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Mt, 11/17/03, coded; ISBN: 0-205-34275-2 Priority: C Discount Code: K Previous Edition ISBN: 0-205-26485-9 Chemical Dependency: A Systems Approach, 3/e C. Aaron McNeece, Florida State University Diana M. DiNitto, University of Texas at Austin Publication Data 2005 ? 464 pp ? 7 x 91/4 ? paper Course Codes SW0328 Substance Abuse Appropriate Courses Designed as a main text for courses in substance abuse, chemical dependency, and social work with alcoholics and drug abusers, found in Departments of Counseling, Sociology, and Social Work. Summary This well-respected text on substance abuse takes a comprehensive look at chemical dependency, covering the most recent issues in the areas of epidemiology, etiology, substance abuse policy, and treatment. "Chemical Dependency: A Systems Approach, Third Edition," looks at substance abuse from a systems perspective, making it particularly appropriate for social work students who are accustomed to a "person-in-environment" approach. All major theories of addiction are presented, as well as the major physiological and psychological results of substance abuse, including fetal alcohol syndrome. Coverage of the latest developments in treatment and research incorporates the most recent findings on genetic causes of alcoholism. This edition includes an up-to-date discussion of the most recent trends in designer drugs, to account for the considerable frequency in which drug use patterns occur. In addition, the most recent policy changes at the state, federal, and international levels have been added. Features Reflects the most recent changes in treatment programs and the latest research in dependency, including genetic causes ofalcoholism. Features separate chapters on special populations, including ethnic minorities, gays and lesbians, the dually diagnosed (drugs and alcohol), the elderly, and women. Covers state and federal policies regarding control of drugs, alcohol, and tobacco, in detail.

Reliving early states is now widely recognized as a necessary component in psychotherapy with disturbed patients. Building on the pioneering work of Klein, Ferenczi, Balint, and particularly Winnicott, Dr. Robert Van Sweden shows how to foster the process of experiencing these early states in the analytic setting. With vivid clinical illustrations he demonstrates that regression to that time of early dependence allows the patient to reexperience the mother-infant relationship in the transference, and to reintegrate parts of the self split off during failures in the original dyadic interaction. Dr. Van Sweden, like the pioneers on whose work he builds, believes that in the safety of the analytic setting regression leads to further ego integration and to emotional development. Thus, regression to dependence is ultimately progressive. In this book Dr. Van Sweden thoroughly reviews theories of regression and then adds his own conceptualizations. He sees patients who are in need of a regression to dependence as most often those with preoedipal rather than oedipal conflicts. Therefore, technique must be altered in a way that involves metaphorically cradling the patient in reexperiencing the first few months of life. Since the patient then often experiences overwhelmingly primitive affects, the therapist must be willing to extend the standard therapeutic frame and be able to survive the patient's projected rage and pain if ego integration is to take place. This book is divided into four parts. Part One addresses the nature of regression to dependence and introduces the reader to Mrs. R., whose experiences in analysis illustrate the challenges and advantages of applying the theoretical conceptof regression in the actual clinical setting. Part Two focuses on the risks and rewards of the regression to dependence, including a review of some analysts' theoretically and clinically based objections to this process.

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