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Drug abuse persists as one of the most costly and contentious problems on the nation's agenda. Pathways of Addiction meets the need for a clear and thoughtful national research agenda that will yield the greatest benefit from today's limited resources. The committee makes its recommendations within the public health framework and incorporates diverse fields of inquiry and a range of policy positions. It examines both the demand and supply aspects of drug abuse. Pathways of Addiction offers a fact-filled, highly readable examination of drug abuse issues in the United States, describing findings and outlining research needs in the areas of behavioral and neurobiological foundations of drug abuse. The book covers the epidemiology and etiology of drug abuse and discusses several of its most troubling health and social consequences, including HIV, violence, and harm to children. Pathways of Addiction looks at the efficacy of different prevention interventions and the many advances that have been made in treatment research in the past 20 years. The book also examines drug treatment in the criminal justice setting and the effectiveness of drug treatment under managed care. The committee advocates systematic study of the laws by which the nation attempts to control drug use and identifies the research questions most germane to public policy. Pathways of Addiction provides a strategic outline for wise investment of the nation's research resources in drug abuse. This comprehensive and accessible volume will have widespread relevanceâ€"to policymakers, researchers, research administrators, foundation decisionmakers, healthcare professionals, faculty and students, and concerned individuals.
INSTANT NEW YORK TIMES and LOS ANGELES TIMES BESTSELLER “Brilliant . . . riveting, scary, cogent, and cleverly argued.”—Beth Macy, author of Dopesick, as heard on Fresh Air This book is about pleasure. It’s also about pain. Most important, it’s about how to find the delicate balance between the two, and why now more than ever finding balance is essential. We’re living in a time of unprecedented access to high-reward, high-dopamine stimuli: drugs, food, news, gambling, shopping, gaming, texting, sexting, Facebooking, Instagramming, YouTubing, tweeting . . . The increased numbers, variety, and potency is staggering. The smartphone is the modern-day hypodermic needle, delivering digital dopamine 24/7 for a wired generation. As such we’ve all become vulnerable to compulsive overconsumption. In Dopamine Nation, Dr. Anna Lembke, psychiatrist and author, explores the exciting new scientific discoveries that explain why the relentless pursuit of pleasure leads to pain . . . and what to do about it. Condensing complex neuroscience into easy-to-understand metaphors, Lembke illustrates how finding contentment and connectedness means keeping dopamine in check. The lived experiences of her patients are the gripping fabric of her narrative. Their riveting stories of suffering and redemption give us all hope for managing our consumption and transforming our lives. In essence, Dopamine Nation shows that the secret to finding balance is combining the science of desire with the wisdom of recovery.
One of America's leading brain researchers conducts a dazzling exploration of the brain and its ability to remember. "A rich telling of the search for how the brain remembers, one of the most exciting stories now unfolding in the scientific world".--Psychology Today. Photos and drawings.
Negative Affective States and Cognitive Impairments in Nicotine Dependence is the only book of its kind that addresses nicotine use and abuse in the context of negative reinforcement mechanisms. Written and edited by leading investigators in addiction, affective, genetic, and cognitive research, it provides researchers and advanced students with an overview of the clinical bases of these effects, allowing them to fully understand the various underlying dysfunctions that drive nicotine use in different individuals. In addition, this book examines animal models that researchers have utilized to investigate the biological bases of these dysfunctions. The combination of clinical and preclinical approaches to understanding nicotine dependence makes this book an invaluable resource for researchers and practitioners seeking to develop targeted treatments aimed at ameliorating symptoms of nicotine dependence, as well as identifying premorbid differences in affective or cognitive function. - Provides a unique perspective on nicotine dependence that emphasizes negative reinforcement rather than positive reinforcement - Examines psychiatric comorbidities and alleviation of withdrawal states as motivation for continued tobacco use - Includes both clinical and preclinical perspectives - Includes genetic and multi-neurotransmitter perspectives on nicotine use and withdrawal - Emphasizes heterogeneity of underlying reasons for smoking, the need for multiple animal models to understand this heterogeneity, and the expectation of heterogeneous responses to potential treatments, underscoring the need for personalized therapeutics
Theory and Practice of Addiction Counseling by Pamela S. Lassiter and John R. Culbreth brings together contemporary theories of addiction and helps readers connect those theories to practice using a common multicultural case study. Theories covered include motivational interviewing, moral theory, developmental theory, cognitive behavioral theories, attachment theory, and sociological theory. Each chapter focuses on a single theory, describing its basic tenets, philosophical underpinnings, key concepts, and strengths and weaknesses. Each chapter also shows how practitioners using the theory would respond to a common case study, giving readers the opportunity to compare how the different theoretical approaches are applied to client situations. A final chapter discusses approaches to relapse prevention.
Contains a supplemental science program designed to introduce students to basic concepts in neurobiology with emphasis on the physiology of substance abuse and its effect on brain function.
Many books cater to the fitness and nutritional needs of the general public. But little of this advice is specifically directed toward those who have the literally life-or-death need to keep alcohol, drug, gambling, sex, internet and other addictions at bay. How exercise and diet speed up the recovery process and promote relapse prevention is a case rarely made, even by most treatment facilities! Rebalancing the Addictive Mind is an evidence-based, accessible guide that explains how and why exercise and diet produce faster physical, psychological and emotional recovery from addiction and significantly reduce the chances of relapse. And how anyone, despite almost any age or infirmity, can benefit from the principles outlined in this book. Author Shelley Poerio, a licensed addiction counselor and certified fitness trainer, describes how substance dependence and behavioral compulsions change the brain and body, provides guidance and solutions to undo the damage, and motivates change in the recovering individual. Family members gain insight into how to support their loved-one in recovery and better understand how addictive thinking and behaviors get out of control. Counseling and medical professionals will appreciate the cognitive-behavioral, solutions-focused therapeutic approach and the integration of exercise and nutritional concepts with 12-step recovery principles. Ms. Poerio bases her case on the biochemical science of addiction. In the early sections of the book, she examines the anatomy and functions of the brain, and explains the ability of substance and behavioral addictions to exploit brain chemistry and create cravings and dependence. A crucially important aspect of this story, for teenagers and their parents, is that teens are particularly susceptible to developing addictions. Fortunately, the biochemistry of addiction can be turned against itself. Many of us know the positive feelings of well-being that result from working out and eating well. Rebalancing the Addictive Mind reveals in detail why this is just what the doctor ordered to fight addictions. Exercise and diet are uniquely qualified to replace the highs produced by drugs and alcohol, and undo the damage they cause. Aerobic and strength training act as safe substitutes that stimulate the brain's neurotransmitters in much the same way that addictive substances do. Exercise promotes improved brain function and neuronal growth. Proper nutrition prevents the mood swings that can provoke a relapse, and corrects the addiction-caused deficiencies that harm major organs and bodily processes. With a bristling arsenal of therapeutic weapons, exercise and diet use restorative biology to fight the biology of addiction, and empower the brain and body to heal themselves. Ms. Poerio - a former track athlete at Stanford University - draws not only on the latest research, but on her own experience. The plans she outlines combine elements of her workouts with future pro and Olympic athletes at Stanford, and with young (and old) substance abusers as the counseling/fitness-program developer at the Phoenix House of the Mid-Atlantic in Arlington, Virginia. All of her strategies are easy to put into practice, and set realistic goals. They produce encouraging results for the average person in recovery in part because they are simple to do and likely to be used regularly. Above all, however, Rebalancing the Addictive Mind speaks to and motivates its readers on a very personal and understanding level. Ms. Poerio, an alcoholic/addict in recovery since 2001, introduces the book by describing her own substance-induced suicidal ideation that forced her on the road to rehabilitation. Her book includes simple anecdotes - about her work to help her clients and herself - that make it clear she has "been there and done that," and that anyone armed with her book and the willingness to put in some work can do it too.
Stress is one of the most commonly reported precipitants of drug use and is considered the number one cause of relapse to drug abuse. For the past several decades, there have been a number of significant advances in research focusing on the neurobiological and psychosocial aspects of stress and addiction; along with this growth came the recognition of the importance of understanding the interaction of biological and psychosocial factors that influence risk for initiation and maintenance of addictive behaviors. Recent research has started to specifically focus on understanding the nature of how stress contributes to addiction - this research has influenced the way we think about addiction and its etiological factors and has produced exciting possibilities for developing effective intervention strategies; to date there has been no available book to integrate this literature. This highly focused work integrates and consolidates available knowledge to provide a resource for researchers and practitioners and for trainees in multiple fields. Stress and Addiction will help neuroscientists, social scientists, and mental health providers in addressing the role of stress in addictive behaviors; the volume is also useful as a reference book for those conducting research in this field. - Integrates theoretical and practical issues related to stress and addiction - Includes case studies illustrating where an emotional state and addictive behavior represent a prominent feature of the clinical presentation - Cross-disciplinary coverage with contributions by by scientists and practitioners from multiple fields, including psychology, neuroscience, neurobiology, and medicine
Neuroscientists once believed your brain was essentially "locked down" by adulthood. No new cells. No major changes. If you grew up depressed, angry, sad, aggressive, or nasty, you'd be that way for life. And, as you grew older, there'd be nowhere to go but down, as disease, age, or injury wiped out precious, irreplaceable brain cells. But over the past five, ten, twenty years, all that's changed. Using fMRI and PET scanning technology, neuroscientists can now look deep inside the human brain and they've discovered that it's amazingly flexible, resilient, and plastic. Pictures of the Mind: What the New Neuroscience Tells Us About Who We Are shows you what they've discovered and what it means to all of us. Through author Miriam Boleyn-Fitzgerald’s masterfully written narrative and use stunning imagery, you'll watch human brains healing, growing, and adapting to challenges. You'll gain powerful new insights into the interplay between environment and genetics, begin understanding how people can influence their own intellectual abilities and emotional makeup, and understand the latest stunning discoveries about coma and "locked-in" syndrome. You'll learn about the tantalizing discoveries that may lead to cures for traumatic brain injury, stroke, emotional disorders, PTSD, drug addiction, chronic pain, maybe even Alzheimer's. Boleyn-Fitzgerald shows how these discoveries are transforming our very understanding of the "self", from an essentially static entity to one that can learn and change throughout life and even master the art of happiness.
Christopher Kennedy Lawford’s New York Times bestselling memoir, Symptoms of Withdrawal, offered readers a startling, first-hand look at his own addictions to drugs and alcohol, prompting People magazine to write, “Few have written so well about the joy of drugs, and few are as unsparing about their drug-driven selfishness.” In his bestselling follow-up, Moments of Clarity, Lawford presents “Voices from the Front Lines of Addiction and Recovery.” With contributions from Tom Arnold, Alec Baldwin, Meredith Baxter, Jamie Lee Curtis, Richard Dreyfuss, Anthony Hopkins and many others, Moments of Clarity is an important addition to the literature of recovery.