Description
This widely adopted text offers a balanced review of major contemporary perspectives on substance abuse and addiction, including disease models; psychoanalytic, conditioning, cognitive, and family systems formulations; and social and cultural foundations. Written in a lucid, accessible style, the volume emphasizes applications to the helping process and facilitates learning with case examples, review questions, and end-of-chapter summaries.
Chapter
Addiction as Immoral Conduct
Addiction as Maladaptive Behavior
What Exactly Is a Theory?
Attributes of a Good Theory
The Dissemination of Evidence-Based Practice
Effective Prevention and Treatment Programs
CHAPTER 2. The Disease Models
Different Disease Conceptions
Addiction as a Primary Disease
Genetic Origins of Addiction: The Susceptibility Model
Effects of Drugs on Brain Structure and Function: The Exposure Model
Addiction as a Progressive Disease
Addiction as a Chronic Disease
Strengths of the Disease Models
Weaknesses of the Disease Models
CHAPTER 3. Public Health and Prevention Approaches
Healthy People 2010: The National Health Priorities on Tobacco, Alcohol, and Drug Use
Public Health Surveillance of Substance Abuse
Age of Onset and the Gateway Hypothesis
Types of Prevention Programs and Strategies
Community Coalition Building
Results from Community Intervention Trials
The Participatory Research Approach
The Community Mobilization Approach
Current U.S. Drug Control Policy and the Prospects of a Public Health Approach
CHAPTER 4. Toward an Understanding of Comorbidity
The Epidemiology of Comorbidity in the United States
Integrated Treatment for Dual Diagnosis
CHAPTER 5. Psychoanalytic Formulations
Psychoanalysis: A Type of Psychotherapy
Anxiety, Defense Mechanisms, and the Unconscious
Insights into Compulsive Substance Use
Stages of Recovery from Addiction
Psychoanalytic Concepts in Clinical Practice Today
CHAPTER 6. Conditioning Models and Approaches to Contingency Management
Initiation of Alcohol and Drug Abuse
Relationship between Addiction and Physical Dependence
Principles of Contingency Management
Applications of Contingency Management
Effectiveness of Contingency Management Approaches
CHAPTER 7. Cognitive Models
Basic Social-Cognitive Concepts
Modeling and Substance Use
Self-Efficacy and Treatment Outcomes
Role of Outcome Expectancy in Alcohol and Drug Use
Alcohol and Stress: Cognition as a Mediating Process
Tiffany’s Model of Drug Urges and Cravings
Project MATCH: A Test of Cognitive Therapy
CHAPTER 8. The Family System
Clinically Generated Concepts
Bowen’s Family Systems Theory
Children in Alcoholic Families: Clinical Accounts
Findings from the Research Literature
CHAPTER 9. Social and Cultural Foundations
The Influence of Culture on Diagnostic Determinations
Sociological Functions of Substance Abuse
“Time Out” from Social Obligations
Promoting Group Solidarity/EstablishingSocial Boundaries
Drug Subcultures: Repudiation of Middle-Class Values
Implications for Counseling
CHAPTER 10. Conditions That Facilitate and Inhibit Change in Addictive Behavior
Stages of Change in Addictive Behavior
Harm Reduction Approaches
The Impact of Managed Care