Addictions: A Comprehensive Guidebook / Edition 1

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Here, in one volume, is both practical and scholarly information for alcohol and drug abuse specialists, primary care providers, policy-makers, and others involved in programs that are geared to help those who abuse or are dependent on alcohol and other drugs. Addictions is organized into seven parts that range from the prevalence of certain addictions to their identification and treatment to the social effects of these addictions. Editors Barbara McCrady and Elizabeth Epstein present information that is appropriate for graduate courses in addictions or for preparation for the American Psychological Association's proficiency exam. In fact, this volume contains almost all of the basic information a professional or graduate student needs to learn about or treat substance abuse.

The book contains black-and-white illustrations.

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Editorial Reviews

Nishad J. Nadkarni
This book, edited by two psychologists with a significant amount of combined research and clinical experience within the field of addictions, is a compilation of the contemporary thinking of many addiction specialists. In contrast to what has historically been a largely clinically based field, the editors of this source book attempt to integrate research findings within the study of addictions in order to provide a more comprehensive model of alcohol and drug abuse treatment. By espousing this integrative approach, the editors feel this subject may be broached with greater depth than it has been in the past. This book is written with graduate level practitioners and trainees of psychology, medicine, social work, and public health in mind. Also, certain clusters of chapters are appropriate for policy-makers involved in the study of the economics and other global implications of drug abuse. The editors organize the book into seven ""clusters"" or parts, each consisting of up to seven chapters. In each cluster contributors cover a circumscribed area of interest within addictions. Thus, each cluster could potentially stand alone. Each chapter is written by one or more authors with expertise in their respective areas, and summary tables of statistical and other pertinent information are presented in a clear manner. The index is particularly comprehensive and useful. End-of-chapter bibliographical information is generally exhaustive although somewhat out-of-date in some cases. This book represents a comprehensive sourcebook for diverse practitioners within the field of addictions. The editors succeed admirably in their goal of integrating research findings and clinical data in a fieldnotable for a paucity of such integrative approaches.
From The Critics
Reviewer: Gary B Kaniuk, Psy.D.(Cermak Health Services)
Description: This is an update of a book that details the addiction process of various types of substances, as well as assessment, treatment, and prevention issues. The first edition was published in 1999.
Purpose: The purpose is to "provide high-level, scientifically based information about alcohol and other substance use, abuse, and dependence."
Audience: The intended audience includes clinicians studying to pass certification exams on the treatment of patients for alcohol and substance use disorders, graduate and postgraduate students, and researchers, as well as practitioners, writers, and policy makers. The editor, Barbara McCrady, professor of psychology at the University of New Mexico, has dedicated her career to the treatment of individuals with substance use disorders, while the coeditor, Elizabeth Epstein, a professor at Rutgers University, teaches about assessment and treatment issues surrounding substance use disorders.
Features: An introduction to addictions explores the neurobiology of addiction, using animal and human models to understand the various stages of the addiction cycle. Etiology is viewed in terms of genetics, social learning theory, and individual risk factors. One section explores pharmacological and clinical information on the major classes of drugs including alcohol, stimulants, cocaine, cannabis, opioids, nicotine, inhalants, and anxiolytics. Another focuses on assessment and treatment planning, providing examples of instruments to be used for screening and problem assessment, as well as how to determine the level of care needed. The book details various types of treatments such as cognitive-behavioral, disease model, family, and pharmacotherapy. It also discusses legal and ethical issues including confidentiality, Tarasoff rulings, and HIPAA, as well as harm reduction and problem-solving for clients who continue to use. In addition, the book addresses issues related to specific populations with co-occurring disorders, adolescents, older adults, women, LGBT individuals, and people of color. The book ends with a discussion of prevention (individual and environment) and public policy issues. Unfortunately, despite the efficacy of substance abuse treatment, there is decreased funding for these programs.
Assessment: This is a good exploration of etiology, specific drugs, assessment, treatment, and public policy. The contributors, experts in the field, provide evidence-based ideas and research findings. With the advances in research in the 14 years since the previous edition, especially in the areas of neuroimaging and genetics, this update is certainly justified.
From the Publisher
"The second edition of Addictions provides the most contemporary and comprehensive information currently available about the biological, clinical, social, and policy issues relevant to understanding substance use disorders. It is a particularly opportune time for the release of this volume. New basic and clinical research continues to inform us about the antecedents, course and consequences of substance use disorders; and for the first time in history, new legislation may offer true integration of addiction treatment into the rest of mainstream healthcare. These developments set the stage for McCrady and Epstein's timely update and expansion of their already widely referenced first edition." — A. Thomas McLellan, Chief Executive Officer, Treatment Research Institute

"This is a good exploration of etiology, specific drugs, assessment, treatment, and public policy. The contributors, experts in the field, provide evidence-based ideas and research findings. With the advances in research in the 14 years since the previous edition, especially in the areas of neuroimaging and genetics, this update is certainly justified." -Doody's

3 Stars from Doody
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Product Details

  • ISBN-13: 9780195114898
  • Publisher: Oxford University Press
  • Publication date: 4/15/1999
  • Edition description: Older Edition
  • Edition number: 1
  • Pages: 672
  • Product dimensions: 10.25 (w) x 7.30 (h) x 1.88 (d)

Meet the Author

Barbara S. McCrady, PhD, is Distinguished Professor of Psychology and Director of The Center on Alcoholism, Substance Abuse, and Addictions at the University of New Mexico.

Elizabeth E. Epstein, PhD, is a Research Professor and Director of the Clinical Division at the Center of Alcohol Studies, and Contributing Faculty at the Graduate School of Applied and Professional Psychology and the Department of Psychology at Rutgers University.

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Table of Contents

Introduction 3
I Epidemiology, Etiology, and Course of Substance Use Disorders
1 Alcohol and Drug Use, Abuse, and Dependence; Classification, Prevalence, and Comorbidity 9
2 The Course of Treated and Untreated Substance Use Disorders: Remission and Resolution, Relapse and Mortality 30
3 Theories of Etiology of Alcohol and Other Drug Use Disorders 50
II Specific Drugs of Abuse: Pharmacological and Clinical Aspects
4 Alcohol 75
5 Sedative-Hypnotic and Anxiolytic Agents 95
6 Stimulants: Amphetamines and Cocaine 105
7 Cannabis and Hallucinogens 121
8 Opioids 141
9 Nicotine 162
10 Other Drugs of Abuse: Inhalants, Designer Drugs, and Steroids 171
III Case Identification, Assessment, and Treatment Planning
11 Assessment Strategies and Measures in Addictive Behaviors 187
12 Treatment Decision Making and Goal Setting 216
IV Treatment
13 Enhancing Motivation for Treatment and Change 235
14 Behavioral and Cognitive Behavioral Treatments 250
15 The Disease Model 268
16 Treatment Models and Methods: Family Models 287
17 The Therapeutic Community Treatment Model 306
18 Self-Help Groups for Addictions 328
19 Pharmacotherapies 347
20 Relapse Prevention: Maintenance of Change After Initial Treatment 370
21 Treatment of Drug and Alcohol Abuse: An Overview of Major Strategies and Effectiveness 385
V Practice Issues
22 Legal and Ethical Issues 399
23 Credentialing, Documentation, and Evaluation 414
24 Interfaces between Substance Abuse Treatment and Other Health and Social Systems 421
VI Issues in Specific Populations
25 Treatment of Persons with Dual Diagnoses of Substance Use Disorder and Other Psychological Problems 439
26 Age-Limited Populations: Youth, Adolescents, and Older Adults 477
27 Ethnic and Cultural Minority Groups 499
28 Women 527
29 Gay Men, Lesbians, and Bisexuals 524
VII Prevention, Policy, and Economics of Substance Use Disorders
30 Prevention Aimed at Individuals: An Integrative Transactional Perspective 555
31 Prevention Aimed at the Environment 573
32 Economic Issues and Substance Use 595
Index 611
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