Tobacco, alcohol and gambling corporations have been highly effective in stalling, diverting and blocking public health measures. This book provides an original and engaging exposé of the ethical issues faced by people and organizations when they accept industry money in ways that facilitate corporate influence with the public and with policy makers. It starts with a detailed examination of the risks of accepting such profits and what might be done to reduce them, then moves on to introduce the concept of a continuum of 'moral jeopardy' which shifts the emphasis from accept/not accept binaries to a focus on the extent to which people are willing to accept funding. This shift encourages people to think and speak more about the risks and to develop clearer positions for themselves. The content will be helpful to those working in government agencies, addiction services, community organizations or anyone interested in reducing the harms of addictive consumption.

Addiction is a significant health and social problem and one of the largest preventable causes of disease globally. Neuroscience promises to revolutionise our ability to treat addiction, lead to recognition of addiction as a 'real' disorder in need of medical treatment and thereby reduce stigma and discrimination. However, neuroscience raises numerous social and ethical challenges:If addicted individuals are suffering from a brain disease that drives them to drug use, should we mandate treatment?Does addiction impair an individual's ability to consent to research or treatment?How will neuroscience affect social policies towards drug use?Addiction Neuroethics addresses these challenges by examining ethical implications of emerging neurobiological treatments, including: novel psychopharmacology, neurosurgery, drug vaccines to prevent relapse, and genetic screening to identify individuals who are vulnerable to addiction. Essential reading for academics, clinicians, researchers and policy-makers in the fields of addiction, mental health and public policy.

Heroin is a worldwide scourge and a seemingly intractable one. The Life of the Heroin User: Typical Beginnings, Trajectories and Outcomes is the first book to apply a biographical approach to the lifecycle of the heroin user from birth until death. Chapters address each stage of the user's life, including childhood, routes to use, the development of dependence, problems arising from addiction, death and options for treatment and prevention. Drawing on over two decades of experience in the field of opiate research, Shane Darke examines major theoretical approaches to the development of opiate dependence and the efficacy of treatment options for opiate dependence. Key points are presented at the end of each chapter. The most detailed review available of what is likely to happen to the dependent heroin user, this is an important book for clinicians, researchers and students in the fields of drug and alcohol studies and public health.

Over the past 40 years the rate of illicit drug use worldwide has risen dramatically, and with it the number of deaths reported among drug-using populations. What are the clinical, ethical and psychopathological implications of these deaths? In this book, Shane Darke and his team provide the first full, synthetic review of the epidemiology, causes, prevalence, demography, and associated risk factors of illicit-drug-related mortality. In addition, they examine and evaluate interventions to reduce these deaths. The major causes of death among illicit drug users are overdose, disease, suicide and trauma. Each is independently examined. This is an important book for all clinicians and policy-makers involved in issues relating to illicit drug use.

'If thinking about addiction is going to change, the study of excessive gambling is likely to be one of the richest sources of new ideas' (Jim Orford). In this book, the authors present research into gambling, showing the psychological variables that govern the erosion or maintenance of self-control over gambling behaviour. These studies provide an empirical basis for a model of impaired control of gambling. Impaired control, in its broadest sense, is considered to be the defining psychological construct of all the addictive behaviours and occupies a central position in conceptualising the addictive aspects of gambling.

Cannabis dependence is controversial. Does it occur or is it a myth put forth by those who oppose legalisation? What are the signs of cannabis dependence? How many people are affected? What are the health and behavioural risks of becoming cannabis-dependent? What counselling approaches have been tested with adults and adolescents, and how effective are they? What are the arguments for legalisation, regulation or prohibition? Looking back and toward the future, what do we know and what do we need to learn? This state-of-the-science review sets out to answer all those questions, beginning with an historical examination and moving into diagnosis, classification, epidemiology, public health, policy, issues relating to regulation and prohibition, and evidence-based interventions.

Self-help organizations across the world, such as Alcoholics Anonymous, Croix D'Or, The Links, Moderation Management, Narcotics Anonymous, and SMART Recovery, have attracted tens of millions of individuals seeking to address addiction problems with drugs or alcohol. This book provides an integrative, international review of research on these organizations, focusing in particular on the critical questions of how they affect individual members and whether self-help groups and formal health care systems can work together to combat substance abuse. Keith Humphreys reviews over 500 studies into the efficacy of self-help groups as an alternative and voluntary form of treatment. In addition to offering a critical review of the international body of research in this area, he provides practical strategies for how individual clinicians and treatment systems can interact with self-help organizations in a way that improves outcomes for patients and for communities as a whole.

The community reinforcement approach (CRA) to treating alcohol and other drug problems is designed to make changes in the client's daily environment, to reduce substance abuse and promote a healthier lifestyle. It is of proven effectiveness, and should be more widely used. This 2001 book presents research on the effectiveness of the CRA for a clinical readership. It includes the original study comparing CRA with traditional treatments of alcohol dependence, and summarizes other trials with alcohol, cocaine and heroin users. The CRA program provides basic guidelines for clinicians, focusing on communication skills, problem-solving and drink-refusal strategies, and addresses the needs of the client as part of a social community. Combining practical advice on such matters with a scientific survey of CRA in use, this book offers a treatment approach to all involved with the support and treatment of those with alcohol and drug problems.

Cannabis is the most widely used illicit substance in the world, but the question of whether its long-term use can result in lasting and irreparable cognitive impairment remains controversial. This well-argued volume provides an extensive and comprehensive critical review of the literature relevant to cannabis and cognitive functioning, examining the evidence in the light of important recent findings in the pharmacology and neuropsychology of cannabis. Original studies conducted by the author are presented, utilizing one of the most modern and sensitive tools available to assess cognitive functioning - event-related potentials or ERPs. Her conclusion, that long-term cannabis use may produce irreversible impairment in memory, attention and the organization and integration of complex functions, will be of compelling interest to a wide range of clinicians, researchers and policy makers.

An individual's decision to use alcohol and the frequency, quantity and situation of such use are the result of a combination of biological and social factors. Drinking is not only a personal choice, but also a matter of custom and social behaviour, and is influenced by access and economic factors including levels of disposable income and cost of alcoholic beverages. Until prevention efforts cease to focus narrowly on the individual and begin to adopt broader community perspectives on alcohol problems and strategies to reduce them, these efforts will fail. This book, first published in 1998, challenges the current implicit models used in alcohol problem prevention and demonstrates an ecological perspective of the community as a complex adaptive system composed of interacting subsystems, an appreciation and understanding of which offers an alternative approach to the prevention of alcohol dependence and alcohol-related problems.