There's a Better Way to Work the 12 Steps, Drugs, food, money, sex, relationships, work... Any addiction darkens and potentially threatens our lives. We want to change, but we can't. "Relapse is part of recovery," we're told. Really? In Addiction Is the Symptom, Dr. Rosemary Ellsworth Brown offers a deeper approach to the steps that prevents relapse by digging beyond our addictions-our symptoms-to heal the real problem: emotional dependency It worked for Dr. Brown herself, and it's been working for her clients and sponsees for 30 years. Do you have 20 minutes a day to change your life? At the heart of this new approach is Step Four, recast to heal the cause. Precise instructions eliminate the usual trial and error-and the usual self-judgment. There's nothing wrong with you. What's wrong is all the garbage piled on top of you. Here is a way to get your authentic self out from under the lifetime of conditioning that is fueling your addictive behaviors. We're all addicted. It's about more than substance abuse. It's about near-universal control issues that profoundly affect our everyday lives and relationships. Think you're not addicted? Think again. Transformation is possible. Wherever you live on the addiction spectrum, healing emotional dependency means becoming powerful in your own right and reaching your full potential as a human being. Book jacket.

Through the vivid, true stories of five people who journeyed into and out of addiction, a renowned neuroscientist explains why the "disease model" of addiction is wrong and illuminates the path to recovery. The psychiatric establishment and rehab industry in the Western world have branded addiction a brain disease. But in The Biology of Desire, cognitive neuroscientist and former addict Marc Lewis makes a convincing case that addiction is not a disease, and shows why the disease model has become an obstacle to healing. Lewis reveals addiction as an unintended consequence of the brain doing what it's supposed to do-seek pleasure and relief-in a world that's not cooperating. As a result, most treatment based on the disease model fails. Lewis shows how treatment can be retooled to achieve lasting recovery. This is enlightening and optimistic reading for anyone who has wrestled with addiction either personally or professionally.

This book evaluates the psychological concept of exercise addiction from a scholastically multidisciplinary perspective. The most recent developments in the area of investigation are evaluated with reference to theory and critical analysis of extant research. The book summarises the current knowledge about the psycho-physiological nature of exercise addiction. Further, it presents the conceptual hegemony in addressing the problem of exercise addiction within the scientific community. The characteristic and most prevalent symptoms of the disorder are discussed alongside the modes of risk-assessment. Subsequently, the underlying motives and several theoretical models of exercise addiction are reviewed. Finally, the research on exercise addiction is evaluated and directions for future research are suggested. Difference is made between primary exercise addiction in which the exercise behaviour is the problem and secondary exercise addiction in which exercise is used as a means in achieving another objective, like weight loss. This book concludes with two brief sections summarising plainly what we know today and what we still need to know about exercise addiction.

This report considers the biological and behavioral mechanisms that may underlie the pathogenicity of tobacco smoke. Many Surgeon General's reports have considered research findings on mechanisms in assessing the biological plausibility of associations observed in epidemiologic studies. Mechanisms of disease are important because they may provide plausibility, which is one of the guideline criteria for assessing evidence on causation. This report specifically reviews the evidence on the potential mechanisms by which smoking causes diseases and considers whether a mechanism is likely to be operative in the production of human disease by tobacco smoke. This evidence is relevant to understanding how smoking causes disease, to identifying those who may be particularly susceptible, and to assessing the potential risks of tobacco products.

Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.

What can psychoanalysis contribute to an understanding of the etiology, treatment, and prevention of substance abuse? Here, Louis Berger contests both the orthodox view of substance abuse as a "disease" explicable within the medical model, and the fashionable dissenting view that substance abuse is a habit controllable through the "willpower" fostered by superficial treatment approaches. According to Berger, substance abuse is first and foremost a symptom. He argues that it is only by grasping this fact that we can understand why standard approaches to treatment and prevention have failed. Berger invokes a wide spectrum of recent analytic insights about infant and child development, the psychology of narcissism, and primitive character disorders in making the case that substance abuse masks serious preoedipal (or "midrange") psychopathology. Such psychopathology, operating at both cultural and person levels, explains why certain individuals become dependent on illicit drugs; it is equally revelatory of why the substance abuse "establishment" -- and society at large -- continues to misconstrue the nature of the problem and to proffer ill-conceived and ineffective remedies. After thoroughly examining the motives, conscious and unconscious, that maintain "mainstream" myths about substance abuse, Berger points the way to alternative approaches to prevention and treatment.