Rethinking Substance Abuse What the Science Shows, And What We Should Do About It

 While knowledge on substance abuse and addictions is expanding rapidly, clinical practice still lags behind. This book brings together leading experts to describe what treatment and prevention would look like if it were based on the best science available. The volume incorporates developmental, neurobiological, genetic, behavioral, and social–environmental perspectives. Tightly edited chapters summarize current thinking on the nature and causes of alcohol and other drug problems; discuss what works at the individual, family, and societal levels; and offer robust principles for developing more effective treatments and services. 

I. Introduction1. Defining and Addressing the Problem, Kathleen M. Carroll and William R. Miller2. The Forest and the Trees: Addiction as a Complex Self-Organizing System, Warren K. Bickel and Marc N. PotenzaII. Biological Factors3. The Neurobiology of Addiction: A Hedonic Calvinist View, George F. Koob4. What Can Human Brain Imaging Tell Us about Vulnerability to Addiction and to Relapse?, Anna Rose Childress5. Genetics of Substance Use Disorders, Deborah Hasin, Mark Hatzenbuehler, and Rachel WaxmanIII. Psychological Factors6. Natural Change and the Troublesome Use of Substances: A Life-Course Perspective, Carlo C. DiClemente7. Developmental Perspectives on the Risk for Developing Substance Abuse Problems, Victor M. Hesselbrock and Michie N. Hesselbrock8. Comorbid Substance Use Disorders and Psychiatric Disorders, Kim T. Mueser, Robert E. Drake, Win Turner, and Mark McGovern9. Motivational Factors in Addictive Behaviors, William R. MillerIV. Social Factors 10. Racial and Gender Differences in Substance Abuse: What Should Communities Do about Them?, Harold D. Holder11. Family and Other Close Relationships, Barbara S. McCrady12. Social Contexts and Substance Use, Rudolf H. Moos13. Ethnography and Applied Substance Misuse Research: Anthropological and Cross-Cultural Factors, Robert G. CarlsonV. Interventions14. Behavioral Therapies: The Glass Would Be Half Full If Only We Had a Glass, Kathleen M. Carroll and Bruce J. Rounsaville 15. Pharmacotherapy of Addictive Disorders, Stephanie S. O'Malley and Thomas R. Kosten16. Religion, Spirituality, and the Troublesome Use of Substances, Keith Humphreys and Elizabeth Gifford17. What We Need Is a System: Creating a Responsive and Effective Substance Abuse Treatment System, A. Thomas McLellan18. Drawing the Science Together: Ten Principles, Ten Recommendations, William R. Miller and Kathleen M. Carroll

William R. Miller, PhD, is Distinguished Professor of Psychology and Psychiatry at the University of New Mexico. A recipient of the Jellinek Memorial Award for alcoholism research, he is fundamentally interested in the psychology of change, and has focused in particular on the development, testing, and dissemination of behavioral treatments for addictions. Dr. Miller's publications include more than 30 books and 300 articles and chapters spanning behavior therapies, motivation, self-regulation, and the interface of psychology with spirituality and religion. He is named by the Institute for Scientific Information as one of the "world's most cited scientists." Kathleen M. Carroll, PhD, until her death in 2020, was Albert E. Kent Professor of Psychiatry, Yale School of Medicine, and Director of Psychosocial Research in the Division on Addictions. A leader in the field of addiction treatment research, she authored or coauthored over 330 articles in peer-reviewed publications, over 50 chapters in major textbooks, and several books and published manuals. Dr. Carroll was a past president of Division 50 (Addictions) of the American Psychological Association, and received both Senior Scientist and MERIT awards from the National Institute on Drug Abuse, the latter being awarded to the top 1% of National Institute of Health investigators.,