Concepts of Chemical Dependency

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Cengage Learning, Jan 1, 2011 - Psychology - 640 pages
2 Reviews
Completely rewritten from cover to cover, the contemporary new 8th edition of CONCEPTS OF CHEMICAL DEPENDENCY provides comprehensive coverage and the latest information on a full spectrum of substance use disorders and the compounds commonly abused. Topics include: the abuse of and addiction to alcohol; how the active agent in marijuana, THC, affects neural growth and development; the emerging body of evidence suggesting a relationship between marijuana abuse and psychotic disorders; the emerging body of evidence suggesting that marijuana is not as benign as it was thought to be even a few years ago; and updated information on the abuse of cough syrups, a trend that has evolved in adolescent substance abusers in the past decade. Adding to the book’s usefulness and relevance, Doweiko also covers topics not usually discussed in other substance abuse texts, including: abuse of anabolic steroids; inhalants; many of the forms of infectious disease associated with substance abuse; how the war on drugs has actually contributed to the problem of substance abuse/addiction in this country; the relationship between substance abuse and many infectious diseases; and the latest information on the medical marijuana debate. Providing a comprehensive overview of the problems of substance abuse and addiction, students report that they appreciate the author’s balanced approach in contrast to a tendency to preach to the reader that drugs are bad for you. Student feedback indicates that they value the clear and detailed information provided, allowing the student to form their own opinion about the compound(s) being discussed in each chapter.
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Though I found this book informative, I question the abilities of the editor. There are a number of instances where sentences are repeated. There were numerous accounts of incorrectly stated facts, one which occurs on page 148. The author is talking about the biotransformation of Buprenorphine and states that, "with 79% being excreted in the feces and only 3.9% being excreted in the feces." HUH? I'm assuming that one of the methods of excretion he was trying to talk about was urine, however this is not what he said, thus leaving us with incorrect and incomplete facts. Also, though I'm not sure what page I noticed it on, there was a period in the middle of a sentence, and the sentence was completed as if the random punctuation was never there (it appeared as. ridiculous as this. sentence). These are just three of the MANY errors I've come across while reading this book. Unfortunately, it is required reading for a class so I am forced to endure the stupid mistakes of both the author and editor.
Clearly, someone was not paying attention when they overlooked these simple fixes.

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The author is very opinionated and lacks research based support for the rant he goes on regarding the legitimacy of the concept of codependency and especially the syndrome of adult child of alcoholics in chapters 22 and 23. He loosely strings together quotes from an unprofessional source (Steve Solerno, a journalist who openly states no factual or objective basis for his book about self-help gurus) to deny the validity of what adult children of alcoholics experience in coping with life. It was deeply troubling for me and shocking to have this author spend chapters discussing the biopsychosocial impact of SUDs only to turn around and assert to ACOAs that their perception of what they experienced and the consequences they live with are only an attempt to blame the previous generation for their problems. How can a professional writing a book on SUDs have the audacity to write such shaming words. Make sure you check his references as you read- much of what he writes is to support his own biases. 


Why Worry About Substance Abuse?
The Nature of the Beast Being an Examination of the Problem of SUDs
A Brief Introduction to the Science of Pharmacology
An Introduction to Alcohol Mans Oldest Recreational Chemical
The Effects of Alcohol Abuse and Addiction
Abuse of and Addiction to Barbiturates and BarbiturateLike Compounds
Abuse of and Addiction to the Benzodiazepines and Similar Agents
Abuse of and Addiction to Central Nervous System Stimulants
The Medical Model of Substance Use Disorders
The Psychosocial Models of Substance Use Disorders
The Substance Use Disorders As a Disease of the Human Spirit
The Assessment of Suspected Substance Use Disorders
Treatment Settings
The Treatment of Substance Use Disorders
The Process of Treatment

Cocaine Abuse and Dependence
Marijuana Abuse and Addiction
Opioid Use Abuse and Addiction
Abuse of and Addiction to Hallucinogens
Abuse of and Addiction to Inhalants and Aerosols
The Underrecognized Problem of Steroid Abuse and Addiction
OvertheCounter Analgesics Unexpected Agents of Abuse
Tobacco Products and Nicotine Addiction
Chemicals and the Neonate
Gender and Substance Use Disorders
Hidden Faces of Substance Use Disorders
Substance Use and Abuse by Children and Adolescents
Substance Use Disorders in College Students
Codependency and Enabling
Addiction and the Family
The DualDiagnosis Client Substance Use Disorders and Mental Illness
Pharmacological Interventions for Substance Use Disorders
Relapse and Other Problems Frequently Encountered in Substance Abuse Rehabilitation
Support Groups to Promote and Sustain Recovery
Substance Use Disorders and Infectious Disease
The Relationship Between Drugs and Crime
The Debate Over Legalization
Sample Assessment Alcohol Abuse Situation
The Jellinek Chart for Alcoholism
Classes of Antiviral Drugs Currently in Use to Treat HIV Infection
Drug Classification Schedules
The Twelve Steps of Alcoholics Anonymous

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About the author (2011)

Dr. Harold E. Doweiko, a licensed psychologist, has been on the staff at the Gundersen-Lutheran Medical Center in La Crosse, Wisconsin, for 19 years. He works with the substance abuse rehabilitation program, the chronic pain management program and traditional adult mental health patients, including "dual diagnosis" patients. He has served with the La Crosse County Drug Court for several years, and as a professional witness on the topic of substance use disorders for federal and state courts in Kansas, Wisconsin and Minnesota. Dr. Doweiko has been an adjunct faculty member for colleges in both Wisconsin and Minnesota, most recently with the Viterbo University counselor education program in La Crosse, Wisconsin.

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