Loosening the Grip A Handbook of Alcohol Information

ISBN-10: 0073404659

ISBN-13: 9780073404653

Edition: 9th 2009

Authors: Jean Kinney
List price: $108.13
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Book details

List price: $108.13
Edition: 9th
Copyright year: 2009
Publisher: McGraw-Hill Companies, The
Publication date: 4/11/2008
Binding: Paperback
Pages: 672
Size: 7.25" wide x 8.75" long x 1.25" tall
Weight: 2.090
Language: English

Jean Kinney, Lecturer in Community and Family Medicine at Dartmouth Medical School, was the Associate Director of the Alcohol Counselor Training Program at Dartmouth conducted between 1972 and 1978. That program was the impetus for this text. Upon completion of the Alcohol Counselor Training Program, she became involved with Project Cork, a program established to develop and implement a model curriculum for medical student education and to create materials for health care professionals. She continues to be involved in professional development initiatives in the substance abuse field. In 1999, she was the first recipients of the Harold Hughes Award given annually by the National Institute of Medicine's National Institute on Alcohol Abuse and Alcoholism. It is given in recognition for efforts to assist in the translation of scientific research into clinical practice. Loosening the Grip was one of her efforts cited in this award.

Preface
Alcohol
Once Upon a Time...
Fermentation and Discovery of Distillation
Alcohol Use in America
Why Bother?
Theories to Explain Alcohol Use
Myths
Alcohol Problems: The Fly in the Ointment
Problems as Sin or Moral Failing
Problems as a Legal Issue
America's Response to Alcohol Problems
Drunkenness versus Alcoholism
History of Alcohol Treatment Efforts
Public Policy and Alcohol
Advertising
Changing Norms
Other Drug Use
Tobacco
Marijuana
References and Suggested Reading
Alcohol and Its Costs
Who Drinks What, When, and Where
Drinking Patterns
Alcohol Problems
Abuse and Dependence
Economic Costs versus Economic Benefits
Personal Costs
Health Care and Alcohol
References and Suggested Reading
Alcohol and the Body
Ingestion and Absorption
Blood Alcohol Concentration
Breakdown and Removal
Alcohol's Acute Effects on the Body
Digestive System
Circulatory System
Kidneys
Liver
Central Nervous System
Acute Overdose and Toxicity
Differences in Women
Tolerance
Alcohol as an Anesthetic
Other Types of Alcohol
The Influence of Expectations
Advice for the Moderate Drinker
Contraindications to Moderate Use
Alcohol-Drug Interactions
The Basis of Alcohol-Drug Interactions
Problems Associated with Drinking and Intoxication
Alcohol Use and Exercise
In Conclusion
References and Suggested Reading
Alcohol Dependence
Definitions
Early Definitions
Toward Uniformity in Terminology
A Disease?
Implications of Disease Classification
Criticisms of the Disease Concept
Natural History
Jellinek's Phases of Alcoholism
Types of Alcoholism: Jellinek's Species
Current Thinking
Guides for Diagnosis
NCA Criteria
Diagnostic Criteria of the American Psychiatric Association
Natural History of Alcoholism: Jellinek Revisited
References and Suggested Reading
Etiology of Alcohol Dependence
Public Health Model
The Agent
The Host-Genetic Factors
Nature and Nurture
Twin and Adoption Studies
Studies of Nonalcoholic Blood Relatives
Genetic Markers
Familial versus Nonfamilial Alcohol Dependence: So What?
The Host-Personality and Psychological Makeup
Psychological Needs
Early Psychological Approaches
Personality Theories Applied to Alcohol Dependence
Current Thinking
The Environment-Sociological Factors
Cultural Orientation
Drinking Styles and Alcohol Problems
Influence of Cultural Subgroups
Legal Sanctions and Approaches
Cross-Cultural Comparisons
Cultural Influences on Recovery
Views in the Twenty-First Century
References and Suggested Reading
Medical Complications
Visible Signs and Symptoms of Chronic Heavy Drinking
Gastrointestinal System
Irritation, Bleeding, and Malabsorption
Pancreatitis
Gallbladder Disease
Liver Disease
Gastrointestinal Cancers
Hematological System
Red Blood Cells
White Blood Cells
Platelets
Clotting Factors and DIC
Immune System
Cardiovascular System
Genitourinary System
Urinary Tract
Reproductive System and Pregnancy
Respiratory System
Endocrine System
Cancer
Skin
Skeletal System
Nervous System
Dependence, Tolerance, Craving, and Withdrawal
Alcohol Idiosyncratic Intoxication (Pathological Intoxication)
Organic Brain Disease
Nerve and Muscle Tissue Damage
Subdural Hematomas
Miscellaneous CNS Disturbances
Neuropsychological Impairment
Miscellaneous Effects
Sleep and Sleep Disturbances
Sleep Stages
Sleep Disturbances
Insomnia
Alcohol's Effects on Sleep
Blackouts
Withdrawal Syndromes
Hyperarousal
Alcoholic Hallucinosis
Convulsive Seizures
Delirium Tremens
Late Withdrawal Phenomenon
Some Cautions
References and Suggested Reading
The Behavior of Dependence
A Behavioral Composite
How, If Not Why?
Deteriorating Functioning
Family and Friends
Work
Other Drugs of Abuse
A Final Thought
References and Suggested Reading
Effects of Alcohol Problems on the Family
The "Family Illness"
The Family's Response
The Family System
Enabling
Co-dependency
Current Thinking
Children in the Family
Children in the Home
Children's Coping Styles
Adult Children
Resiliency
Genetic Vulnerability
Alcohol Dependence in Other Family Members
Other Substance Use and Its Impact on the Family
References and Suggested Reading
Evaluation and Treatment Overview
Theoretical Perspectives
Problems of Use
Chronic Disease Framework
Challenges of Problems Associated with Use
Screening and Evaluation
Laboratory Tests
Screening Instruments
Initial Follow-Up Questions
Identifying Situations Requiring Medical Attention
Substance Use History
Clinical Style
Motivation
History Taking
What's Next?
Making a Referral
Evaluation in a Substance Abuse Treatment Setting
Treatment Planning and Treatment Settings
Treatment of Alcohol Problems and Alcohol Abuse
Alcohol Incidents
Alcohol Abuse
Treatment of Alcohol Dependence
Obstacles to Treatment
Factors in Successful Treatment
Recovery Process
Common Treatment Issues
References and Suggested Reading
Treatment Techniques and Approaches
Individual Counseling
Observation
Feedback
Education
Self-Disclosure
Client Responsibility
Possible Mis-steps
Problem Identification and Problem Solving
The Therapeutic Relationship
Case Management and Administrative Tasks
Group Work
Group as Therapy
Types of Groups
Group Functions
Groups as a Diversion
Working with Families
Family Members Troubled by Another's Alcohol Use
Family Interventions
Family Treatment in Conjunction with Alcohol Treatment
Suggestions for Working with Families during Treatment
Family Issues
Couples Therapy
Self-Help for Families
Self-Help
Alcoholics Anonymous (AA)
Other Self-Help Groups
Which Self-Help Approach?
Other Approaches
Spiritual Counseling
Meditation
Activities Therapy
Behavioral Approaches
Pharmacotherapy
Disulfiram (Antabuse)
Anticraving Agents
Treatment Matching
References and Suggested Reading
Special Populations
Adolescents
Developmental Issues
Alcohol and Other Drug Use
Associated Problems
Working with Adolescents
A Framework for Addressing Adolescent Substance Use/Problems
Further Assessment and Treatment
College Students
Patterns of Alcohol and Other Drug Use
Problems Associated with Substance Use
Perceived Benefits Associated with Drinking
Students at Risk
Natural History of Collegians' Alcohol Use
Impetus to Institutional Action
Impediments to Campus Programs
Campus Initiatives
Intervention and Treatment
Antismoking Efforts
Closing Thoughts
The Elderly
Stresses of Aging
Patterns of Alcohol and Other Drug Use
Alcohol Use and Health Status
Alcohol Problems
Prevention
Working with Elderly People
Women
Gender Differences
Differences among Women
Natural History of Alcohol and Other Drug Problems in Women
Assessment
Treatment Approaches
Treatment Themes
Treatment Issues for Pregnant Women
The Workplace
Some Basic Statistics
High-Risk Factors
The Workplace Response
Workplace Interventions
Implications for Treatment
Other Special Populations
References and Suggested Reading
Other Psychiatric Considerations
Suicide Evaluation and Prevention
Statistics and High-Risk Factors
How to Ask about Suicide
Responding to Suicidal Patients
Mental Status Examination
Major Categories of Co-occurring Psychiatric Illness
Mood Disorders
Disorders Involving Psychosis
Anxiety Disorders
Personality Disorders
Attention-Deficit/Hyperactivity Disorder
Psychiatric Disorders Due to a General Medical Condition
Other Drug Dependence and Alcohol Abuse/Dependence
Other Addictive Behaviors
Clinical Considerations
Homelessness, Alcohol Use, and Chronic Mental Illness
Psychotropic Medications
Antipsychotic Medications
Antidepressant Medications
Mood Stabilizers
Anti-Anxiety Agents
References and Suggested Reading
Drugs of Abuse Other Than Alcohol
Drug Use Patterns
Age
Gender
Education
Employment
Geographic Region
Social Costs
Public Perceptions and Public Policies
Legal Status
Early Control Efforts
Sources of Illicit Drugs
Reducing Drug Diversion
Basic Pharmacological Concepts
How to Think about Drug Use
Route of Administration
Site of Action
Solubility in Fat and/or Water
Metabolism
Withdrawal
Abuse Potential
Problems
Toxicity and Overdose
Classification Schemas for Substances of Abuse
Licit versus Illicit
DEA Schedule
Pharmacological Effects
Major Classes of Commonly Abused Drugs
Nicotine
Opiates
Sedative-Hypnotics (Central Nervous System Depressants)
Stimulants
Hallucinogens and Dissociatives
Cannabinoids
Inhalants
Anabolic Androgenic Steroids
Caffeine
Other Psychoactive Drugs Used Worldwide
Clinical Issues
Assessment
Treatment Goals
Harm Reduction
Pharmacological Treatment
Pregnancy and the Use of Drugs Other Than Alcohol
International Comparisons
References and Suggested Reading
Odds 'n' Ends
Beyond Counseling
Educational Activities
Training Others
Prevention
The Real World
Being a Professional Colleague
Selecting a Professional Position
Being a Professional
Certification and Licensure
Ethics
Basic Principles
Confidentiality
Setting Boundaries
Counselors with "Two Hats"
Clinician Impairment and Relapse
References and Suggested Reading
Organizations and Resources in the Substance Abuse Field
The Interaction Effects of Alcohol with Other Drugs
Diagnostic Criteria: Substance Use Disorders
Index
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