Over the Influence The Harm Reduction Guide for Managing Drugs and Alcohol

ISBN-10: 1572308001
ISBN-13: 9781572308008
Edition: 2004
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Description: 12-step programs that insist on abstinence are beneficial to many - but what about the millions of people who try to quit and fail? This work presents the harm reduction approach, an alternative to traditional treatment that helps users set and meet  More...

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Book details

List price: $16.95
Copyright year: 2004
Publisher: Guilford Publications
Publication date: 11/15/2003
Binding: Paperback
Pages: 328
Size: 6.00" wide x 9.25" long x 1.00" tall
Weight: 0.880
Language: English

12-step programs that insist on abstinence are beneficial to many - but what about the millions of people who try to quit and fail? This work presents the harm reduction approach, an alternative to traditional treatment that helps users set and meet their own goals for gaining control over drinking and drugs.

Acknowledgments
Preface: Who Needs this Book?
Introduction: What is Harm Reduction, Anyway?
Why a New Approach?
And Why Else?
What Does Harm Reduction Do?
What's New about Harm Reduction?
A Snapshot of the Disease Model of Addiction
What's Different about Harm Reduction?
Sources and Suggested Readings
Addiction: Is it All or Nothing?
The Reality of Change
There Are Other Choices Besides Quitting
The Reality of Harm Reduction
But What If People Say I Have to Quit?
So What Do You Do?
Sources and Suggested Readings
So If We're Not Addicts, What's the Harm?
A Word about Hidden Harm
Do You Have to Be an Addict to Be Harmed?
A New Way of Thinking
What Is a "Relationship with Drugs," Anyway?
Harm Reduction Principles
Not All Drug Use Is Abuse
People Use Drugs for Reasons
Problems Don't Just Come from Drugs Themselves but from a Combination of Factors and Circumstances
You Are Your Own Expert
Change Is Slow
You Can Make Positive Changes While Still Using
Just Say Know: Substance Use Management
Sources and Suggested Readings
How Much is too Much?
How Drugs Harm
Special Considerations
Is My Drug Use Really a Problem? Four Stories
Sources and Suggested Readings
So Why Do I Keep Using?
How Drugs Help
So Why Do You Use? What's Outside ...
... and What's Inside
Psychological Theories of Drug Use
The Interacting Nature of Emotions, Biology, and Drugs
And Now for Some Science: This Is Your Brain On and Off Drugs
Sources and Suggested Readings
To Change or Not to Change
The Dilemma of Change
The Choices: To Change ...
... or Not to Change
How to Weigh the Choices: The Decisional Balance
Normal Difficulties of Changing: Resistance and Ambivalence
The Stages of Change
What to Change?: What Is Necessary, Manageable, and Tolerable
Sources and Suggested Readings
How Do I Know Exactly What My Problem Is?
Drug, Set, and Setting
Establishing a Hierarchy of Needs
What Next?
Sources and Suggested Readings
What are These Drugs, Anyway?
Alcohol
Sedatives/Hypnotics and Anxiolytics
Opiates and Opioids
Major Stimulants
Nicotine
Caffeine
Marijuana (Cannabinoids)
Hallucinogens
Ecstasy
Dissociative Anesthetics
Inhalants
Practicing Harm Reduction: Substance Use Management
Changing the Amount
Changing the Number/Types of Drugs You Mix Together
Changing the Frequency
Changing the Route of Administration (How You Take the Drug)
Changing the Situation
Planning Your Use
Drug Substitution
Overdose Prevention
Finally, If You Want to Quit
Putting It All Together: Practice Makes Perfect
Sources and Suggested Readings
Practicing Harm Reduction: How to Take Care of Yourself While Still Using
Taking Care of Yourself: Body, Mind, Emotions, and Soul
Taking Care of Your Whole Self: Using Drug, Set, and Setting
Sources and Suggested Readings
Finding the Right Help
Therapy: What It Is and How to Get the Kind You Want
Drug Treatment: What to Expect
Outcomes of Drug Treatment
Shopping for Drug Treatment
Self-Help Options
Harm Reduction Treatment: Training Your Therapist or Counselor
Sources and Suggested Readings
Is Harm Reduction Working?
Thinking about Your Relationship with Drugs
Setting Goals and Knowing What You Want and Need
Making Changes That You Like
You Have Achieved Your Goals
Sources and Suggested Readings
How to Talk to Family and Friends About Harm Reduction
Myths
How to Answer Questions about Harm Reduction
How to Respond to Some Challenges about Harm Reduction
Your Own Questions
Some Sound Bites
A Letter to Family and Friends
Understanding the User and the Difficulties of Change
It's Normal to Want to Alter Your Consciousness
Denial and Ambivalence
Powerlessness
The Harsh Self
Understanding Yourself: How Harm Reduction Can Help You
"Promises, Promises": The Reality of Failures and Relapses
There Are No Rules Except the Rules You Make
Now What Do You Do?
Sources and Suggested Readings
Resources
Sources and Suggested Readings In Harm Reduction
Index
About the Authors

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