This book is considered the "bible" of those belonging to the recovering community of alcoholics all over the world. It is, in fact, an account of the experiences of the two men (and many of their followers) who initially established the principles of successful sustained abstinence and recovery from obsession with and compulsive use of alcohol. I chose this book because is describes, step by step, the process of how one can disengage from this destructive life style by following a prescribed cognitive-behavioral pattern of changes, including modeling the behaviors of others who have been in recovery for a sustained period of time. A variety of examples of successful recovery are provided in the form of personal stories.

This study discusses the relationship between psychiatric symptoms and substance use disorders, how symptoms vary between genders, and how gender specific treatment impacts outcomes in outpatient treatment settings.

This article discusses the association of physical and sexual abuse with use of alcohol and/or other drugs, and the theory that female substance abusers in co-ed treatment programs are vulnerable to revictimization and relapse both during and after their treatment experience. Bollerud describes a model for education and treatment of female victims of physical and sexual abuse while engaged in residential or hospital-based substance abuse treatment. She emphasizes the importance of addressing not just the substance abuse as has traditionally been the approach, but of addressing the trauma, as well, during the initial phase of substance abuse recovery.

This book is a compilation of theoretical approaches used to effect desired changes in maladaptive behaviors. It includes bibliographical references useful for further exploration of selected theoretical explanations. The book is divided into three parts. Part one explores basic issues of counseling practice, including a chapter on ethical issues associated with a variety of settings and situations. Part two is devoted to eight chapters specifically describing a continuum of theoretical approaches, including psychoanalytic, existential, psychodynamic, person-centered, gestalt, reality, behavior and cognitive-behavioral, and family systems. The material is presented in easily read format, and in language understandable to those whose ears are not familiar to what we call "psycho-babble." Part three is comprised of one chapter devoted to application and integration of concepts, and one chapter which presents a case illustration utilizing and integrative approach.

This chapter in Hester and Miller's book on treatment for alcoholism discusses the issue of the "revolving door syndrome" (a term often used in the field of substance abuse treatment referring to the relapse process of many who struggle to maintain sobriety, but are unable to sustain it for an extended period of time). Early treatment plans tend to focus on how to change from a pattern of dependence on alcohol (an other drugs) to escape physical, emotional or psychological pain, and a few basic - and obvious - strategies for avoiding relapse, such as staying away from places where these substances can be found, and from people who use them. However, traditional treatment has neglected to emphasis the importance of the development of "self-management" techniques combining cognitive-behavioral skills that promote awareness of how the individual thinks about behaviors. Dimeff and Marlatt base relapse prevention on four assumptions: (1) different processes determine the decision to quit and the decision to maintain behavior change, (2) relapse prevention works best when the individual has a sense of self-determination, (3) high risk situations are contextual according to each individual's unique patterns of thinking and doing, and (4) recovery and relapse are parts of a cyclical process, and the episode of relapse should never be considered a treatment failure.

This book is a compendium of psychoactive drugs, the history of their use - both medicinal and illegal - and effects, both intended and unintended, and innovative treatment approaches to drug use. It includes new drugs, new theories, and new methods used to counter the drug use in the 1990s. The first 7 chapters are devoted to the physiology of psychoactive drugs, their classification and effects. Chapters 8 through 12 address the variety of issues such as pregnancy, athletic performance, relationships, and mental health as these are affected by drug use. Chapter 11 addresses the issue of mental health and addiction as they interact one with the other.

Dr. Inciardi is the director of the Center for Drug and Alcohol Studies at the University of Delaware, MD. He is considered a leading authority on drugs public policy. In this book, Dr. Inciardi offers the reader a view of the world of drugs and crime, including a brief history of drug use and its addictive nature. He takes us from the poppy fields of Asia, to the Amazon jungle, and on to the shooting galleries and crack houses of America. In addition, he discusses the controversy over the cost of the war on drugs and its impact on our laws and way of life. He uses personal stories throughout the book to highlight the impact drugs have made in the individual lives.

This booklet serves as a "power of example" for alcoholics who are newly sober and struggling to learn how to live and cope with life without using alcohol. It is a supplement to the "Big Book" (so affectionately named by the many thousand members of AA). It is another collection of short stories depicting the struggle to overcome the power of the disease of alcoholism. The founders of AA - Bill Wilson, his friends and followers - firmly believed in the power of example and modeling as the most effective means of turning the desperate alcoholic toward recovery.

This book describes, step by step, the process by which people enter into and move through the stages of behavior change. Miller and Rollnick have written about the concepts change that prompted them to conduct research, using their private practice together as a "laboratory". The book provides practical information about what motivates individuals to change, and the five stage process by which change proceeds from Precontemplation, the beginning stage in which the individual denies there is a problem and a need for change, through Contemplation, Preparation, Action, and Maintenance, or final stage in which the behavior becomes routine. The authors have also included contributions from other international clinicians and their experiences with behavioral change.

This article describes the characteristics and treatment needs unique to chemically dependent women. The authors propose that alcohol and/or other drug use is a coping strategy that many women use to manage the stress of attempting to function according to a set of idealistic, and some-times unrealistic, standards of behavior established by society. The last part of the article looks at traditional drug treatment programs, designed with the male addict in mind, and some reasons why this form of treatment does not support the recovery efforts of women adequately.

This article offers the opportunity to once again explore the processes of change behavior. The reader is offered a comprehensive summary of the research into the basic constructs of the transtheoretical model explaining the structure of intentional change. It includes a brief description of the stages of change as defined by Prochaska and DiClemente its pattern, and treatment implications.

This is a government publication and is part of the Substance Abuse Prevention and Treatment Block Grant technical assistance program. It describes and discusses the role substance use, abuse, and dependence have in the experience of traumatic injury, including types of injuries, treament and rehabilitation, effects of alcohol and other drugs on the management of trauma patients, and screening and assessment tools used to determine the nature and extent of suspected trauma in patients using the emergency room treatment system.

In this chapter, Frederick Rotgers discusses reviews the concepts and status of behavioral theory of substance abuse treatment of psychoactive substance use disorders, with a particular focus on behavior change efforts in general. Of note is the section describing those tasks behavioral clinicians attempt to accomplish in treatment that move subjects through the change process. Some basic assumption of behavioral theory and treatment of substance abusers include, the idea that behavior is learned versus genetically influenced that the same learning processes that develop problem behaviors can be used to unlearn them, and that learned behavior is largely the product of environmentalinfluences. Rotgers stresses the belief that each client is unique and must be assessed as a entity within a particular context, and that effective treatment depends on assessing the client's interactions within the context of his daily activities.

In this article the authors consider the impact social environment and conditions have on the development and function of human behavior. Of particular interest is the notion that social-contextual conditions facilitate, or impede, the natural processes of self-motivation and psychological development. Specific factors that influence intrinsic motivation and self-regulation are discussed. The authors maintain there are three innate psychological needs - competence, autonomy, and relatedness - which promote enhanced self-motivation when satisfied. These needs are also viewed in respect to their significance within the systems of health care, education, employment, athletic ability, religion, and psychotherapy.

This publication is part of a Substance Abuse Prevention and Treatment Block Grant technical assistance program. It offers guidelines for the provision of appropriate treatment sensitive to women's needs. There are three chapters describing treatment guidelines, medical guidelines, and legal and ethical guidelines for the care of pregnant, substance abusing women. The fourth chapter is devoted to Appendixes.

This publication discusses the assessment process and treatment planning for substance abusing women. It includes a brief history and discussion of issues and problems, and approaches to treatment. It suggests a need to evaluate demand for services and treatment provision problems. There are five chapters ranging from a perspective on needs assessment to discussion of alternative treatment models, and treatment summary guidance. The Appendixes contain suggested readings, selected national data sources, and a list of subjects interviewed for the publication.

This article discusses the notion that students with less educated parents, and/or with low educational aspirations are more likely to have tried smoking cigarettes and more likely to adopt cigarette smoking. The authors demonstrate a correlation between acceptance or rejection of authority, ability to experience self-efficacy within the community of their peers, and a need to act as adults as an alternative source of status and gratification, which contribute to their use of nicotine. This article speaks to the notion that environment and social acceptance have a major impact in the decision to move into the culture of addiction.

This book explores the journey people make in the process of recovery including the etiology of addiction and engagement in its culture, and how people are transformed through the process of cultural affiliation. This book explores the process of transition between two social worlds - one which promotes the excessive use of psychoactive drugs, and the other, which promotes abstinence from such substances - and how individuals move from one culture to the other. This is an anthropological study of addiction, including its hierarchical structure, rules of socioeconomic function, and social conduct.