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Managing the Dually Diagnosed Patient : Current Issues and Clinical Approaches :  Current Issues and Clinical Approaches - David F. O'Connell

Managing the Dually Diagnosed Patient : Current Issues and Clinical Approaches

Current Issues and Clinical Approaches

Hardcover Published: 2002
ISBN: 9780789008763
Number Of Pages: 368

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Providing a wealth of information on the effective treatment of substance abusers who also suffer mental illness, this 2nd edition is extensively updated to reflect the latest research & practice. It includes new information on the treatment of women & adolescents.

About the Editorsp. x
Contributorsp. xi
Forewordp. xiii
Preface to the Second Editionp. xv
Theoretical and Programmatic Issues
Managing Psychiatric Comorbidity in Inpatient Addictions Treatmentp. 3
Clinical Management Policy and Procedure Guidelinesp. 6
Assessmentp. 16
Clinical Management and Treatment of Coexisting Psychiatric Disorders in Inpatient Addictions Treatmentp. 22
Clinical Protocols for the Treatment of Selected Psychiatric Disordersp. 28
Improving Treatment Adherence Among Patients with Comorbid Psychiatric and Substance Use Disordersp. 47
Introduction and Overviewp. 47
The Problem of Poor Treatment Adherencep. 47
Determinants of Treatment Adherencep. 52
Effects of Poor Adherencep. 54
Strategies That Improve Adherencep. 55
Systems Strategies to Improve Adherencep. 61
Conclusions and Recommendationsp. 64
Suggested Patient Educational Videosp. 65
Psychopathology and Substance Abuse: A Psychoanalytic Perspectivep. 73
Libido and Personality Developmentp. 73
Early versus Later Psychoanalytic Thoughtp. 75
The Borderline Personalityp. 78
A Few Nonanalytic Ideasp. 81
Commentsp. 82
Implications of the Theory for the Nonanalytic Clinicianp. 87
Glossaryp. 88
Treatment Considerations with Special Populations
Females with Dual Diagnoses: Implications for Specialized Clinical Approachesp. 99
Introductionp. 99
Gender Differences in Addictionp. 100
Context of Comorbidity: Relational Perspectivep. 104
Gender Differences and Similarities in Psychiatric Comorbidityp. 108
Major Psychiatric Comorbidities in Addicted Women: Depression, Dissociative Disorders, and Eating Disordersp. 114
Need for Specialized Women's Treatmentp. 137
Summary of Implications for Specialized Treatment Approachesp. 143
Assessing and Treating Psychiatric Comorbidity in Chemically Dependent Adolescentsp. 153
Literature Reviewp. 154
Assessmentp. 156
Treatmentp. 159
Conduct Disorderp. 161
Attention Deficit Hyperactivity Disorderp. 166
Mood Disordersp. 170
Anxiety Disordersp. 174
Conclusionsp. 178
Selected Treatment Protocols for Comorbid Disordersp. 178
Assessment and Treatment of Major Mental Disorders
A Guide to the Assessment of Psychiatric Symptoms in the Addictions Treatment Settingp. 189
Introduction: Current Symptoms and Behaviors As a Guide to Addictions Treatment Planningp. 189
A Decision Tree for Assessing Psychiatric Symptoms in the Chemically Dependent Individualp. 190
Other Factors to Consider in Assessing the Mentally Ill Substance Abuserp. 206
Conclusionp. 209
Affective Disorders and Affective Symptoms in Alcoholismp. 213
Alcoholism: More Often the Cause or the Result of Depression?p. 213
Incidence of Major Depression in Alcoholicsp. 214
Prevalence of Major Depression in Alcoholicsp. 215
Economicsp. 216
Types of Depressionp. 216
Diagnosis of Affective Disorder in Alcoholismp. 217
The Relationship Between Alcoholism and Affective Disordersp. 218
Familial Transmission of Alcoholism and Affective Disordersp. 220
Genetic Relationship Between Alcoholism and Affective Disordersp. 221
Cerebrospinal Fluidp. 222
Dexamethasone Suppression Testp. 222
Suicide in Depressed Alcoholicsp. 223
Remission of Alcoholism and Affective Symptomsp. 224
Persistence of Affective Disorders in Alcoholismp. 224
Drinking Outcome in Affective Disorderp. 225
Pharmacological Treatment of Alcohol Dependencep. 226
Treatment Strategies for Affective Disorder in Alcoholismp. 229
Conclusion: Summary and Treatment Protocolsp. 230
Chemical Addictions and Anxiety Disorders: When Adaptive Mechanisms Go Awryp. 239
Introductionp. 239
The Disease of Addictionp. 240
Anxiety and Anxiety Disordersp. 247
Comorbidityp. 262
The Interactionp. 265
Diagnostic Considerationsp. 272
Conclusionp. 275
Schizophrenia and Substance Abusep. 287
Introductionp. 287
Prevalence of Combined Schizophrenia and Substance Abusep. 288
Schizophreniap. 290
The Effect of Schizophrenia in the Substance Abuse Programp. 295
The Effect of Substance Abuse on Schizophreniap. 296
Diagnostic Issuesp. 300
Treatment Overviewp. 302
Psychosocial Approaches to Treatmentp. 303
Sample Programs for the Treatment of Schizophrenic Substance Abusersp. 304
Summary of Treatment Componentsp. 306
New Approachesp. 307
Psychopharmacology in Treatmentp. 309
Women and Other Special Populationsp. 311
Research Assessment of Integrated Treatmentp. 312
Conclusionp. 313
Disorders of Personality and Substance Abuse: An Exploration of Empirical and Clinical Findingsp. 317
Personality and Personality Disordersp. 319
The Classification of Personality Disorders According to the DSM-IVp. 322
Antisocial Personality Disorderp. 323
Borderline Personality Disorderp. 325
Histrionic Personality Disorderp. 328
Avoidant Personality Disorderp. 330
Dependent Personality Disorderp. 332
Conclusionp. 334
Indexp. 337
Table of Contents provided by Syndetics. All Rights Reserved.

ISBN: 9780789008763
ISBN-10: 0789008769
Audience: Professional
Format: Hardcover
Language: English
Number Of Pages: 368
Published: 2002
Country of Publication: US
Dimensions (cm): 22.23 x 15.88  x 3.18
Weight (kg): 0.66
Edition Number: 2