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

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

• ISBN13: 9781606236987
• ISBN10: 1606236989
• Edition: 1st
• Format: Paperback
• Copyright: 2010-06-03
• 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.

The book will be useful to researchers and students in clinical psychology, psychiatry, social work, addictions counseling, and related disciplines; clinicians treating clients with substance abuse problems; graduate students in these fields. It also serves as a text in graduate-level courses in substance abuse and addictions treatment.

"Two thought leaders in substance abuse have done a remarkable service for clinicians and researchers: they have put together a distillation of what research has taught about the nature of addiction and its treatment. This volume is well focused, comprehensive, and quite readable." - Marc Galanter, Department of Psychiatry and Division of Alcoholism and Drug Abuse, New York University School of Medicine, USA

"If you teach about substance use and abuse, as I do, you and your students will greatly value this book. Like other exemplary volumes that review what we know about substance abuse, it offers state-of-the-art overviews of biological, psychological, and social factors in and treatments for substance abuse. But it also does a good deal more. Above all, the book anticipates important future developments and weighs them for their impact on prevention and treatment. Since the editors and contributors are leading authorities on these matters, this is a book that can be taken seriously." - Peter E. Nathan, Department of Psychology and Department of Community and Behavioral Health, University of Iowa, USA

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 Institute of Health investigators.

Table of Contents

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