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

Index 671Economics, 28–29alcohol use and socioeconomic status,324cocaine use and socioeconomic status,184–185, 208–209social costs of mental disorders, 220social costs of workplace substanceuse, 340–341Educational attainmentcocaine use and, 184–185tobacco use and, 118Ego deficit psychology, 460–461Elderlydiagnosis of substance abuse among,399–401obstacles to treatment, 396–397patterns and prevalence of substanceabuse, 396, 397–399population trends, 396risk of drug interactions, 397–398treatment of substance use disorders,401–407typology of abuse among, 398–399Emergency department admissionscauses of, 185cocaine-related, 185, 200methamphetamine-related, 206racial/ethnic differences, 325Emotional functioningalexithymia, 461, 467assessment, 43–44in borderline personality disorder,618–620in etiology of substance abuse, 460family therapy issues, 538relapse factors, 642skills training in dialectical behaviortherapy, 626–627Employee Assistance Program, 69, 70,347–348Encephalopathy, chronic hepatic, 41, 94Endocrine function, alcohol-relatedcomplications in, 95Enzyme immunoassay analysis, 64Epidemic substance abuse, 20–21, 27–28Epidemiology. See Patterns andprevalence of useErythrocyte mean corpuscular volume,77–78Excitatory amino acid antagonists, 10–11Expert testimony, 355FFamily Adaptability and CohesionEvaluation Scales, 52Family and Medical Leave Act, 341Family Assessment Device, 52Family Assessment Measure, 52Family Environment Scale, 52Family functioningadolescent substance abuse risk and,564alcohol abuse and, 76–77assessment, 51–52Family therapycase management in, 549characteristics of families withaddicted members, 529–530detoxification stage, 540–541ending therapy, 545–546graphic constructions, 536grief and loss issues, 544–545indications, 530–532maintaining sobriety, 541–545network therapy techniques, 521–523outcomes, 550–552pharmacotherapy management, 549–550problem formulation, 533–534, 535–537rationale, 528–529recovery process, 537–541reorganization stage, 543–545self-help groups and, 539, 540social network involvement, 536special problems in substance abusetreatment, 547–550stages of, 532–533therapeutic alliances in, 535therapeutic contract, 534Federal Testing Guidelines, 69Fentanyl, 65