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A physician mother shares her true story of learning about opioids in a rural community as she begins medical practice. This class of medications, highly desired for treatment of pain but resulting in addiction for many due to liberal prescribing, fuels an opioid epidemic. Following a reduction in legal opioid availability in her town, heroin arrives to fill the gap. The market for this illegal drug had already been created, leading to many more developing opioid use disorder. Her own son makes a single bad decision and is exposed to heroin. As a result of her experiences doing everything a mother can to keep her son alive, she is shocked by the stigma and lack of effective and affordable care for people with this disease. She discovers that the treatment with the best track record in helping people achieve recovery is a medication called buprenorphine. When emergency departments provide the first dose when a person with opioid use disorder is in withdrawal, then refer to out-patient clinics plus community programs to provide jobs and housing, people with this disease can recover. She initiated inductions with buprenorphine in her ER and demonstrates how easily this can be done in every hospital.

How withdrawal distress and cravings can haunt current and former addicts, and what they can teach us about addiction and its treatments.“The dead drug leaves a ghost behind. At certain hours it haunts the house,” Jean Cocteau once wrote. In The Ghost in the Addict, Shepard Siegel offers a Pavlovian analysis of drug use. Chronic drug use, he explains, conditions users to have an anticipatory homeostatic correction, which protects the addict from overdose. This drug-preparatory response, elicited by drug-paired cues, is often mislabeled a “withdrawal response.” The withdrawal response, however, is not due to the baneful effects of previous drug administrations; rather, it is due to the body's preparation for the next drug administration—a preparatory response that can haunt addicts like a ghost long after they have conquered their usage.Examining the failure of legislation, the circumstances of overdose, and the cues that promote drug use, Siegel seeks to counter the widespread belief that addiction is evidence of a pathology. Instead, he proposes that the addict has an adaptive, learned response to the physiological changes wrought by drug use. It is only through understanding so-called withdrawal symptoms as a Pavlovian response, he explains, that we can begin to understand why addicts experience cravings long after their last drug use.

Don't Count Me Out chronicles the life of Bruce White from the beginning of his drug use in elementary school through criminal acts fueled by his need for drugs, to his miraculous recovery three decades later and involvement in the treatment of addicts, where he is now a leader in the rehabilitation field.Rafael Alvarez's recounting of White's journey should inspire those dealing with the fallout of addiction. Alvarez, a journalist and screenwriter, allows the reader to get inside the head of an addict who was stealing alcohol from his parents at the age of nine, selling drugs and tripping on LSD and PCP by the time he hit seventh grade, and hooked on morphine before he turned fifteen.'Bruce White? I thought he was dead?'is a response encountered in many of the interviews Alvarez conducted. Don't Count Me Out shines a spotlight on an improbable and stunning miracle. Though this is just one person's story, the contributing factors of early sexual assault, the role of permissive preoccupied parents, and the need for peer approval, among others, will resonate with many as the opioid crisis continues to haunt us.

In diesem Buch wird zunächst ein Überblick über Geschichte, Hintergründe und Rahmenbedingungen der Substitutionsbehandlung in Deutschland gegeben und darauf eingegangen, inwieweit soziale Probleme opiatabhängiger Personen durch Aufnahme einer Substitutionsbehandlung behoben werden können bzw. fortbestehen. Anhand von Leitfadeninterviews mit Personen, die sich zum Teil in einer Substitutionsbehandlung befinden und zum Teil ihre Substitutionsbehandlung erfolgreich beendet haben, wird geprüft, ob die Behandlung tatsächlich effektive Hilfe für die Betroffenen darstellt oder ob sie auch Risiken – beispielsweise eine Verhinderung des Ausstiegs aus der Opiatabhängigkeit – mit sich bringt. Auch setzt sich die Studie damit auseinander, welche persönlichen Faktoren im Leben der Interviewten für einen Ausstieg aus bzw. für einen Verbleib in der Substitution ausschlaggebend sind. Zudem wird untersucht, wie die Interviewten ihre Situation erleben und als wie effektiv sie die Angebote des Hilfesystems wahrnehmen.

Taking an interdisciplinary approach in its coverage of current drug issues, Maisto/Galizio/Connors'DRUG USE AND MISUSE, 9th Edition, weaves historical, social, psychological, cultural, biological and medical perspectives as it emphasizes the idea that a drug's effects depend not only on its properties, but also on the psychological and biological characteristics of its user. Thoroughly updated with the latest research, social trends and legal changes, the new edition includes current survey data on patterns of drug use nationally and internationally as well as recent data from the Center for Behavioral Health Statistics and Quality and the National Survey on Drug Use and Health. Timely essays and critical thinking questions help you focus on the real-world application of chapter concepts, while the MindTap digital learning solution equips you with anywhere, anytime study tools.

Taking an interdisciplinary approach in its coverage of current drug issues, Maisto/Galizio/Connors'DRUG USE AND MISUSE, 9th Edition, weaves historical, social, psychological, cultural, biological and medical perspectives as it emphasizes the idea that a drug's effects depend not only on its properties, but also on the psychological and biological characteristics of its user. Thoroughly updated with the latest research, social trends and legal changes, the new edition includes current survey data on patterns of drug use nationally and internationally as well as recent data from the Center for Behavioral Health Statistics and Quality and the National Survey on Drug Use and Health. Timely essays and critical thinking questions help you focus on the real-world application of chapter concepts, while the MindTap digital learning solution equips you with anywhere, anytime study tools.

Süchtige Jugendliche – Was können Eltern tun? - Autor schreibt aus langjähriger Erfahrung als Therapeut süchtiger Jugendlicher - Der erste umfassende Elternratgeber - Mit zahlreichen Materialien, die auch in der Jugend-Suchthilfe eingesetzt werden können Alkohol, Cannabis, Ecstasy, Crystal Meth & Co. sind für fast alle Jugendlichen heute leicht erreichbar, und nicht wenige geraten in eine Abhängigkeit, aus der schwer wieder herauszufinden ist. Besorgte, oder auch alarmierte Eltern finden hier Antworten auf ihre zentralen Fragen: Woran erkenne ich, dass mein Kind konsumiert? Wie harmlos oder schädlich sind die verschiedenen Suchtmittel? Sind Langzeitschäden für Körper, Gehirn und Psyche zu erwarten? Was braucht mein Kind? Eltern oder andere Bezugspersonen und auch der betroffene Jugendliche selbst verstehen durch die Lektüre, was das Suchtmittel leistet und welche Bedürfnisse dadurch befriedigt werden: ein wichtiger Ansatzpunkt, um miteinander ins Gespräch zu kommen und Behandlungsschritte einzuleiten. Nicht zuletzt hängt es von den Eltern und anderen aufmerksamen Erwachsenen, ihrem Verhalten und ihrer Unterstützung ab, ob die Befreiung von der Sucht gelingt. Dieses Buch richtet sich an: - Eltern von suchtgefährdeten oder abhängigen Kindern und Jugendlichen - andere Bezugspersonen und BetreuerInnen

In our current digital era, imagination and the cultural and material conditions by which it is developed are more crucially than ever implicated in the experienced adversities and contradictions of drug use. The technological changes of society underscore the need for rethinking dominant understandings which portray addiction as an immediate and even mindless relation between a person and a substance or behavior, only minimally affected by subjective significance and historical alterations of everyday life. Indeed, from ancient mythology to our modern times drugs have been part of our cultural history. Understandings and practices of their uses have developed through cultural ideas and cultural-material conditions like traditions, rituals and routines. Today, the omnipresence of digital media in everyday life is massively changing and expanding such cultural and material conditions. Digital media equip people with associations between drugs and an incredible abundance of images, ideas, facts, fiction, narratives, plots, soundtracks, characters, and much more, and thereby expanding their imaginable potentials for providing answers to biographical questions. People and potential drug use become connected in novel and labyrinthine ways through digital communities and arrangements of everyday life. And digital media are part of and transform the cultural-material practices in which activities and experiences of intoxication actually take place. In the book, all these details are extensively analyzed empirically based on qualitative data on the lives of a number of young, Danish people who were undergoing treatment for drug-related problems at the time of the research. An underlying premise of the entire work is that addiction may be seen as a more extreme expression of how the technological developments in our contemporary world more generally speaking magnify the contradictory implications of imagination for modern living. Over the recent years, psychological research into the significance of the human capacity to imagine for how people deal with and live their lives has received growing attention. Yet, the complex involvement of imagination in actual living and consequently the theoretical cruxes this engenders continue to amaze and surprise research and researchers. This book also contributes to these theoretical ambitions with a substantial work on the concept of imagination. It primarily suggests that a critical discussion of how imagining is essentially a contradictory process in everyday life and how it is always grounded in the agency of material aspects, ranging anywhere from mundane artifacts over mediated content to advanced technologies, is ultimately what makes the scientific study of imagination relevant to understanding and intervening in the dilemmas and crises of modern life and society. The book will primarily interest scholars of social psychology of everyday life, scholars working conceptually and empirically on imagination, scholars of social studies of media, materiality and technology, and researchers or practitioners working with addictions.

As seen on The Today ShowA page-turning memoir from a former opioid addict in an opioid addicted community—and an up-close look at America's new health crisis.Behind closed doors, millions of people abuse opioids. Nicholas Bush was one of them. In this beautifully raw and refreshingly honest memoir, Nicholas Bush boldly allows readers into his addiction-ravaged community. We see how heroin nearly claimed his life on multiple occasions, how it stole the lives of his young siblings and friends, and how it continues to wage a deadly toll on American neighborhoods—claiming thousands of lives and decreasing the average lifespan. But we also see that there is a way off of the devastating rollercoaster of opioid addiction, even for the most afflicted. Nicholas fights for recovery, claws his way out of a criminal livelihood, and finds his footing with faith and family, providing Americans with the inspirational story that is deeply needed today.

This overview of prescription drug abuse includes historical background, key concepts, and discussion of the prevalence of drug abuse, treatments, and policy issues implicated in ending the epidemic.Prescription opioid medication abuse has been declared a national crisis by experts in medicine, substance use, public health, and pain management, culminating in a declaration made by the President of the United States that opioid misuse and abuse is a national health emergency. In this comprehensive text, expert scholars analyze and address a wide range of issues in, obstacles to, and potential solutions for this emergency, which caused more than 50,000 deaths in 2016 alone. It covers a variety of topics related to prescription misuse from both clinical and academic perspectives. After an opening containing background material on the most commonly misused medications, chapters examine subgroups engaged in misuse and special medical environments where misuse issues are key. They then cover U.S. policy, perspectives outside the U.S., and theories that may explain the misuse phenomena. This book will serve as a resource for students and professionals in fields related to prescription drug abuse—including psychology, sociology, medicine, and public policy—and is accessible to individuals not trained in these fields.

Pediatric Collections offers what you need to know - original, focused research in a snapshot approach. The opioid crisis, fueled by too many prescriptions and too little oversight, has become far more serious than some of the other epidemics the country has faced. The articles in this collection focus on the manifestations of the opioid epidemic in children and adolescents, such as the increased rate of neonatal abstinence syndrome (NAS), teens increased risk of opioid abuse after legitimate opioid use, and the hopeful evidence that sports and exercise participation by adolescents lowers their risk of abusing opioids or heroin. This collection of timely AAP journal articles, blog posts, and policy explores the risks and possible solutions. The collection is structured with the articles grouped under these major topic headings:ExposurePrescribed Use and MisuseTreatment and Prevention

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.

Comment reconnaître une personne alcoolique? Comment devient-on accro à la cocaïne? Est-ce qu'une seule prise d'héroïne rend dépendant? Pourquoi certaines personnes deviennent dépendantes alors que d'autres sont immunisées? Cet ouvrage apporte une vision intégrative et multidimensionnelle de la consommation de substances psychoactives (alcool, cannabis, cocaïne, drogues de synthèse…) et du phénomène de l'addiction. Il est construit sur un modèle biologique, psychologique, social et culturel, considérant autant l'importance de la neurologie que de la psychodynamique dans la genèse du processus addictif. Il offre un tour d'horizon des trajectoires de consommation, permettant de différencier une consommation récréative et sociale d'une véritable addiction. Enfin, il décrit les traitements actuellement offerts dans le monde francophone, qu'il s'agisse d'une cure de désintoxication ou des différents modèles de psychothérapie. Des exemples, des encarts et des schémas permettent de faciliter la compréhension et d'atteindre l'objectif pédagogique principal : extraire de la masse d'articles et d'ouvrages scientifiques et cliniques actuellement disponibles les éléments centraux à la compréhension du processus de l'addiction. Conçu pour les étudiants, chercheurs et praticiens en sciences humaines et sociales qui s'intéressent à la problématique et à la prise en charge des addictions, l'ouvrage a été entièrement mis à jour pour cette deuxième édition. Il tient ainsi compte de l'apparition de nouvelles substances psychoactives (NSP) et des changements induits par le DSM-5. D'autres informations ont été ajoutées, dont une présentation de l'étonnante histoire du LSD.

Choice Highly Recommended ReadAddiction is a complex problem that requires more nuanced responses. Transforming Addiction advances addictions research and treatment by promoting transdisciplinary collaboration, the integration of sex and gender, and issues of trauma and mental health. The authors demonstrate these shifts and offer a range of tools, methods, and strategies for responding to the complex factors and forces that produce and shape addiction. In addition to providing practical examples of innovation from a range of perspectives, the contributors demonstrate how addiction spans biological, social, environmental, and economic realms. Transforming Addiction is a call to action, and represents some of the most provocative ways of thinking about addiction research, treatment, and policy in the contemporary era.

Lucas Mann was only thirteen years old when his brother Josh—charismatic and ambitious, funny and sadistic, violent and vulnerable—died of a heroin overdose. Although his brief life is ultimately unknowable, Josh is both a presence and an absence in the author's life that will not remain unclaimed. As Josh's story is told in kaleidoscopic shards of memories assembled from interviews with his friends and family, as well as from the raw material of his journals, a revealing, startling portrait unfolds. At the same time, Mann pulls back to examine his own complicated feelings and motives for recovering memories of his brother's life, searching for a balance between the tension of inevitability and the what ifs that beg to be asked. Through his investigation, Mann also comes to redefine his own place in a family whose narrative is bisected by the tragic loss. Unstinting in its honesty, captivating in its form, and profound in its conclusions, Lord Fear more than confirms the promise of Mann's earlier book, Class A; with it, he is poised to enter the ranks of the best young writers of his generation.

Drugs, Addiction, and the Brain explores the molecular, cellular, and neurocircuitry systems in the brain that are responsible for drug addiction. Common neurobiological elements are emphasized that provide novel insights into how the brain mediates the acute rewarding effects of drugs of abuse and how it changes during the transition from initial drug use to compulsive drug use and addiction. The book provides a detailed overview of the pathophysiology of the disease. The information provided will be useful for neuroscientists in the field of addiction, drug abuse treatment providers, and undergraduate and postgraduate students who are interested in learning the diverse effects of drugs of abuse on the brain. - Full-color circuitry diagrams of brain regions implicated in each stage of the addiction cycle - Actual data figures from original sources illustrating key concepts and findings - Introduction to basic neuropharmacology terms and concepts - Introduction to numerous animal models used to study diverse aspects of drug use. - Thorough review of extant work on the neurobiology of addiction

Biological Research on Addiction examines the neurobiological mechanisms of drug use and drug addiction, describing how the brain responds to addictive substances as well as how it is affected by drugs of abuse. The book's four main sections examine behavioral and molecular biology; neuroscience; genetics; and neuroimaging and neuropharmacology as they relate to the addictive process. This volume is especially effective in presenting current knowledge on the key neurobiological and genetic elements in an individual's susceptibility to drug dependence, as well as the processes by which some individuals proceed from casual drug use to drug dependence. Biological Research on Addiction is one of three volumes comprising the 2,500-page series, Comprehensive Addictive Behaviors and Disorders. This series provides the most complete collection of current knowledge on addictive behaviors and disorders to date. In short, it is the definitive reference work on addictions. - Each article provides glossary, full references, suggested readings, and a list of web resources - Edited and authored by the leaders in the field around the globe – the broadest, most expert coverage available - Discusses the genetic basis of addiction - Covers basic science research from a variety of animal studies

Principles of Addiction provides a solid understanding of the definitional and diagnostic differences between use, abuse, and disorder. It describes in great detail the characteristics of these syndromes and various etiological models. The book's three main sections examine the nature of addiction, including epidemiology, symptoms, and course; alcohol and drug use among adolescents and college students; and detailed descriptions of a wide variety of addictive behaviors and disorders, encompassing not only drugs and alcohol, but caffeine, food, gambling, exercise, sex, work, social networking, and many other areas. This volume is especially important in providing a basic introduction to the field as well as an in-depth review of our current understanding of the nature and process of addictive behaviors. Principles of Addiction is one of three volumes comprising the 2,500-page series, Comprehensive Addictive Behaviors and Disorders. This series provides the most complete collection of current knowledge on addictive behaviors and disorders to date. In short, it is the definitive reference work on addictions. - Each article provides glossary, full references, suggested readings, and a list of web resources - Edited and authored by the leaders in the field around the globe – the broadest, most expert coverage available - Encompasses types of addiction, as well as personality and environmental influences on addiction

Increase your awareness of the relative addiction liabilities of various drugs and drug classes that are commonly abused. A timely and masterful new book, Addiction Potential of Abused Drugs and Drug Classes clarifies, in contemporary terminology, the state of addiction liability of cocaine, opiates, alcohol, sedative-hypnotics, nicotine, anxiolytics, marijuana, inhalants and anesthetics, and PCP and hallucinogens--the nine drugs that are most abused today. Authorities combine their research expertise with the available scientific literature to evaluate those factors which contribute to the addictive qualities of drugs. Specific chapters highlight the positive and negative reinforcement qualities that make drugs rewarding, focus on the two major subtypes of alcoholics, and cover the neuroanatomical and neurochemical bases of psychological dependence, the greatest contributing factor to drug addiction. An essential new resource for scientists, clinicians, and administrators, Addiction Potential of Abused Drugs and Drug Classes also highlights those areas where more work is needed in order to understand how individual drugs affect the processes of dependence, tolerance, and addiction, so that adequate treatment of these disorders can be discovered.The book was written for teachers and researchers in the chemical dependency field, to provide an up-to-date review of the literature. In addition, physicians, nurses, and pharmacists will find the book to be valuable as an update on the relative addiction strengths of abused drugs. Finally, treatment counselors and professionals with some knowledge of physiology and pharmacology will be interested in the book because of its relevance to the clinical treatment of chemically-dependent patients.

In this authoritative book, Michael R. Frone takes a close look at what we know and don't know about workforce and workplace substance involvement. In doing so, he exposes the lack of evidence behind many popular myths regarding employee substance involvement. Frone's review covers research conducted over the past 30 years, and he analyzes methodological limitations and the tendency to'go beyond the data'when interpreting results. Given the need for evidence-based management and policy, this book will be a comprehensive resource for researchers and practitioners in management, occupational health, and addiction treatment and prevention.

Research increasingly suggests that addiction has a genetic and neurobiological basis, but efforts to translate research into effective clinical treatments and social policy needs to be informed by careful ethical analyses of the personal and social implications. Scientists and policy makers alike must consider possible unintended negative consequences of neuroscience research so that the promise of reducing the burden and incidence of addiction can be fully realized and new advances translated into clinically meaningful and effective treatments. This volume brings together leading addiction researchers and practitioners with neuroethicists and social scientists to specifically discuss the ethical, philosophical, legal and social implications of neuroscience research of addiction, as well as its translation into effective, economical and appropriate policy and treatments. Chapters explore the history of ideas about addiction, the neuroscience of drug use and addiction, prevention and treatment of addiction, the moral implications of addiction neuroscience, legal issues and human rights, research ethics, and public policy. - Features outstanding and truly international scholarship, with chapters written by leading experts in neuroscience, addiction medicine, psychology and more - Informs psychologists of related research in neuroscience and vice versa, giving researchers easy one-stop access to knowledge outside their area of specialty

Marc Lewis's relationship with drugs began in a New England boarding school where, as a bullied and homesick fifteen-year-old, he made brief escapes from reality by way of cough medicine, alcohol, and marijuana. In Berkeley, California, in its hippie heyday, he found methamphetamine and LSD and heroin. He sniffed nitrous oxide in Malaysia and frequented Calcutta's opium dens. Ultimately, though, his journey took him where it takes most addicts: into a life of addiction, desperation, deception, and crime. But unlike most addicts, Lewis recovered and became a developmental psychologist and researcher in neuroscience. In Memoirs of an Addicted Brain, he applies his professional expertise to a study of his former self, using the story of his own journey through addiction to tell the universal story of addictions of every kind. He explains the neurological effects of a variety of powerful drugs, and shows how they speak to the brain -- itself designed to seek rewards and soothe pain -- in its own language. And he illuminates how craving overtakes the nervous system, sculpting a synaptic network dedicated to one goal -- more -- at the expense of everything else.

Addiction is a significant health and social problem and one of the largest preventable causes of disease globally. Neuroscience promises to revolutionise our ability to treat addiction, lead to recognition of addiction as a'real'disorder in need of medical treatment and thereby reduce stigma and discrimination. However, neuroscience raises numerous social and ethical challenges: • If addicted individuals are suffering from a brain disease that drives them to drug use, should we mandate treatment? • Does addiction impair an individual's ability to consent to research or treatment? • How will neuroscience affect social policies towards drug use? Addiction Neuroethics addresses these challenges by examining ethical implications of emerging neurobiological treatments, including: novel psychopharmacology, neurosurgery, drug vaccines to prevent relapse, and genetic screening to identify individuals who are vulnerable to addiction. Essential reading for academics, clinicians, researchers and policy-makers in the fields of addiction, mental health and public policy.

NEW YORK TIMES BESTSELLERA renowned authority on the secret world of opium recounts his descent into ruinous obsession with one of the world's oldest and most seductive drugs, in this harrowing memoir of addiction and recovery. A natural-born collector with a nose for exotic adventure, San Diego–born Steven Martin followed his bliss to Southeast Asia, where he found work as a freelance journalist. While researching an article about the vanishing culture of opium smoking, he was inspired to begin collecting rare nineteenth-century opium-smoking equipment. Over time, he amassed a valuable assortment of exquisite pipes, antique lamps, and other opium-related accessories—and began putting it all to use by smoking an extremely potent form of the drug called chandu. But what started out as recreational use grew into a thirty-pipe-a-day habit that consumed Martin's every waking hour, left him incapable of work, and exacted a frightful physical and financial toll. In passages that will send a chill up the spine of anyone who has ever lived in the shadow of substance abuse, Martin chronicles his efforts to control and then conquer his addiction—from quitting cold turkey to taking “the cure” at a Buddhist monastery in the Thai countryside. At once a powerful personal story and a fascinating historical survey, Opium Fiend brims with anecdotes and lore surrounding the drug that some have called the methamphetamine of the nineteenth-century. It recalls the heyday of opium smoking in the United States and Europe and takes us inside the befogged opium dens of China, Thailand, Vietnam, and Laos. The drug's beguiling effects are described in vivid detail—as are the excruciating pains of withdrawal—and there are intoxicating tales of pipes shared with an eclectic collection of opium aficionados, from Dutch dilettantes to hard-core addicts to world-weary foreign correspondents. A compelling tale of one man's transformation from respected scholar to hapless drug slave, Opium Fiend puts us under opium's spell alongside its protagonist, allowing contemporary readers to experience anew the insidious allure of a diabolical vice that the world has all but forgotten.

'The Drug Effect: Health, Crime and Society offers new perspectives on critical debates in the field of alcohol and other drug use. Drawing together work by respected scholars in Australia, the US, the UK and Canada, it explores social and cultural meanings of drug use and analyses law enforcement and public health frameworks and objectives related to drug policy and service provision. In doing so, it addresses key questions of drug use and addiction through interdisciplinary, predominantly sociological and criminological, perspectives, mapping and building on recent conceptual and empirical advances in the field. These include questions of materiality and agency, the social constitution of disease and neo-liberal subjectivity and responsibility. This book provides a fresh scholarly perspective on drug use and addiction by collecting top quality original work, written by a mix of international leaders in the field and emerging scholars working at the cutting edge of research. Written by international leaders in the field of drug use and emerging scholars working at the cutting edge of research. Offers individual pieces and an overarching critical analysis that can be used both as a research resource and as a teaching tool. Provides fresh, new perspectives on critical debates.'--Publisher's website

More than 90 percent of adults with current substance use disorders started using before age 18, engaging in behaviors that affect healthy neurological and psychological development. This handbook provides a comprehensive, up-to-date overview of the nature and extent of substance use by children and adolescents. The authors examine the direct impact on health, safety, and well being, as well as that of families and communities. This book will enable mental health professionals, students, and policy makers to develop effective prevention and treatment services for children and adolescents affected by substance abuse. Selected by Choice as a 2013 Outstanding Academic Title

The timely recognition of physical health problems in patients with severe mental disorders is emerging as an important priority in the medical health field. Although it is well known that persons with addictions to illicit substances often develop a variety of mental health and physical health conditions, the epidemiological associations between physical illness and addiction to illicit substances are poorly understood. This book comprehensively surveys recent literature to critically review the relationships between physical illness and drugs of abuse, describing the association between each of the principal classes of illicit drugs (cocaine, marijuana, opioids, and common hallucinogens and stimulants) and the major categories of physical illness. Clear summary tables accompany detailed discussions, providing the reader with a quick reference guide. Physical Illness and Drugs of Abuse will be essential reading for all health professionals, students, practising clinicians and policy makers with interests in mental health, public health and epidemiology.

Addiction: An Information Guide is the latest in the series of CAMH guides for clients and families. Written by professional counsellors, this concise and easy-to-read booklet includes information on: • what addiction is • what causes addiction • addiction treatment and other support options • recovery and relapse prevention • help for partners and families • explaining addiction to children. The guide also recommends books and websites where people can learn more, and includes contact information for organizations and services that can offer support. Professionals may wish to offer this guide to their clients and families and use it to introduce and discuss issues. People with substance use problems and their families may wish to order this guide for themselves. The guide is also useful for health and social service workers, students, journalists and anyone else wanting to gain a basic understanding of addiction, its effects and treatment.

Leading addiction researchers survey the latest findings in addiction science, countering the simplistic cultural stereotypes of the addict.The image of the addict in popular culture combines victimhood and moral failure; we sympathize with addicts in films and novels because of their suffering and their hard-won knowledge. And yet actual scientific knowledge about addiction tends to undermine this cultural construct. In What Is Addiction?, leading addiction researchers from neuroscience, psychology, genetics, philosophy, economics, and other fields survey the latest findings in addiction science. They discuss such questions as whether addiction is one kind of condition, or several; if addiction is neurophysiological, psychological, or social, or incorporates aspects of all of these; to what extent addicts are responsible for their problems, and how this affects health and regulatory policies; and whether addiction is determined by inheritance or environment or both. The chapter authors discuss the possibility of a unifying basis for different addictions (considering both substance addiction and pathological gambling), offering both neurally and neuroscientifically grounded accounts as well as discussions of the social context of addiction. There can be no definitive answer yet to the question posed by the title of this book; but these essays demonstrate a sweeping advance over the simplistic conception embedded in popular culture.ContributorsGeorge Ainslie, Jennifer D. Bellegarde, Warren K. Bickel, Jennifer Bramen, Karen O. Brandon, Arthur Brody, Peter Collins, Jack Darkes, Mark S. Goldman, Gene M. Heyman, Harold Kincaid, Edythe D. London, James MacKillop, Traci Man, Neil Manson, John E. McGeary, John R. Monterosso, Ben Murrell, Nancy M. Petry, Marc N. Potenza, Howard Rachlin, Lara A. Ray, A. David Redish, Richard R. Reich, Don Ross, Timothy Schroeder, David Spurrett, Jackie Sullivan, Golnaz Tabibni, Andrew Ward, Richard Yi

Book Description:'Anabolic steroids” is the familiar name for synthetic substances related to the male sex hormones (e.g., testosterone). They promote the growth of skeletal muscle (anabolic effects) and the development of male sexual characteristics (androgenic effects) in both males and females. The term “anabolic steroids” will be used throughout this book because of its familiarity, although the proper term for these compounds is “anabolic-androgenic steroids.” As discussed in this book, the primary medical uses of these compounds are to treat delayed puberty, some types of impotence, and wasting of the body caused by HIV infection or other diseases. However, steroids can also be abused and this has become so widespread in athletics that it has affected the outcome of sports contests. Illicit steroids are often sold at gyms, competitions, and through mail order operations after being smuggled into this country. This book presents important information related to this problem.

A reference guide that answers the questions people have about addiction and addictive behaviors of all kinds, including drugs, alcohol, gambling, sex, Internet usage, and more.Addiction: A Reference Encyclopedia offers straight talk and clear answers on a topic often sensationalized in the media and politicized during campaigns. Drawing from a wide variety of sources, it provides readers with a concise yet thorough review of what we know about all kinds of addictive behavior.Addiction surveys both the science of addiction and its history in the United States with two main sections: a narrative of the history of addiction as a scientific and public policy issue in the United States followed by a series of alphabetically organized entries focused on organizations, individuals, and events that have impacted our thinking about addiction. Much of the work focuses on substance abuse—alcohol, tobacco, opiates, cocaine—but the book also examines behaviors that have only recently been recognized as potentially addictive, including gambling, sexual activity, Internet usage, and more.

In a book sure to inspire controversy, Gene Heyman argues that conventional wisdom about addiction—that it is a disease, a compulsion beyond conscious control—is wrong.Drawing on psychiatric epidemiology, addicts'autobiographies, treatment studies, and advances in behavioral economics, Heyman makes a powerful case that addiction is voluntary. He shows that drug use, like all choices, is influenced by preferences and goals. But just as there are successful dieters, there are successful ex-addicts. In fact, addiction is the psychiatric disorder with the highest rate of recovery. But what ends an addiction?At the heart of Heyman's analysis is a startling view of choice and motivation that applies to all choices, not just the choice to use drugs. The conditions that promote quitting a drug addiction include new information, cultural values, and, of course, the costs and benefits of further drug use. Most of us avoid becoming drug dependent, not because we are especially rational, but because we loathe the idea of being an addict.Heyman's analysis of well-established but frequently ignored research leads to unexpected insights into how we make choices—from obesity to McMansionization—all rooted in our deep-seated tendency to consume too much of whatever we like best. As wealth increases and technology advances, the dilemma posed by addictive drugs spreads to new products. However, this remarkable and radical book points to a solution. If drug addicts typically beat addiction, then non-addicts can learn to control their natural tendency to take too much.

'ST/ESCAP/2527; United Nations publications, sales no. E.09.11.F.9'--T.p. verso.

These WHO guidelines are designed to assist staff of closed settings to provide safe and effective withdrawal management and treatment services for people who use drugs in the Western Pacific Region. It provides information about drugs and drug dependence; the management of drug withdrawal; and approaches to treatment for drug dependence. For the purposes of this document,'closed settings'refers to prisons, work camps, compulsory drug treatment centers and any other institution in which people are detained. The Guidelines take a public health approach to drug use and dependence. This appr.

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.

Drug Abuse: Concepts, Prevention, and Cessation serves as a comprehensive source of information on the topography of, causes of, and solutions to drug problems. The text covers conceptual issues regarding definitions of drug use, misuse, abuse, and dependence. Importantly, the text addresses a variety of theoretical bases currently applied to the development of prevention and cessation programs, specific program content from evidence-based programs, and program processes and modalities. Information regarding etiology, prevention, and cessation is neatly delineated into (a) neurobiological, (b) cognitive, (c) micro-social, and (d) macro-social/physical environmental units. The book is ideally suited as a primary source for students and professionals in chemical dependence programs, clinical and health psychology, public health, preventive medicine, nursing, sociology, and social work, among other fields, on the nature, causes, prevention, and cessation of the abuse of legal and illegal drugs.

Drug Addiction and Families is an exploration of the impact of drug use on families, and of the extent to which current practice meets the needs of families as well as problem drug users. Drawing on a substantial research Marina Barnard examines the effects of drug use not only on drug users themselves, but also their extended families.

This companion book to the HBO documentary of the same name sheds light on the hidden American epidemic of addiction. Blending compelling personal narratives with statistics and expert opinion, all gleaned from over two years of research and reporting, ADDICTION offers a comprehensive and provocative look at the impact of chemical dependency on addicts, their loved ones, society, and the economy. Breaking the stigma that addicts are simply weak and immoral, it delves into new brain research proving that drugs and alcohol change the chemical composition of addicts'brains, making it veritably impossible for them to quit. The nation's top experts persuasively argue that the time has come for the blame to stop and the healing to begin.ADDICTION also features material not included in the documentary: testimonials, original graphics and images, additional elaboration on theories and treatments of addiction, and more. Featuring a foreword by Sheila Nevins, the president of Documentary and Family Programming at HBO, an afterward by the best-selling author Susan Cheever, and the writing of David Sheff, this book is essential reading for anyone who has been impacted by what is now realized to be a very real and widespread disease.

Aquí se analizan los problemas educativos y de entrenamiento del personal, se describen la filosofía, las políticas y los programas realizados en el país, así como la destacada participación de la nosología y la terapéutica específica en el procedimiento de atención clínica al problema de las adicciones, apoyado siempre en el esfuerzo educativo y formativo de la evaluación clínica del paciente abusador/adicto. Además se revisan el concepto y los alcances de la dependencia alcohólica en México y las características básicas del síndrome adictivo desde el componente neuroquímico que lo define, acorde con las clasificaciones OMS CIE-10 y DSM-IV-TR, APA (denominado deseo-necesidad imperiosa de consumo, y su conducta de búsqueda, craving). Se revisan también los aspectos relativos al impacto psicosocial del problema, su diversificada comorbilidad y demás problemas vinculados, como la conducta delincuencial, la violencia sexual y su potencial destructivo, como elementos de personalidad incluidos en lo que el autor ha llamado'constelación adicto-terapéutica', donde se evidencia la participación de sus componentes psicopatológicos individual-familiar-social, para entender la posible predicción de la respuesta terapéutica, sus consideraciones de abordaje, la corrección de la comorbilidad y las metas de manejo a largo plazo.

Help children overcome the increasing dangers they face because of their parents'addictionsImpact of Substance Abuse on Children and Families addresses the growing concern over children at risk of developing physical and mental health problems because of their parents'addictions to alcohol and other drugs (AOD), including a chapter on the troubling increase of methamphetamine abuse by parents. The book's contributors examine current research findings from the United States, Australia, Ireland, and Israel to provide much-needed insight into the effects of addiction on family dynamics, parental attachment styles, and family characteristics. The book also looks at the impact of addiction on school-aged children and on mothers in residential treatment with their children, survey assessment instruments and treatment outcomes, and the value of Student Assistance Services for older children.Almost 25 percent of children in the United States live in a household where a parent or other adult is a heavy or binge drinker. More than 10 percent live in family where illicit drugs are used. Children of alcoholics are nearly 10 times more likely to develop an alcohol use disorder as other children, and often develop behavior problems such as depression, anxiety, attention deficit hyperactivity disorder, conduct disorder, and oppositional defiant disorder. Children of illicit drug abusers are more likely than other children to demonstrate immature, impulsive, or irresponsible behavior, to have lower IQ scores, and poorer school attendance. Impact of Substance Abuse on Children and Families focuses on these critical and often ignored aspects of addiction, providing the latest evidence-based qualitative and quantitative research findings, as well as a summary of available literature. Impact of Substance Abuse on Children and Families examines: the impact on children at various developmental stages the role of the family as a treatment resource alcohol problems and marriage parental attachment styles of drug-using fathers family cohesion and adaptability self-in-relations theory family-centered service models the Strengths and Difficulties Questionnaire (SDQ) adolescent substance abuse treatment online treatment options Impact of Substance Abuse on Children and Families is an essential resource for both academics and practitioners working in social work, addictions counseling, sociology, psychology, public health, and family and children's studies.

As drug use rises, the challenge of drug dependency increases. Some people view using recreational drugs such as ecstasy or cannabis as a personal choice, like smoking or drinking alcohol. There are pressures for decriminalising drugs, offering better prevention, health support and education. Ron Dunselman sheds important new light on addiction, so that both individuals and professionals can make more informed choices. Drawing on extensive research with drug users and his rehabilitation work as a psychologist, he offers remarkable insights into: Why drugs, and the changed states they induce, are so attractive to users; the origin and history of drugs, and their striking/profound effects on human consciousness; personal stories by users, and detailed descriptions of the physical, psychological and spiritual effects of each drug; how drugs undermine personal identity, at a time when more and more people are open to spiritual experiences.

Learn from the experiences of these program sites to develop better services for women with co-occurring disorders and histories of violenceThis book explores the efforts of the Women, Co-Occurring Disorders and Violence Study to address the significant lack of appropriate services for women trauma survivors with co-occurring mental health and substance use disorders. Experts describe the services integration programs of nine participating sites that address the multiple needs of these women. In this guide, you will find useful strategies for integrating services that are responsive to the strengths and needs of the individual as well as the community.This vital resource examines howover a period of five yearssites designed, implemented, and evaluated their interventions. You will learn how sites developed their strategies for integrating services at both the clinical/individual level and at the services or systems level. The book also shows how trauma-informed, gender-specific, culturally competent care fosters treatment that is sensitive to related issues such as children and parenting, interpreting culture cues, and socioeconomic difficulties. In Responding to Physical and Sexual Abuse in Women with Alcohol and Other Drug and Mental Disorders, you will learn about the details of nine different programs, including: Franklin County Women's Research Projecta collaborative project for rural women, designed and operated by local consumer/survivor/recovering women (CSRs) The Triad Women's Projecta semi-rural comprehensive system of care to respond to the needs of women and children The Women Embracing Life and Living (WELL) Project-interventions include trauma, parenting, systems integration and mutual help groups withIntegrated Care Facilitators providing resource coordination and advocacyservices PROTOTYPES, Centers for Innovation in Health, Mental Health, and Social Servicesthe three levels of integration the Systems Change Center implemented the Boston Health Commissionan integrated model of trauma-informed services culturally and linguistically appropriate for its service population of primarily poor Latina and African American women Palladia's Portal Projecta comprehensive trauma-informed intervention designed to put trauma and safety first to assist women remaining in treatment Arapahoe House's New Directions for Familiesa family-oriented intervention for women and their dependent children Alliescomprehensive, integrated services for women as well as intervention for their children, ages 5-10 The District of Columbia Trauma Collaboration Study (DCTCS)a two-phase project addressing the needs of dually diagnosed women trauma survivors Responding to Physical and Sexual Abuse in Women with Alcohol and Other Drug and Mental Disorders provides you with first-hand accounts of the process by which programs and service systems were transformed. As challenges were met and strategy was adapted to real world situations, the sites discussed in this text found new and improved methods for helping this unique group of women. The book offers tips, solutions, and possibilities to mental health professionals, substance abuse professionals, and domestic violence professionals, and even patients and/or clients searching for support.

This report presents the recommendations of a WHO Expert Committee responsible for reviewing information on dependence-producing drugs to assess the need for their international control. The first part of the report contains a summary of the Committee's evaluations of seven substances (dronabinol, oripavine, buprenorphine, butorphanol, ketamine, khat and zopiclone). The report also discusses the substances that were pre-reviewed (gamma-hydroxybutyric acid and tramadol) and recommended gamma-hydroxybutyric acid for critical review at a future meeting. Two substances (gamma-butyrolactone and 1,4-butanediol) were identified for future pre-review).

Title from ebook title screen (viewed on Oct. 25, 2004).

'[T]he GAP Toolkit Module 3 has been produced to assist States Members of the United Nations to develop culturally appropriate systems, relevant to the countries concerned, for collecting drug information, to support existing drug information systems by promoting their conformity with internationally recognized standards of good practice and to focus on the harmonization of drug abuse indicators. GAP Toolkit Module 3 forms one component of a compendium of methodological guides on drug abuse epidemiology that have been developed to support data collection activities.'--Preface

The stages-of-change model has become widely known as a framework for conceptualizing recovery. Less well known are the processes that drive movement through the stages or how the stages apply to becoming addicted. From Carlo C. DiClemente, codeveloper of the transtheoretical model, this book offers a panoramic view of the entire continuum of addictive behavior change. The author illuminates the common path that individuals travel as they establish and reinforce new patterns of behavior, whether they are developing an addiction or struggling to free themselves from one, and regardless of the specific addictive behavior. The book addresses crucial questions of why, when, and how to intervene to bolster recovery in those already addicted and reach out effectively to people at risk.

Drug addiction is a brain disease--that's the modern view and it is fully expressed in this up-to-date book. Among the many volumes on drugs written for lay readers, this one is unique in the breadth of its coverage and the depth of its science. The first part gives a clear scientific account of the nature of addiction, stressing neurobiology and addictive behavior and describing the'highs'that drugs can produce. The second section covers the seven families of addictive drugs, with emphasis on their actions in the brain and on psychological aspects: nicotine, alcohol, heroin and other opiates, cocaine and amphetamines, marijuana, caffeine, and hallucinogens like LSD. The third section deals with laws and drug control policies. Throughout, the author gives many interesting personal accounts of addiction research, to which he has highlighted new research on the genetics and neurobiology of susceptibility to addiction.

Experts address the role of neuromodulators and opiate receptors in alcohol and drug dependence. They present innovative research techniques, new discoveries, and possible clinical correlates that allow for a much greater understanding of the clinical phenomena surrounding alcohol and narcotic use. Included in this thought-provoking volume are a comprehensive review of the current knowledge of the endogenous opiates, their interactions with the opiate receptors, and the potential relationship that these substances might have in promoting the development of dependence, tolerance, and withdrawal; the translation of the basic physiologic findings occuring during withdrawal to treatment of withdrawal symptoms in the clinical setting; and a physiological explanation for the rationale of using clonidine and naltrexone to accelaerate the detoxification process without undue discomfort.