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Loosening the Grip : A Handbook of Alcohol Information,9780073404653
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Loosening the Grip : A Handbook of Alcohol Information

by
Edition:
9th
ISBN13:

9780073404653

ISBN10:
0073404659
Format:
Paperback
Pub. Date:
4/11/2008
Publisher(s):
McGraw-Hill Humanities/Social Sciences/Languages

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Summary

This text offers a thorough approach to understanding alcohol, its physical and psychological affects on an individual, and its emotional impact on the family. It is the only comprehensive, self-contained book intended to cover the range of psychological factors, physical complications, treatment options, and family concerns. The text is easy to read and covers a broad range of situations, making it suitable for academics, students, or families of alcoholics.

Table of Contents

Prefacep. xiv
Alcoholp. 1
Once Upon a Time...p. 1
Fermentation and Discovery of Distillationp. 2
Alcohol Use in Americap. 3
Why Bother?p. 4
Theories to Explain Alcohol Usep. 5
Mythsp. 7
Alcohol Problems: The Fly in the Ointmentp. 8
Problems as Sin or Moral Failingp. 8
Problems as a Legal Issuep. 8
America's Response to Alcohol Problemsp. 9
Drunkenness versus Alcoholismp. 11
History of Alcohol Treatment Effortsp. 12
Public Policy and Alcoholp. 14
Advertisingp. 18
Changing Normsp. 22
Other Drug Usep. 23
Tobaccop. 23
Marijuanap. 26
References and Suggested Readingp. 29
Alcohol and Its Costsp. 30
Who Drinks What, When, and Wherep. 31
Drinking Patternsp. 32
Alcohol Problemsp. 37
Abuse and Dependencep. 37
Economic Costs versus Economic Benefitsp. 38
Personal Costsp. 40
Health Care and Alcoholp. 45
References and Suggested Readingp. 49
Alcohol and the Bodyp. 51
Ingestion and Absorptionp. 51
Blood Alcohol Concentrationp. 53
Breakdown and Removalp. 54
Alcohol's Acute Effects on the Bodyp. 57
Digestive Systemp. 57
Circulatory Systemp. 57
Kidneysp. 58
Liverp. 58
Central Nervous Systemp. 60
Acute Overdose and Toxicityp. 63
Differences in Womenp. 64
Tolerancep. 66
Alcohol as an Anestheticp. 67
Other Types of Alcoholp. 67
The Influence of Expectationsp. 68
Advice for the Moderate Drinkerp. 69
Contraindications to Moderate Usep. 69
Alcohol-Drug Interactionsp. 70
The Basis of Alcohol-Drug Interactionsp. 71
Problems Associated with Drinking and Intoxicationp. 74
Alcohol Use and Exercisep. 75
In Conclusionp. 76
References and Suggested Readingp. 76
Alcohol Dependencep. 77
Definitionsp. 77
Early Definitionsp. 79
Toward Uniformity in Terminologyp. 80
A Disease?p. 82
Implications of Disease Classificationp. 82
Criticisms of the Disease Conceptp. 83
Natural Historyp. 87
Jellinek's Phases of Alcoholismp. 87
Types of Alcoholism: Jellinek's Speciesp. 89
Current Thinkingp. 90
Guides for Diagnosisp. 91
NCA Criteriap. 91
Diagnostic Criteria of the American Psychiatric Associationp. 93
Natural History of Alcoholism: Jellinek Revisitedp. 96
References and Suggested Readingp. 98
Etiology of Alcohol Dependencep. 99
Public Health Modelp. 99
The Agentp. 100
The Host-Genetic Factorsp. 102
Nature and Nurturep. 103
Twin and Adoption Studiesp. 103
Studies of Nonalcoholic Blood Relativesp. 105
Genetic Markersp. 106
Familial versus Nonfamilial Alcohol Dependence: So What?p. 111
The Host-Personality and Psychological Makeupp. 111
Psychological Needsp. 112
Early Psychological Approachesp. 113
Personality Theories Applied to Alcohol Dependencep. 113
Current Thinkingp. 115
The Environment-Sociological Factorsp. 119
Cultural Orientationp. 119
Drinking Styles and Alcohol Problemsp. 125
Influence of Cultural Subgroupsp. 126
Legal Sanctions and Approachesp. 126
Cross-Cultural Comparisonsp. 129
Cultural Influences on Recoveryp. 134
Views in the Twenty-First Centuryp. 135
References and Suggested Readingp. 138
Medical Complicationsp. 140
Visible Signs and Symptoms of Chronic Heavy Drinkingp. 141
Gastrointestinal Systemp. 142
Irritation, Bleeding, and Malabsorptionp. 142
Pancreatitisp. 143
Gallbladder Diseasep. 144
Liver Diseasep. 144
Gastrointestinal Cancersp. 147
Hematological Systemp. 147
Red Blood Cellsp. 148
White Blood Cellsp. 149
Plateletsp. 150
Clotting Factors and DICp. 150
Immune Systemp. 150
Cardiovascular Systemp. 151
Genitourinary Systemp. 154
Urinary Tractp. 154
Reproductive System and Pregnancyp. 155
Respiratory Systemp. 159
Endocrine Systemp. 160
Cancerp. 162
Skinp. 163
Skeletal Systemp. 164
Nervous Systemp. 165
Dependence, Tolerance, Craving, and Withdrawalp. 165
Alcohol Idiosyncratic Intoxication (Pathological Intoxication)p. 167
Organic Brain Diseasep. 167
Nerve and Muscle Tissue Damagep. 170
Subdural Hematomasp. 171
Miscellaneous CNS Disturbancesp. 172
Neuropsychological Impairmentp. 172
Miscellaneous Effectsp. 173
Sleep and Sleep Disturbancesp. 175
Sleep Stagesp. 175
Sleep Disturbancesp. 176
Insomniap. 177
Alcohol's Effects on Sleepp. 178
Blackoutsp. 179
Withdrawal Syndromesp. 182
Hyperarousalp. 183
Alcoholic Hallucinosisp. 183
Convulsive Seizuresp. 184
Delirium Tremensp. 185
Late Withdrawal Phenomenonp. 187
Some Cautionsp. 187
References and Suggested Readingp. 188
The Behavior of Dependencep. 190
A Behavioral Compositep. 190
How, If Not Why?p. 191
Deteriorating Functioningp. 197
Family and Friendsp. 198
Workp. 200
Other Drugs of Abusep. 200
A Final Thoughtp. 204
References and Suggested Readingp. 205
Effects of Alcohol Problems on the Familyp. 206
The "Family Illness"p. 206
The Family's Responsep. 207
The Family Systemp. 210
Enablingp. 211
Co-dependencyp. 212
Current Thinkingp. 213
Children in the Familyp. 214
Children in the Homep. 214
Children's Coping Stylesp. 217
Adult Childrenp. 218
Resiliencyp. 221
Genetic Vulnerabilityp. 222
Alcohol Dependence in Other Family Membersp. 222
Other Substance Use and Its Impact on the Familyp. 223
References and Suggested Readingp. 227
Evaluation and Treatment Overviewp. 229
Theoretical Perspectivesp. 230
Problems of Usep. 231
Chronic Disease Frameworkp. 232
Challenges of Problems Associated with Usep. 234
Screening and Evaluationp. 235
Laboratory Testsp. 235
Screening Instrumentsp. 236
Initial Follow-Up Questionsp. 242
Identifying Situations Requiring Medical Attentionp. 244
Substance Use Historyp. 247
Clinical Stylep. 247
Motivationp. 247
History Takingp. 249
What's Next?p. 251
Making a Referralp. 251
Evaluation in a Substance Abuse Treatment Settingp. 254
Treatment Planning and Treatment Settingsp. 257
Treatment of Alcohol Problems and Alcohol Abusep. 260
Alcohol Incidentsp. 260
Alcohol Abusep. 265
Treatment of Alcohol Dependencep. 265
Obstacles to Treatmentp. 267
Factors in Successful Treatmentp. 268
Recovery Processp. 269
Common Treatment Issuesp. 274
References and Suggested Readingp. 285
Treatment Techniques and Approachesp. 287
Individual Counselingp. 287
Observationp. 288
Feedbackp. 290
Educationp. 290
Self-Disclosurep. 292
Client Responsibilityp. 294
Possible Mis-stepsp. 295
Problem Identification and Problem Solvingp. 296
The Therapeutic Relationshipp. 297
Case Management and Administrative Tasksp. 299
Group Workp. 299
Group as Therapyp. 299
Types of Groupsp. 301
Group Functionsp. 302
Groups as a Diversionp. 303
Working with Familiesp. 304
Family Members Troubled by Another's Alcohol Usep. 305
Family Interventionsp. 305
Family Treatment in Conjunction with Alcohol Treatmentp. 309
Suggestions for Working with Families during Treatmentp. 310
Family Issuesp. 311
Couples Therapyp. 316
Self-Help for Familiesp. 316
Self-Helpp. 318
Alcoholics Anonymous (AA)p. 318
Other Self-Help Groupsp. 329
Which Self-Help Approach?p. 332
Other Approachesp. 333
Spiritual Counselingp. 333
Meditationp. 339
Activities Therapyp. 340
Behavioral Approachesp. 343
Pharmacotherapyp. 351
Disulfiram (Antabuse)p. 351
Anticraving Agentsp. 353
Treatment Matchingp. 354
References and Suggested Readingp. 355
Special Populationsp. 357
Adolescentsp. 357
Developmental Issuesp. 358
Alcohol and Other Drug Usep. 364
Associated Problemsp. 367
Working with Adolescentsp. 374
A Framework for Addressing Adolescent Substance Use/Problemsp. 378
Further Assessment and Treatmentp. 381
College Studentsp. 391
Patterns of Alcohol and Other Drug Usep. 391
Problems Associated with Substance Usep. 395
Perceived Benefits Associated with Drinkingp. 398
Students at Riskp. 399
Natural History of Collegians' Alcohol Usep. 403
Impetus to Institutional Actionp. 409
Impediments to Campus Programsp. 410
Campus Initiativesp. 411
Intervention and Treatmentp. 414
Antismoking Effortsp. 418
Closing Thoughtsp. 418
The Elderlyp. 419
Stresses of Agingp. 420
Patterns of Alcohol and Other Drug Usep. 427
Alcohol Use and Health Statusp. 431
Alcohol Problemsp. 431
Preventionp. 438
Working with Elderly Peoplep. 438
Womenp. 441
Gender Differencesp. 441
Differences among Womenp. 443
Natural History of Alcohol and Other Drug Problems in Womenp. 446
Assessmentp. 450
Treatment Approachesp. 451
Treatment Themesp. 451
Treatment Issues for Pregnant Womenp. 455
The Workplacep. 456
Some Basic Statisticsp. 456
High-Risk Factorsp. 461
The Workplace Responsep. 461
Workplace Interventionsp. 462
Implications for Treatmentp. 463
Other Special Populationsp. 464
References and Suggested Readingp. 466
Other Psychiatric Considerationsp. 472
Suicide Evaluation and Preventionp. 472
Statistics and High-Risk Factorsp. 473
How to Ask about Suicidep. 474
Responding to Suicidal Patientsp. 475
Mental Status Examinationp. 478
Major Categories of Co-occurring Psychiatric Illnessp. 478
Mood Disordersp. 479
Disorders Involving Psychosisp. 483
Anxiety Disordersp. 485
Personality Disordersp. 487
Attention-Deficit/Hyperactivity Disorderp. 488
Psychiatric Disorders Due to a General Medical Conditionp. 489
Other Drug Dependence and Alcohol Abuse/Dependencep. 490
Other Addictive Behaviorsp. 491
Clinical Considerationsp. 491
Homelessness, Alcohol Use, and Chronic Mental Illnessp. 492
Psychotropic Medicationsp. 493
Antipsychotic Medicationsp. 495
Antidepressant Medicationsp. 497
Mood Stabilizersp. 499
Anti-Anxiety Agentsp. 500
References and Suggested Readingp. 502
Drugs of Abuse Other Than Alcoholp. 504
Drug Use Patternsp. 504
Agep. 505
Genderp. 506
Educationp. 506
Employmentp. 507
Geographic Regionp. 507
Social Costsp. 507
Public Perceptions and Public Policiesp. 508
Legal Statusp. 508
Early Control Effortsp. 509
Sources of Illicit Drugsp. 514
Reducing Drug Diversionp. 515
Basic Pharmacological Conceptsp. 517
How to Think about Drug Usep. 517
Route of Administrationp. 517
Site of Actionp. 518
Solubility in Fat and/or Waterp. 519
Metabolismp. 520
Withdrawalp. 520
Abuse Potentialp. 520
Problemsp. 522
Toxicity and Overdosep. 523
Classification Schemas for Substances of Abusep. 523
Licit versus Illicitp. 524
DEA Schedulep. 525
Pharmacological Effectsp. 526
Major Classes of Commonly Abused Drugsp. 527
Nicotinep. 527
Opiatesp. 533
Sedative-Hypnotics (Central Nervous System Depressants)p. 539
Stimulantsp. 541
Hallucinogens and Dissociativesp. 545
Cannabinoidsp. 549
Inhalantsp. 552
Anabolic Androgenic Steroidsp. 555
Caffeinep. 561
Other Psychoactive Drugs Used Worldwidep. 566
Clinical Issuesp. 568
Assessmentp. 568
Treatment Goalsp. 568
Harm Reductionp. 569
Pharmacological Treatmentp. 571
Pregnancy and the Use of Drugs Other Than Alcoholp. 573
International Comparisonsp. 578
References and Suggested Readingp. 580
Odds 'n' Endsp. 583
Beyond Counselingp. 583
Educational Activitiesp. 583
Training Othersp. 585
Preventionp. 587
The Real Worldp. 598
Being a Professional Colleaguep. 598
Selecting a Professional Positionp. 604
Being a Professionalp. 606
Certification and Licensurep. 607
Ethicsp. 609
Basic Principlesp. 609
Confidentialityp. 611
Setting Boundariesp. 613
Counselors with "Two Hats"p. 617
Clinician Impairment and Relapsep. 618
References and Suggested Readingp. 621
Organizations and Resources in the Substance Abuse Fieldp. 623
The Interaction Effects of Alcohol with Other Drugsp. 634
Diagnostic Criteria: Substance Use Disordersp. 638
Indexp. 642
Table of Contents provided by Ingram. All Rights Reserved.


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