By Shulamith Lala Ashenberg Straussner DSW
This largely followed textual content deals functional information for operating with substance abusers and their households in a number of medical contexts. professional participants current significant evaluation and remedy ways including certain options for intervening with particular components and assembly the desires of alternative populations. all through, beneficial case vignettes illustrate tips on how to translate the information awarded into perform and conquer universal hindrances. Practitioners and scholars will locate the entire details had to remain present within the box during this authoritative, accomplished, and hugely available paintings. New to This variation: *Incorporates advancements in study, perform, and coverage. *Coverage of extra scientific populations: older adults and lesbian, homosexual, and bisexual substance abusers. *Chapters on functions of motivational strategies, damage relief, and methods for operating with involuntary consumers.
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Extra info for Clinical Work with Substance-Abusing Clients, Second Edition (The Guilford Substance Abuse Series)
Example text
Day, D. (1999). Health emergency 1999: The spread of drug related AIDS and other deadly diseases among African Americans and Latinos. Princeton, NJ: Dogwood Center. , McInterney, J. , & Yeager, R. J. (1988). Rational emotive therapy with alcoholics and substance abusers. New York: Pergamon Press. Erickson, C. , & Wilcox, R. E. (2001). Neurobiological causes of addictions. Journal of Social Work Practice in the Addictions, 1(3), 7–22. Fenichel, O. (1945). The psychoanalytic theory of neurosis. New York: Norton.
Combinations of Drugs Various combinations of drugs—such as heroin and cocaine (commonly referred to as speedball), cocaine and alcohol or marijuana, cocaine and PCP, methadone and alcohol or cocaine, tranquilizers and alcohol, and so forth—are frequently used to counteract the side effects of any one drug or to synergistically increase the impact of the drugs. As can be seen from the above discussion, the various substances have a differential impact on a person’s mood and behavior, regardless of his or her premorbid personality.
They also result in feelings of extreme anxiety and misperception of reality, particularly for users of phencyclidine (PCP, also known as “angel dust”), who frequently experience distorted body image, depersonalization, depression, and hostility that may be expressed through violence (Waldinger, 1986). It is important to note that the marijuana used today is much more potent than that used during the 1960s and 1970s. Frequent use of marijuana by adolescents and young adults has been correlated with the development of the so-called amotivational syndrome, characterized by passivity and lack of ambition leading to poor school and work performance and personality deterioration (Alexander, 2003).