The text offers a comprehensive view of the basic science and psychology underlying addiction as well as extensive coverage of all treatment approaches and specialty topics, such as Alcoholics Anonymous (AA). Coverage of therapeutic issues focuses on goals assessment and outcome research, emphasizing the knowledge needed to treat patients’ primary addictive problems by overcoming their defensiveness and denial through empathic engagement and maintaining a willingness to persevere through the vicissitudes of recovery. Practical, treatment-oriented material is presented in more quick reference tables than before to make the book an even more useful clinical resource, and lists of recommended readings have been enhanced. Among the new edition’s features:
- Separate chapters on the biology and clinical management for each of the drug categories in order to reflect new understandings of mechanisms of drug action.
- A more detailed description of the nature of buprenorphine and its role in treating opioid addiction, focusing particularly on its clinical efficacy and recommendations for use in office-based opioid treatment for special populations.
- New extensive coverage on cognitive-behavioral therapy, motivational enhancement, and contingency management.
- New research on 12-step programs and their role in addiction treatment, including an evidence-based review of what is currently understood about AA-related change and outcome research on self-help programs.
- A new chapter devoted to special concerns posed by abusers of prescription drugs—Vicodin, OxyContin, Ritalin, and others.
- A new chapter addressing special considerations in the treatment and prevention of substance abuse in gay, lesbian, and transgender persons.
Designed to serve clinicians in practice as well as researchers concerned with addiction, the textbook is also appropriate for trainees in psychiatry, general medicine, and other health fields. It is an invaluable source of treatment options for anyone concerned with the problems posed by patients with substance abuse disorders.
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Preface. Part 1: The Basis of Addictive Disorders. Neurobiology of addiction. Genetics of addiction. Epidemiology of addiction. Cross-cultural aspects of addiction. Part 2: The Nature of Treatment. Assessment of the patient. Patient placement criteria. Evolution in addiction treatment concepts and methods. Part 3: Specific Drugs of Abuse. Alcohol. Neurobiology of alcohol. Clinical management of alcohol abuse and dependence.Stimulants. Neurobiology of stimulants. Clinical management: cocaine. Clinical management: methamphetamine. Hallucinogens and Club Drugs. Neurobiology of hallucinogens. Hallucinogens and club drugs. Other Substances. Nicotine and tobacco. Benzodiazepines and other sedatives and hypnotics. Treatment of anabolic-androgenic steroid–related disorders. Opioids. Neurobiology of opiates and opioids. Detoxification of opioids. Opioid maintenance treatment. Buprenorphine maintenance. Antagonists of opioids. Part 4: Treatment Modalities. Psychodynamics. Cognitive-behavioral therapies. Motivational enhancement. Twelve-step facilitation. Contingency management. Network therapy. Group therapy. Family therapy. Part 5: Rehabilitation Settings. Inpatient Treatment. Therapeutic communities. Community-based treatment. Alcoholics Anonymous and Other 12-Step Programs. Psychological mechanisms of alcoholics anonymous. The history of alcoholics anonymous and the experiences of patients. Outcome research on 12-step and other self-help programs. Part 6: Special Populations. Adolescent substance abuse. The mentally ill substance abuser. Women and addiction. Perinatal substance abuse. HIV/AIDS and hepatitis C. Prescription drug abuse. Substance use disorders Among physicians. Gay men and lesbians. Minorities. Part 7: Special Topics. Testing to identify recent drug use. Medical education. Prevention of substance abuse. Forensic addiction psychiatry. Index.