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| Preface | p. xvii |
| Alcohol | p. 1 |
| Once Upon A Time | p. 2 |
| Fermentation and Discovery of Distillation | p. 3 |
| Theories to Explain Alcohol Use | p. 5 |
| America's response to alcohol problems | p. 9 |
| Who drinks what, when, and where | p. 21 |
| Alcohol problems | p. 25 |
| Health care and alcohol | p. 32 |
| Resources and Further Reading | ... MORE |
| Alcohol and the Body | p. 40 |
| Digestion | p. 41 |
| Absorption | p. 41 |
| Blood Alcohol Concentration | p. 42 |
| Breakdown and Removal | p. 43 |
| Alcohol's Acute Effects on the Body | p. 45 |
| Overdose and Toxicity | p. 51 |
| Differences in Women | p. 51 |
| Tolerance | p. 53 |
| Alcohol as an Anesthetic | p. 54 |
| Other Types of Alcohol | p. 54 |
| The Influence of Expectations | p. 55 |
| In Conclusion | p. 56 |
| References and Further Reading | p. 56 |
| Alcohol Dependence | p. 58 |
| Natural History | p. 67 |
| Guides for Diagnosis | p. 72 |
| Resources and Further Reading | p. 79 |
| Etiology of Alcohol Dependence | p. 82 |
| Public Health Model | p. 83 |
| The Agent | p. 84 |
| The Host--Genetic Factors | p. 86 |
| The Host--Personality and Psychological Makeup | p. 95 |
| The Environment--Sociological Factors | p. 102 |
| Resources and Further Reading | p. 118 |
| Medical Complications | p. 127 |
| Advice for the Moderate Drinker | p. 128 |
| Medical Complications of Chronic Heavy Alcohol Use | p. 132 |
| Resources and Further Reading | p. 178 |
| The Behavior of Dependence | p. 184 |
| A Behavioral Composite | p. 185 |
| How, if not Why? | p. 186 |
| Deteriorating Functioning | p. 192 |
| Family and Friends | p. 193 |
| Work | p. 194 |
| Resources and Further Reading | p. 196 |
| Effects of Alcohol Problems on the Family | p. 197 |
| The "Family Illness" | p. 198 |
| The Family System | p. 202 |
| Children of Alcoholics | p. 206 |
| Alcohol dependence in other family members | p. 214 |
| Resources and Further Reading | p. 214 |
| Evaluation and Treatment Overview | p. 218 |
| Theoretical Perspectives | p. 220 |
| Problems of Use | p. 221 |
| Screening and Evaluation | p. 224 |
| Substance Use History | p. 237 |
| What Next? | p. 243 |
| Treatment of Alcohol Problems and Alcohol Abuse | p. 246 |
| Treatment of Alcohol Dependence | p. 255 |
| Resources and Further Reading | p. 274 |
| Treatment Techniques and Approaches | p. 278 |
| Individual Counseling | p. 279 |
| Group Work | p. 289 |
| Working with Families | p. 293 |
| Self-help | p. 307 |
| Other Approaches | p. 322 |
| Pharmacotherapy | p. 336 |
| Treatment Matching | p. 339 |
| Resources and Further Reading | p. 341 |
| Special Populations | p. 350 |
| Adolescents | p. 351 |
| College Students | p. 379 |
| The Elderly | p. 402 |
| Women | p. 422 |
| The Workplace | p. 437 |
| Other Special Populations | p. 442 |
| Resources and Further Reading | p. 444 |
| Other Psychiatric Considerations | p. 449 |
| Suicide Evaluation and Prevention | p. 450 |
| Mental Status Examination | p. 455 |
| Major Categories of Psychiatric Illness | p. 456 |
| Psychotropic Medications | p. 469 |
| Resources and Further Reading | p. 477 |
| Drugs of Abuse Other than Alcohol | p. 483 |
| Drug Use Patterns | p. 483 |
| Social Costs | p. 485 |
| Public Perceptions and Public Policies | p. 486 |
| Basic Pharmacological Concepts | p. 489 |
| Classification Schemas for Substance of Abuse | p. 497 |
| Major Classes of Commonly Abused Drugs | p. 500 |
| Clinical Issues | p. 533 |
| Resources and Further Reading | p. 544 |
| Odds 'N' Ends | p. 552 |
| Beyond Counseling | p. 553 |
| The Real World | p. 564 |
| Ethics | p. 570 |
| Counselors with "Two Hats" | p. 577 |
| Resources and Further Reading | p. 581 |
| North American Organizations in the Substance Abuse Field | p. 587 |
| The Interaction Effects of Alcohol with Other Drugs | p. 609 |
| Index | p. 614 |
| Table of Contents provided by Syndetics. All Rights Reserved. |