Chemical Dependency and Antisocial Personality Disorder gives you the information and clinical skills necessary to assess and evaluate persons suffering from substance abuse and/or antisocial personality disorders and details how you can develop effective psychotherapy and treatment strategies. From its helpful pages that contain diagnostic criteria and clinical interviewing and assessment guidelines, you learn to accurately diagnose substance use and antisocial personality disorders. The book also provides you with the historical and clinical perspectives of such disorders and their epidemiology and etiology to give you a thorough background and understanding of the subject. Case studies and therapy vignettes are included to provide you with actual clinical examples to illustrate concepts and ideas. You will appreciate the book’s in-depth discussions of treatment strategies that can greatly enhance your effectiveness. You’ll find this volume is an invaluable research resource for refreshing your approaches for helping persons with substance abuse and antisocial personality disorders.Much of the content of Chemical Dependency and Antisocial Personality Disorder is based on the author’s two decades of experience working with patients suffering from substance use and antisocial personality disorders. Some topics addressed include: accurate differential diagnosis resistance the use of structure in treatment therapist-patient relationship dynamics treatment outcome effectiveness, relapse, and recovery. Alcohol/drug counselors, psychiatrists, psychologists, and corrections, probation, and parole officers who want to be more effective in their work with chemically dependent and antisocial clients will find this a practical, helpful, and informative guide. This enlightening book examines many of the most difficult and clinically problematic issues that are associated with the psychotherapy and rehabilitation of chemically dependent and/or antisocial patients. Much of the content of Chemical Dependency and Antisocial Personality Disorder is based on the author’s two decades of experience working with patients suffering from substance use and antisocial personality disorders. Some topics addressed include accurate differential diagnosis, resistance, the use of structure in treatment, therapist-patient relationship dynamics, and treatment outcome effectiveness, relapse, and recovery. Alcohol/drug counselors, psychiatrists, psychologists, and corrections, probation, and parole officers who want to be more effective in their work with chemically dependent and antisocial clients will find this a practical, helpful, and informative guide.

Chemical Dependency and Antisocial Personality Disorder gives you the information and clinical skills necessary to assess and evaluate persons suffering from substance abuse and/or antisocial personality disorders and details how you can develop effective psychotherapy and treatment strategies. From its helpful pages that contain diagnostic criteria and clinical interviewing and assessment guidelines, you learn to accurately diagnose substance use and antisocial personality disorders. The book also provides you with the historical and clinical perspectives of such disorders and their epidemiology and etiology to give you a thorough background and understanding of the subject. Case studies and therapy vignettes are included to provide you with actual clinical examples to illustrate concepts and ideas. You will appreciate the book’s in-depth discussions of treatment strategies that can greatly enhance your effectiveness. You’ll find this volume is an invaluable research resource for refreshing your approaches for helping persons with substance abuse and antisocial personality disorders. Much of the content of Chemical Dependency and Antisocial Personality Disorder is based on the author’s two decades of experience working with patients suffering from substance use and antisocial personality disorders. Some topics addressed include: accurate differential diagnosis resistance the use of structure in treatment therapist-patient relationship dynamics treatment outcome effectiveness, relapse, and recovery. Alcohol/drug counselors, psychiatrists, psychologists, and corrections, probation, and parole officers who want to be more effective in their work with chemically dependent and antisocial clients will find this a practical, helpful, and informative guide. This enlightening book examines many of the most difficult and clinically problematic issues that are associated with the psychotherapy and rehabilitation of chemically dependent and/or antisocial patients. Much of the content of Chemical Dependency and Antisocial Personality Disorder is based on the author’s two decades of experience working with patients suffering from substance use and antisocial personality disorders. Some topics addressed include accurate differential diagnosis, resistance, the use of structure in treatment, therapist-patient relationship dynamics, and treatment outcome effectiveness, relapse, and recovery. Alcohol/drug counselors, psychiatrists, psychologists, and corrections, probation, and parole officers who want to be more effective in their work with chemically dependent and antisocial clients will find this a practical, helpful, and informative guide.

It has been almost twenty years since DSM-III created a major shift in psychi atric classification procedures and in diagnostic and treatment practice by introducing the multi-axial system and, for our patients specifically, the Axis II: Personality Disorders. Researchers and clinicians were forced to focus on many issues related to the field of personality and its disorders. This meant an immense impetus for research, both empirical and theoretical. Many recent developments are described in this book, as reviews or as original articles. This book also covers developments in Europe as well as in North America. Important questions still remain unanswered, such as: What is the relationship between the different clusters: A, B, & C? Are we talking about dimensions, categories, or typologies? What can be done for patients who have more than one personality disorder? Is a pro typical approach required? Consequently, is a multiconceptual approach in treatment and research required? The authors contribute to this discus sion and provide guidelines for further thinking in research and treatment planning. For clinicians, it is of major importance to know whether the disorder can be influ enced by treatment, and whether permanent change is really possible. A very impor tant question is whether a person indeed has a personality disorder, and how this diagnosis affects clinical practice.

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.

This book has been replaced by Handbook of Psychopathy, Second Edition, ISBN 978-1-4625-3513-2.

Adolescent substance abuse is the nation's #1 public health problem. It originates out of a developmental era where experimentation with the world is increasingly taking place, and where major changes in physical self and social relationships are taking place. These changes cannot be understood by any one discipline nor can they be described by focusing only on the behavioral and social problems of this age period, the characteristics of normal development, or the pharmacology and addictive potential of specific drugs. They require knowledge of the brain's systems of reward and control, genetics, psychopharmacology, personality, child development, psychopathology, family dynamics, peer group relationships, culture, social policy, and more. Drawing on the expertise of the leading researchers in this field, this Handbook provides the most comprehensive summarization of current knowledge about adolescent substance abuse. The Handbook is organized into eight sections covering the literature on the developmental context of this life period, the epidemiology of adolescent use and abuse, similarities and differences in use, addictive potential, and consequences of use for different drugs; etiology and course as characterized at different levels of mechanistic analysis ranging from the genetic and neural to the behavioural and social. Two sections cover the clinical ramifications of abuse, and prevention and intervention strategies to most effectively deal with these problems. The Handbook's last section addresses the role of social policy in framing the problem, in addressing it, and explores its potential role in alleviating it.

This book provides a definitive empirical study of antisocial character pathology and its assessment through the use of the Rorschach. Drawing upon a decade of research with nearly 400 individuals in various hospitals and prisons, the authors paint an extraordinary intrapsychic picture of the personality structure and psychodynamics of these troublesome patients. Serving as both an educational tool and a reference text, this book presents: * Rorschach data on several different antisocial groups -- conduct disordered children and adolescents, antisocial personality disordered adult males with and without schizophrenia, antisocial adult females, and male and female sexual homicide perpetrators; * nomothetic (group) and idiographic (case study) data; * data which have been analyzed and theoretically interpreted using both structural methods and psychoanalytic approaches which represent the cutting edge of Rorschach theory and practice; and * a developmental approach in analyzing Rorschach data gathered from antisocial children, adolescents, and adults -- providing striking similarities. This is the first Rorschach database of this type that has ever been published. As such, it serves as a valuable reference text for Rorschach users -- providing a definitive empirical base, theoretical integration, and a focus on individuals who create severe problems for society.

This book is rooted in the conviction that human biology plays a critical role in understanding drug abuse and antisocial behavior. In the same breath, however, it fundamentally affirms the importance of the many social and environmental factors that influence our behavior across the life course. The study begins with an overview of the scope of the problem of drug abuse and crime, and an examination of how these problems often feed into one another. Building upon that foundation, the focus shifts to a review of cutting-edge research on the genetics and neurobiology of addiction and antisocial behavior across the developmental periods of childhood, adolescence, and adulthood. An exploration of the implications of a biosocial life course approach in terms of drug abuse prevention, and an examination of what lies ahead for drug abuse and criminological research conclude this detailed and timely book. Policy makers, practitioners and scholars of criminology and sociology will find this of particular interest.

This book provides a comprehensive, state of the art overview that covers both the diagnosis and the treatment of dual disorders – joint psychiatric and substance use disorders associated with a worse outcome and disease progression than single psychiatric or addictive disorders. The book is designed to be highly relevant to clinical work and the organization of care systems and meets the real need for a European perspective on dual disorders that takes into account the realities of European treatment organization. All chapters have been written by European authors on the basis of existing European treatment programs or guidelines and European research. The book will be invaluable for all health professionals working in mental health and addiction care, who are increasingly confronted with patients suffering from dual disorders.