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9780815150718

Loosening the Grip : A Handbook of Alcohol Information

by ;
  • ISBN13:

    9780815150718

  • ISBN10:

    0815150717

  • Edition: 5th
  • Format: Paperback
  • Copyright: 1994-12-01
  • Publisher: McGraw Hill College Div

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Table of Contents

1 Alcohol
1(34)
Once upon a time
2(1)
Fermentation and discovery of distillation
3(1)
Alcohol use in America
4(1)
Why bother
4(4)
Theories to explain alcohol use
6(2)
Myths
8(1)
Alcohol problems: The fly in the ointment
8(4)
As sin or moral failing
8(1)
As legal issue
9(1)
America's response to alcohol problems
10(2)
Drunkenness versus alcoholism
12(7)
History of alcoholism treatment efforts
13(2)
Public policy and alcohol
15(3)
Health and fitness
18(1)
Alcohol costs: Paying the piper
19(9)
Who drinks what, when, and where
19(2)
Economic costs versus economic benefits
21(3)
Personal costs
24(2)
Health care and alcohol
26(2)
Resources and further reading
28(7)
2 Alcohol and the body
35(18)
Digestion
36(1)
Absorption
36(1)
Blood alcohol concentration (BAC)
37(1)
Breakdown and removal
38(2)
Alcohol's acute effects on the body
40(9)
Digestive system
40(1)
Circulatory system
40(1)
Kidneys
41(1)
Liver
41(1)
Central nervous system
42(3)
Acute overdose and toxicity
45(1)
Differences in women
46(2)
Tolerances
48(1)
Alcohol as an anesthetic
48(1)
Other types of alcohol
49(2)
The influence of expectations
50(1)
Resources and further reading
51(2)
3 Alcohol dependence
53(24)
Definitions
54(4)
Early definitions
56(2)
A disease
58(4)
Implications of disease classification
59(1)
Criticisms of the disease concept
60(2)
Natural history
62(5)
Jellinek's phases of alcoholism
62(3)
Types of alcoholism: Jellinek's species
65(1)
Species reexamined
66(1)
Guide for diagnosis
67(5)
NCA criteria
67(2)
DSM-III criteria
69(1)
DSM-IV criteria
70(2)
Natural history of alcoholism: Jellinek revisited
72(2)
Resources and further reading
74(3)
4 Etiology of alcohol dependence
77(30)
Public health model
78(1)
The agent
79(1)
The host: genetic factors
80(6)
Nature versus nurture
81(1)
Twin and adoption studies
81(2)
Studies of nonalcoholic blood relatives
83(1)
Familial versus nonfamilial alcoholism
84(1)
Genetic marker studies
85(1)
Animal studies
86(1)
The host: psychological factors
86(7)
Psychological needs
87(1)
Psychological approaches
88(1)
Theories of personality used in the past to understand alcoholism
89(3)
Learning theories
92(1)
Current thinking
93(1)
The environment: sociological factors
93(2)
An alternative cultural view
93(2)
Cultural orientation's effects on alcoholism rates
95(8)
Effect of legal sanctions and approaches
99(1)
The late 1980s and early 1990s: a decade of change
100(3)
Resources and further reading
103(4)
5 Medical complications
107(60)
Part I Advice for the moderate drinker
108(7)
Contraindications to moderate use
108(1)
Alcohol-drug interactions
109(1)
Problems associated with drinking and intoxication
110(4)
Alcohol use and exercise
114(1)
Part II Medical complications of chronic heavy alcohol use
115(1)
Visible signs and symptoms of chronic heavy drinking
115(1)
Gastrointestinal system
116(5)
Irritation, bleeding, and malabsorption
117(1)
Pancreatitis
117(1)
Liver disease
118(3)
Hematological system
121(3)
Red blood cells
121(2)
White blood cells
123(1)
Platelets
123(1)
Clotting factors and DIC
123(1)
Alcohol and the immune system
124(1)
Cardiovascular system
124(3)
Genitourinary system
127(2)
Urinary tract
127(1)
Reproductive system
128(1)
Alcohol and pregnancy
129(2)
Fetal alcohol syndrome
129(1)
Fetal alcohol effects
129(2)
Respiratory system
131(1)
Endocrine system
132(2)
Skin
134(1)
Musculoskeletal system
135(1)
Nervous system
136(7)
Dependence, tolerance, and withdrawal
136(2)
Alcohol idiosyncratic intoxication (pathological intoxication)
138(1)
Organic brain disease
138(3)
Nerve and muscle tissue damage
141(1)
Subdural hematoma
142(1)
Miscellaneous CNS disturbances
143(1)
Neuropsychological impairment
143(1)
Miscellaneous effects
144(1)
Sleep and sleep disturbances in alcoholics
145(4)
Sleep patterns
145(1)
Sleep disturbances
146(1)
Insomnia
147(1)
Alcohol's effects on sleep
148(1)
Blackouts
149(3)
Withdrawal
152(6)
Withdrawal syndromes
153(4)
Late withdrawal phenomena
157(1)
Some cautions
158(1)
Resources and further reading
158(9)
6 The behavior of alcohol dependence
167(12)
A behavioral composite
168(1)
How, if not why
169(5)
Deteriorating functioning
174(1)
Family and friends
175(1)
Friendships
176(1)
Work
176(2)
Resources and further reading
178(1)
7 Effects of alcohol problems on the family
179(20)
The family's response
181(2)
Denial
181(1)
Attempts to eliminate the problem
181(1)
Disorganization and chaos
182(1)
Reorganization in spite of the problem
182(1)
Efforts to escape
182(1)
Family reorganization
182(1)
The family system
183(3)
Codependency
185(1)
Children of alcoholics
186(7)
Children in the home
186(3)
Children's coping styles
189(2)
Adult children of alcoholics
191(2)
Genetic vulnerability
193(1)
Alcoholism in other family members
193(1)
Resources and further reading
193(6)
8 Evaluation and treatment overview
199(40)
Theoretical perspectives
201(1)
Problems of alcohol use
202(3)
Chronic disease framework
203(2)
Screening and evaluation
205(6)
Screening instruments
205(3)
For those with doubts
208(1)
Follow-up questions
209(1)
History of alcohol use
209(2)
Recording the data in the record
211(1)
What next?
211(5)
Making a referral
211(1)
Evaluation in an alcohol treatment setting
212(4)
Treatment of alcohol problems
216(2)
Alcohol incidents
216(2)
Alcohol abuse
218(1)
Treatment of alcohol dependence
218(18)
Obstacles to treatment
220(1)
Factors in successful treatment
221(1)
Recovery process
222(5)
Common themes in treatment of alcoholism
227(9)
Resources and further reading
236(3)
9 Treatment techniques and approaches
239(66)
Individual counseling
240(11)
Observation
240(2)
Confrontation
242(1)
Feedback
243(1)
Education
243(1)
Self-disclosure
244(1)
Client responsibility
245(1)
A word of caution
245(1)
Motivation
246(2)
Problem identification and problem solving
248(1)
The therapeutic relationships
249(1)
Administrative tasks
250(1)
Group work
251(5)
Group as therapy
252(1)
Group work with those with alcohol problems
253(1)
Group functions
254(1)
Group as a diversion
255(1)
Working with families
256(12)
Family assessment
257(1)
Family intervention
257(1)
The ingredients of intervention
258(1)
Family treatment in conjunction with alcohol treatment
259(1)
Family issues
260(1)
Suggestions for working with families during treatment
261(1)
Things to keep in mind when working with families
262(4)
Al-Anon
266(1)
Alateen
267(1)
Alcoholics Anonymous
268(10)
History
268(1)
Goals
269(1)
The Twelve Steps
270(2)
The Twelve Traditions
272(1)
Meetings plus
273(1)
Slogans
274(1)
Resistances
275(1)
Referral
276(1)
AA membership
277(1)
Other self-help groups
278(1)
Spiritual counseling
279(5)
Alcoholism as a spiritual search
280(1)
Assistance from the clergy
280(1)
Carl Jung
281(1)
Clinician's role
282(2)
Activities therapy
284(3)
A few words about fun
285(2)
Behavioral therapy
287(4)
Early approaches
288(1)
Behavioral techniques
289(2)
Meditation
291(1)
Disulfiram (Antabuse)
291(5)
Prescription, administration, and use
292(1)
Medications containing alcohol
293(3)
Resources and further reading
296(9)
10 Special populations
305(54)
Adolescents
306(16)
Physical changes
307(2)
Characteristics
309(3)
Alcohol use
312(1)
Adolescent alcohol problems
313(8)
Prevention
321(1)
The elderly
322(17)
Coping styles
322(1)
Major stresses
323(7)
Alcohol and other drug problems
330(3)
Treatment
333(3)
Prevention
336(1)
Practical treatment suggestions
336(3)
Women
339(7)
Gender differences
340(3)
Differences amoung women
343(1)
Natural history
343(1)
Treatment issues
344(1)
Women and AA
345(1)
The employed
346(4)
Occupational high-risk factors
346(1)
The workplace cover-up
347(1)
Employee assistance programs (EAPs)
347(2)
Implications for treatment
349(1)
Other special populations
350(2)
Becoming acquainted with a different culture
351(1)
Resources and further reading
352(7)
11 Psychiatric considerations
359(38)
Suicide evaluation and prevention
360(5)
Types of suicide: completers, attempters, and threateners
360(1)
Statistics and high-risk factors
361(1)
How to ask
362(1)
What to do
363(2)
Mental status examination
365(1)
Alcohol problems and other co-occuring psychiatric illness
366(12)
Mood disorders
367(3)
Disorders involving psychosis
370(2)
Anxiety disorders
372(1)
Personality disorders
373(1)
Attention deficit / hyperactivity disorders
374(1)
Organic mental disorders
375(1)
Polysubstance dependence
376(1)
Other addictive behaviors
377(1)
Clinical considerations
377(1)
Homelessness, alcohol use, and chronic mental illness
377(1)
Medications
378(6)
Psychotropic medications
379(5)
Multiple substance use and abuse
384(8)
Major classes of psychoactive substances
385(1)
Depressants
385(1)
Stimulants
385(1)
Opiates
386(1)
Hallucinogens
386(1)
Cannabinoids
386(1)
Phencyclidine
387(1)
Inhalants
387(1)
Patterns of polydrug use
388(1)
Alcohol and other drug addiction
389(1)
Withdrawal
390(1)
Nicotine
391(1)
Resources and further reading
392(5)
12 Odds `n ends
397
Beyond counseling
398(6)
Educational activities
398(2)
Training others
400(1)
Prevention programs
401(3)
The real world
404(6)
Being a professional colleague
404(2)
Selecting a professional position
406(1)
Being a professional
407(1)
Professional development
408(1)
Certification and licensure
409(1)
Ethics
410(6)
Basic principles
410(2)
Confidentiality
412(1)
Setting boundaries
413(3)
Counselors with "two hats,"
416(4)
Clinician impairment and relapse
417(3)
Resources and further reading
420

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