Treating alcohol and drug addictions.
Article Type: Book review
Subject: Books (Book reviews)
Author: Sharma, Manoj
Pub Date: 08/01/2012
Publication: Name: Journal of Alcohol & Drug Education Publisher: American Alcohol & Drug Information Foundation Audience: Academic; Professional Format: Magazine/Journal Subject: Health; Psychology and mental health; Social sciences Copyright: COPYRIGHT 2012 American Alcohol & Drug Information Foundation ISSN: 0090-1482
Issue: Date: August, 2012 Source Volume: 56 Source Issue: 2
Topic: NamedWork: Treating Patients With Alcohol and Other Drug Problems: An Integrated Approach, 2d ed. (Nonfiction work)
Persons: Reviewee: Margolis, R.D.; Zweben, J.E.
Accession Number: 311184022
Full Text: Margolis, R. D., & Zweben, J. E. (2011). Treating patients with alcohol and other drug problems: An integrated approach. (2nd ed.). Washington, D.C.: American Psychological Association. [ISBN 978-1-4338-0965-1; hardbound; 270 pages; $59.95]

Treatment of patients with alcohol and other drug addictions is a very complex and challenging endeavor. This book assists in that task by presenting new research and treatment methods in the field. The book is organized into eight chapters with an introduction that precedes the chapters. The introduction presents an overview of alcohol and drug problems. It discusses the therapeutic orientations of abstinence and harm reduction models. The section introduces basic terminology and presents an overview of contents of the book. The section is useful in setting the stage for this book.

The first chapter is about the role of psychology in the alcohol and drug abuse field. It discusses the rift between psychologists and the mainstream addiction treatment field which is highly medical oriented. The chapter presents the difficulties in working with patients suffering from addiction and emphasizes the rewards such work entails. It would have been nice if the chapter included examples of actual interventions conducted by psychologists in treatment of alcohol and other drugs.

The second chapter presents models and theories of addiction. The first model that is presented is the disease model with research evidence, neuroimaging studies, and research on relapse. The second set of models include the learning theory models that discuss modeling behavior, positive and negative reinforcement, expectancies, self-efficacy, conditioned responses and cue reactivity, and cognitive behavioral therapy. The third model that is discussed is psychoanalytic theory. The fourth set of models is the family model. The final model that is discussed is the biopsychosocial model or an integrated approach. The underpinnings of the models are discussed in this chapter and it would have been good if practical applications were described in greater detail.

The third chapter is about assessment of substance abuse and dependence. The role of the clinical diagnostic interview is discussed. The various screening and assessment measures are presented. A section on assessing adolescents is included. The chapter concludes with a discussion on feedback and treatment goals. This chapter is written well but it would have been good if a section on assessing geriatric patients was also included in this chapter.

The fourth chapter is about determining appropriate treatment. The chapter discusses treatment settings and modalities that include inpatient treatment, therapeutic communities, the Minnesota model, and outpatient treatment. Also discussed in this chapter is the treatment in the criminal justice system. The strength of this chapter lies in its discussion on guidelines for selecting appropriate treatment.

The fifth chapter is about individual psychotherapy and focuses on the role of the private practitioner in addressing the recovery process from addiction. The chapter includes discussion on integrating insight-oriented psychotherapy, ways for developing a commitment to abstinence, strategies for enhancing motivation, cognitive behavioral therapy, and early and ongoing recovery issues.

The sixth chapter is about family therapy and describes how the therapist can support the family through the recovery process. The chapter discusses the role of engaging, where the family helps get the patient into treatment, the role of joining where the therapist connects with all family members, the role of stabilizing where the therapist aims for abstinence, and finally the role of educating. The chapter includes an analysis of family systems, coping strategies, and relapse prevention strategies.

The seventh chapter is about group therapy and self help groups in treatment of addiction. The role of groups led by professionals such as motivation enhancement groups, recovery groups, and harm reduction groups is discussed. Self help groups (also called mutual help groups) are also presented and include 12-step programs, LifeRing, and Self Management and Recovery Training (SMART).

The final chapter is about relapse prevention. It includes discussion on identifying relapse precipitants, role of medication, and medication as relapse hazards. Finally the chapter discusses reciprocal relapse patterns, eating disorders, gambling, and compulsive sexual behavior as other forms of addictive behaviors associated with relapse.

On the whole, the book has been written well and is a good representation of the research in the field. This book will be especially useful for practitioners who are dealing with patients suffering from alcohol and other substance use disorders. Graduate students in the area of addictions will also benefit from this book.

Review by Manoj Sharma, University of Cincinnati
Gale Copyright: Copyright 2012 Gale, Cengage Learning. All rights reserved.