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Loosening the Grip : A Handbook of Alcohol Information with PowerWeb

ISBN: 9780073138893 | 0073138894
Edition: 8th
Format: Paperback
Publisher: McGraw-Hill Humanities/Social Sciences/Languages
Pub. Date: 7/18/2005

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SummaryTable of ContentsAuthor Biography
This text offers a thorough approach to understanding alcohol--its physical and psychological effects on an individual, as well as its emotional impact on the family. It is the only comprehensive, self-contained book to cover the range of psychological factors, physical complications, treatment options, and family concerns; easy to read, it is suitable for academics, students, or families of alcoholics.
Prefacexiv
Alcohol
1(28)
Once Upon a Time
1(1)
Ferm... MORE
2(1)
Alcohol Use in America
3(1)
Why Bother?
4(3)
Theories to Explain Alcohol Use
5(2)
Myths
7(1)
Alcohol Problems: The Fly in the Ointment
7(14)
As Sin or Moral Failing
8(1)
As a Legal Issue
9(1)
America's Response to Alcohol Problems
9(2)
Drunkenness versus Alcoholism
11(1)
History of Alcohol Treatment Efforts
12(2)
Public Policy and Alcohol
14(3)
Advertising
17(4)
Changing Norms
21(1)
Other Drug Use
21(6)
Tobacco
22(2)
Marijuana
24(3)
Resources and Further Reading
27(2)
Alcohol and Its Costs
29(18)
Who Drinks What, When, and Where
29(12)
Drinking Patterns
31(3)
International Comparisons
34(1)
Alcohol Problems
34(1)
Abuse and Dependence
34(1)
Economic Costs versus Economic Benefits
35(2)
Personal Costs
37(4)
Health Care and Alcohol
41(4)
Resources and Further Reading
45(2)
Alcohol and the Body
47(19)
Ingestion and Absorption
47(2)
Blood Alcohol Concentration
49(1)
Breakdown and Removal
50(3)
Alcohol's Acute Effects on the Body
53(6)
Digestive System
53(1)
Circulatory System
53(1)
Kidneys
53(1)
Liver
54(1)
Central Nervous System
55(4)
Acute Overdose and Toxicity
59(1)
Differences in Women
59(2)
Tolerance
61(1)
Alcohol as an Anesthetic
62(1)
Other Types of Alcohol
62(2)
The Influence of Expectations
64(1)
In Conclusion
64(1)
References and Further Reading
64(2)
Alcohol Dependence
66(27)
Definitions
66(5)
Early Definitions
68(1)
Toward Uniformity in Terminology
69(2)
A Disease?
71(4)
Implications of Disease Classification
71(1)
Criticisms of the Disease Concept
72(3)
Natural History
75(5)
Jellinek's Phases of Alcoholism
75(3)
Types of Alcoholism: Jellinek's Species
78(1)
Current Thinking
79(1)
Guides for Diagnosis
80(12)
NCA Criteria
80(3)
Diagnostic Criteria of the American Psychiatric Association
83(3)
Natural History of Alcoholism: Jellinek Revisited
86(6)
Resources and Further Reading
92(1)
Etiology of Alcohol Dependence
93(41)
Public Health Model
93(1)
The Agent
94(2)
The Host---Genetic Factors
96(9)
Nature versus Nurture
97(1)
Twin and Adoption Studies
98(1)
Studies of Nonalcoholic Blood Relatives
99(2)
Genetic Markers
101(4)
Familial Versus Nonfamilial Alcohol Dependence: So What?
105(1)
The Host---Personality and Psychological Makeup
105(8)
Psychological Needs
106(1)
Early Psychological Approaches
107(1)
Personality Theories Applied to Alcohol Dependence
107(2)
Current Thinking
109(4)
The Environment---Sociological Factors
113(19)
Cultural Orientation
113(6)
Drinking Styles and Alcohol Problems
119(1)
Influence of Cultural Subgroups
119(1)
Legal Sanctions and Approaches
120(2)
Cross-Cultural Comparisons
122(5)
Cultural Influences on Recovery
127(1)
In the Twenty-first Century
128(4)
Resources and Further Reading
132(2)
Medical Complications
134(55)
Part I. Advice for the Moderate Drinker
134(6)
Contraindications to Moderate Use
134(1)
Alcohol-Drug Interactions
135(3)
Problems Associated with Drinking and Intoxication
138(2)
Alcohol Use and Exercise
140(1)
Part II. Medical Complications of Chronic Heavy Alcohol Use
140(47)
Visible Signs and Symptoms of Chronic Heavy Drinking
141(1)
Gastrointestinal System
142(5)
Hematological System
147(4)
Cardiovascular System
151(3)
Genitourinary System
154(5)
Respiratory System
159(1)
Endocrine System
160(3)
Skin
163(1)
Skeletal System
163(2)
Nervous System
165(6)
Neuropsychological Impairment
171(1)
Miscellaneous Effects
172(2)
Sleep and Sleep Disturbances in Alcoholics
174(7)
Withdrawal Syndromes
181(6)
Resources and Further Reading
187(2)
The Behavior of Dependence
189(16)
A Behavioral Composite
189(1)
How, If Not Why?
190(6)
Deteriorating Functioning
196(1)
Family and Friends
197(2)
Work
199(1)
Other Drugs of Abuse
200(3)
A Final Thought
203(1)
Resources and Further Reading
204(1)
Effects of Alcohol Problems on the Family
205(22)
The ``Family Illness''
205(4)
The Family's Response
206(3)
The Family System
209(5)
Enabling
210(1)
Co-dependency
211(2)
Current Thinking
213(1)
Children of Alcoholics
214(12)
Children in the Home
214(2)
Children's Coping Styles
216(2)
Adult Children of Alcoholics
218(2)
Resiliency
220(1)
Genetic Vulnerability
221(1)
Alcoholic Dependence in Other Family Members
222(1)
Other Substance Use and Its Impact on the Family
222(4)
Resources and Further Reading
226(1)
Evaluation and Treatment Overview
227(56)
Theoretical Perspectives
228(1)
Problems of Use
229(3)
Chronic Disease Framework
230(2)
Challenges of Problems Associated with Use
232(1)
Screening and Evaluation
232(13)
Laboratory Tests
233(1)
Screening Instruments
234(8)
Initial Follow-Up Questions
242(1)
Identifying Situations Requiring Medical Attention
242(3)
Substance Use History
245(4)
Clinical Style
245(1)
Motivation
246(2)
History Taking
248(1)
What's Next?
249(1)
Making a Referral
249(8)
Evaluation in a Substance Abuse Treatment Setting
252(2)
Treatment Planning and Treatment Settings
254(3)
Treatment of Alcohol Problems and Alcohol Abuse
257(6)
Alcohol Incidents
257(2)
Brief Interventions
259(3)
Alcohol Abuse
262(1)
Treatment of Alcohol Dependence
263(18)
Obstacles to Treatment
264(1)
Factors in Successful Treatment
265(1)
Recovery Process
266(4)
Common Themes in Treatment
270(9)
Treatment Outcome
279(2)
Resources and Further Reading
281(2)
Treatment Techniques and Approaches
283(70)
Individual Counseling
283(12)
Observation
284(1)
Feedback
285(2)
Education
287(2)
Self-Disclosure
289(1)
Client Responsibility
290(1)
Possible Mis-steps
291(1)
Problem Identification and Problem Solving
292(1)
The Therapeutic Relationship
292(2)
Case Management and Administrative Tasks
294(1)
Group Work
295(4)
Group as Therapy
295(1)
Types of Groups
296(1)
Group Functions
297(1)
Groups as a Diversion
298(1)
Working with Families
299(14)
Family Members Troubled by Another's Alcohol Use
300(1)
Family Interventions
301(3)
Family Treatment in Conjunction with Alcohol Treatment
304(1)
Suggestions for Working with Families During Treatment
305(1)
Family Issues
306(5)
Couples Therapy
311(1)
Self-Help for Families
311(2)
Self-Help
313(14)
Alcoholics Anonymous (AA)
313(11)
Other Self-Help Groups
324(3)
Which Self-Help Approach
327(1)
Other Approaches
327(18)
Spiritual Counseling
327(7)
Meditation
334(1)
Activities Therapy
335(3)
Behavioral Approaches
338(7)
Pharmacotherapy
345(3)
Disulfiram (Antabuse®)
345(2)
Medications Containing Alcohol
347(1)
Anticraving Agents
347(1)
Treatment Matching
348(1)
Resources and Further Reading
349(4)
Special Populations
353(112)
Adolescents
353(32)
Developmental Issues
354(6)
Alcohol and Other Drug Use
360(2)
Associated Problems
362(7)
Working with Adolescents
369(3)
A Framework for Addressing Adolescent Substance Use/Problems
372(3)
Further Assessment and Treatment
375(10)
College Students
385(28)
Patterns of Alcohol and Other Drug Use
385(4)
Problems Associated with Substance Use
389(1)
Perceived Benefits Associated with Drinking
390(3)
Students at Risk
393(3)
Natural History of Collegians' Alcohol Use
396(6)
Impetus to Institutional Action
402(1)
Impediments to Campus Programs
403(1)
Campus Initiatives
404(3)
Intervention and Treatment
407(5)
Antismoking Efforts
412(1)
Closing Thoughts
412(1)
The Elderly
413(22)
Stresses of Aging
414(7)
Patterns of Alcohol and Other Drug Use
421(3)
Alcohol Use and Health Status
424(1)
Alcohol Problems
425(7)
Prevention
432(1)
Working with Elderly People
432(3)
Women
435(15)
Gender Differences
435(2)
Differences Among Women
437(4)
Natural History of Alcohol and Other Drug Problems in Women
441(4)
Assessment
445(1)
Treatment Approaches
445(1)
Treatment Themes
446(3)
Treatment Issues for Pregnant Women
449(1)
The Workplace
450(8)
Some Basic Statistics
450(4)
High-Risk Factors
454(1)
The Workplace Response
455(1)
Workplace Interventions
456(1)
Implications for Treatment
457(1)
Other Special Populations
458(2)
Resources and Further Reading
460(5)
Other Psychiatric Considerations
465(31)
Suicide Evaluation and Prevention
465(5)
Statistics and High-Risk Factors
466(1)
How to Ask about Suicide
467(1)
Responding to Suicidal Patients
468(2)
Mental Status Examination
470(1)
Major Categories of Co-Occurring Psychiatric Illness
471(14)
Mood Disorders
472(4)
Disorders Involving Psychosis
476(2)
Anxiety Disorders
478(1)
Personality Disorders
479(1)
Attention-Deficit/Hyperactivity Disorder
480(1)
Psychiatric Disorders Due to a General Medical Condition
481(1)
Other Drug Dependency and Alcohol Abuse
482(1)
Polysubstance Abuse
482(1)
Other Addictive Behaviors
483(1)
Clinical Considerations
483(1)
Homelessness, Alcohol Use, and Chronic Mental Illness
484(1)
Psychotropic Medications
485(9)
Antipsychotic Medications
486(1)
Antidepressant Medications
487(2)
Mood Stabilizers
489(4)
Anti-Anxiety Agents
493(1)
Resources and Further Reading
494(2)
Drugs of Abuse Other Than Alcohol
496(72)
Drug Use Patterns
496(3)
Age
497(1)
Gender
498(1)
Education
498(1)
Employment
499(1)
Geographic Region
499(1)
Social Costs
499(1)
Public Perceptions and Public Policies
500(4)
Early Control Efforts
501(1)
Sources of Illicit Drugs
502(2)
Basic Pharmacological Concepts
504(7)
How to Think about Drug Use
504(1)
Route of Administration
505(1)
Site of Action
506(1)
Solubility in Fat and/or Water
506(1)
Metabolism
507(1)
Abuse Potential
507(2)
Problems
509(1)
Toxicity and Overdose
510(1)
Classification Schemas for Substances of Abuse
511(3)
Licit versus Illicit
512(1)
DEA Schedule
512(1)
Pharmacological Effects
513(1)
Major Classes of Commonly Abused Drugs
514(42)
Nicotine
514(6)
Opiates
520(7)
Sedative-Hypnotics (Central Nervous System Depressants)
527(2)
Stimulants
529(4)
Hallucinogens and Dissociatives
533(5)
Cannabinoids
538(4)
Inhalants
542(3)
Anabolic Androgenic Steroids
545(5)
Caffeine
550(6)
Clinical Issues
556(9)
Assessment
556(1)
Treatment Goals
557(1)
Harm Reduction
557(2)
Pharmacological Treatment
559(1)
Pregnancy and the Use of Drugs Other Than Alcohol
560(5)
Other Resources and Further Reading
565(3)
Odds `n' Ends
568(33)
Beyond Counseling
568(11)
Educational Activities
568(2)
Training Others
570(2)
Prevention Efforts
572(4)
Challenges in Prevention
576(3)
The Real World
579(10)
Being a Professional Colleague
579(3)
Selecting a Professional Position
582(2)
Being a Professional
584(1)
Professional Development
585(2)
Certification and Licensure
587(2)
Ethics
589(6)
Basic Principles
589(1)
Confidentiality
590(2)
Setting Boundaries
592(3)
Counselors with ``Two Hats''
595(4)
Resources and Further Reading
599(2)
Appendix A North American Organizations in the Substance Abuse Field601(12)
Appendix B The Interaction Effects of Alcohol with Other Drugs613(4)
Index617
Jean Kinney is a lecturer in Community and Family Medicine at Dartmouth Medical School.

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