there's something wrong because you can sense it in your body. Living with the specter of an unresolved health issue isn't just painful, it's isolating. The preoccupation and stress it causes can disrupt your career or interfere with personal relationships. If you continually experience symptoms of illness, or worry a lot about disease, you may be suffering from health anxiety--a condition that can produce physical effects of its own, including muscle tension, nausea, and a quickened heart rate. In this compassionate and empowering book, noted psychologists Gordon J. G. Asmundson and Steven Taylor provide simple and accurate self-tests designed to help you understand health anxiety and the role it might be playing in how you feel. Concrete examples and helpful exercises show you how to change thought and behavior patterns that contribute to the aches, pains, and anxiety you're experiencing. The authors also explain how to involve friends and family--and when to seek professional help--as you learn to stay well without worry. Association for Behavioral and Cognitive Therapies (ABCT) Self-Help Book of Merit

A major addition to the psychoanalytic casebook literature, Errant Selves: A Casebook of Misbehavior is a collection of case studies dedicated to the psychoanalytic understanding and treatment of behavior disorders. The contributors to this volume explore cases of perversion, delinquency, and addiction in which the misbehavior at issue served primarily to ward off painful affects or states of dysphoria in order to achieve a basic integrity of the self. For these patients, the pathway to self-cohesion entailed the florid acting out typical of narcissistic behavior disorders. Clinical readers of all persuasions will be intrigued by treatment narratives that chronicle the special challenges of working with patients who, in Goldberg's words,'were neither unitary selves nor persons with an easy ability to bolster or reconstitute themselves in socially acceptable ways.'Of special interest is the contributors'sensitivity to what they missed with these troubled and troubling patients; they recount examples of skewed focus, of strained rationalization, even of glaring clinical omission, all of which suggest that the patients'psychic splits activated parallel splits on the part of their therapists. What emerges from the contributors'efforts, then, is very much a casebook of our time. It extends the purview of psychoanalysis to the developmental history and psychodynamics of disavowal; explores the analytic management of delinquent, perverse, and addicted patients; and examines the analyst's subjective presence in these treatments, including his or her potential for self-deception and collusion. And it does so in the context of probing a theoretical issue of continuing practical import: whether or not psychoanalytic therapy is best served by viewing the patient as a unitary individual with a coherent sense of agency and an integrated set of values and goals.