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A trusted and authoritative resource through three editions, The American Psychiatric Publishing Textbook of Substance Abuse Treatment has been fully updated to present the most current scientific and clinical information on a wide range of substance use disorders, from tobacco and alcohol to methamphetamine and Òclub drugÓ abuse. It is a comprehensive guide to treatment written at a level appropriate to both experienced and new clinicians, reflecting the expertise of leading addiction specialists in psychiatry and allied fields. With most chapters extensively revised by new authors, it incorporates the latest biomedical research findings as well as recent advances in treatment modalities and the growth of pharmacotherapies.The text offers a comprehensive view of the basic science and psychology underlying addiction as well as extensive coverage of all treatment approaches and specialty topics, such as Alcoholics Anonymous (AA). Coverage of therapeutic issues focuses on goals assessment and outcome research, emphasizing the knowledge needed to treat patientsÕ primary addictive problems by overcoming their defensiveness and denial through empathic engagement and maintaining a willingness to persevere through the vicissitudes of recovery. Practical, treatment-oriented material is presented in more quick reference tables than before to make the book an even more useful clinical resource, and lists of recommended readings have been enhanced. Among the new editionÕs features: * Separate chapters on the biology and clinical management for each of the drug categories in order to reflect new understandings of mechanisms of drug action. * A more detailed description of the nature of buprenorphine and its role in treating opioid addiction, focusing particularly on its clinical efficacy and recommendations for use in office-based opioid treatment for special populations. * New extensive coverage on cognitive-behavioral therapy, motivational enhancement, and contingency management. * New research on 12-step programs and their role in addiction treatment, including an evidence-based review of what is currently understood about AA-related change and outcome research on self-help programs. * A new chapter devoted to special concerns posed by abusers of prescription drugsÑVicodin, OxyContin, Ritalin, and others. * A new chapter addressing special considerations in the treatment and prevention of substance abuse in gay, lesbian, and transgender persons.Designed to serve clinicians in practice as well as researchers concerned with addiction, the textbook is also appropriate for trainees in psychiatry, general medicine, and other health fields. It is an invaluable source of treatment options for anyone concerned with the problems posed by patients with substance abuse disorders.Online Version AvailableBuy the online version of The American Psychiatric Publishing Textbook of Substance Abuse Treatment, Fourth Edition, and get access to all of the text and illustrations plus powerful searching, bookmarking, Òclip and goÓ PDA downloads, reference linking, and login by username and password from wherever you have web access.Print Plus OnlinePurchase the print textbook, and for only $25 more get the online version too. Instructions for purchasing and accessing your online upgrade will be included in the print copy of your textbook.Online OnlyBuy the online version of the textbook for $165.00. Got to www.psychiatryonline.com/substanceabuse to purchase.ContentsPreface. Part 1: The Basis of Addictive Disorders. Neurobiology of addiction. Genetics of addiction. Epidemiology of addiction. Cross-cultural aspects of addiction. Part 2: The Nature of Treatment. Assessment of the patient. Patient placement criteria. Evolution in addiction treatment concepts and methods. Part 3: Specific Drugs of Abuse. Neurobiology of alcohol. Clinical management of alcohol. Abuse and dependence. Neurobiology of stimulants. Clinical management: cocaine. Clinical management: methamphetamine. Neurobiology of hallucinogens. Hallucinogens and club drugs. Nicotine and tobacco. Benzodiazepines and other sedatives and hypnotics. Treatment of anabolic-androgenic steroidÐrelated disorders. Neurobiology of opiates and opioids. Detoxification of opioids. Opioid maintenance treatment. Buprenorphine maintenance. Antagonists of opioids. Part 4: Treatment Modalities. Psychodynamics. Cognitive-behavioral therapies. Motivational enhancement. Twelve-step facilitation. Contingency management. Network therapy. Group therapy. Family therapy. Part 5: Rehabilitation Settings. Inpatient programs. Therapeutic communities. Community-based treatment. Psychological mechanisms of alcoholics anonymous. The history of alcoholics anonymous and the experiences of patients. Outcome research on 12-step and other self-help programs. Part 6: Special Populations. Adolescent substance abuse. The mentally ill substance abuser. Women and addiction. Perinatal substance abuse. HIV/AIDS and hepatitis C. Prescription drug abusers. Substance-abusing physicians. Gay men and lesbians. Minorities. Part 7: Special Topics. Testing to identify recent drug use. Medical education. Prevention of substance abuse. Forensic addiction psychiatry. Index.ContributorsSudie E. Back, Ph.D.Monica Barros, M.D.Steven L. Batki, M.D.Adam Bisaga, M.D.J. Wesley Boyd, M.D., Ph.D.Kathleen T. Brady, M.D., Ph.D.David W. Brook, M.D.Judith S. Brook, Ed.D.Kirk J. Brower, M.D.Robert Paul Cabaj, M.D.Kathleen M. Carroll, Ph.D.Crystal A. Caudill, M.P.H.Harvey L. Causey III, M.D.Domenic A. Ciraulo, M.D.Richard R. Clayton, Ph.D.Wilson M. Compton, M.D., M.P.E.Gerard J. Connors, Ph.D.George De Leon, Ph.D.Richard Denisco, M.D., M.P.H.Dan Dickerson, D.O.Carlo C. DiClemente, Ph.D. A.B.P.P.Robert L. DuPont, M.D.William Fals-Stewart, Ph.D.Loretta P. Finnegan, M.D.Richard J. Frances, M.D.Miranda Garay, B.A.Marc Galanter, M.D.Tracie J. Gardner, Ph.D.David R. Gastfriend, M.D.Joel Gelernter, M.D.Leigh Gemmell, Ph.D.Tony P. George, M.D., F.R.C.P.C.Richard A. Glennon, Ph.D.Shelly F. Greenfield, M.D., M.P.H.Nady el-Guebaly, M.D.Erik W. Gunderson, M.D.Margaret Haney, Ph.D.Grace Hennessy, M.D.Stephen T. Higgins, Ph.D.Rocco A. Iannucci, M.D.Yifrah Kaminer, M.D.Kyle M. Kampman, M.D.Stephen R. Kandall, M.D.Herbert D. Kleber, M.D.Clifford M. Knapp, Ph.D.John R. Knight, M.D.George F. Koob, Ph.D.Thomas R. Kosten, M.D.Henry R. Kranzler, M.D.Mary Jeanne Kreek, M.D.Frances R. Levin, M.D.Petros Levounis, M.D.Hallie A. Lightdale, M.D.Walter Ling, M.D.Michelle R. Lofwall, M.D.A. Thomas McLellan, Ph.D.Avram H. Mack, M.D.David Mee-Lee, M.D.Rudolf H. Moos, Ph.D.Hugh Myrick, M.D.Edgar P. Nace, M.D.Kalpana I. Nathan, M.D.Charles OÕBrien, M.D., Ph.D.Timothy J. OÕFarrell, Ph.D.Kerstin Pahl, Ph.D.Soteri Polydorou, M.D.Harrison G. Pope Jr., M.D.Richard A. Rawson, Ph.D.Richard K. Ries, M.D.Jonathan I. Ritvo M.D.Stephen Ross, M.D.Elizabeth Rubenstone, B.A.Sidney H. Schnoll, M.D., Ph.D.Richard S. Schottenfeld, M.D.Melissa J.H. Segress, M.S.Carl M. Selavka, Ph.D.Jennifer Sharpe Potter, Ph.D., M.P.H.Kenneth Silverman, Ph.D.Mehmet Sofuoglu, M.D., Ph.D.Eric C. Strain, M.D.Christine Timko, Ph.D.J. Scott Tonigan, Ph.D.Michael F. Weaver, M.D.Andrea H. Weinberger, Ph.D.Roger D. Weiss, M.D.Joseph Westermeyer, M.D., Ph.D.Tara Wright, M.D.Reviews"Remarkable advances have occurred over the past three decades in understanding and treating substance abuse. The editors of this book, Drs. Galanter and Kleber, have enlisted the preeminent authorities to address substance abuse treatment with a wide-ranging, up-to-date focus on biological and psychological treatments and how they apply to specific populations. This volume will be a great and invaluable resource for students, clinicians, and scholars."ÑEdward J. Khantzian, M.D., Clinical Professor of Psychiatry, Harvard Medical School at the Cambridge Health Alliance and Tewksbury Hospital, Tewksbury, Massachusetts"The American Psychiatric Publishing Textbook of Substance Abuse Treatment, Fourth Edition is a complete and thorough reference written by leaders in the field. New features include a Key Points section and specific ÒRecommended ReadingsÓ to supplement the text that readers will find valuable. This compilation of the neurobiology of abused substances, the latest evidence-based practices, both pharmacological and psychological, as well as specific chapters on special populations and topics of importance to addiction psychiatry and addiction medicine brings together all of the necessary information for clinical treatment of substance use disorders."ÑElinore F. McCance-Katz, M.D., Ph.D., Professor of Psychiatry, University of California San FranciscoAbout the AuthorsMarc Galanter, M.D., is Professor of Psychiatry in the Department of Psychiatry and Director of the Division of Alcoholism and Drug Abuse at the New York University School of Medicine in New York, New York.Herbert D. Kleber, M.D., is Professor of Psychiatry and Director of the Division on Substance Abuse at Columbia University College of Physicians & Surgeons and The New York State Psychiatric Institute in New York, New York.