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Loosening the Grip : A Handbook of Alcohol Information

by: Kinney

Loosening the Grip : A Handbook of Alcohol Information

by: Kinney

ISBN 13:
9780072891065
ISBN 10:
0072891068
Edition: 6th
Format: Paperback
Copyright: 08/01/1999
Publisher: MCGRAW HILL PUBLISHING CO
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Alcohol

(40)

Once Upon a Time

(1)

Fermentation and Discovery of Distillation

(1)

Alcohol Use in America

(1)

Why Bother?

(4)

Theories to explain alcohol use

(2)

Myths

(1)

Alcohol Problems: The Fly in the Ointment

(12)

As sin or moral failing

(1)

As a legal issue

(1)

America's response to alcohol problems

(2)

Drunkenness versus alcoholism

(1)

History of alcohol treatment efforts

(3)

Public policy and alcohol

(5)

Alcohol Costs: Paying the Piper

(11)

Who drinks what, when, and where

(1)

Drinking patterns

(3)

Economic costs versus economic benefits

(2)

Personal costs

(3)

Health care and alcohol

(2)

Other Drug Use

(5)

Social costs

(2)

Drug use patterns

(2)

Public perceptions and public polices

(1)

Resources and Further Reading

(5)

Alcohol and the body

(25)

Digestion

(1)

Absorption

(1)

Blood Alcohol Concentration (BAC)

(1)

Breakdown and Removal

(2)

Alcohol's Acute Effects on the Body

(5)

Digestive system

(1)

Circulatory system

(1)

Kidneys

(1)

Liver

(1)

Central nervous system

(3)

Acute Overdose and Toxicity

(3)

Differences in women

(2)

Tolerance

(1)

Alcohol As an Anesthetic

(1)

Other Types of Alcohol

(1)

The Influence of Expectations

(1)

Other Drugs of Abuse

(7)

Route of administration

(1)

Site of action

(1)

Solubility in fat and/or water

(1)

Metabolism

(1)

Acute effects of major drug classes

(4)

In conclusion

(1)

Resources and Further Reading

(3)

Medical complications

(1)

PART I. ADVICE FOR THE MODERATE DRINKER

(4)

Contraindications to moderate use

(1)

Alcohol-drug interactions

(1)

Problems associated with drinking and intoxication

(1)

Alcohol use and exercise

(1)

Other drug use

(1)

PART II. MEDICAL COMPLICATIONS OF CHRONIC HEAVY ALCOHOL USE

(42)

Visible signs and symptoms of chronic heavy drinking

(1)

Gastrointestinal System

(4)

Irritation, bleeding, and malabsorption

(1)

Pancreatitis

(1)

Liver disease

(3)

Hematological System

(4)

Red blood cells

(2)

White blood cells

(1)

Platelets

(1)

Clotting factors and DIC

(1)

Alcohol and the immune system

(1)

Cardiovascular System

(2)

Genitourinary System

(2)

Urinary tract

(1)

Reproductive system

(1)

Alcohol and Pregnancy

(3)

Fetal alcohol syndrome

(1)

Fetal alcohol effects

(2)

Respiratory System

(1)

Endocrine System

(2)

Cancer

(1)

Skin

(1)

Musculoskeletal System

(1)

Nervous System

(6)

Dependence, tolerance, craving, and withdrawal

(1)

Alcohol idiosyncratic intoxication (pathological intoxication)

(1)

Organic brain disease

(2)

Nerve and muscle tissue damage

(1)

Subdural hematoma

(1)

Miscellaneous CNS disturbances

(1)

Neuropsychological Impairment

(1)

Miscellaneous Effects

(1)

Sleep and Sleep Disturbances in Alcoholics

100

(5)

Sleep patterns

101

(1)

Sleep disturbances

102

(1)

Insomnia

103

(1)

Alcohol's effects on sleep

104

(1)

Blackouts

105

(2)

Withdrawal Syndromes

107

(6)

Late withdrawal phenomena

112

(1)

Some cautions

112

(1)

PART III. OTHER DRUG USE

113

(392)

Chronic Effects of Other Drug Use

113

(6)

Signs and Symptoms of Acute Intoxication and Overdose

119

(2)

Pregnancy and Other Drug Use

121

(4)

Epidemiology

121

(1)

Cocaine-exposed infants

122

(1)

Opiate-exposed infants

123

(2)

Resources and Further Reading

125

(5)

Alcohol dependence

130

(25)

Definitions

131

(4)

Early definitions

132

(3)

A Disease?

135

(4)

Implications of disease classification

136

(1)

Criticisms of the disease concept

137

(2)

Natural History

139

(4)

Jellinek's phases of alcoholism

139

(3)

Types of alcoholism: Jellinek's species

142

(1)

Species reexamined

143

(1)

Guides for Diagnosis

143

(6)

NCA criteria

143

(2)

DSM-III criteria

145

(1)

DSM-IV criteria

146

(3)

Natural History of Alcoholism: Jellinek Revisited

149

(1)

Other Drugs of Abuse

150

(1)

Resources and Further Reading

151

(4)

Etiology of alcohol dependence

155

(40)

Public Health Model

156

(1)

The Agent

157

(2)

The Host---Genetic Factors

159

(7)

Nature versus nurture

159

(1)

Twin and adoption studies

160

(1)

Studies of nonalcoholic blood relatives

161

(2)

Genetic markers

163

(2)

Familial versus nonfamilial alcoholism: So what?

165

(1)

The Host---Personality and Psychological Makeup

166

(6)

Psychological needs

166

(1)

Early psychological approaches

167

(1)

Personality theories applied to alcoholism

168

(2)

Learning theories

170

(1)

Current thinking

170

(2)

The Environment---Sociological Factors

172

(16)

Cultural orientation

172

(4)

Drinking styles and alcohol problems

176

(1)

The influence of cultural subgroups

176

(1)

Legal sanctions and approaches

177

(1)

Cross-cultural comparisons

178

(4)

Another perspective on cultural influence

182

(1)

The 1990s: A decade of change

183

(5)

Resources and Further Reading

188

(7)

The behavior of dependence

195

(14)

A Behavioral Composite

196

(2)

How, If Not Why

198

(5)

Deteriorating Functioning

203

(1)

Family and Friends

204

(2)

Work

206

(1)

Resources and Further Reading

207

(2)

Effects of alcohol problems on the family

209

(21)

The ``Family Illness''

210

(4)

The family's response

211

(3)

The Family System

214

(3)

Enabling

215

(1)

Co-dependency

215

(1)

Current thinking

216

(1)

Children of Alcoholics

217

(7)

Children in the home

217

(3)

Children's coping styles

220

(1)

Adult children of alcoholics

221

(1)

An insight from PT Barnum

222

(1)

Resiliency

223

(1)

Genetic vulnerability

224

(1)

Alcoholism in Other Family Members

224

(1)

Problems of Other Drug Abuse and the Family

225

(1)

Resources and Further Reading

225

(5)

Evaluation and treatment overview

230

(58)

Theoretical Perspectives

232

(1)

Problems of Use

233

(3)

Chronic disease framework

233

(3)

Screening and Evaluation

236

(13)

Screening instruments

238

(8)

Initial follow-up questions

246

(1)

Identifying situations requiring medical attention

246

(3)

Substance Use History

249

(3)

Clinical style

249

(1)

Motivation

249

(2)

When to ask

251

(1)

What to ask

251

(1)

How to ask

252

(1)

Recording the data in the record

252

(1)

What Next?

252

(9)

Making a referral

252

(3)

Evaluation in a substance abuse treatment setting

255

(3)

Treatment planning and treatment settings

258

(3)

Treatment

261

(4)

Alcohol incidents

261

(1)

Other drug incidents

262

(1)

Alcohol abuse

263

(1)

Marijuana: incidents and abuse

264

(1)

Alcohol Dependence

265

(19)

Obstacles to treatment

266

(1)

Factors in successful treatment

267

(2)

Recovery process

269

(5)

Common themes in treatment

274

(10)

Resources and Further Reading

284

(4)

Screening

284

(1)

Assessment

284

(1)

Motivation

285

(1)

Clinical care

286

(2)

Treatment techniques and approaches

288

(70)

Individual Counseling

289

(9)

Observation

289

(2)

Feedback

291

(1)

Education

292

(1)

Self-disclosure

293

(1)

Client responsibility

294

(1)

A word of caution

294

(1)

Problem identification and problem solving

295

(1)

The therapeutic relationship

296

(1)

Case management and administrative tasks

297

(1)

Group Work

298

(5)

Group as therapy

299

(1)

Group work with those with alcohol problems

300

(1)

Group functions

301

(1)

Groups as a diversion

302

(1)

Working with Families

303

(12)

Family assessment

304

(1)

Family intervention

305

(1)

The ingredients of intervention

306

(1)

Family treatment in conjunction with alcohol treatment

306

(2)

Family issues

308

(1)

Suggestions for working with families during treatment

308

(1)

Things to keep in mind when working with families

309

(4)

Self-help for families

313

(2)

Self-Helf

315

(11)

Alcoholics Anonymous

315

(10)

Other self-help groups

325

(1)

Other Approaches

326

(14)

Spiritual counseling

326

(5)

Activities therapy

331

(3)

Behavioral approaches

334

(5)

Meditation

339

(1)

Pharmacotherapy

340

(6)

Drugs used in alcohol treatment

340

(5)

Pharmacologic treatment of other drug dependence

345

(1)

Resources and Further Reading

346

(12)

Technical assistance protocols

347

(1)

Treatment improvement protocols

348

(10)

Special populations

358

(77)

Adolescents

359

(17)

Physical changes

359

(2)

Characteristics

361

(4)

Alcohol and other drug use

365

(1)

Adolescent alcohol and drug problems

366

(9)

Prevention

375

(1)

Minority youth

376

(1)

College Students

376

(14)

Patterns of use

376

(3)

Problems associated with substance use

379

(2)

Students at risk for acute problems

381

(2)

Campus initiatives

383

(6)

Closing thoughts

389

(1)

The Elderly

390

(19)

Stresses of aging

391

(6)

Patterns of alcohol and other drug use

397

(4)

Alcohol problems

401

(5)

Drug use problems

406

(1)

Prevention

406

(1)

General suggestions for working with elderly people

406

(3)

Women

409

(13)

Gender differences

409

(1)

Differences among women

410

(4)

Natural history

414

(3)

Treatment issues

417

(3)

Treatment issues for pregnant women

420

(2)

The Workplace

422

(6)

Some basic statistics

422

(2)

Occupational high-risk factors

424

(1)

The workplace cover-up

424

(1)

Workplace interventions

425

(2)

Implications for treatment

427

(1)

Other Special Populations

428

(2)

Becoming acquainted with a different culture

429

(1)

Resources and Further Reading

430

(5)

Adolescents

430

(1)

College students

431

(1)

The elderly

432

(1)

Women

432

(1)

The workplace

433

(2)

Other psychiatric considerations

435

(34)

Suicide Evaluation and Prevention

436

(5)

Statistics and high-risk factors

437

(1)

How to ask

438

(1)

What to do

439

(2)

Mental Status Examination

441

(1)

Co-Occurring Psychiatric Illness

442

(11)

Mood disorders

442

(3)

Disorders involving psychosis

445

(2)

Anxiety disorders

447

(1)

Personality disorders

448

(1)

Attention-deficit/hyperactivity disorders

449

(1)

Organic mental disorders

450

(1)

Polysubstance dependence

451

(1)

Other addictive behaviors

452

(1)

Clinical considerations

452

(1)

Homelessness, alcohol use, and chronic mental illness

452

(1)

Psychotropic Medications

453

(8)

Antipsychotic medications

455

(2)

Antidepressant medications

457

(1)

Mood stabilizers

457

(2)

Antianxiety medications

459

(2)

Resources and Further Reading

461

(8)

Odds 'n ends

469

(36)

Beyond Counseling

470

(8)

Educational activities

470

(2)

Training others

472

(1)

Prevention efforts

473

(5)

The Real World

478

(6)

Being a professional colleague

478

(2)

Selecting a professional position

480

(1)

Being a professional

481

(1)

Professional development

482

(1)

Certification and licensure

483

(1)

Ethics

484

(6)

Basic principles

484

(2)

Confidentiality

486

(1)

Setting boundaries

486

(4)

Counselors with ``Two Hats''

490

(4)

Clinician impairment and relapse

491

(3)

Resources and Further Reading

494

(11)

Issues of the profession

494

(1)

Ethics

495

(1)

Clinical care

496

(4)

Prevention

500

(5)

Appendix A. World Wide Web (WWW) sites

505

(4)

Appendix B. Organizations in the substance abuse field

509

(26)

Appendix C. The interaction effects of alcohol with other drugs

535

(4)

Index

539

Amazon no longer offers textbook rentals. We do!

Loosening the Grip : A Handbook of Alcohol Information

Loosening the Grip : A Handbook of Alcohol Information

9780072891065

0072891068

Author Biography

Table of Contents

Supplemental Materials

Write a Review

Amazon no longer offers textbook rentals. We do!

Loosening the Grip : A Handbook of Alcohol Information

Loosening the Grip : A Handbook of Alcohol Information

9780072891065

0072891068

Author Biography

Table of Contents

Supplemental Materials

Write a Review

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