Rethinking Substance Abuse What the Science Shows, and What We Should Do about It

by Miller, William R.; Carroll, Kathleen M.

• ISBN13: 9781572302310
• ISBN10: 1572302313
• Edition: 1st
• Format: Hardcover
• Copyright: 2006-02-15
• Publisher: The Guilford Press

Summary

While knowledge on substance abuse and addictions is expanding rapidly, clinical practice still lags behind. This state-of-the-art book brings together leading experts to describe what treatment and prevention would look like if it were based on the best science available. The volume incorporates developmental, neurobiological, genetic, behavioral, and social–environmental perspectives. Tightly edited chapters summarize current thinking on the nature and causes of alcohol and other drug problems; discuss what works at the individual, family, and societal levels; and offer robust principles for developing more effective treatments and services.

Author Biography

William R. Miller, PhD, is Distinguished Professor of Psychology and Psychiatry at the University of New Mexico. A recipient of the Jellinek Memorial Award for alcoholism research, he is fundamentally interested in the psychology of change, and has focused in particular on the development, testing, and dissemination of behavioral treatments for addictions. Dr. Miller's publications include more than 30 books and 300 articles and chapters spanning behavior therapies, motivation, self-regulation, and the interface of psychology with spirituality and religion. He is named by the Institute for Scientific Information as one of the "world's most cited scientists."

Kathleen M. Carroll, PhD, is Professor of Psychiatry at the Yale University School of Medicine. The author of over 180 journal articles and chapters, her research and clinical interests lie in the area of developing and evaluating behavioral therapies for substance use disorders, and combining therapies to maximize treatment outcome. Dr. Carroll is the past president of Division 50 (Addictions) of the American Psychological Association, and holds both Senior Scientist and MERIT awards from the National Institute on Drug Abuse, the latter being awarded to the top 1% of National Institutes of Health investigators.

Table of Contents

I. Introduction
1 Defining and Addressing the Problem	3	(5)
Kathleen M. Carroll and William R. Miller
2 The Forest and the Trees: Addiction as a Complex Self-Organizing System	8	(17)
Warren K. Bickel and Marc N. Potenza
II. Biological Factors
3 The Neurobiology of Addiction: A Hedonic Calvinist View	25	(21)
George F. Koob
4 What Can Human Brain Imaging Tell Us about Vulnerability to Addiction and to Relapse?	46	(15)
Anna Rose Childress
5 Genetics of Substance Use Disorders	61	(20)
Deborah Hasin, Mark Hatzenbuehler, and Rachel Waxman
III. Psychological Factors
6 Natural Change and the Troublesome Use of Substances: A Life-Course Perspective	81	(16)
Carlo C. DiClemente
7 Developmental Perspectives on the Risk for Developing Substance Abuse Problems	97	(18)
Victor M. Hesselbrock and Michie N. Hesselbrock
8 Comorbid Substance Use Disorders and Psychiatric Disorders	115	(19)
Kim T. Mueser, Robert E. Drake, Win Turner, and Mark McGovern
9 Motivational Factors in Addictive Behaviors	134
William R. Miller
IV. Social Factors
10 Racial and Gender Differences in Substance Abuse: What Should Communities Do about Them?	153	(13)
Harold D. Holder
11 Family and Other Close Relationships	166	(16)
Barbara S. McCrady
12 Social Contexts and Substance Use	182	(19)
Rudolf H. Moos
13 Ethnography and Applied Substance Misuse Research: Anthropological and Cross-Cultural Factors	201	(22)
Robert G. Carlson
V. Interventions
14 Behavioral Therapies: The Glass Would Be Half Full If Only We Had a Glass	223	(17)
Kathleen M. Carroll and Bruce J. Rounsaville
15 Pharmacotherapv of Addictive Disorders	240	(17)
Stephanie S. O'Malley and Thomas R. Koster
16 Religion, Spirituality, and the Troublesome Use of Substances	257	(18)
Keith Humphreys and Elizabeth. Gifford
17 What We Need Is a System: Creating a Responsive and Effective Substance Abuse Treatment System	275	(18)
A. Thomas McLellan
18 Drawing the Scene Together: Ten Principles, Ten Recommendations	293	(20)
William R. Miller and Kathleen M. Carroll
Index	313