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ISBN 10: 0306472589
ISBN 13: 9780306472589
Author: Marc Galanter
From the President of the Research Society on Alcoholism The sixteenth volume of Recent Developments in Alcoholism contains the latest information on the field of alcoholism treatment research. This scholarly volume includes comprehensive reviews of the methodologies available to evaluate treatment outcome, state-of-the art psychosocial interventions, and recent advances in pharmacological adjuncts to treatment that are currently available and those on the brink of application. Other sections of the book address special issues in the treatment of alcohol dependence, including the treatment of the adolescents and other unique populations, the management of tobacco dependence, and the role of spirituality in recovery, among others. The clinician will find these reviews an important resource for learning about e- dence based treatments for alcoholism, and the researcher will find the synt- sis of recent developments informative and forward looking. The research agenda for the future rests soundly on the progress to date and additional advances in the treatment of alcoholism can be predicted in the near future. Stephanie O'Malley, Ph. D. President, Research Society on Alcoholism xi Preface From the President of the American Society of Addiction Medicine This excellent volume presents investigations covering a wide spectrum of scientific issues. It is also evident that many of these articles have clinical s- nificance, ranging from assessments of disorder, monitoring clinical progress, and behavioral and pharmacological interventions.
I Introduction
1 Research on Alcoholism Treatment
II Methodology
Overview
2 Assessment of Alcoholic Patients Advances and Future Challenges
1. Introduction
2. Self-Report Screening Measures
3. Biochemical Markers
4. Self-Report Measures of Consumption
5. Diagnostic Measures
6. Treatment Planning Instruments
7. Cross-Cutting Issues
Acknowledgments
References
3 Biomarkers as Aids to Identification of Relapse in Alcoholic Patients
1. Reasons that Relapse Should Be Recognized Early
2. The Role of Biomarkers in Relapse Recognition
3. Desirable Qualities in a Biomarker of Relapse
4. Biomarkers of Relapse
5. Summary of Findings on Biomarkers of Relapse
6. Future Research Questions
7. Recommendations to Clinicians
References
4 Advances in Research Design and Analysis for Alcohol Treatment
1. Research Design and Implementation
2. Issues in the Analysis of Treatment Data
3. Final Remarks
References
5 Clinicians’ Impact on the Quality of Substance Use Disorder Treatment
1. Clinicians’ Impact on Substance Use Disorder Treatment Retention and Outcome
2. Clinicians’ Professional Background Characteristics
3. Matching Patients to Clinicians
4. Clinicians’ Recovery Status
5. Adherence and Competence
6. Clinicians’ Emotional Responses (Countertransference)
7. Clinicians’ Interpersonal Functioning/Therapeutic Alliance
8. Clinicians’ Personality Characteristics
9. Clinicians’ Beliefs about Substance Use Disorder Treatment
10. Professional Practice Issues
11. Clinician-Targeted Interventions
12. Clinician Selection and Training
13. Methodological Issues in Studying Clinicians
Summary and Discussion
Acknowledgments
References
6 Natural Resolution of Alcohol-Related Problems
1. State of Knowledge
2. Gaps in Knowledge and Research Opportunities
3. Conclusions
Acknowledgments
References
III Psychosocial Treatment
Overview
Reference
7 The Search for a Rational Basis for Treatment Selection
1. Overview of Models of Treatment Selection
2. Treatment Selection Models Based on Single Patient Characteristics
3. Multidimensional Models of Patient Selection
4. Future Prospects for Research on Treatment Selection and Matching
References
8 Psychotherapy and Motivational Enhancement
1. Introduction
2. Psychodynamic Treatments
3. Interpersonal Psychotherapy
4. Cognitive Therapy
5. Motivational Enhancement Intervention
6. Current Status and Future Directions
References
9 Involvement of Support Networks in Treatment
1. Self-Help Groups
2. Treatment Involvement by Members of the Natural Social Network
3. A Summary of Research Priorities
References
10 Alcoholics Anonymous and 12-Step Alcoholism Treatment Programs
1. Nature and Prevalence of Alcoholics Anonymous
2. Nature and Prevalence of 12-Step Alcoholism Treatment Programs
3. Evaluations of Community-Based AA Groups
4. Evaluation Research on 12-Step Oriented Professional Treatment Programs
5. Potential Future Research Directions
References
11 Behavioral and Cognitive-Behavioral Treatments for Alcoholism Research Opportunities
1. Cue Exposure
2. Contingency Management
3. Coping Skills Training
4. Relapse Prevention
5. Behavioral Marital Therapy
6. Final Note
Acknowledgments
References
12 The Community Reinforcement Approach
1. Community Reinforcement Approach (CRA)
2. Community Reinforcement and Family Training (CRAFT)
3. Summary
References
IV Pharmacotherapy
Overview
References
13 Acamprosate
1. Overview of Clinical Trials
2. Commentary
Acknowledgments
References
14 Advances in the Use of Naltrexone An Integration of Preclinical and Clinical Findings
1. Introduction
2. Mechanisms of Action of Naltrexone
3. Effects of Drinking Behavior
4. Dosing Regimens
5. Factors Predicting Clinical Response to Naltrexone
6. Combination Therapy
7. Summary
Acknowledgments
References
15 The Status of Serotonin-Selective Pharmacotherapy in the Treatment of Alcohol Dependence
1. Introduction
2. Abnormal Serotonergic Neurotransmission Linked Alcohol Dependence
3. Historical Overview: Trials of 5-HT-Selective Agents to Reduce Excessive Drinking
4. Current Status: 5-HT Clinical Trials to Treat Subtypes of Alcohol Dependence
5. Conclusions
Acknowledgments
References
16 Animal Models of Motivation for Drinking in Rodents with a Focus on Opioid Receptor Neuropharmacology
1. Positive Reinforcement Animal Models for Development of Medications to Treat Alcoholism
2. Alcohol Deprivation Effect
3. Conditioned Reinforcement: Discriminative Stimulus (Cue)-Induced Reinstatement of Self-Administration
4. Independent Variables Used to Predict Medications for Treating Alcoholism—The μ-Opioid System as a Prototype
5. Summary and Conclusions
Acknowledgments
References
V Recent Development in Alcoholism: Research on Alcoholism Treatment
Overview
17 Outcomes of Alcohol Treatment for Adolescents
1. Prevalence
2. Assessment and Diagnosis
3. Treatment Outcome Research
4. Intervention Studies
5. Outcome Process Research for Adolescence
6. Relapse and Posttreatment Functioning
7. Summary and Conclusions
References
18 Treatment for Alcohol-Related Problems: Special Populations: Research Opportunities
1. Women
2. The Elderly
References
19 Treatment of Tobacco Dependence in Alcoholics
1. Introduction
2. Prevalence of Smoking in Alcoholics
3. Tobacco-Caused Morbidity and Mortality in Alcoholics
4. Addressing Tobacco Dependence in Addictions Treatment
5. Efficacy of Behavioral Treatment for Alcoholic Smokers
6. Addressing Depression in the Behavioral Treatment of Alcoholic Smokers
7. Effect of Tobacco Dependence Treatment on Alcohol Relapse
8. Pharmacologic Treatment of Tobacco Dependence in Alcoholics
Acknowledgments
References
20 Alcohol and Psychiatric Comorbidity
1. Introduction
2. Comorbidity with Major Depression
3. Comorbidity with Bipolar Disorder
4. Comorbidity with Anxiety Disorders
5. Comorbidity with Psychotic Disorders
6. Comorbidity with Drug Use Disorders
7. Conclusions
References
21 Brief Interventions and the Treatment of Alcohol Use Disorders
1. Introduction
2. Brief Intervention: The Evidence—What We Know and Don’t Know
3. What We Know About Brief Intervention!
4. What We Don’t Know About Brief Intervention!
5. Methodological Concerns and Challenges
6. Other Methodological Considerations
7. Review of Selected Brief Intervention Trials
8. Recommendations
References
22 Spirituality, Treatment, and Recovery
1. Defining Spirituality
2. Spirituality and Alcoholism
3. Spirituality and Recovery
4. Spirituality and Treatment
5. Spirituality and Science
References
23 Research Priorities for Alcoholism Treatment
1. Context for Setting Research Priorities
2. Impact of Prior Portfolio Reviews in Stimulating Research
3. New Research Priorities
4. Crosscutting Issues
5. Mechanisms of Funding
6. Summary and Conclusions
References
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Tags: Marc Galanter, Recent, Developments
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