Concepts of Chemical Dependency

Dr. Harold E. Doweiko, a licensed psychologist, was on the staff at the Gundersen-Lutheran Medical Center in La Crosse, Wisconsin, prior to his death. He worked with the substance use treatment program, the chronic pain management program and the traditional adult mental health patients, including patients with co-occurring disorders. He served with the La Crosse County Drug Court for several years, and as a professional witness on the topic of substance use disorders for federal and state courts in Kansas, Wisconsin and Minnesota. Dr. Doweiko was an adjunct faculty member for colleges in both Wisconsin and Minnesota, most recently with the Viterbo University counselor education program in La Crosse, Wisconsin. Dr. Amelia (Amy) L. Evans, a licensed professional clinical counselor, is an associate professor and program director for the Master of Arts in Counseling program at Bethel University in St. Paul, Minnesota. She first began work with substance use disorders during her doctoral internship at Hazelden in Center City, Minnesota, now Hazelden Betty Ford Foundation. Since beginning her teaching career, she has trained mental health counselors and addictions counselors, as well as counselors planning to be dually licensed to work with co-occurring disorders.

1. Why Worry About Substance Misuse or Substance Use Disorders?
2. The Nature of the Beast.
3. A Brief Introduction to the Science of Pharmacology.
4. An Introduction to Alcohol: Man's Oldest Recreational Chemical.
5. The Alcohol Use Disorders.
6. Misuse of Barbiturates and Barbiturate-Like Compounds.
7. Misuse of Benzodiazepines and Similar Agents.
8. Use and Misuse of Central Nervous System Stimulants.
9. Cocaine Misuse and Cocaine Use Disorder.
10. Cannabis Use, Misuse and Cannabis Use Disorder.
11. Opioid Use, Misuse, and Opioid Use Disorder.
12. Hallucinogen Misuse.
13. Misuse of Inhalants and Aerosols.
14. The Under-Recognized Problem of Steroid Misuse.
15. Tobacco Products and Tobacco Use.
16. Over-the-Counter Analgesics.
17. Chemicals and the Neonate.
18. Gender and Substance Use Disorders.
19. Hidden Faces of Substance Use Disorders.
20. Substance Misuse by Children and Adolescents.
21. Substance Use and Substance Use Disorders in College Students.
22. Substance Use Disorders and the Older Adult.
23. Substance Use Disorders and the Family.
24. Codependency and Enabling.
25. The Client with Co-Occurring Disorders.
26. The Biopsychosocial Model of the Addictions.
27. The Substance Use Disorders and Spirituality/Religion.
28. The Screening and Assessment of Suspected Substance Use Disorders.
29. Intervention.
30. Treatment Settings.
31. The Treatment of Substance Use Disorders.
32. The Process of Treatment.
33. Pharmacological Interventions for Substance Use Disorders.
34. Return to Use and Other Problems Frequently Encountered in Substance Treatment.
35. Support Groups to Promote and Sustain Recovery.
36. Substance Use Disorders and Infectious Disease.
37. The Debate over Drugs.
38. The Debate Over Legalization.
Appendices.
Glossary.
References.
Index.