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Addictions

A Comprehensive Guidebook

Second Edition

Barbara S. McCrady and Elizabeth E. Epstein

Comprehensive coverage of a wide range of issues related to drug and alcohol use, abuse, and dependence
Expert scientists address recent research findings and treatment approaches in their area of specialty
Written in language accessible to physicians and researchers as well as trainees, nurses, counselors, and students in addiction

Addictions

A Comprehensive Guidebook

Second Edition

Barbara S. McCrady and Elizabeth E. Epstein

Description

In the 14 years since the first edition of Addictions was published, a wealth of substantive and crucial new findings have been added to our knowledge of alcohol and other substance use disorders. This primary reference has now been updated and expanded to include 38 chapters, all completely rewritten to reflect new knowledge gained about the science of alcohol and other drugs, as well as new treatment approaches and research trends.

Addictions: A Comprehensive Guidebook, Second Edition, features a roster of senior scientists covering the latest findings in the study of alcohol and other drug use, abuse, and dependence. Skilfully edited by Drs. Barbara S. McCrady and Elizabeth E. Epstein, the chapters primarily review the literature published in the last 14 years since the first edition. The volume covers seven different content areas: Section I addresses broad conceptual issues as well as information on the etiology, neuroscience, epidemiology and course of alcohol and other drug use, abuse, and dependence. Section II provides detailed pharmacological and clinical information on the major drugs of abuse, including alcohol. Sections III, IV, and V focus on knowledge of importance to clinical practice, including a section on assessment and treatment planning, information on a range of empirically supported treatments, and issues related to clinical practice. Section VI provides information about specific population groups, and Section VII addresses policy, prevention, and economic issues in the field. The book is appropriate for a wide variety of readers who are either treating, learning to treat, doing research on, or teaching about addictions. Comprehensive and succinct, it is written in a manner that is accessible and useful to practitioners, students, clinician trainees, and researchers. It is also an ideal textbook for graduate courses and training programs in psychology, psychiatry, social work, and addictions certifications, and for advanced undergraduate courses on alcohol and other substance use disorders

Addictions

A Comprehensive Guidebook

Second Edition

Barbara S. McCrady and Elizabeth E. Epstein

Acknowledgments
About the Editors
Contributors
Introduction
Barbara McCrady and Elizabeth Epstein
Section I. Overview: Conceptual issues, etiology, epidemiology, and course

Chapter 1. What is Addiction?
Warren K. Bickel, E. Terry Mueller, and David P. Jarmolowicz
Chapter 2. Neuroscience of Addiction
George F. Koob
Chapter 3. Etiology
Matt McGue and Daniel Irons
Chapter 4. Epidemiology and Diagnosis
Miriam C. Fenton, Christina Aivadyan, and Deborah Hasin
Chapter 5. The Course of Treated and Untreated Substance Use Disorders: Remission and
Resolution, Relapse and Mortality
John W. Finney, Rudolf H. Moos, and Christine Timko
Section II. Specific drugs of abuse: Pharmacological and clinical aspects

Chapter 6. Alcohol
John J. Woodward
Chapter 7. Sedative-hypnotic and Anxiolytic drugs
Mark A. Oldham and Dominick A. Ciraulo
Chapter 8. Amphetamine-Type Stimulants
Walter Ling, Larissa Mooney, and Richard Rawson
Chapter 9. Cocaine
David A. Gorelick
Chapter 10. Cannabis and Hallucinogens
Robert S. Stephens and Kelsey E. Banes
Chapter 11. Opioids
Susan M. Stine and Thomas R. Kosten
Chapter 12. Nicotine
Raymond Niaura

Chapter 13. Other Drugs of Abuse: Inhalants, Steroids, and Designer Drugs
Robert J. Pandina, James W. Langenbucher, and Thomas B. Hildebrandt
Section III. Case identification, assessment, and treatment planning
Chapter 14. Evidence-Based Assessment: Strategies and Measures in Addictive Behaviors
Dennis M. Donovan
Chapter 15. Treatment Decision-Making and Goal-Setting
Linda S. Kranitz and Ned L. Cooney
Section IV. Treatment
Chapter 16. Enhancing Motivation for Treatment and Change
Theresa B. Moyers and Lisa H. Glynn
Chapter 17. Cognitive Behavioral Treatment for Addictions
Nadine R. Mastroleo and Peter M. Monti
Chapter 18. Behavioral Treatments
Alan J. Budney, Pamela C. Brown, and Catherine Stanger
Chapter 19. The Disease Model
Valerie J. Slaymaker and Timothy Sheehan
Chapter 20. Couples and Family Treatment Methods
Barbara S. McCrady, Mandy Owens, and Julie Brovko
Chapter 21. Extended Treatment Models
James R. McKay
Chapter 22. Mutual-Help Groups for Alcohol and Other Substance Use Disorders
John Kelly and Julie Yeterian

Chapter 23. Pharmacotherapies for Alcohol and Drug Use Disorders
Claire Wilcox and Michael Bogenschutz
Chapter 24. Treatment Models for Clients Diverted or Mandated into Drug Treatment
David DeMatteo, Sanjay Shah, Megan Murphy, and Julie Present Koller
Chapter 25. Mechanisms of Behavior Change in Treatment for Alcohol and Other Drug Use Disorders
Richard Longabaugh, Molly Magill, Jon Morgenstern, and Robert Huebner
Chapter 26. Treatment for Substance Use Disorders in the United States:
An Organizational Perspective
Paul M. Roman

Section V. Practice Issues

Chapter 27. Legal and Ethical Issues
Cynthia M. A. Geppert
Chapter 28. Interfaces between Substance Use Treatment and Other Health and Social Systems
Susan J. Rose, Allen Zweben, David Ockert, and Armin Baier
Section VI. Issues in Specific Populations

Chapter 29. Treatment of Persons with Substance Use Disorder and Co-Occurring Other Mental
Disorders
Richard N. Rosenthal
Chapter 30. Treatment for Adolescent Alcohol and Drug Problems
Nicole M. Bekman, Kendall C. Wilkins, and Sandra A. Brown

Chapter 31. Treatment of Older Adults
Derek D. Satre

Chapter 32. Ethnic and Cultural Minority Populations
Felipe González Castro, Meghan Garvey, Joshua G. Kellison, and Flavio F. Marsiglia
Chapter 33. Women and Addiction
Elizabeth E. Epstein and David Menges

Chapter 34. Lesbian, Gay, Bisexual, and Transgender Individuals
Kelly E. Green, Donald A. Bux, and Brian A. Feinstein

Section VII. Prevention, Policy and Economics of Substance Use Disorders

Chapter 35. Prevention Aimed at Individuals
Carol W. Metzler, J. Mark Eddy, and David P. Lichtenstein
Chapter 36. Prevention Aimed at the Environment
Andrew J. Treno and Juliet Lee

Chapter 37. Economic Evaluation of Substance Abuse Interventions:
Overview of Recent Research Findings and Policy Implications
Ioana Popovici and Michael T. French

Chapter 38. National Policy Issues
Dennis McCarty and Kim A. Hoffman

Index

Addictions

A Comprehensive Guidebook

Second Edition

Barbara S. McCrady and Elizabeth E. Epstein

Author Information

Barbara S. McCrady, Distinguished Professor of Psychology and Director of The Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, and Elizabeth E. Epstein, Research Professor and Director of the Clinical Division at the Center of Alcohol Studies, Rutgers University

Barbara S. McCrady, is Distinguished Professor of Psychology and Director of The Centre on Alcoholism, Substance Abuse, and Addictions at the University of New Mexico. Elizabeth E. Epstein, PhD, is a Research Professor and Director of the Clinical Division at the Centre of Alcohol Studies, and Contributing Faculty at the Graduate School of Applied and Professional Psychology and the Department of Psychology at Rutgers University.

Contributors:

Christina Aivadyan
New York State Psychiatric Institute
Columbia University

Armin Baier
Director of Special Projects, Parallax Center, Inc.
Psychotherapist in Private Practice, Los Angeles, CA and New York, NY

Kelsey E. Banes
Virginia Polytechnic Institute and State University

Nicole M. Bekman, Ph.D.
Department of Psychology
University of California, San Diego

Warren K. Bickel, Ph.D.
Advanced Recovery Research Center,
Virginia Polytechnic Institute and State University
Carilion Research Institute

Michael Bogenschutz, M.D.
Department of Psychiatry and Center on Alcoholism, Substance Abuse, and Addictions
University of New Mexico

Julie Brovko, B. A.
Department of Psychology and
Center on Alcoholism, Substance Abuse, and Addictions
University of New Mexico

Pamela C. Brown, Ph.D.
Center for Addiction Research
University of Arkansas for Medical Sciences

Sandra A. Brown, Ph.D.
Departments of Psychology and Psychiatry
University of California, San Diego

Alan J. Budney, Ph.D.
Center for Addiction Research
University of Arkansas for Medical Sciences

Donald A. Bux, Jr., Ph.D.
Department of Psychiatry, Montefiore Medical Center

Felipe González Castro, Ph.D., M.S.W.
Department of Psychology and Hispanic Health Disparities Research Center
University of Texas at El Paso

Dominick A. Ciraulo, M.D.
Division of Psychiatry
Boston University School of Medicine
Boston Medical Center

Ned L. Cooney, Ph.D.
Yale University and VA Connecticut Healthcare System

David DeMatteo, J.D., Ph.D.
Department of Psychology
Drexel University

Dennis M. Donovan, Ph.D.
Alcohol and Drug Abuse Institute
Department of Psychiatry and Behavioral Sciences
University of Washington

J. Mark Eddy, Ph.D.
Partners for Our Children
School of Social Work
University of Washington

Elizabeth E. Epstein, Ph.D.
Center of Alcohol Studies
Rutgers - The State University of New Jersey

Brian A. Feinstein
Department of Psychology
Stony Brook University, NY

Miriam C. Fenton
Department of Epidemiology, Mailman School of Public Health
Columbia University

John W. Finney, Ph.D.
Center for Health Care Evaluation
VA Palo Alto Health Care System and Stanford University Medical Center

Michael T. French
Health Economics Research Group
Department of Sociology, Department of Epidemiology and Public Health, and Department of Economics
University of Miami

Meghan Garvey, B.S.
Department of Psychology
Arizona State University

Cynthia M.A. Geppert, M.D., M.A., Ph.D., M.P.H.
New Mexico Veteran's Affairs Health Care System
University of New Mexico School of Medicine

Lisa H. Glynn, M.S.
Department of Psychology and
Center on Alcoholism, Substance Abuse, and Addictions
University of New Mexico

David A. Gorelick, M.D., Ph.D.
Chemistry and Drug Metabolism Section
Intramural Research Program
National Institute on Drug Abuse
National Institutes of Health

Kelly E. Green, Ph.D.
Department of Psychology
St. Edward's University

Deborah Hasin
Department of Epidemiology, Mailman School of Public Health
New York State Psychiatric Institute
Department of Psychiatry, College of Physicians and Surgeons
Columbia University

Thomas B. Hildebrandt, Psy.D.
Department of Psychiatry
Mt. Sinai School of Medicine

Kim A. Hoffman, Ph.D.
Department of Public Health & Preventive Medicine
Oregon Health & Science University

Robert Huebner, Ph.D.
Division of Treatment and Recovery Research
National Institute on Alcohol Abuse and Alcoholism

Daniel E. Irons
Department of Psychology
University of Minnesota

David P. Jarmolowicz
Advanced Recovery Research Center
Polytechnic Institute and State University
Carilion Research Institute

Joshua G. Kellison, M.S.
Department of Psychology
Arizona State University

John Kelly, Ph.D.
Harvard Medical School/Massachusetts General Hospital

Julie Present Koller, B.A.
Drexel University

George F. Koob, Ph.D.
Committee on the Neurobiology of Addictive Disorders
The Scripps Research Institute

Thomas R. Kosten, M.D.
Departments of Psychiatry and Neuroscience
Baylor College of Medicine

James W. Langenbucher, Ph.D.
Center of Alcohol Studies
Rutgers, The State University of New Jersey

Linda S. Kranitz, Ph.D.
VA Connecticut Healthcare System

Juliet Lee, Ph.D.
Research Scientist
Prevention Research Center <http://www.pire.org/centers2.asp?core=458&cms=95>

David P. Lichtenstein, Ph.D.
Alpert School of Medicine
Brown University

Walter Ling, M.D.
University of California at Los Angeles
Psychiatry & Biobehavioral Sciences
Integrated Substance Abuse Program

Richard Longabaugh, Ed.D.
Center for Alcohol and Addiction Studies
Brown University

Molly Magill, Ph.D.
Department of Behavioral and Social Sciences
Brown University

Flavio F. Marsiglia, Ph.D.
Southwest Interdisciplinary Research Center
Arizona State University

Nadine R. Mastroleo, Ph.D.
Center for Alcohol and Addiction Studies
Brown University

Dennis McCarty, Ph.D.
Department of Public Health & Preventive Medicine
Oregon Health & Science University

Barbara S. McCrady, Ph.D.
Center on Alcoholism, Substance Abuse, and Addiction
Department of Psychology
University of New Mexico

Matt McGue, Ph.D.
Department of Psychology
University of Minnesota
Department of Epidemiology
University of Southern Denmark

James R. McKay, Ph.D.
University of Pennsylvania
Philadelphia Veterans Administration Medical Center

David Menges, Ph.D.
Center for Treatment of Addictive Disorders
VA Pittsburgh Healthcare System

Carol W. Metzler, Ph.D.
Oregon Research Institute

Peter M. Monti, Ph.D.
Center for Alcohol and Addiction Studies
Brown University

Larissa Mooney
University of California at Los Angeles
Integrated Substance Abuse Program

Rudolf H. Moos, Ph.D.
Center for Health Care Evaluation
VA Palo Alto Health Care System and Stanford University Medical Center

Jon Morgenstern, Ph.D.
National Center on Addiction/Substance Abuse
Columbia University

Theresa B. Moyers, Ph.D.
Department of Psychology
University of New Mexico

E. Terry Mueller
Advanced Recovery Research Center,
Virginia Polytechnic Institute and State University
Carilion Research Institute

Megan Murphy, B.A.
Drexel University

Raymond Niaura, Ph.D.
The Schroeder Institute for Tobacco Research and Policy Studies
American Legacy Foundation

David Ockert
Parallax Center, Inc., New York, NY
School of Social Work, Columbia University

Mandy Owens, B.A.
Department of Psychology and
Center on Alcoholism, Substance Abuse, and Addictions
University of New Mexico

Mark A. Oldham, M.D.
Boston University Medical Center

Robert J. Pandina
Center of Alcohol Studies
Rutgers, The State University of New Jersey

Ioana Popovici
College of Pharmacy, Department of Sociobehavioral and Administrative Pharmacy
Nova Southeastern University

Richard Rawson
University of California at Los Angeles
Psychiatry & Biobehavioral Sciences
Integrated Substance Abuse Program

Paul M. Roman, Ph.D.
Department of Sociology
University of Georgia

Susan J. Rose
Center for Addiction and Behavioral Health Research
University of Wisconsin-Milwaukee

Richard N. Rosenthal, M.D.
Columbia University College of Physicians and Surgeons
Department of Psychiatry, St. Luke's Roosevelt Hospital Center, NY

Derek D. Satre, Ph.D.
Department of Psychiatry, University of California, San Francisco, CA
Division of Research, Kaiser Permanente Northern California Region, Oakland, CA

Sanjay Shah
Doctoral Program in Clinical Psychology
Drexel University

Timothy Sheehan, Ph.D.
Hazelden Foundation

Valerie J. Slaymaker, Ph.D.
Hazelden Foundation

Catherine Stanger, Ph.D.
Center for Addiction Research
University of Arkansas for Medical Sciences

Robert S. Stephens, Ph.D.
Department of Psychology
Virginia Tech

Susan M. Stine, M.D.
Substance Abuse Research Division
Department of Psychiatry and Behavioral Neurosciences
Wayne State University School of Medicine

Christine Timko
Center for Health Care Evaluation
VA Palo Alto Health Care System and Stanford University Medical Center

Andrew J. Treno, Ph.D.
Prevention Research Center

Claire Wilcox, M.D.
Department of Psychiatry
University of New Mexico

Kendall C. Wilkins, M.S.
San Diego State University/University of California, San Diego Joint Doctoral Program

John J. Woodward, Ph.D.
Medical University of South Carolina, Department of Physiology/Neurosciences & Psychiatry
Medical University of South Carolina

Julie Yeterian
Department of Psychiatry, Massachusetts General Hospital, and Suffolk University Doctoral Program in Clinical Psychology

Allen Zweben, Ph.D.
School of Social Work
Columbia University