The American Psychiatric Publishing Textbook of Substance Abuse TreatmentMarc Galanter, Herbert D. Kleber Substance abuse is the nation's number one health problem, and also a major health problem worldwide. In the United States, less than half of those in need of treatment actually receive it-both due to the reluctance of insurance companies to cover this treatment and of patients to seek it. Like previous editions from 1994 and 1999, this comprehensive third edition reflects the still-growing commitment of psychiatry to addressing the problem of substance abuse. Fully updated and divided into seven main parts, this invaluable textbook offers a depth and scope unparalleled in the literature. perspectives on: The nature of addiction and the process by which a person becomes addicted - the neurobiology of alcohol, opiates/opioids, stimulants, hallucinogens, marijuana, epidemiology of drug dependence, genetics (using the patient's genetic profile to customize treatment), principles of operant conditioning and social learning, and cross-cultural aspects; An overview of available treatments - assessment, patient placement criteria (especially challenging in today's era of managed care), current research with the best empirical support in the treatment of alcohol problems, treatment outcomes (the extent of remission and degrees of improvement over time rather than cure versus failure); Treatment and detoxification of specific drugs of abuse, from alcohol to marijuana, stimulants, hallucinogens, tobacco, sedative-hypnotics, inhalants, steroids, opioids, and drugs from the club scene;. cognitive, behavioural, and motivational therapies; individual psychotherapy and counselling; the wide variety of group therapies (the treatment of choice for addiction); family therapy; the latest findings on AA and other 12-step groups; and inpatient treatment and research; Special approaches and treatment programs - the challenges and efficacy of employee assistance programs, the role of the community in treatment and specific non-hospital-based treatment services, and therapeutic communities; Special populations - adolescents, ethnic minorities (non-homogeneous groups), the elderly, and women (with implications for perinatal complications); impaired physicians, treatment of substance-abuse patients with pain, HIV/AIDS, and Axis I psychiatric disorders; Special Topics - diagnostic testing, medical education, prevention of alcohol problems, and forensic issues. Thoroughly indexed and generously illustrated, this new edition is designed for clinicians, researchers, and trainees in psychiatry, general medicine, and other health professions. |
Contents
Neurobiology of Opioids | 17 |
Neurobiology of Stimulants | 31 |
Neurobiology of Hallucinogens | 41 |
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The American Psychiatric Publishing Textbook of Substance Abuse Treatment Marc Galanter,Herbert D. Kleber No preview available - 2008 |
Common terms and phrases
abstinence actions activity addiction administration adolescents agonist alcohol alcohol dependence American approach assessment associated behavior brain cause chronic Clin clinical clinician cocaine continued criteria decreased dependence depression detoxification disorders dose drinking Drug Abuse early Edited effects et al ethanol evidence example experience factors findings function hallucinogens Health humans important increased individuals influence initial inpatient interventions interview involvement less levels long-term maintenance marijuana ment Mental methadone months motivation naltrexone nicotine occur opioid outcomes outpatient patients patterns persons prevention problems produce programs psychiatric psychotherapy rates recent receptor reduced reinforcement relapse reported response risk role settings severe smoking social specific studies subjects substance abuse substance use disorders suggest symptoms testing therapeutic therapist therapy tion treat treatment users usually withdrawal York