Alcohol Use Disorders E-Book

Stephen A Maisto

• Herausgeber: Hogrefe Publishing
• Kategorie: Fachliteratur
• Serie: Advances in Psychotherapy - Evidence-Based Practice
• Sprache: Englisch

Seitenzahl: 210

Veröffentlichungsjahr: 2007

Beschreibung

Alcohol abuse and alcohol dependence are widespread, and the individual and societal problems associated with these disorders have made the study and treatment of alcohol use disorders a clinical research priority. Research over the past several decades has led to the development of excellent empirically supported treatment methods. This book aims to increase clinicians' access to empirically supported interventions for alcohol use disorders, with the hope that these methods will become the standard in clinical practice.

Leseprobe

Alcohol Use Disorders

About the Authors

Stephen A. Maisto, PhD, ABPP (Clinical Psychology), is a Professor of Psychology at Syracuse University and is the Director of Research at the VA Center for Integrated Healthcare. He earned his PhD in experimental psychology in 1975 at the University of Wisconsin-Milwaukee and completed a postdoctoral respecialization in clinical psychology in 1985 at George Peabody College of Vanderbilt University. Dr. Maisto’s research and clinical interests include the assessment and treatment of alcohol and other drug use disorders, HIV prevention, and the integration of behavioral health in the primary medical care setting. Dr. Maisto has authored or coauthored numerous journal articles, book chapters, and books.

Gerard J. Connors, PhD, ABPP, is Director of and a Senior Research Scientist at the Research Institute on Addictions at the University at Buffalo. He earned his doctoral degree in clinical psychology from Vanderbilt University in 1980. Dr. Connors’ research interests include treatment of alcohol use disorders, relapse prevention, self-help group involvement, early interventions with heavy drinkers, and treatment evaluation. He is a fellow of the American Psychological Association (Divisions of Clinical Psychology and Addictions). Dr. Connors has authored or coauthored numerous scientific articles, books, and book chapters.

Ronda L. Dearing, PhD, is a Research Scientist at the Research Institute on Addictions at the University at Buffalo. She earned her PhD in clinical psychology from George Mason University in 2001. Dr. Dearing’s research interests include help-seeking for alcohol and substance abuse, substance abuse treatment approaches, and the influences of shame and guilt on behavior and health. She is coauthor of the book Shame and Guilt (2002), and has authored or coauthored several scientific articles and chapters.

Advances in Psychotherapy – Evidence-Based Practice

Danny Wedding; PhD, MPH, Prof., St. Louis, MO

(Series Editor)

Larry Beutler; PhD, Prof., Palo Alto, CA

Kenneth E. Freedland; PhD, Prof., St. Louis, MO

Linda C. Sobell; PhD, ABPP, Prof., Ft. Lauderdale, FL

David A. Wolfe; PhD, Prof., Toronto

(Associate Editors)

The basic objective of this series is to provide therapists with practical, evidence-based treatment guidance for the most common disorders seen in clinical practice – and to do so in a “reader-friendly” manner. Each book in the series is both a compact “how-to-do” reference on a particular disorder for use by professional clinicians in their daily work, as well as an ideal educational resource for students and for practice-oriented continuing education.

The most important feature of the books is that they are practical and “reader-friendly:” All are structured similarly and all provide a compact and easy-to-follow guide to all aspects that are relevant in real-life practice. Tables, boxed clinical “pearls”, marginal notes, and summary boxes assist orientation, while checklists provide tools for use in daily practice.

Alcohol Use Disorders

Stephen A. Maisto

Syracuse University and Center for Health and Behavior, Syracuse, NY

Gerard J. Connors

Research Institute on Addictions, University at Buffalo, Buffalo, NY

Ronda L. Dearing

Research Institute on Addictions, University at Buffalo, Buffalo, NY

Library of Congress Cataloging in Publication

is available via the Library of Congress Marc Database under the LC Control Number 2007932356

Library and Archives Canada Cataloguing in Publication

Maisto, Stephen A.

Alcohol use disorders / Stephen A. Maisto, Gerard J. Connors, Ronda L. Dearing.

(Advances in psychotherapy – evidence-based practice; v. 10)

Includes bibliographical references. ISBN 978-0-88937-317-4

1. Alcoholism—Treatment. I. Connors, Gerard Joseph II. Dearing, Ronda L III. Title. IV. Series.

RC565.M225 2007               616.86’106           C2007-904448-4

© 2007 by Hogrefe & Huber Publishers

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Preface

Alcohol abuse and alcohol dependence are problems that have baffled clinicians, researchers, and policy makers for hundreds of years. Because of the effects of alcohol use disorders (AUDs) on individuals and the societies in which they live, advances in knowledge about them and in ways to ameliorate them have been high research priorities. In the last several decades this international research activity has paid off in the development of different methods of intervention for the AUDs that are effective and available to clinicians.

The purpose of this book is to further the effort to make empirically supported methods of AUD interventions more accessible to clinicians, whose daily patient/client care responsibilities may hinder their keeping up-to-date with the latest developments in clinical research and practice. The assessment and intervention procedures discussed in this book all have undergone extensive scrutiny and evaluation, both in a formal research sense and in actual clinical practice. They have been judged to be the best methods that the field has to offer clinicians in their attempts to improve the lives of those who come to them for help in reducing or stopping their consumption of alcohol. We hope that this book helps to make these methods the standard of clinical practice.

Acknowledgments

It is difficult to write an acknowledgments section of a book or even a journal article, because they are products of our professional growth over the years driven by what we have learned from many patients, students, teachers, and mentors. It will have to suffice here to express our unending gratitude to all of them. More immediately, we can name several individuals who have helped us and supported us in completing this book. We thank the Series Editor, Danny Wedding, PhD, and Robert Dimbleby of Hogrefe & Huber Publishers for their responsiveness to any and all of the questions we raised while completing this book. In addition, we thank Linda Sobell, PhD, ABPP, Series Associate Editor, for all of her guidance. Our appreciation also goes to Ms. Julie Pawlik, who made our manuscript presentable for public consumption, and to Mr. Mark Duerr for helping us write the test question items. Finally, SAM expresses his personal thanks to his wife Mary Jean, who forever seems to hear him talking about all of the projects sitting on his desk waiting to meet their deadlines. GJC expresses his personal thanks and appreciation to his wife, Lana Michaels Connors, and daughter Marissa for their unflagging love, support, and patience. RLD expresses her gratitude to GJC and SAM for including her on this project and for sharing their collective wisdom.

Dedication

To Safi

SAM

To Lana and Marissa

GJC

To my parents, Ron and Barbara Dearing

RLD

Table of Contents

Preface

Acknowledgements

Dedication

1         Description of Alcohol Use Disorders

1.1      Terminology

1.2      Definition

1.2.1   Implications for Clinical Practice

1.3      Epidemiology

1.4      Course and Prognosis

1.5      Differential Diagnosis

1.6      Comorbidities

1.7      Diagnostic Procedures and Documentation

2         Theories and Models of Alcohol Use Disorders

2.1      Traditional Theories of AUDs

2.2      Biopsychosocial Model of AUDs

3         Diagnosis and Treatment Indications

3.1      Introduction

3.2      General Guidelines and Considerations

3.3      Drinking History

3.3.1   Alcohol Consumption

3.3.2   Alcohol-Related Consequences

3.3.3   Other Drug Use

3.3.4   Pros and Cons of Drinking

3.3.5   Motivational Readiness to Change

3.3.6   Self-Efficacy

3.3.7   Coping Skills

3.3.8   High-Risk for Drinking Situations

3.3.9   Spirituality and Religiosity

3.3.10 Previous Treatment Experiences

3.3.11 Previous Self-Help Group Involvement