The American Psychiatric Publishing Textbook of Substance Abuse Treatment

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Marc Galanter, Herbert D. Kleber
American Psychiatric Pub., 2004 - Medical - 695 pages
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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.

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Contents

Neurobiology of Opioids
17
Neurobiology of Stimulants
31
Neurobiology of Hallucinogens
41
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About the author (2004)

Marc Galanter, M.D.,is Professor of Psychiatry and Director of the Division of Alcoholism and Drug Abuse at New York University Medical Center in New York, New York.

Herbert D. Kleber, M.D.,is Professor of Psychiatry and Director of the Division of Substance Abuse at Columbia University College of Physicians and Surgeons and New York State Psychiatric Institute in New York, New York.

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