Drugs and addictive behaviour : a guide to treatment / Hamid Ghodse.

Format:

Book

Author/Creator:

Ghodse, Hamid.

Language:

English

Subjects (All):

Substance abuse--Treatment.

Substance abuse.

Substance-Related Disorders--therapy.

Medical Subjects:

Substance-Related Disorders--therapy.

Physical Description:

xvii, 501 pages : illustrations ; 25 cm

Edition:

Third edition.

Place of Publication:

Cambridge, U.K. ; New York : Cambridge University Press, 2002.

Summary:

In this completely revised and updated third edition of his highly successful book, Hamid Ghodse presents a comprehensive overview of substance misuse and dependence. There is a particular emphasis on practical, evidence-based approaches to the assessment and management of a wide range of drug-related problems in a variety of clinical settings, and he has written an entirely new chapter on alcohol abuse. He defines all the terms, and describes the effects of substance misuse on a patient's life. Epidemiology, and international prevention and drug control policies are covered to address the global nature of the problem, and the appendix provides a series of clinical intervention tools, among them a Substance Misuse Assessment Questionnaire. This will be essential reading for all clinicians and professionals dealing with addiction, including counsellors, social workers and policy makers.

Contents:

1 Drugs, addiction and behaviour 1

What is drug misuse? 2

Drug abuse; harmful use 3

Drug dependence 3

Psychological dependence 4

Physical dependence and the withdrawal syndrome 5

Tolerance 6

Types of drug dependence 8

Causes of drug dependence 10

2 Drug dependence in the UK-and elsewhere 23

Drug dependence in the UK 23

Drug policy in other countries 33

Organization of treatment services in the UK 37

Sources of epidemiological information in the UK 43

International information on drug abuse 69

Global drug problems 77

3 Drugs of abuse and dependence 95

Opioids 95

Sedative hypnotics 106

Stimulant drugs 113

Hallucinogens 123

Cannabis 127

Volatile solvents 132

Designer drugs 135

Steroids 138

Over the counter medicines 140

Herbal preparations and 'natural' medicines 140

The combined use of drugs and alcohol 141

4 Alcohol 143

Extent and nature of the problem 145

Alcohol metabolism 149

Adverse effects 150

Management of problem drinking and its complications 152

Relapse prevention 156

Alcohol policies 159

5 Assessment 163

Drug history 164

Life history 165

Social work assessment 170

Family assessment 172

Physical examination 173

Test of physical dependence on opiates (naloxone hydrochloride) 176

Mental state examination 177

Psychological assessment 180

Special investigations 180

Laboratory investigation for drugs 183

Classification of substance-use disorders 190

6 General measures of intervention 211

Psychotherapy 213

Drug counselling 218

Cognitive and behavioural techniques 220

Vocational rehabilitation 227

Therapeutic communities 228

Self-help groups 232

Minnesota method 236

Crisis intervention 237

Compulsory treatment 238

In-patient care 239

Treatment matching 241

7 Specific methods of treatment 242

Opiates 242

Sedative hypnotic drugs 268

LSD and cannabis 275

Cocaine and amphetamine 275

Harm reduction 276

8 Complications of drug abuse and their treatment 282

Infective complications of injection 282

Psychiatric complications 300

The drowsy or unconscious patient 309

Convulsions 314

9 Special problems 315

The pregnant addict 315

The child at risk 321

The drug-abusing doctor: the 'professional' addict 325

Comorbidity 328

Drug-dependent patients on general medical and surgical wards 333

Drug-dependent patients in accident and emergency departments 335

Drug-dependent patients in the general practitioner's surgery 339

Substance abusers detained in police custody 342

Driving licences 346

Travelling abroad 347

10 Follow-up and treatment outcome 349

Natural history of drug dependence 352

Mortality 354

Outcome of treatment 358

11 Prevention of drug abuse 366

Reducing the availability of drugs of abuse 367

Reducing the demand for drugs of abuse 373

Pharmacological approaches 377

Harm reduction 378

12 The law and drug control policies 381

History of international drug control 381

Current international controls 384

United Nations drug abuse control organs 387

Control in the UK 393

1. Illicit manufacture of controlled substances 401

2. Substance Abuse Database 405

3. The European Substance Use Database 411

4. Substance Abuse Assessment Questionnaire 414

5. Np-SAD 455

6. Narcotics Anonymous 457

7. Opiate withdrawal 459

8. Opiate Withdrawal Scoring Sheet 460

9. Attendance Record 462.

Notes:

Includes bibliographical references (pages 463-488) and index.

ISBN:

0521000017

0521813549

OCLC:

47805065

Online:

Publisher description