Recovery Options : The Complete Guide

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Format: Paperback
Pub. Date: 2000-05-24
Publisher(s): Wiley
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Summary

A clear and compassionate guide to overcoming substance problems "A no-nonsense, state-of-the-art guide."--Laurie Garrett, Pulitzer Prize-winning author of The Coming Plague "Comprehensive, illuminating, easy to read."--William Cope Moyers, Vice President of Public Affairs, Hazelden Foundation In Recovery Options: The Complete Guide, Joseph Volpicelli, M.D., Ph.D., an award-winning addiction research pioneer, and Maia Szalavitz, a Pulitzer Prize-nominated journalist and former addict, provide frank and impartial appraisals of all the major treatment options, including: * Alcoholics Anonymous * Moderate drinking programs * Alternative treatments * Therapeutic communities * Cognitive therapies * Other 12-step programs * Medications * Methadone * Harm reduction * How families can help In Recovery Options: The Complete Guide, you will learn what addictionis--and what it isn't. You will examine both the mechanism of addiction and how you can make the best treatment choices . . . why some people are particularly prone to substance problems . . . and the genetic and learning mechanisms that help create these conditions. You'll explore the various types of treatment and the ideas on which they are based, and find out how effective each treatment is--and which ones are not effective. Finally, you'll find supportive information on staying clean and sober, preventing relapse, and minimizing damage caused by slips that may occur. Featuring the dramatic real-life stories of patients' experiences (both good and bad) with various methods of recovery, this warm, sympathetic, and accessible guide to overcoming alcohol and other drug problems will help you and your loved ones begin the journey away from substance misuse toward a better life.

Author Biography

Joseph Volpicelli, M.D., Ph.D., is Associate Professor of Psychiatry at the University of Pennsylvania and Senior Scientist at the Penn/VA Center for Research on Addictive Diseases. He has appeared on ABC, NBC, CNN, and CBS-TV. Maia Szalavitz has written for the Village Voice, the New York Times, and the Washington Post. She was series researcher for Bill Moyers’s five-part series on addiction and has appeared as a guest on Oprah.

Table of Contents

Preface xi
Acknowledgments xv
Introduction 1(6)
Part One: The Problem and the Search for Solutions 7(92)
Understanding Problems with Alcohol and Other Drugs
9(12)
Am I an Alcoholic or an Addict?
10(2)
When Is It a Problem?
12(1)
Addiction
13(8)
Drugs 101
21(16)
How Drugs Work
21(1)
The Brain's Complex Cells
22(1)
Uppers: Stimulant Drugs
23(3)
Opiates
26(2)
Downers: Depressant Drugs
28(1)
Nicotine
29(2)
Controversial Cannabis
31(2)
``Trip'' Drugs: Psychedelics
33(2)
Inhalants: Gasoline, Glue, and Other Household Products
35(2)
What Causes Addiction?
37(6)
How Is Alcoholism Passed from Generation to Generation?
38(1)
Beyond Genetics: Emotional Learning
39(1)
The Two Paths to Recovery: Fear and Hope
40(3)
Addiction Treatment Philosophies
43(9)
The Moral Perspective
44(2)
The Drug Made Me Do It! Pharmacological Determinism
46(1)
The Twelve-Step/Disease View
46(2)
Addiction as a Bad Habit: Learning Models
48(2)
The Biopsychosocial Perspective
50(2)
What Works, What Doesn't
52(8)
The Chronic Problem
52(2)
Alcohol Treatment
54(5)
Addiction Treatment
59(1)
For Families: Stages of Change and Ways to Make a Difference
60(18)
Precontemplation
62(6)
Contemplation Phase
68(2)
Preparation Stage
70(1)
Action Stage
71(1)
Maintenance Stage
72(1)
Relapse
73(1)
Codependence No More
74(4)
Overcoming Barriers to Recovery
78(8)
Be Prepared: The Forgotten Step
80(1)
Pace Yourself
81(1)
Fear of Withdrawal Pain
81(1)
The Long-term Fears: Boredom, Discomfort, and Uselessness
82(1)
Self-hate: The Ally of Addiction
83(1)
Now, Take Action
84(2)
How to Choose Treatment
86(13)
First, Do No Harm
86(1)
Step 1 for All Treatment Seekers: Complete Assessment
87(1)
Choose What's Right for Your Stage of Change
88(4)
Criteria for Selecting Treatment
92(5)
Selecting a Counselor
97(2)
Part Two: The Options 99(136)
BRENDA: The Penn Paradigm
101(14)
Biopsychosocial Assessment
102(3)
Report
105(1)
Empathetic Understanding
106(1)
Needs
107(1)
Direct Advice
108(1)
Assessment of Reaction to Advice
109(3)
Slips and Relapses
112(3)
Getting Off: Medications to Help You Quit
115(8)
Treating Physical Dependence
115(1)
Detox from Alcohol and Other Sedatives
116(1)
Detox from Cocaine and Other Stimulants
117(1)
Detox from Opiates
118(3)
Detox from Marijuana
121(1)
Maintenance Drugs and Craving Fighters
121(2)
Medications to Reduce Craving and Relapse
123(11)
Medications for Alcohol Problems
124(1)
The Naltrexone Story
125(2)
Drugs for Treating Opiate Addiction
127(2)
Drugs for Cocaine Abuse
129(5)
Twelve-Step Programs
134(12)
What Is Twelve-Step Membership Like?
135(1)
The Steps
135(2)
The Slogans
137(2)
A Classic AA Recovery
139(1)
From Tragedy to Triumph
140(2)
Research on AA
142(2)
Problems with Twelve-Step Programs
144(2)
Other Self-help Groups
146(10)
SOS
146(2)
Rational Recovery
148(1)
SMART
149(1)
Choice and Empowerment
150(1)
Women for Sobriety
151(3)
Religious Organizations
154(1)
Research on Other Self-help Groups
154(2)
The Minnesota Model
156(10)
Rehab and Relapse
159(2)
Minnesota Model on the Cheap: Halfway Houses and Oxford Houses
161(1)
Intensive Outpatient Treatment
161(1)
Research on Minnesota Model Treatment
162(1)
Choosing the Best Minnesota Model Treatment
163(3)
Therapeutic Communities
166(11)
What Is a TC?
166(5)
Who Should and Shouldn't Attend a TC
171(3)
Research on TCs
174(1)
How to Choose a TC
174(3)
Moderate-Drinking Approaches
177(9)
Who Can Be Helped by Moderate-Drinking Programs?
177(2)
How Do Moderate-Drinking Programs Work?
179(4)
Research on Moderate-Drinking Programs
183(1)
How to Choose a Moderate-Drinking Program
184(2)
Harm Reduction
186(12)
What Is Harm Reduction?
186(6)
Research on Harm Reduction
192(1)
Choosing a Harm-Reduction Program
193(1)
Harm-Reduction Strategies
194(4)
Methadone
198(11)
How Methadone Works
198(1)
The American Methadone-Clinic System
199(2)
Common Myths about Methadone
201(4)
Who Should Try Methadone? Who Shouldn't?
205(1)
Research on Methadone Maintenance
206(1)
How to Choose Methadone Treatment
206(3)
Alternative Treatments
209(7)
Acupuncture
209(3)
Nutrition
212(2)
Ibogaine
214(2)
Teen Treatment
216(19)
Recognizing the Problem
216(7)
How to Choose Treatment for Teenagers
223(2)
Dealing with Suspected Drug Use
225(2)
Choosing a Counselor
227(2)
Intensive Outpatient Treatment
229(1)
A Note on Self-help Groups
230(1)
Harm Reduction for Teens
230(1)
Dealing with the Police
231(1)
Research on Teen Treatment
231(4)
Part Three: Life after Treatment 235(34)
Relapse and Relapse Prevention
237(11)
Dealing with Stress
238(1)
Family or Marital Conflict
239(1)
Peer Pressures
240(1)
Cues, Urges, Cravings
240(2)
Relapse Processes and Awful Acronyms
242(2)
Testing Yourself
244(1)
Back to Work
245(1)
Let's Talk about Sex
245(1)
Chronic Pain
246(2)
Emotional and Psychological Problems in Recovery
248(13)
Addiction and Psychopathology
248(1)
Psychological Distress and Recovery
249(1)
Feelings and Symptoms
250(4)
Treatment of Dual Diagnoses
254(2)
A Guiding Principle for Dealing with Stress and Trauma
256(5)
A New Life: Maintaining Recovery in the Long Run
261(8)
Stages of Recovery
262(5)
Final Thoughts
267(2)
Appendix: Treatment and Self-help Resources 269(18)
Suggested Reading
269(2)
Other Resources
271(14)
General Information
285(2)
Notes 287(10)
Index 297

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