* About the Editors
* Contributors
* Foreword
* Preface to the Second Edition
* Section I: Theoretical and Programmatic Issues
* Chapter 1. Managing Psychiatric Comorbidity in Inpatient
Addictions Treatment
* Clinical Management Policy and Procedure Guidelines
* Assessment
* Clinical Management and Treatment of Coexisting Psychiatric
Disorders in Inpatient Addictions Treatment
* Appendix: Clinical Protocols for the Treatment of Selected
Psychiatric Disorders
* Chapter 2. Improving Treatment Adherence Among Patients with
Comorbid Psychiatric and Substance Use Disorders
* Introduction and Overview
* The Problem of Poor Treatment Adherence
* Determinants of Treatment Adherence
* Effects of Poor Adherence
* Strategies That Improve Adherence
* Systems Strategies to Improve Adherence
* Conclusions and Recommendations
* Suggested Patient Educational Videos
* Chapter 3. Psychopathology and Substance Abuse: A Psychoanalytic
Perspective
* Libido and Personality Development
* Early versus Later Psychoanalytic Thought
* The Borderline Personality
* A Few Nonanalytic Ideas
* Comments
* Implications of the Theory for the Nonanalytic Clinician
* Glossary
* Section II: Treatment Considerations with Special Populations
* Chapter 4. Females with Dual Diagnoses: Implications for
Specialized Clinical Approaches
* Introduction
* Gender Differences in Addiction
* Context of Comorbidity: Relational Perspective
* Gender Differences and Similarities in Psychiatric
Comorbidity
* Major Psychiatric Comorbidities in Addicted Women: Depression,
Dissociative Disorders, and Eating Disorders
* Need for Specialized Women’s Treatment
* Summary of Implications for Specialized Treatment Approaches
* Chapter 5. Assessing and Treating Psychiatric Comorbidity in
Chemically Dependent Adolescents
* Literature Review
* Assessment
* Treatment
* Conduct Disorder
* Attention Deficit Hyperactivity Disorder
* Mood Disorders
* Anxiety Disorders
* Conclusions
* Appendix: Selected Treatment Protocols for Comorbid Disorders
* Section III: Assessment and Treatment of Major Mental
Disorders
* Chapter 6. A Guide to the Assessment of Psychiatric Symptoms in
the Addictions Treatment Setting
* Introduction: Current Symptoms and Behaviors As a Guide to
Addictions Treatment Planning
* A Decision Tree for Assessing Psychiatric Symptoms in the
Chemically Dependent Individual
* Other Factors to Consider in Assessing the Mentally Ill Substance
Abuser
* Conclusion
* Chapter 7. Affective Disorders and Affective Symptoms in
Alcoholism
* Alcoholism: More Often the Cause or the Result of Depression?
* Incidence of Major Depression in Alcoholics
* Prevalence of Major Depression in Alcoholics
* Economics
* Types of Depression
* Diagnosis of Affective Disorder in Alcoholism
* The Relationship Between Alcoholism and Affective Disorders
* Familial Transmission of Alcoholism and Affective Disorders
* Genetic Relationship Between Alcoholism and Affective
Disorders
* Cerebrospinal Fluid
* Dexamethasone Suppression Test
* Suicide in Depressed Alcoholics
* Remission of Alcoholism and Affective Symptoms
* Persistence of Affective Disorders in Alcoholism
* Drinking Outcome in Affective Disorder
* Pharmacological Treatment of Alcohol Dependence
* Treatment Strategies for Affective Disorder in Alcoholism
* Conclusion: Summary and Treatment Protocols
* Chapter 8. Chemical Addictions and Anxiety Disorders: When
Adaptive Mechanisms Go Awry
* Introduction
* The Disease of Addiction
* Anxiety and Anxiety Disorders
* Comorbidity
* The Interaction
* Diagnostic Considerations
* Conclusion
* Chapter 9. Schizophrenia and Substance Abuse
* Introduction
* Prevalence of Combined Schizophrenia and Substance Abuse
* Schizophrenia
* The Effect of Schizophrenia in the Subst
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