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ISBN 10: 0415278910
ISBN 13: 9780415278911
Author: Woody Caan
At a world level addiction and the fall-out from substance use is affecting more and more lives. Professionals are increasingly being confronted with puzzling, multifaceted aspects of substance use, whether they work in a clinic, the laboratory or the community. If you are a member of any caring profession, sooner or later you will encounter problems caused by drugs, alcohol and tobacco. In order to understand substance use and substance users, no single discipline can provide all the answers. In a novel way, this book integrates biological science, social science and clinical experience. It draws together contributions from experts in these diverse and rapidly growing fields, providing the reader with a deeper capacity to engage with problems effectively. Drink, Drugs and Dependence includes thought-provoking examples, illustrations and test questions to support problem-based learning. Designed to be read consecutively or as a reference text, it will be a welcome resource for all those working in the field of addiction.
Drink Drugs and Dependence From Science to Clinical Practice 1st Table of contents:
Chapter 1: What is a drug and what is addiction?
Introduction
Terminology
Epidemiology
Alcohol
Drugs
Controlled drugs (hard drugs)
Cannabis
Volatile substances
Prescribed drugs
Bibliography
Chapter 2: Systemic effects of excess alcohol consumption
Alcohol intoxication
Physical harm due to alcohol consumption
Case study
References
Chapter 3: Alcohol and genetic predisposition
Consequences of a genetic component to alcohol misuse
Chemical pathology of alcohol misuse
References
Chapter 4: Alcohol and the brain
The pharmacological properties of alcohol
Why do people drink alcohol?
Pharmacological effects of alcohol on the brain
Neuronal effects of prolonged consumption of alcohol
Alcohol tolerance
The alcohol withdrawal syndrome
Prolonged effects of alcohol
Individual differences in the effects of alcohol
Genetic aspects of alcoholism
Involvement of stress
Environmental influences
Commonalities between drugs of abuse
Conclusion
References
Chapter 5: Alcohol on the mind
Why does it help to understand the psychology?
Alcohol use seen ‘from the outside’: effects on synapses, systems and single behaviours
Alcohol use seen ‘from the inside’: effects on mood, memory and motivation
Alcohol use seen ‘from a distance’: effects over time on individual lives and affected groups
Alcohol seen from the frontier of ‘problem drinking’
Alcohol use seen in ‘dependence’
Alcohol seen from a ‘sober’ view ‘in recovery’ from dependence
References
Chapter 6: The sociology of alcohol abuse
6A sociocultural aspects of alcohol abuse
History of alcohol at a glance
Sociocultural influences within specific subgroups
6B the sociological approaches towards alcohol abuse
Functionalism approach
Conflict approach
Interactionist and constructionist approaches
6C A case study: the maltese scenario
References
Chapter 7: Alcohol and society
Introduction
Alcohol consumption
Variations in alcohol consumption
Myths about alcohol
Alcohol and the family
Children
Alcohol and work
Alcohol and crime
Conclusion
References
Chapter 8: Smoking and the lung
Introduction
Lung defence mechanisms
Cancer
Conclusion
References
Chapter 9 Smoking: addiction to nicotine
Historical perspectives
Bibliography
Chapter 10: Helping people to stop smoking
Introduction
Reasons for stopping smoking
Scope for cessation
Non-nicotine products
Summary of implications
References
Chapter 11: Molecular basis of addiction
The stimulants
The opiates
Cannabis (marijuana, pot)
THC (Ä-9-tetrahydrocannabinol)and the molecular targets of cannabinoids
PCP (phencyclidine)
Good general reviews
References
Chapter 12: Ecstasy
Biological actions of MDMA
MDMA can kill
Effects of long-term use of mdma
References
Chapter 13: Adolescent drug use and health
Problems other than dependence
A lesson from care homes for older people
The most popular drugs (this year)
Hazardous and harmful use
Preventable harm
References
Chapter 14: The nature of heroin and cocaine dependence
The pursuit of happiness and the human brain
Heroin: the horse you have to ride without reins
What do these drugs cost society?
A historical perspective on getting into and out of treatment for drug dependence
Cocaine
Special people with special needs
References
Chapter 15: Benzodiazepineabuse
Who abuses benzodiazepines?
Why abuse benzodiazepines?
Which benzodiazepinesare abused?
Routes of administration and dosage
Sources of benzodiazepines
Health risks and social consequences
Dependence and withdrawal symptoms
Management of benzodiazepinewithdrawal
References
Chapter 16: Treatment options across the addictions
Introduction to treatment approaches
Venues, context and setting
Evaluating drug and alcohol problems
Structuring treatment options
Selected medical interventions and treatment
Selected psychological and psychosocial treatment options
Treatment effectiveness
References
Chapter 17 Rehabilitation: the long haul
Conceptualizing addictions rehabilitation
The rehabilitation process
The rapeutic tools and facilitating change
Three aspects of rehabilitation
Addiction rehabilitation goals
Approaches to planning rehabilitation
Key focal areas
The beginning: recognition of the problem
Acceptance and denial
Approaches to the rehabilitation process
When rehabilitation begins
A global approach to rehabilitation
The Human Open System
Other models
Assessment for rehabilitation planning
Broadening the assessment
Coping, reinforcement and environmental influence
Family considerations
Self-concept
Structuring assessments for effective rehabilitation planning
The importance of social history
Special issues
Dual diagnosis of mental illness and substance-use disorders
Rehabilitation—the toolkit
Professional input-finding the balance
Precursors to long-term rehabilitation
Maintenance of lifestyle balance
Conclusion
Discussion points
Recommended reading
Acknowledgements
References
Chapter 18: Policing drug abuse
Drugs and the law
Main substances of abuse
Heroin
Drug trafficking and multiple sources
scientific services and the muda
Drugs and other criminal offences
Workplace drug testing
References
Chapter 19: Prevention
Prevention strategies: a case study in an Accident & Emergency department
Control strategies aimed at populations
Harm reduction approaches
Interventions aimed at ‘high risk’ populations
Community action approach
Drug action teams
Case study
Working with vulnerable groups
The way ahead
Acknowledgements
References
Horizon scanning
Looking ahead
Scientific frontiers
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