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| Preface | |
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| Acknowledgments | |
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| Alcohol and Other Drugs | |
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| Alcohol and Alcohol Problems | |
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| Drinking, drunkenness, alcoholism | |
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| Alcohol as a drug | |
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| Defining alcoholism | |
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| Alcoholic versus problem drinker | |
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| Alcohol causes more problems than alcoholism: statistics, estimates, and methodology | |
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| Drugs Other Than AlcoholComonly used prescription and illegal drugs | |
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| Opiates, stimulants, nicotine, marijuana, hallucinogens, sedative-hypnotics, inhalants | |
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| Sociocultural Aspects | |
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| Alcohol in various cultures | |
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| Alcohol in America. Prohibition | |
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| Alcohol: Physiology and Pharmacology | |
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| What the body does with alcohol.Ingestion, absorption, excretion, metabolism | |
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| What alcohol does to behavior.Stimulant or depressant? Tolerance | |
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| Polydrug, synergism | |
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| Effects of blood levels | |
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| How many drinks? | |
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| What alcohol does to the body | |
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| Short- and long-term effects on health | |
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| Action of alcohol on each major organ and system | |
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| Fetal alcohol effects | |
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| Other Drugs: Physiology and Pharmacology | |
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| Drug interactions | |
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| Effects on behavior | |
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| Effects on health | |
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| Addiction | |
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| Patterns and Symptoms | |
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| Types of alcoholics | |
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| Common characteristics | |
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| Symptoms | |
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| Progression | |
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| Causality of Addiction | |
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| Sociocultural, psychological, physiological causes | |
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| Role of heredity as part-cause | |
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| Learning (habit) | |
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| Addiction as a Disease | |
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| Is there an alcoholic personality? | |
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| Pros and cons of calling addiction a disease | |
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| Implications for prevention, treatment, counseling, rehabilitation | |
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| Can alcoholics be conditioned to drink socially? | |
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| The Spouse and Family of the Addict | |
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| Cause or reaction? | |
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| Adjustment of the family to the crisis of alcoholism | |
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| Reversal of roles | |
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| Effects of other drugs on the family | |
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| Children of Dysfunctional Families | |
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| Typical roles: Hero (Responsible One), Scapegoat (Acting Out), Adjuster (Lost Child), Placater (Mascot) | |
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| Adult Children of Alcoholics (ACoA): a high-risk group | |
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| Special Groups | |
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| Women | |
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| Youth | |
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| The elderly | |
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| Minority races | |
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| The military | |
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| Skid road | |
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| Professionals, dual diagnosed, other groups | |
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| Prevention And Intervention | |
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| Prevention | |
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| Primary, secondary, tertiary prevention | |
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| Information versus attitudes and values | |
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| Decision-making skills | |
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| Eap -- Occupational Programs | |
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| Alcohol and other drugs in business and industry | |
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| Policy versus program | |
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| Roles of labor and management | |
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| Training of supervisors | |
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| Referral and Intervention | |
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| Diagnosis | |
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| Counseling into treatment | |
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| Knowing and using various facilities | |
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| Treatment And Rehabilitation | |
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| Overview of Treatments | |
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| Continuum of care | |
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| Variety of therapies | |
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| Detoxification | |
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| Intensive treatment | |
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| Therapies for other drug addictions | |
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| Rehabilitation | |
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| After intensive care: importance of long-term followup | |
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| Phases of recovery, relapses, the dry drunk | |
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| Alcoholics Anonymous and Other Twelve-Step Groups | |
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| Development of AA philosophy | |
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| The Twelve Steps and Twelve Traditions | |
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| The three legacies | |
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| Twelve-Step groups for other addicts: NA, CA, and others | |
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| Al-Anon and Alateen | |
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| The Twelve Steps as used by spouse and children of the alcoholic. Special traditions and problems | |
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| Spiritual and Moral Aspects | |
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| Progression of addiction as a spiritual disease | |
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| Spiritual recovery | |
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| False guilt. Moralistic attitudes | |
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| Responsibility for drug-related behavior | |
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| Drugs and the Law Liability | |
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| Discrimination | |
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| Regulation of sale | |
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| Alcohol and traffic laws | |
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| The Uniform Act: drunk in public no longer a crime, legal responsibility not eliminated, problems of implementation | |
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| The New Profession | |
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| Ethics: confidentiality, education, certification | |
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| The addiction professional | |
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| Dual role of AA member | |
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| Staff burnout | |
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| Appendix: Sources for Literature on Alcoholism and Other Addictions | |
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| General Bibliography | |
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| Index | |