Fragmented Intimacy

Addiction in a Social World

By: Peter J. Adams

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Hardcover | 6 December 2007

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356 Pages

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24.5 x 16.6 x 2.2

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I recall during my early years as a clinical psychologist being asked by hospital staff to speak with a 32-year-old man addicted to alcohol who was being discharged following treatment for pancreatitis. This had been his third admission for the same illness, and hospital practitioners were exasperated by his choice to continue dri- ing despite being repeatedly told it would cause irreparable damage to his pancreas from which he would be unlikely to survive. I met him in a side-room on the ward. He sat in his pyjamas in the corner of the room, thin and ashen looking, with a worried frown fixed across his face. Our conversation was initially stilted and I was trying hard not to replicate the lectures and sermons he was likely to have already received from hospital staff. As we talked I was able to piece together bits of inf- mation about his current circumstances: he lived alone, he was unemployed, and his only family contact was with a brother who visited to check on him occasionally. He started to relax into the conversation and then talked about his long struggles with alcohol: his drinking had begun in his early teens; it had provided him with con- dence and friendships; he had had some serious motor vehicle accidents; he had tried to stop drinking but soon continued; he had lost friends, jobs, and family re- tionships; and in response he had increasingly sought intoxication as a refuge.

Industry Reviews

From the reviews:

"Adams (population health, U. of Auckland) uses a social-ecological approach to address the needs of the addicted and those around them. He closely examines the ways addiction disrupts intimacy, leading to cycles of loss and isolation, and the means by which the addicted and those around them can re-engage. ... He provides a significant amount of material about applying these concepts directly to practice at the family and community level." (www.booknews.com, April, 2008)

"Adams provides a refreshing, needed analysis that complements new scientific discoveries; he goes beyond biological and neuropsychological explanations to explore the reciprocal influences of social context and addiction. ... Adams's coverage is novel, and the book is more comprehensive than previous works have been. He offers a solid theory and integrates empirical support throughout his discussion. ... this volume can serve as a library resource, a textbook, or a clinical manual. Summing Up: Highly recommended. All readers, all levels." (M. Bonner, CHOICE, Vol. 45 (10), June, 2008)

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You Can Find This Book In

Non-Fiction Psychology Abnormal Psychology Family & Health Relationships & Families: Advice & Issues Medicine Other Branches of Medicine Therapy & Therapeutics Addiction & Therapy Clinical Psychology Medicine in General Public Health & Preventive Medicine

Personal & Public Health / Health Education Health Psychology

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Paperback

Published: 29th October 2010

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Preface	p. v
Acknowledgement	p. vii
Theory
Addiction in Perspective	p. 3
Dangerous Consumptions	p. 6
Overview of this Book	p. 9
Companion Relationships	p. 11
A Social World	p. 18
Worlds, Paradigms, and Assumptions	p. 19
The Particle Paradigm	p. 23
The Social Paradigm	p. 27
Switching to a Social World	p. 31
Addiction and Connecting	p. 36
Connecting to the World	p. 36
Patterns of Fragmentation	p. 42
Responding to Addiction	p. 51
The Prospect of Change	p. 51
Setting Out and Setting Back	p. 57
Making It Stick	p. 65
Processes
Becoming Intimate	p. 71
Living in Relationships	p. 71
Intimacy and the Four C's	p. 73
Special Considerations	p. 78
Unreciprocated Intimacy	p. 81
Quality Intimacy?	p. 83
Intimacies in Addictive Contexts	p. 86
Intimacy Within Addictive Relationships	p. 86
Intimacies for Others	p. 95
Systems of Intimate Connections	p. 102
Intimacy and Power	p. 105
Controlling Tactics	p. 106
The Myth of Disinhibition	p. 109
Violence as a Social Event	p. 114
Managed Intimacy	p. 117
Families and Communities
Fragmented Lives	p. 125
Fragmenting Environments	p. 125
How Intimates Respond	p. 127
Broader Social Dynamics	p. 144
Collective Opportunities	p. 149
Empowerment and Connectedness	p. 150
Reconnecting Intimates	p. 152
Responsibility for Change	p. 156
Change Processes	p. 160
Guidelines for Effective Collective Action	p. 165
Reintegration	p. 171
What is Reintegration?	p. 171
Six Phases of Reintegration	p. 174
Reforming Intimacies	p. 180
Enabling Closeness and Compassion	p. 185
Domains of Connectedness	p. 190
Applications
Family Resources	p. 197
Social Resources from Inner Power	p. 197
Social Resources Offered by Services	p. 203
Mobilizing Communities	p. 220
Volunteer Networks	p. 220
Croatian/Italian Community Clubs	p. 225
An Indigenous Approach	p. 234
Applications to Practice	p. 243
Barriers to Socially Inclusive Practice	p. 244
Social Engagement	p. 247
Social Assessment	p. 252
Facilitative Meetings	p. 263
Looking Ahead	p. 270
Where It Fits	p. 271
Future Opportunities	p. 276
Notes	p. 281
Glossary	p. 311
Bibliography	p. 315
Author Index	p. 329
Subject Index	p. 334
Table of Contents provided by Ingram. All Rights Reserved.

Fragmented Intimacy

Addiction in a Social World

At a Glance

Hardcover

Industry Reviews

Shipping

How to return your order

Defective items

You Can Find This Book In

Other Editions and Formats

Paperback

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