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