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No es frecuente encontrar trabajos que pongan el acento en la subjetividad de quien consume y la separen tan claramente de lo que atañe a otros campos (el policial, el penal y el de la seguridad), que no hacen más que estigmatizar al colectivo. Este libro abre un panorama esperanzador, en tanto prioriza la atención del consumidor problemático con un enfoque social, interdisciplinario, intersectorial y con perspectiva de derechos, pero sin perder de vista que se enmarca dentro del campo de la salud en general, y de la salud mental en particular. El consumo de drogas ha acompañado al hombre desde el comienzo mismo de la humanidad, pero no en todas las épocas ha sido percibido como problema. ¿Por qué sucede esto y qué elementos contribuyen a crear una determinada representación de un cierto objeto o hecho social? ¿Por qué los tratamientos actuales para las personas con consumos problemáticos de sustancias no logran los objetivos esperados? Este y muchos otros temas son expuestos seria y rigurosamente en esta obra por un grupo de autores destacados en cada uno de los ítems relacionados con los consumos problemáticos. Alberto Trimboli (del Prólogo de este libro)

Dieses Buch gibt psychotherapeutisch und beraterisch Tätigen breite, praxisbezogene Informationen über psychische Erkrankungen im Alter, die mit Suchtproblemen bei legalen Drogen (Alkohol, Medikamente) einhergehen. Dabei fokussiert das Buch nicht nur auf Abhängigkeitserkrankungen, sondern wesentlich auch auf riskante Konsummuster, die im Zusammenhang mit anderen psychischen Erkrankungen (z. B. Depression, Angststörungen) im Alter stehen können.Geschrieben für Psychologische Psychotherapeuten in Klinik und Praxis, Psychologische Psychotherapeuten in Ausbildung, Suchtberater und -therapeuten, Psychiater, Ärzte, Berater, Studierende der Sozialen Arbeit, Psychologie, Rehabilitationswissenschaften.Aus dem Inhalt: Gerontologische und soziologische Grundlagen zur Psychotherapie und Beratung bei Sucht und komorbiden Störungen im Alter – Riskanter und abhängiger Alkoholkonsum im Alter – Medikamentenabhängigkeit im Alter – Komorbide Störungen im Alter (Depression, Angst, Demenz) – Paarberatung bei Sucht im Alter.Die Herausgeberin: Prof. Dr. Tanja Hoff, Dipl.-Psychologin, Psychologische Psychotherapeutin; Professur für Psychosoziale Prävention, Intervention und Beratung an der KatHO NRW, Studiengangsleitung Master of Counseling (Studienort Köln) und Drittmittelprojektleitungen am Deutschen Institut für Sucht- und Präventionsforschung der KatHO NRW.

This volume is devoted to descriptions of non medical as well as medical uses for some drugs that have typically, or not so typically, been associated with drug abuse. One major objective of this book is to identify costs and benefits of drug abuse. The book highlights drugs including 3,4 methylenedioxymethamphetamine (MDMA), cannabinoids, opioids and methylphenidate because of their well-documented potential for abuse and provides new and emerging evidence of their potential to treat some chronic disease states alongside the potential consequences of exposure.

Praxiserprobte Maßnahmen für die Pflege älterer Suchtkranker.Schädlicher Substanzmittelkonsum oder eine Abhängigkeit werden bei älteren Menschen häufig nicht oder erst sehr spät bemerkt. Unerkannt können sie zu einem frühzeitigen Verlust der Selbständigkeit führen. Das Praxisbuch vereint die neusten wissenschaftlichen Erkenntnisse und Handlungsempfehlungen für eine qualifizierte Versorgung bei substanzbezogenen Störungen im Alter. Mitarbeiter der ambulanten und stationären Altenpflege werden unterstützt, Suchtprobleme zu erkennen und gezielt Maßnahmen einzuleiten. Die vorgestellten Praxiskonzepte fördern das sichere Handeln im Umgang mit Suchtproblemen im Pflegealltag und haben das Ziel die Lebensqualität der ihnen anvertrauten älteren Menschen zu verbessern.Aus dem InhaltPraxiserprobte Handlungsempfehlungen und -strategien für die Pflege bei Alkohol-, Medikamenten- und Drogenabhängigkeit im AlterPflegekonzepte imUmgang mit Suchterkrankungen im Alter

This volume examines trajectories of drug use among ethnic minority youth in the United States with a focus on African Americans and Hispanics. It also highlights what research designs have been employed to address these differences as well as suggests strategies for moving this discourse forward by identifying potential targets for prevention and intervention with minority youth. This book features essays by leading experts in the field who have grappled with this issue for decades. Inside, readers will find an insightful dialogue that addresses such questions as: Why are African American and Hispanic youth more likely than their White peers to abstain from drug use during adolescence but are more likely to become problem users later in life? What impact does the stress caused by discrimination have on potential drug use? To what extent does religiosity protect minority youth from drug use as past research suggests that it protects White youth? What is the influence ofneighborhood context on exposure to and use of substances among urban African American children? Taken together, the essays in this book identify underexplored risk and protective factors and gaps in the current state of knowledge that can be used to develop effective, culturally specific drug abuse prevention strategies. This book is for anyone with an interest in the initiation and escalation of drug use among African Americans and Hispanics/Latinos and factors that influence these patterns over the life course. It will also be an ideal resource for those interested in better understanding the mechanisms by which risk and protective factors are related to the development of drug use and addiction, particularly the ways in which such factors contribute to health differences and have disproportionately more negative consequences for ethnic minorities.

Ein Glossar zur Substitutionstherapie bei Drogenabhängigkeit braucht jeder Arzt, der opiatabhängige Patienten behandelt, jeder interessierte Apotheker und jeder, der Drogenabhängige betreut. In der vierten Auflage wurden die Inhalte des im Substitutionsalltag oft genutzten Bandes aktualisiert und um einige Begriffe erweitert. Dem interessierten Leser ist zu wünschen, dass ihm auch diesmal eine rasche Orientierung in diesem komplexen und durch vielfältige juristische und medizinische Vorgaben begrenzten Bereich der Suchtmedizin gelingt.

Substance use disorders (SUDs) are common among many patients with medical and psychiatric disorders. Professionals from all medical and behavioral health disciplines must address SUDs to provide optimal care to patients. Failure to do so may contribute to morbidity and mortality in cases of more severe substance dependence. This new volume in the Pittsburgh Pocket Psychiatry series provides a comprehensive overview of substance use disorders for medical students and psychiatric residents. It is aimed particularly at increasing student's knowledge and skills in addressing SUDs. The handy pocket-sized book focuses on those substances used, abused and leading to addiction and the clinical implications of SUDs. Epidemiology, etiology, classifications of SUDs, screening and assessment, and pharmacotherapy and psychosocial interventions are discussed alongside case histories illustrating the material covered. Questions for the reader stimulate thinking about specific cases and how the medical student or resident can help patients with SUDs. Additional chapters focus on problems caused or worsened by SUDs such as Hepatitis C, HIV/AIDS and co-occurring psychiatric disorders. Relapse and recovery are also explored given many patients with substance dependence relapse. Adolescents with SUDs, prevention and harm reduction interventions are also reviewed. The concept of rom SUDs is incorporated in many of the chapters. Medical, psychological, family and cultural aspects of addiction and recovery are addressed, providing the reader with a broad framework for understanding and helping patients with SUDs, as well as their families. An extensive list of online resources is provided that includes mutual support programs as well as professionals and organizations who offer helpful materials and programs for patients with SUDs. Contributing authors represent medicine, psychiatry, social work, psychology in diverse treatment settings. Many authors are also researchers and all are educators involved in mentoring medical students, residents, fellows and other health care professionals.

What is'addiction'? What does it say about us, our social arrangements and our political preoccupations? Where is it going as an idea and what is at stake in its ongoing production? Drawing on ethnographic research, interviews and media and policy texts, this book traces the remaking of addiction in contemporary Western societies.

The abuse of drugs and chemicals has become a problematic public health dilemma for the world's population and one that must be dealt with by parents, societies, clinicians, researchers, and even countries in the world. This book discusses the complex neurobiology that underlies drug addiction and reveals how these illicit chemicals disrupt central nervous system neurotransmission involving such neurotransmitters as serotonin, dopamine, and others. This manual reviews current understanding in drug interactions with neurotransmitter systems, neuroimmune signaling, current research on reward circuitry, and current medications used to treat drug addiction. It also discusses related topics such as drug addiction in females, co-morbid conditions, drug addiction in minority populations, prenatal drug exposure and others. The book covers new drugs of the 21st century and discusses such controversial topics as legalization of drug use. It also provides internet resources, treatment facilities by state, and parent support organizations. The importance of prevention of drug abuse is a key theme of the book.

The question how alcohol alters mood states and why this may end up becoming an addiction is puzzling alcohol researchers since decades. In this volume, an assembly of highly distinguished experts and leaders in alcohol addiction research provides lucid presentations of the current knowledge and research challenges as well as interesting viewpoints on future research directions aimed to stimulate communication and convergence between clinical and preclinical researchers, and to renew interest in the vibrant field of alcohol addiction research among a wide scientifically minded audience. Five Current Topics are discussed in this volume: Neurobiological mechanisms of alcoholism, Genetics, Clinical phenotypes and their preclinical models, Brain imaging, and Translational approaches for treatment development, both pharmacological and non-pharmacological. These areas have in our opinion brought alcohol research substantially forward and influenced our thinking about how to reach our common paramount goal, namely to offer effective treatment solutions for an extensive group of patients with largely unmet medical needs.

Drug abuse and addiction are common in clinical practice. Often they interfere with patient treatment or require an alternative approach. Drug Abuse and Addiction in Medical Illness: Causes, Consequences, and Treatment is a major contribution to the literature, a gold standard title offering a comprehensive range of topics for those who care for patients with addiction, conduct research in this area, or simply have an interest in the field. Offering state-of-the-art information for all those working with drug abusing or addicted patients, or for those interested in this topic from other research perspectives, the volume is a first of its kind book -- rich, comprehensive, yet focused, addressing the needs of the very active theoretical, basic, and clinical research in the field. Comprised of 46 chapters organized in four sections and developed by the leading international experts, Drug Abuse and Addiction in Medical Illness: Causes, Consequences, and Treatment covers virtually every core, as well as contemporary, topic on addiction, from the established theories to the most modern research and development in the field. Enhancing the educational value of the volume, every chapter includes an abstract and two boxes summarizing learning objectives and directions for future research. Drug Abuse and Addiction in Medical Illness: Causes, Consequences, and Treatment discusses the topic in a authoritative, systematic manner and is an indispensable reference for all clinicians and researchers interested in this rapidly changing field.

La diversité des conduites addictives est devenue un problème de santé majeur en termes de prévention et de soins. Un regroupement des pratiques, des moyens et des lieux de soins s'est opéré autour de l'addiction elle-même, dont la diversité des objets n'entame pas l'unité structurelle. Ainsi l'addiction s'est constituée en discipline nouvelle s'intéressant à l'ensemble des aspects cliniques, biologiques, socioculturels et thérapeutiques des conduites addictives. L'ouvrage Addictologie, en réunissant les plus grands spécialistes de l'addiction, se fait l'écho de ces avancées par son approche globale : - Les problématiques transversales sont exposées : grossesse, adolescence, troubles psychiatriques et addiction ; - Chaque produit fait l'objet d'un chapitre entier : alcool, tabac, cannabis, opiacés, cocaïne ; - Les données épidémiologiques, la démarche clinique et le traitement sont exposés substance par substance ; - Des échelles et des questionnaires aideront le praticien dans la prévention et l'évaluation ; - TCC, psychothérapies de groupe, communautés thérapeutiques : les prises en charges les plus efficaces sont présentées.L'addiction s'est constituée en discipline nouvelle s'intéressant à l'ensemble des aspects cliniques, biologiques, socioculturels et thérapeutiques des conduites addictives. L'ouvrage Addictologie, en réunissant les plus grands spécialistes de l'addiction, se fait l'écho de ces avancées par son approche globale

In a book sure to inspire controversy, Gene Heyman argues that conventional wisdom about addiction—that it is a disease, a compulsion beyond conscious control—is wrong.Drawing on psychiatric epidemiology, addicts'autobiographies, treatment studies, and advances in behavioral economics, Heyman makes a powerful case that addiction is voluntary. He shows that drug use, like all choices, is influenced by preferences and goals. But just as there are successful dieters, there are successful ex-addicts. In fact, addiction is the psychiatric disorder with the highest rate of recovery. But what ends an addiction?At the heart of Heyman's analysis is a startling view of choice and motivation that applies to all choices, not just the choice to use drugs. The conditions that promote quitting a drug addiction include new information, cultural values, and, of course, the costs and benefits of further drug use. Most of us avoid becoming drug dependent, not because we are especially rational, but because we loathe the idea of being an addict.Heyman's analysis of well-established but frequently ignored research leads to unexpected insights into how we make choices—from obesity to McMansionization—all rooted in our deep-seated tendency to consume too much of whatever we like best. As wealth increases and technology advances, the dilemma posed by addictive drugs spreads to new products. However, this remarkable and radical book points to a solution. If drug addicts typically beat addiction, then non-addicts can learn to control their natural tendency to take too much.

The stages-of-change model has become widely known as a framework for conceptualizing recovery. Less well known are the processes that drive movement through the stages or how the stages apply to becoming addicted. From Carlo C. DiClemente, codeveloper of the transtheoretical model, this book offers a panoramic view of the entire continuum of addictive behavior change. The author illuminates the common path that individuals travel as they establish and reinforce new patterns of behavior, whether they are developing an addiction or struggling to free themselves from one, and regardless of the specific addictive behavior. The book addresses crucial questions of why, when, and how to intervene to bolster recovery in those already addicted and reach out effectively to people at risk.

Drug addiction is a brain disease--that's the modern view and it is fully expressed in this up-to-date book. Among the many volumes on drugs written for lay readers, this one is unique in the breadth of its coverage and the depth of its science. The first part gives a clear scientific account of the nature of addiction, stressing neurobiology and addictive behavior and describing the'highs'that drugs can produce. The second section covers the seven families of addictive drugs, with emphasis on their actions in the brain and on psychological aspects: nicotine, alcohol, heroin and other opiates, cocaine and amphetamines, marijuana, caffeine, and hallucinogens like LSD. The third section deals with laws and drug control policies. Throughout, the author gives many interesting personal accounts of addiction research, to which he has highlighted new research on the genetics and neurobiology of susceptibility to addiction.