pt. 1. Introduction -- 1. The nature of addiction -- Introduction -- What is addiction? -- Biopsychosocial-spiritual model -- Prevalence of substance misuse -- The grip of addiction -- The strengths perspective -- Themes in recovery -- Finding the strengths in divergent models -- Harm reduction and the strengths approach -- Empirical research -- Treatment trends -- Summary and conclusion -- 2. Historical perspectives -- Introduction -- Early use and misuse of intoxicants -- The European context -- Colonial America -- Prohibition of alcohol -- Marijuana control efforts -- Modern war on drugs -- History of addiction treatment -- Summary and conclusion -- 3. Strengths-based helping strategies -- Introduction -- Harm reduction -- Strengths-based counseling models -- Motivational interviewing -- Solution-focused therapy -- Narrative therapy -- Traditional treatment and strengths-based approaches -- Summary and conclusion --
pt. 2. The biology of addiction -- 4. Substance misuse, dependence, and the body -- Introduction -- Properties of alcohol and other drugs -- Metabolism -- The brain and addiction -- Medical consequences of substance misuse -- Summary and conclusion -- 5. Interventions related to biology -- Introduction -- Behavioral therapies -- Changing brain chemistry -- Pharmaceutical interventions -- Holistic approaches -- Assessment of alcohol and other drug use -- Group work for early-phase treatment -- Summary and conclusion --
pt. 3. The psychology of addiction -- 6. Addiction across the life span -- Introduction -- The stages of growth and development -- Teenage drinking and using -- Prevention of substance misuse in teens -- Gender-specific programming for girls -- Addiction problems among the elderly -- Assessment -- Prevention of relapse -- Spiritual healing -- Summary and conclusion -- 7. Eating disorders, gambling, shopping, and other behavioral addictions -- Introduction -- Eating disorders -- Compulsive gambling -- Shopping addiction -- Lost in cyberspace -- Sex addiction -- Cognitive therapy and the strengths perspective -- Summary and conclusion -- 8. Substance misuse with a co-occurring mental disorder or disability -- Introduction -- Substance misuse and mental disorders -- The perils of differential diagnosis -- Disorders and disabilities that commonly co-occur with substance misuse -- Integrated "no wrong door" treatment practices -- Case management teams -- Strengths-based interventions -- Substance misuse and developmental, physical, and cognitive disabilities -- Summary and conclusion --
pt. 4. Social aspects of addiction -- 9. Family risks and resiliencies -- Introduction -- Classic family systems therapy -- Modern developments -- Family adaptation to addiction -- Wegscheider's role theory -- Some modern treatment models -- Stages of change and family treatment -- Work with families in which there are co-occurring disorders -- In situations of domestic violence -- Cultural considerations -- Healing -- Exercises for family groups -- Summary and conclusion -- 10. Racial, ethnic, and cultural issues -- Introduction -- Asian Americans and Pacific Islanders -- American Indians and Alaskan Natives -- Hispanics/Latinos -- African Americans -- Summary and conclusion -- 11. Gender and sexual orientation differences -- Introduction -- Gender differences -- Substance abuse counseling and sexual orientation -- Summary and conclusion -- 12. Mutual-help groups : a strengths perspective -- Introduction -- Alcoholics Anonymous -- Gamblers Anonymous -- Other twelve-step groups -- Other mutual-support groups -- How to support client involvement in mutual-help groups -- Summary and conclusion -- 13. Public policy -- Introduction -- Welfare reform -- Policies pertaining to the treatment profession -- The war on drugs -- Mandatory sentencing -- Civil asset forfeitures -- Drug-free zones -- The punishment of pregnant drug addicts -- Harm reduction -- Methadone and buprenorphine maintenance -- Meth : the "unnecessary epidemic" -- Drug courts : a promising development -- The middle road -- Policies related to gambling -- Summary and conclusion -- Epilogue : providing options -- Revelations -- Comment -- Looking back -- Appendix : resources