Addiction Dilemmas “Professor Orford is one of the most distinguished researchers of addictions today. In this book he aims to counter the neglect and misunderstanding faced by families affected by addiction – an estimated one hundred million worldwide – and to highlight the personal, professional and public policy dilemmas. By drawing on personal accounts from fiction, autobiography and Professor Orford and his colleagues’ own international research ­programme, the voices of children, wives, grandparents and friends spring to life. The penetrating and sensitive commentary, and thought-provoking questions and exercises make this book invaluable for practitioners, ­researchers and family members. It demonstrates the many shared ­experiences of family members across continents and over time, whether alcohol, drug misuse or gambling is involved.” Judith Harwin, Professor of Social Work, Brunel University, UK Addiction Dilemmas explores the impact of addiction on those closest to the individuals affected – their families. Many barriers can stand in the way of family members receiving help, not least a lack of available services and a failure on the part of professionals and their organisations to fully ­appreciate the nature of the dilemmas which they face. This book is based on a combination of personal interviews from scientific research, accounts from biography and autobiography (featuring well-known names both past and present) and excerpts from well-informed works of literature. The book’s core theme is the stress faced by family members when a close relative has an addiction problem, and the struggles they experience in deciding how to cope. By tracing the same dilemmas through a range of contexts, Jim Orford offers unique insights to professionals who deal with people with addictions and their families, researchers, policy makers and ultimately family members themselves. Sources include The Tenant of Wildfell Hall by Anne Brontë, A Chancer by James Kelman, Long Day’s Journey into Night by Eugene O’Neill, and biographies of close relatives of Dylan Thomas and Samuel Taylor Coleridge.

All across the United States, individuals, families, communities, and health care systems are struggling to cope with substance use, misuse, and substance use disorders. Substance misuse and substance use disorders have devastating effects, disrupt the future plans of too many young people, and all too often, end lives prematurely and tragically. Substance misuse is a major public health challenge and a priority for our nation to address. The effects of substance use are cumulative and costly for our society, placing burdens on workplaces, the health care system, families, states, and communities. The Report discusses opportunities to bring substance use disorder treatment and mainstream health care systems into alignment so that they can address a person's overall health, rather than a substance misuse or a physical health condition alone or in isolation. It also provides suggestions and recommendations for action that everyone-individuals, families, community leaders, law enforcement, health care professionals, policymakers, and researchers-can take to prevent substance misuse and reduce its consequences.

A missing girl.A murdered friend.No one left to trust. ‘Seriously good suspense ... trust me, you’ll need to know what happens’ Lee Child ‘Superb characterisation, humour and galloping plot’ Susie Steiner ‘This is that deeply satisfying thing, a strong, deft thriller with real depth’ Tana French

Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.

"The aspects of the book related to the philosophy of science and cognitive science (inductive and deductive reasoning, biases, and heuristics) are distilled in reasonable and useful ways. I recommend this book to those addiction professionals who want to create their own framework for ethical decision making." --PsycCRITIQUES Ethical decision-making is required in many of the difficult situations faced by addiction professionals. In this guide, Michael Taleff describes how to integrate critical thinking with ethical decision-making. This is a guide not on "what to do" when confronted with difficult ethical dilemmas, but on how to think about what to do. The author presents common ethical dilemmas that addiction professionals face in their daily work--such as boundary issues, confidentiality, dual relationships, and more--and asks readers to consider their own responses to these dilemmas. The book then shows readers how to apply new models of ethical thinking to practice. Key features: Presents an ethical self-exam to encourage critical thinking about one's own decision-making method Introduces a variety of models such as the social contract theory, existentialist theory, and ethical egoism Discusses how biases, emotional reactions, and fallacies can weaken ethical decision-making Presents an introductory "Ethics Judgment Kit," a simple, practical decision-making procedure for students This book demonstrates how critical thinking skills can impact and improve the process of ethical decision-making.

This Special Issue presents some of the main emerging research on technological topics of health and education approaches to Internet use-related problems, before and during the beginning of coronavirus disease 2019 (COVID-19). The objective is to provide an overview to facilitate a comprehensive and practical approach to these new trends to promote research, interventions, education, and prevention. It contains 40 papers, four reviews and thirty-five empirical papers and an editorial introducing everything in a rapid review format. Overall, the empirical ones are of a relational type, associating specific behavioral addictive problems with individual factors, and a few with contextual factors, generally in adult populations. Many have adapted scales to measure these problems, and a few cover experiments and mixed methods studies. The reviews tend to be about the concepts and measures of these problems, intervention options, and prevention. In summary, it seems that these are a global culture trend impacting health and educational domains. Internet use-related addiction problems have emerged in almost all societies, and strategies to cope with them are under development to offer solutions to these contemporary challenges, especially during the pandemic situation that has highlighted the global health problems that we have, and how to holistically tackle them.

While associated with comfort and pleasure, alcohol has been and is a 'problem' substance, both for medical and political authorities and for many drinkers. In this broad-ranging and innovative historical-sociological investigation, Valverde explores the ways in which both authorities and individual consumers have defined and managed the pleasures and dangers of alcoholic beverages. The author explores the question of free will versus determinism and how it has been challenged by ideas about addiction, morality and psychology during the last 150 years. The book draws on sources from the US, UK, Canada and elsewhere, and covers topics including nineteenth century 'dipsomania', the history of inebriate homes, Alcoholics Anonymous, fetal alcohol education and liquor control. It will appeal to readers in legal studies, criminology, sociology, psychology, social theory and the history of medicine.

In a book sure to inspire controversy, Gene Heyman argues that conventional wisdom about addiction—that it is a disease, a compulsion beyond conscious control—is wrong. Drawing on psychiatric epidemiology, addicts’ autobiographies, treatment studies, and advances in behavioral economics, Heyman makes a powerful case that addiction is voluntary. He shows that drug use, like all choices, is influenced by preferences and goals. But just as there are successful dieters, there are successful ex-addicts. In fact, addiction is the psychiatric disorder with the highest rate of recovery. But what ends an addiction? At the heart of Heyman’s analysis is a startling view of choice and motivation that applies to all choices, not just the choice to use drugs. The conditions that promote quitting a drug addiction include new information, cultural values, and, of course, the costs and benefits of further drug use. Most of us avoid becoming drug dependent, not because we are especially rational, but because we loathe the idea of being an addict. Heyman’s analysis of well-established but frequently ignored research leads to unexpected insights into how we make choices—from obesity to McMansionization—all rooted in our deep-seated tendency to consume too much of whatever we like best. As wealth increases and technology advances, the dilemma posed by addictive drugs spreads to new products. However, this remarkable and radical book points to a solution. If drug addicts typically beat addiction, then non-addicts can learn to control their natural tendency to take too much.

The most innovative leaders in progressive addiction treatment in the US offer a groundbreaking, science-based guide to helping loved ones overcome addiction problems and compulsive behaviors. The most innovative leaders in progressive addiction treatment in the US offer a groundbreaking, science-based guide to helping loved ones overcome addiction problems and compulsive behaviors. Beyond Addiction eschews the theatrics of interventions and tough love to show family and friends how they can use kindness, positive reinforcement, and motivational and behavioral strategies to help their loved ones change. Drawing on forty collective years of research and decades of clinical experience, the authors present the best practical advice science has to offer. Delivered with warmth, optimism, and humor, Beyond Addiction defines a new, empowered role for friends and family and a paradigm shift for the field. Learn how to tap the transformative power of relationships for positive change, guided by exercises and examples. Practice what really works in therapy and in everyday life, and discover many different treatment options along with tips for navigating the system. And have hope: this guide is designed not only to help someone change, but to help someone want to change.

Through the vivid, true stories of five people who journeyed into and out of addiction, a renowned neuroscientist explains why the "disease model" of addiction is wrong and illuminates the path to recovery. The psychiatric establishment and rehab industry in the Western world have branded addiction a brain disease. But in The Biology of Desire, cognitive neuroscientist and former addict Marc Lewis makes a convincing case that addiction is not a disease, and shows why the disease model has become an obstacle to healing. Lewis reveals addiction as an unintended consequence of the brain doing what it's supposed to do-seek pleasure and relief-in a world that's not cooperating. As a result, most treatment based on the disease model fails. Lewis shows how treatment can be retooled to achieve lasting recovery. This is enlightening and optimistic reading for anyone who has wrestled with addiction either personally or professionally.