| Acknowledgments | |
| Foreword | |
| Foreword | |
| Preface | |
| Contributors | |
| Background | |
| Historical Perspectives on Alcohol and Drug Abuse | p. 2 |
| Epidemiology of Alcohol and Drug Abuse | p. 15 |
| Determinants of Substance Abuse | |
| Federal Role in Substance Abuse Policy | p. 32 |
| Genetics | p. 39 |
| Psychobiology of Craving | p. 51 |
| Classically Conditioned Factors in Drug Dependence | p. 56 |
| Brain Reward Mechanisms | p. 70 |
| The Psychology of Stage Change: The Transition from Addiction to Recovery | p. 100 |
| A Psychodynamic Perspective | p. 106 |
| Sociocultural Aspects of Drug Use and Abuse in the 1990s | p. 118 |
| Drug Abuse: Economic and Political Basis | p. 138 |
| Substances of Abuse | |
| Alcohol: Clinical Aspects | p. 144 |
| Alcohol: Neurobiology | p. 152 |
| Opiates: Clinical Aspects | p. 186 |
| Opiates: Neurobiology | p. 195 |
| Cocaine (And Crack): Clinical Aspects | p. 205 |
| Cocaine (And Crack): Neurobiology | p. 222 |
| Marihuana | p. 236 |
| Amphetamines and Other Stimulants | p. 247 |
| Sedate-Hypnotic and Tricyclics | p. 271 |
| Hallucinogens | p. 280 |
| Phencyclidine | p. 290 |
| Volatile Substances | p. 303 |
| Controlled Substance Analogues: Current Clinical and Social Issues | p. 328 |
| Nicotine | p. 334 |
| Caffeine | p. 357 |
| Eating Disorders | p. 371 |
| Anabolic Steroids | p. 380 |
| Evaluation and Early Treatment | |
| Diagnosis and Classification: DSM-III-R and ICD-10 | p. 398 |
| Detoxification and Treatment of Acute Sequelae | p. 402 |
| Diagnostic Interview and Mental Status Examination | p. 416 |
| Diagnostic Laboratory: Screening for Drug Abuse | p. 425 |
| Emergency Management of Acute Drug Intoxication | p. 437 |
| Treatment Approaches | |
| Therapeutic Community (TC): A Coming of Age | p. 446 |
| Rehabilitation Programs and Halfway Houses | p. 458 |
| Psychiatric Hospitals for Treatment of Dual Diagnosis | p. 467 |
| Alcoholics Anonymous | p. 486 |
| Individual Psychotherapy for Drug Abusers | p. 496 |
| Structured Outpatient Group Therapy With Alcohol and Substance Abusers | p. 508 |
| Family Therapy: A Treatment Approach With Substance Abusers | p. 520 |
| Relapse Prevention: Cognitive and Behavioral Interventions | p. 533 |
| Office Management of the Substance Abuser: The Use of Learning Theory and Social Networks | p. 543 |
| Methadone Maintenance | p. 550 |
| Alternative Pharmacotherapies for Opiate Addiction | p. 562 |
| Acupuncture and Transcutaneous Electrical Nerve Stimulation: Afferent Nerve Stimulation (ANS) in the Treatment of Addiction | p. 574 |
| "There Is a Balm in Gilead": Religion and Substance Abuse Treatment | p. 584 |
| Evaluation and Treatment Outcome | p. 596 |
| Future Outlook: Treatment Improvement | p. 612 |
| Management of Associated Medical Conditions | |
| Maternal and Neonatal Effects of Alcohol and Drugs | p. 628 |
| The Medically Ill Substance Abuser | p. 657 |
| Treatment of Patients With Psychopathology and Substance Abuse | p. 675 |
| Acute and Chronic Pain | p. 691 |
| Substances of Use and Abuse and Sexual Behavior | p. 722 |
| HIV Infection and AIDS | |
| HIV Infection Among Intravenous Drug Users: Epidemiology and Emerging Public Health Perspectives | p. 734 |
| Medical Aspects of Human Immunodeficiency Virus Infection and Its Treatment in Injecting Drug Users | p. 744 |
| Neuropsychiatric Complications of HIV Infection | p. 775 |
| Management of the Psychosocial Sequelae of HIV Infection Among Drug Abusers | p. 788 |
| Special Populations | |
| Alcohol and Other Drug Problems in Women | p. 794 |
| Children of Substance Abusing Parents | p. 808 |
| Co-Dependence, Addictions, and Related Disorders | p. 816 |
| Adolescent Substance Abuse: A Sociodevelopmental Perspective | p. 832 |
| Substance Abuse in the Elderly | p. 843 |
| Substance Abuse in the Gay and Lesbian Community | p. 852 |
| African Americans | p. 861 |
| Substance Abuse Among Hispanic-Americans: Current Issues and Future Perspectives | p. 868 |
| Substance Abuse and Homelessness Within the Inner Cities | p. 875 |
| Cultural Perspectives: Native Americans, Asians, and New Immigrants | p. 890 |
| Health Professionals | p. 897 |
| Prevention and Education | |
| School-Based and Community-Based Prevention Approaches | p. 910 |
| Public Health Approach to the Prevention of Substance Abuse | p. 928 |
| Family Systems and Deurbanization: Implications for Substance Abuse | p. 944 |
| Medical Education and Staff Training | |
| Medical Education in Substance Abuse | p. 958 |
| Education and Training of Clinical Personnel | p. 970 |
| Attitudes Toward the Treatment of Substance Abusers | p. 983 |
| The Addict as a Patient | p. 997 |
| Policy Issues | |
| Prohibition Was and Is Bad for the Nation's Health | p. 1012 |
| The Criminal Justice System and the User | p. 1019 |
| The Workplace | p. 1034 |
| Ethical and Legal Aspects of Confidentiality | p. 1049 |
| Private and Public Insurance | p. 1067 |
| Index | p. 1083 |
| Table of Contents provided by Blackwell. All Rights Reserved. |