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9780789008770

Managing the Dually Diagnosed Patient: Current Issues and Clinical Approaches, Second Edition

by ;
  • ISBN13:

    9780789008770

  • ISBN10:

    0789008777

  • Edition: 2nd
  • Format: Paperback
  • Copyright: 2002-08-12
  • Publisher: Routledge
  • Purchase Benefits
List Price: $44.95

Summary

Arm yourself with a wealth of useful information on effectively treating mentally ill substance abusers. This extensively updated edition includes new information on treatment considerations for women and adolescents and examines the increased restrictions placed on treatment in the age of managed care. In addition, you'll find a comprehensive and thoughtful overview of the literature on dual diagnosis assessment and treatment.

Table of Contents

About the Editors x
Contributors xi
Foreword xiii
Charles P. O'Brien
Preface to the Second Edition xv
SECTION I: THEORETICAL AND PROGRAMMATIC ISSUES
Managing Psychiatric Comorbidity in Inpatient Addictions Treatment
3(44)
David F. O'Connell
Clinical Management Policy and Procedure Guidelines
6(10)
Assessment
16(6)
Clinical Management and Treatment of Coexisting Psychiatric Disorders in Inpatient Addictions Treatment
22(6)
Appendix: Clinical Protocols for the Treatment of Selected Psychiatric Disorders
28(19)
Improving Treatment Adherence Among Patients with Comorbid Psychiatric and Substance Use Disorders
47(26)
Dennis C. Daley
Ihsan M. Salloum
Introduction and Overview
47(1)
The Problem of Poor Treatment Adherence
47(5)
Determinants of Treatment Adherence
52(2)
Effects of Poor Adherence
54(1)
Strategies That Improve Adherence
55(6)
Systems Strategies to Improve Adherence
61(3)
Conclusions and Recommendations
64(1)
Suggested Patient Educational Videos
65(8)
Psychopathology and Substance Abuse: A Psychoanalytic Perspective
73(26)
Russell Smith
Libido and Personality Development
73(2)
Early versus Later Psychoanalytic Thought
75(3)
The Borderline Personality
78(3)
A Few Nonanalytic Ideas
81(1)
Comments
82(5)
Implications of the Theory for the Nonanalytic Clinician
87(1)
Glossary
88(11)
SECTION II: TREATMENT CONSIDERATIONS WITH SPECIAL POPULATIONS
Females with Dual Diagnoses: Implications for Specialized Clinical Approaches
99(54)
Eileen Beyer
John A. Conahan
Introduction
99(1)
Gender Differences in Addiction
100(4)
Context of Comorbidity: Relational Perspective
104(4)
Gender Differences and Similarities in Psychiatric Comorbidity
108(6)
Major Psychiatric Comorbidities in Addicted Women: Depression, Dissociative Disorders, and Eating Disorders
114(23)
Need for Specialized Women's Treatment
137(6)
Summary of Implications for Specialized Treatment Approaches
143(10)
Assessing and Treating Psychiatric Comorbidity in Chemically Dependent Adolescents
153(36)
Peter J. Garito
Literature Review
154(2)
Assessment
156(3)
Treatment
159(2)
Conduct Disorder
161(5)
Attention Deficit Hyperactivity Disorder
166(4)
Mood Disorders
170(4)
Anxiety Disorders
174(4)
Conclusions
178(1)
Appendix: Selected Treatment Protocols for Comorbid Disorders
178(11)
SECTION III: ASSESSMENT AND TREATMENT OF MAJOR MENTAL DISORDERS
A Guide to the Assessment of Psychiatric Symptoms in the Addictions Treatment Setting
189(24)
Barbara W. Reeve
Introduction: Current Symptoms and Behaviors As a Guide to Addictions Treatment Planning
189(1)
A Decision Tree for Assessing Psychiatric Symptoms in the Chemically Dependent Individual
190(16)
Other Factors to Consider in Assessing the Mentally Ill Substance Abuser
206(3)
Conclusion
209(4)
Affective Disorders and Affective Symptoms in Alcoholism
213(26)
A. Majid Malik
Richard L. Weddige
Razia T. Malik
Alcoholism: More Often the Cause or the Result of Depression?
213(1)
Incidence of Major Depression in Alcoholics
214(1)
Prevalence of Major Depression in Alcoholics
215(1)
Economics
216(1)
Types of Depression
216(1)
Diagnosis of Affective Disorder in Alcoholism
217(1)
The Relationship Between Alcoholism and Affective Disorders
218(2)
Familial Transmission of Alcoholism and Affective Disorders
220(1)
Genetic Relationship Between Alcoholism and Affective Disorders
221(1)
Cerebrospinal Fluid
222(1)
Dexamethasone Suppression Test
222(1)
Suicide in Depressed Alcoholics
223(1)
Remission of Alcoholism and Affective Symptoms
224(1)
Persistence of Affective Disorders in Alcoholism
224(1)
Drinking Outcome in Affective Disorder
225(1)
Pharmacological Treatment of Alcohol Dependence
226(3)
Treatment Strategies for Affective Disorder in Alcoholism
229(1)
Conclusion: Summary and Treatment Protocols
230(9)
Chemical Addictions and Anxiety Disorders: When Adaptive Mechanisms Go Awry
239(48)
John Ramirez
Introduction
239(1)
The Disease of Addiction
240(7)
Anxiety and Anxiety Disorders
247(15)
Comorbidity
262(3)
The Interaction
265(7)
Diagnostic Considerations
272(3)
Conclusion
275(12)
Schizophrenia and Substance Abuse
287(30)
George S. Layne
Introduction
287(1)
Prevalence of Combined Schizophrenia and Substance Abuse
288(2)
Schizophrenia
290(5)
The Effect of Schizophrenia in the Substance Abuse Program
295(1)
The Effect of Substance Abuse on Schizophrenia
296(4)
Diagnostic Issues
300(2)
Treatment Overview
302(1)
Psychosocial Approaches to Treatment
303(1)
Sample Programs for the Treatment of Schizophrenic Substance Abusers
304(2)
Summary of Treatment Components
306(1)
New Approaches
307(2)
Psychopharmacology in Treatment
309(2)
Women and Other Special Populations
311(1)
Research Assessment of Integrated Treatment
312(1)
Conclusion
313(4)
Disorders of Personality and Substance Abuse: An Exploration of Empirical and Clinical Findings
317(20)
Micah R. Sadigh
Personality and Personality Disorders
319(3)
The Classification of Personality Disorders According to the DSM-IV
322(1)
Antisocial Personality Disorder
323(2)
Borderline Personality Disorder
325(3)
Histrionic Personality Disorder
328(2)
Avoidant Personality Disorder
330(2)
Dependent Personality Disorder
332(2)
Conclusion
334(3)
Index 337

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