Clinical Textbook of Addictive Disorders 3rd ed - R. Frances, S. Miller, A. Mack (Guilford, 2005) WW

xiiPrefaceof alcohol in the 2002 survey (51%). In terms of diagnosis, an estimated 22 millionAmericans in 2002 were classified with substance dependence or abuse(9.4% of the total population ages 12 or older). Of these, 3.2 million were classifiedwith dependence on or abuse of both alcohol and illicit drugs, 3.9 millionwere dependent on or abused illicit drugs but not alcohol, and 14.9 millionwere dependent on or abused alcohol but not illicit drugs (Office of AppliedStudies, 2003). As for children, according to the Monitoring the Future study,Ecstasy use among 12th graders finally began to lessen after increases since 1998and use of illicit substances other than marijuana continued to decline amongboth 10th and 12th graders. Yet inhalant use increased and cocaine useremained steady among eighth graders (Johnston, O’Malley, Bachman, &Schulenberg, 2004). These numbers suggest that treatment and preventionefforts need to be tailored to particular diagnoses and to members of particulargroups, as the magnitude of substance use remains large.In order to address this great and costly social and medical problem, thistextbook, written previously by the founders and many of the leaders of AAAP,again includes many of the prestigious, internationally renowned clinicians,educators, and researchers from the original pool of talent, with extensive revisionand updating of their work. We have also added new chapters on theneuroscientific basis of addiction, gambling and other “behavioral” addictions,occupational issues and addiction, and dialectical behavior therapy of addictedborderline patients. Many excellent authors were added, and a third editor,Avram H. Mack, provides a fresh perspective. This new volume presents historicalbackground, scientific basis, diagnostic tools, substance-specific information,and a full range of treatment approaches, including individual,group, self-help, family, cognitive-behavioral, psychodynamic, psychopharmacological,and integrated treatment for comorbid conditions. Competency intailoring addiction treatment to specific concerns that relate to culture, ethnicity,spirituality, gender, age, legal and occupational problems, and medical andpsychiatric comorbidity are all vital clinical skills covered throughout the book.Integrating the right combination of treatments for the addicted patient is atthis point as much art as science.Greater attention has been given to integrating treatment for co-occurringpsychiatric disorders; medical conditions such as HIV/AIDS, hepatitis, andtuberculosis; and the psychosocial problems that complicate addictive illness.Clinicians need skills to tailor addiction treatment to women, different socioculturalgroups, age-specific groups, the medically ill, and those with legal problems.Some of the newer treatment approaches are being formatted as manualsand advocate pure application of their methods. What is the reader of a volumelike this to do with the disparate kinds of practices authors describe, when westill are at the infancy of scientifically based differential therapeutics? Whilecontroversy surrounds this area, we recommend integration and blending ofmany of these tools with the personality and style of the informed clinician and