The community reinforcement approach (CRA) to treating alcohol and other drug problems is designed to make changes in the client's daily environment, to reduce substance abuse, and to promote a healthier lifestyle. This is the first book to present research on the effectiveness of the CRA for a clinical readership. It includes the original study comparing CRA with traditional treatments of alcohol dependence, and summarizes other trials with alcohol, cocaine, and heroin users. The CRA program provides basic guidelines for clinicians, focusing on communication skills, problem solving and drink...

Treatment of an ever increasing variety of addictive behaviors owes much to a wide range of psychotherapeutic approaches that have tended to roll continuously in and out of fashion. Over recent years, an initiative has been established to appraise critically the use of psychotherapy in all areas of psychiatry. This work serves as a timely review of psychological treatments in the addictions field and provides a rare combination of expertise both from addiction specialists and those who use psychotherapeutic approaches to solve a wide range of personal problems. Its coverage includes...

Project MATCH was a large-scale treatment evaluation study established by the U.S. National Institute on Alcohol Abuse to determine whether the treatment of alcoholism could be improved by matching different types of alcoholics with the most appropriate kinds of treatment. This book, edited by the two principal investigators, is the first comprehensive report of Project MATCH, the largest alcoholism treatment study ever conducted. It describes the rationale, methods, results and implications of the study, and presents new findings about how treatment works, for whom it is most effective, and...

Cannabis dependence is controversial. What are the health and behavioral risks of becoming cannabis-dependent? What counseling approaches have been tested with adults and adolescents, and how effective are they? What are the arguments for legalization, regulation, or prohibition? Looking back and toward the future, what do we know and what do we need to learn? This state-of-the-science review sets out to answer all such questions, beginning with an historical examination and moving into diagnosis, classification, epidemiology, public health, policy, issues relating to regulation and...

Thomas Trotter, after studying medicine at Edinburgh, began his naval career as a surgeon's mate in 1779 and saw continuous service up to the peace of 1802, rising as a result of great abilities and the right patronage to become Physician to the Channel Fleet, and being present at the great battles of Dogger Bank in 1781 and the Glorious First of June in 1794. As Physician to the Channel Fleet, he was a major player in the conquest of scurvy and the control of typhus and smallpox in the navy. After the peace he settled in Newcastle where he produced pioneering work on alcoholism and neurosis,...