Clinical Textbook of Addictive Disorders by Avram H. Mack MD, Kathleen T. Brady MD Ph.D., Sheldon I.

By Avram H. Mack MD, Kathleen T. Brady MD Ph.D., Sheldon I. Miller MD, Richard J. Frances MD

Now in a revised and multiplied 3rd version, this authoritative medical reference and textual content offers state-of-the-science wisdom approximately all facets of addictive problems and their therapy. top researchers and practitioners describe most sensible practices in overview and prognosis and supply the newest details on operating with clients of particular ingredients. concerns in operating with specific populations--including culturally different sufferers, ladies, and older adults--are completely addressed, and regular psychosocial and pharmacological remedy techniques are reviewed. that includes extended insurance of comorbidity and twin prognosis, the 3rd variation comprises solely new chapters at the neuroscientific foundation of habit, dependancy to playing and to ache drugs, and substance abuse within the place of work, in addition to a bankruptcy on dialectical habit remedy.

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Government instability, corruption, or inefficiency can cause or result from drug production, export, and/or smuggling today. Unstable countries in South Asia, the Middle East, Africa, and Latin America have become producers, transshippers, or importers of illicit drugs. Societal breakdown has led to substance abuse in some Moslem countries, contributing to a backlash of Islamic fundamentalism. Likewise, in the United States and Latin America, widespread alcoholism predates the shift to Christian fundamentalism.

The so-called Minnesota Model of treatment developed from several sources: a state hospital program (at Wilmar) and a later private program (at Hazelden), supplemented by the first day program for alcoholism (at the Minneapolis Veterans Administration Hospital). The characteristics of this “model” have varied over time as treatment has evolved and changed, and definitions still differ from one person to the next. However, characteristics often ascribed to the model include the following: 1. A period of residential or inpatient care, ranging from a few weeks to several months.

Habitués of opium dens, taverns, and cocktail lounges). In these latter instances, group norms for alcohol or drug use may foster substance abuse rather than prevent it (Dumont, 1967). Medicinal reasons for substance use have prevailed in one place or another with virtually all psychoactive substances, including alcohol, opium, cannabis, tobacco, the stimulants, and the hallucinogens (Hill, 1990). Insofar as substances are prescribed or administered solely by healers or physicians, abuse is rare or absent.

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