Substance Abuse

, by Lowinson, Joyce H.; Ruiz, Pedro; Millman, Robert B.

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ISBN: 9780683052114 | 068305211X
Cover: Hardcover
Copyright: 5/1/1992

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The premier text on substance abuse and addictive behaviors is now in its updated and expanded Fourth Edition, with up-to-the-minute insights from more than 150 experts at the front lines of patient management and research. This edition features expanded coverage of the neurobiology of abused substances, new pharmacologic therapies for addictions, and complete information on " club drugs" such as Ecstasy. New sections focus on addiction in children, adolescents, adults, and the elderly and women' s health issues, including pregnancy. The expanded behavioral addictions section now includes hoarding, shopping, and computer/Internet abuse.

Acknowledgments
Foreword
Foreword
Preface
Contributors
Background
Historical Perspectives on Alcohol and Drug Abuse	p. 2
Epidemiology of Alcohol and Drug Abuse	p. 15
Determinants of Substance Abuse
Federal Role in Substance Abuse Policy	p. 32
Genetics	p. 39
Psychobiology of Craving	p. 51
Classically Conditioned Factors in Drug Dependence	p. 56
Brain Reward Mechanisms	p. 70
The Psychology of Stage Change: The Transition from Addiction to Recovery	p. 100
A Psychodynamic Perspective	p. 106
Sociocultural Aspects of Drug Use and Abuse in the 1990s	p. 118
Drug Abuse: Economic and Political Basis	p. 138
Substances of Abuse
Alcohol: Clinical Aspects	p. 144
Alcohol: Neurobiology	p. 152
Opiates: Clinical Aspects	p. 186
Opiates: Neurobiology	p. 195
Cocaine (And Crack): Clinical Aspects	p. 205
Cocaine (And Crack): Neurobiology	p. 222
Marihuana	p. 236
Amphetamines and Other Stimulants	p. 247
Sedate-Hypnotic and Tricyclics	p. 271
Hallucinogens	p. 280
Phencyclidine	p. 290
Volatile Substances	p. 303
Controlled Substance Analogues: Current Clinical and Social Issues	p. 328
Nicotine	p. 334
Caffeine	p. 357
Eating Disorders	p. 371
Anabolic Steroids	p. 380
Evaluation and Early Treatment
Diagnosis and Classification: DSM-III-R and ICD-10	p. 398
Detoxification and Treatment of Acute Sequelae	p. 402
Diagnostic Interview and Mental Status Examination	p. 416
Diagnostic Laboratory: Screening for Drug Abuse	p. 425
Emergency Management of Acute Drug Intoxication	p. 437
Treatment Approaches
Therapeutic Community (TC): A Coming of Age	p. 446
Rehabilitation Programs and Halfway Houses	p. 458
Psychiatric Hospitals for Treatment of Dual Diagnosis	p. 467
Alcoholics Anonymous	p. 486
Individual Psychotherapy for Drug Abusers	p. 496
Structured Outpatient Group Therapy With Alcohol and Substance Abusers	p. 508
Family Therapy: A Treatment Approach With Substance Abusers	p. 520
Relapse Prevention: Cognitive and Behavioral Interventions	p. 533
Office Management of the Substance Abuser: The Use of Learning Theory and Social Networks	p. 543
Methadone Maintenance	p. 550
Alternative Pharmacotherapies for Opiate Addiction	p. 562
Acupuncture and Transcutaneous Electrical Nerve Stimulation: Afferent Nerve Stimulation (ANS) in the Treatment of Addiction	p. 574
"There Is a Balm in Gilead": Religion and Substance Abuse Treatment	p. 584
Evaluation and Treatment Outcome	p. 596
Future Outlook: Treatment Improvement	p. 612
Management of Associated Medical Conditions
Maternal and Neonatal Effects of Alcohol and Drugs	p. 628
The Medically Ill Substance Abuser	p. 657
Treatment of Patients With Psychopathology and Substance Abuse	p. 675
Acute and Chronic Pain	p. 691
Substances of Use and Abuse and Sexual Behavior	p. 722
HIV Infection and AIDS
HIV Infection Among Intravenous Drug Users: Epidemiology and Emerging Public Health Perspectives	p. 734
Medical Aspects of Human Immunodeficiency Virus Infection and Its Treatment in Injecting Drug Users	p. 744
Neuropsychiatric Complications of HIV Infection	p. 775
Management of the Psychosocial Sequelae of HIV Infection Among Drug Abusers	p. 788
Special Populations
Alcohol and Other Drug Problems in Women	p. 794
Children of Substance Abusing Parents	p. 808
Co-Dependence, Addictions, and Related Disorders	p. 816
Adolescent Substance Abuse: A Sociodevelopmental Perspective	p. 832
Substance Abuse in the Elderly	p. 843
Substance Abuse in the Gay and Lesbian Community	p. 852
African Americans	p. 861
Substance Abuse Among Hispanic-Americans: Current Issues and Future Perspectives	p. 868
Substance Abuse and Homelessness Within the Inner Cities	p. 875
Cultural Perspectives: Native Americans, Asians, and New Immigrants	p. 890
Health Professionals	p. 897
Prevention and Education
School-Based and Community-Based Prevention Approaches	p. 910
Public Health Approach to the Prevention of Substance Abuse	p. 928
Family Systems and Deurbanization: Implications for Substance Abuse	p. 944
Medical Education and Staff Training
Medical Education in Substance Abuse	p. 958
Education and Training of Clinical Personnel	p. 970
Attitudes Toward the Treatment of Substance Abusers	p. 983
The Addict as a Patient	p. 997
Policy Issues
Prohibition Was and Is Bad for the Nation's Health	p. 1012
The Criminal Justice System and the User	p. 1019
The Workplace	p. 1034
Ethical and Legal Aspects of Confidentiality	p. 1049
Private and Public Insurance	p. 1067
Index	p. 1083
Table of Contents provided by Blackwell. All Rights Reserved.

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Substance Abuse

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