Foreword.
Preface by Peter R. Martin, M.D.
Preface by Bennett Alan Weinberg, Esq., and Bonnie K.
Bealer.
Acknowledgments.
Part I Out of Control: The Biopsychosocial Model of the
Causes of Addiction.
1 The Many Faces of Addiction.
Who Is the Addict?
Symptoms of Addiction.
Stages of Addiction.
Primary and Secondary Addiction.
2 The Historical Development of Drug Addiction.
Changing Attitudes about Psychoactive Substances.
Epidemiology: The Prevalence of Drug Use.
3 Addiction as a Disease.
The Drive to Use Drugs.
Drugs and the Chemical Systems of the Brain.
Neuroadaptation.
Complications of Drug Abuse.
4 Biopsychosocial Factors in Addiction.
Biological Factors: Brain Chemistry.
Psychological Factors.
Social Factors.
Biopsychosocial Factors and the Typical Course of
Addiction.
Part II The Integrated Approach: Pharmacopsychosocial
Treatment of Addiction as a Bona Fide Mental Illness.
5 The Players: Psychiatrists and Other Physicians, Therapists,
Social Workers, Clergy, Family and Friends, and Support Groups.
Addiction and Co-Occurring Psychiatric Conditions.
Importance of Pharmaceuticals in Treatment.
Advice to Caregivers: ?Above All, Do No
Harm!?.
6 Identification and Diagnosis: Why Is It Difficult to Recognize
Addiction?
7 Initiating Treatment.
What Can the Family Do, and Why Is the Family Invaluable in
Recovery?
How Should Treatment Continue after Detoxification or
Stabilization?
Healing: When Treatment Requires Professional
Supervision.
8 Treatment Programs.
Inpatient or Outpatient Treatment: Which Is More Effective or
Gives the Better Value for the Money?
Who Really Decides What Treatment Is Best?
Psychosocial Treatment Programs.
Medical Model.
Safety of Medications in the Treatment of
Primary Addiction: Why Become Addicted to
a Doctor-Prescribed Medicine?
Part III Gaining Understanding: Treating Drug
Addictions.
9 Alcohol.
The Case of Joe A..
Pharmacology.
Chemical Considerations.
Absorption, Distribution, and Elimination.
Drug Interactions.
Medical Complications.
Other Issues Related to Treating Alcoholism.
Alcoholism as a Paradigm for Understanding Drug
Addiction.
10 Heroin and Other Morphine-Related Drugs.
Intoxication.
The Case of Bob R..
Drug-Seeking Behavior: Sought-After Effects.
Neuroadaptation.
11 CNS Depressants: Barbiturates, Benzodiazepines, and
Other Hypnotics and Tranquilizers.
Patterns of Use.
The Case of Mike R..
Drug-Seeking Behavior: Sought-After Effects.
Neuroadaptation.
12 Stimulants: Cocaine and Amphetamines.
Pharmacology.
Amphetamines, Including Methamphetamine.
The Case of Roy T.
Patterns of Use.
Drug-Seeking Behavior: Sought-After Effects.
Neuroadaptation.
Medical and Other Complications.
13 Marijuana and Tobacco.
Gateway Drug?
The Case of John T.
Patterns of Use.
Intoxication.
Pharmacology.
Absorption, Distribution, Metabolism, and Excretion.
Endocannabinoid System.
Medical Complications.
Note on Tobacco.
Part IV Gaining Understanding: Treating Behavioral
Addictions.
14 What Are Behavioral Addictions?
The Case of Marilyn B.
Sex Addiction: Problematic Hypersexuality.
The Case of Alex T.
15 Pathological Gambling.
Epidemiology.
The Case of John C.
Gambling Addiction: Behavioral Characteristics.
Neuroadaptation?
16 Food.
Hardwiring the Brain.
Pleasure and Pain.
Obesity.
Anorexia Nervosa.
Bulimia Nervosa.
Summary and Comparison of the Eating Disorders.
Epidemiology.
Neuroadaptation: Tolerance, Dependence, and
Withdrawal?
Part V Recovery as an Ongoing Process: Control Is
Never Complete.
17 Criteria for Treatment Success.
18 Entering a New Life.
Denial and ?Slips?.
Continuing Relationship with the Physician or
Therapist.
Should Recovering Addicts Become Treatment
Professionals?
19 Managing Long-Term Treatment.
Recovery Requires Maintaining Health.
Honesty with the Primary Care Doctor Helps Both
Patient and Doctor.
The Primary Care Doctor: Partner in Recovery and Point
Man of the Recovery Net.
Beware of the Quickly Drawn Pen and the Ever-Ready
Prescription Pad.
Denial Is Incompatible with Recovery?Healing
Requires Acceptance of Addiction(s).
Responsible Recovery?The Blame Game Helps No
One.
Drugs Are Not Dangerous?People Who Take Drugs
Can Make Them Dangerous.
Mutual Trust, Respect, and Open Communication in the
Physician?Patient Relationship.
Recovery Is More than Abstinence.
Pharmacopsychosocial Treatment Knits a Strong Recovery
Safety Net.
Peer Mutual Support Fellowship: A Safe Haven in the
Storm of Addiction.
Recovery Requires Self-Examination?with Help from
Others Who Care about the Recovering Addict.
Professional Guidance on the Journey from Active
Addiction to Recovery.
Psychotherapy with a Professional Is Highly Compatible
with a 12-Step Program.
How Does a Professional Help Recovering Addicts
Understand Themselves Better and Enable Them to Heal Their
Addiction?
Addiction as a Way to Cope?
Despondency During Recovery.
Wanting to Do Things Differently.
Setting Priorities in Order to Do Things Differently.
How to Make Changes after Determining Priorities.
Recovery Means Understanding the Role of Fundamental
Emotions in Addiction, Such as Trust and Shame.
Appendix A Glossary of Terms.
Appendix B Helpful Web Sites.
Appendix C Epidemiological Tables.
Appendix D Pharmacological Treatment of Withdrawal Syndromes
from Substances of Abuse.
Appendix E Pharmacological Maintenance Strategies for Substance
Dependence after Detoxification Is Completed.
Bibliography.
Index.
About the Authors.
