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Loosening the Grip : A Handbook of Alcohol Information with HealthQuest 4.1 CD ROM and PowerWeb...

ISBN: 9780072552409 | 0072552409
Edition: 7th
Format: Paperback
Publisher: McGraw-Hill College
Pub. Date: 7/1/2002

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SummaryTable of Contents
This text offers a thorough approach to understanding alcohol, its physical and psychological effects on an individual, and its emotional impact on the family. It is the only comprehensive, self-contained book intended to cover the range of psychological factors, physical complications, treatment options, and family concerns. The text is easy to read and covers a broad range of situations, making it suitable for academics, students, or families of alcoholics.
Prefacexvii
Alcohol
1(39)
Once Upon A Time
2(1)
Fer... MORE
3(2)
Theories to Explain Alcohol Use
5(4)
Myths
8(1)
As sin or moral failing
8(1)
As a legal issue
9(1)
America's response to alcohol problems
9(12)
Temperance and prohibition
9(2)
Drunkenness versus alcoholism
11(1)
History of alcohol treatment efforts
12(2)
Public policy and alcohol
14(7)
Who drinks what, when, and where
21(4)
Drinking patterns
22(3)
Alcohol Problems
25(7)
Economic costs versus economic benefits
26(2)
Personal costs
28(4)
Health care and alcohol
32(2)
Resources and Further Reading
34(6)
Alcohol and the Body
40(18)
Digestion
41(1)
Absorption
41(1)
Blood Alcohol Concentration
42(1)
Breakdown and Removal
43(2)
Alcohol's Acute Effects on the Body
45(6)
Digestive system
45(1)
Circulatory system
45(1)
Kidneys
46(1)
Liver
46(1)
Central nervous system
47(4)
Overdose and Toxicity
51(1)
Differences in Women
51(2)
Tolerance
53(1)
Alcohol as an Anesthetic
54(1)
Other Types of Alcohol
54(1)
The Influence of Expectations
55(1)
In Conclusion
56(1)
References and Further Reading
56(2)
Alcohol Dependence
58(24)
Definitions
59(4)
A Disease?
63(1)
Implications of disease classification
64(1)
Criticisms of the disease concept
65(2)
Natural History
67(5)
Jellinek's phases of alcoholism
67(3)
Types of alcoholism: Jellinek's species
70(1)
Current thinking
71(1)
Guides for Diagnosis
72(7)
NCA criteria
72(2)
DSM-III criteria
74(1)
DSM-IV criteria
75(3)
Natural History of Alcoholism: Jellinek Revisited
78(1)
Resources and Further Reading
79(3)
Etiology of Alcohol Dependence
82(45)
Public Health Model
83(1)
The Agent
84(2)
The Host---Genetic Factors
86(9)
Nature versus nurture
86(1)
Twin adoption studies
87(2)
Studies of nonalcoholic blood relatives
89(1)
Genetic markers
90(4)
Familial versus nonfamilial alcohol dependence: So what?
94(1)
The Host---Personality and Psychological Makeup
95(7)
Psychological needs
95(1)
Early psychological approaches
96(1)
Personality theories applied to alcohol dependence
97(1)
Learning theory
97(2)
Current thinking
99(3)
The Environment---Sociological Factors
102(16)
Cultural orientation
102(4)
Drinking styles and alcohol problems
106(1)
Influence of cultural subgroups
106(1)
Legal sanctions and approaches
107(2)
Cross-cultural comparisons
109(4)
Cultural influences on recovery
113(1)
The beginning of the new century
114(4)
Resources and Further Reading
118(9)
Medical Complications
127(57)
Advice for the Moderate Drinker
128(4)
Contraindications to moderate use
128(1)
Alcohol-drug interactions
129(1)
Problems associated with drinking and intoxication
130(2)
Alcohol use and exercise
132(1)
Medical Complications of Chronic Heavy Alcohol Use
132(46)
Gastrointestinal system
134(5)
Hematological system
139(4)
Cardiovascular system
143(2)
Genitourinary system
145(5)
Respiratory system
150(1)
Endocrine system
151(3)
Skin
154(1)
Musculoskeletal system
154(2)
Nervous system
156(6)
Neuropsychological impairment
162(1)
Miscellaneous effects
163(1)
Sleep and sleep disturbances in alcoholics
164(7)
Withdrawal syndromes
171(7)
Resources and Further Reading
178(6)
The Behavior of Dependence
184(13)
A Behavioral Composite
185(1)
How, if not Why?
186(6)
Deteriorating Functioning
192(1)
Family and Friends
193(1)
Work
194(2)
Resources and Further Reading
196(1)
Effects of Alcohol Problems on the Family
197(21)
The ``Family Illness''
198(4)
The family's response
199(3)
The Family System
202(4)
Enabling
203(1)
Co-dependency
204(1)
Current thinking
205(1)
Children of Alcoholics
206(8)
Children in the home
206(2)
Children's coping styles
208(2)
Adult children of alcoholics
210(3)
Resiliency
213(1)
Genetic vulnerability
214(1)
Alcohol dependence in other family members
214(1)
Resources and Further Reading
214(4)
Evaluation and Treatment Overview
218(60)
Theoretical Perspectives
220(1)
Problems of Use
221(3)
Chronic disease framework
221(2)
Challenges of problems associated with use
223(1)
Screening and Evaluation
224(13)
Laboratory tests
225(1)
Screening instruments
225(5)
Initial follow-up questions
230(4)
Identifying situations requiring medical attention
234(3)
Substance Use History
237(6)
Clinical style
237(1)
Motivation
237(2)
History taking
239(4)
What Next?
243(3)
Making a referral
243(1)
Evaluation in a substance abuse treatment setting
244(2)
Treatment planning and treatment settings
246(1)
Treatment of Alcohol Problems and Alcohol Abuse
246(9)
Alcohol incidents
249(2)
Brief Interventions
251(3)
Alcohol abuse
254(1)
Treatment of Alcohol Dependence
255(19)
Obstacles to treatment
256(1)
Factors in successful treatment
257(1)
Recovery process
258(4)
Common themes in treatment
262(10)
Treatment outcome
272(2)
Resources and Further Reading
274(4)
Treatment Techniques and Approaches
278(72)
Individual Counseling
279(10)
Observation
279(2)
Feedback
281(1)
Education
282(1)
Self-disclosure
283(1)
Client responsibility
284(1)
Possible mis-steps
284(2)
Problem identification and problem solving
286(1)
The therapeutic relationship
287(1)
Case management and administrative tasks
288(1)
Group Work
289(4)
Group as therapy
289(2)
Types of groups
291(1)
Group functions
292(1)
Groups as a diversion
293(1)
Working with Families
293(14)
Family members troubled by another's alcohol use
294(1)
The family intervention
295(3)
Family treatment in conjunction with alcohol treatment
298(1)
Suggestions for working with families during treatment
299(1)
Family issues
300(5)
Couples therapy
305(1)
Self-help for families
306(1)
Self-help
307(15)
Alcoholics Anonymous (AA)
307(11)
Other self-help groups
318(4)
Other Approaches
322(14)
Spiritual Counseling
322(5)
Meditation
327(1)
Activities therapy
328(3)
Behavioral approaches
331(5)
Pharmacotherapy
336(3)
Disulfiram (Antabuse®)
337(1)
Medications containing alcohol
338(1)
Anticraving agents
339(1)
Treatment Matching
339(2)
Resources and Further Reading
341(9)
Technical assistance protocols
341(1)
Treatment improvement protocols
341(9)
Special Populations
350(99)
Adolescents
351(28)
Developmental issues
352(5)
Alcohol and other drug use
357(2)
Adolescent alcohol and dug problems
359(6)
General considerations working with adolescents
365(3)
A framework for addressing adolescent substance use problems
368(3)
Further assessment and treatment
371(8)
College Students
379(23)
Patterns of use
379(4)
Problems associated with substance use
383(1)
Students at risk for acute problems
384(4)
Natural history of collegians' alcohol use
388(5)
Impetus to institutional action
393(1)
Impediments to campus programs
394(1)
Campus initiatives
395(3)
Intervention and Treatment
398(3)
Closing thoughts
401(1)
The Elderly
402(20)
Stresses of aging
402(7)
Patterns of alcohol and other drug use
409(4)
Alcohol use and health status
413(1)
Alcohol problems
413(7)
Prevention
420(1)
General suggestions for working with elderly people
420(2)
Women
422(15)
Gender differences
423(1)
Differences among women
423(5)
Natural history of alcohol and other drug problems in women
428(4)
Assessment
432(1)
Treatment approaches
432(1)
Treatment themes
433(2)
Treatment issues for pregnant women
435(2)
The Workplace
437(5)
Some basic statistics
437(2)
Occupational high-risk factors
439(1)
The workplace response
439(1)
Workplace interventions
440(1)
Implications for treatment
441(1)
Other Special Populations
442(2)
Resources and Further Reading
444(5)
Adolescents
444(1)
College students
445(1)
The elderly
446(1)
Women
447(1)
The workplace
447(2)
Other Psychiatric Considerations
449(34)
Suicide Evaluation and Prevention
450(5)
Statistics and high-risk factors
451(1)
How to ask about suicide
452(1)
Responding to suicidal patients
453(2)
Mental Status Examination
455(1)
Major Categories of Psychiatric Illness
456(13)
Mood disorders
457(3)
Disordes involving psychosis
460(2)
Anxiety disorders
462(1)
Personality disorders
463(1)
Attention-deficit/hypractivity disorders
464(1)
Psychiatric illness due to a general medical condition
465(1)
Polysubstance dependence
466(1)
Other addictive behaviors
467(1)
Clinical considerations
467(1)
Homelessness, alcohol use, and chronic mental illness
468(1)
Psychotropic Medications
469(8)
Neuroleptic (antipsychotic) medications
470(1)
Antidepressant medications
471(2)
Mood Stabilizers
473(1)
Anti-anxiety agents
473(4)
Resources and Further Reading
477(6)
Drugs of Abuse Other than Alcohol
483(69)
Drug Use Patterns
483(2)
Type of drug
483(1)
Gender
484(1)
Education
484(1)
Employment
485(1)
Geographic area
485(1)
Social Costs
485(1)
Public Perceptions and Public Policies
486(3)
Early control efforts
487(1)
Sources of illicit drugs
488(1)
Basic Pharmacological Concepts
489(8)
How to think about drug use
489(1)
Route of administration
489(4)
Site of action
493(1)
Solubility in fat and/or water
494(1)
Metabolism
494(1)
Abuse potential
495(2)
Problems of acute use
497(1)
Classification Schemas for Substance of Abuse
497(3)
Licit vs. illicit
498(1)
DEA schedule
498(1)
Pharmacological effects
499(1)
Major Classes of Commonly Abused Drugs
500(33)
Nicotine
500(5)
Opiates
505(6)
Sedative-hypnotics (central nervous system depressants)
511(2)
Stimulants
513(3)
Hallucinogens and dissociatives
516(6)
Cannabinoids
522(4)
Inhalants
526(3)
Anabolic androgenic steroids
529(4)
Clinical Issues
533(11)
Assessment
533(1)
Diagnostic criteria
534(1)
Treatment goals
535(1)
Harm reduction
536(1)
Pharmacological treatment
537(2)
Pregnancy and the use of drugs other than alcohol
539(5)
Resources and Further Reading
544(8)
Odds `N' Ends
552(35)
Beyond Counseling
553(11)
Educational activities
553(2)
Training others
555(1)
Prevention efforts
556(8)
The Real World
564(6)
Being a professional colleague
564(2)
Selecting a professional position
566(1)
Being a professional
567(1)
Professional development
568(1)
Certification and licensure
569(1)
Ethics
570(7)
Basic principles
570(3)
Confidentiality
573(1)
Setting boundaries
573(4)
Counselors with ``Two Hats''
577(4)
Resources and Further Reading
581(6)
Issues of the profession
581(1)
Ethics
582(2)
Prevention
584(3)
Appendix A. North American Organizations in the Substance Abuse Field587(22)
Appendix B. The Interaction Effects of Alcohol with other Drugs609(5)
Index614

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