The devastating psychological, physical, and spiritual damage wrought by the misuse of drugs is indisputable. However, there is a recurring debate over the causes of substance abuse that typically divides along two common assumptions: People either abuse drugs and alcohol out of sheer pleasure-seeking drives run amok or to escape or assuage aversive states of comorbid anxiety or depression. Substance Abuse and Emotion goes beyond this dichotomy in its exploration of recent, significant field observations, theory construction and rigorous testing, and laboratory research to advance working models for a new research paradigm on substance abuse and comorbidity. Notably, the relationship between drugs and emotion is emerging as paramount in understanding drug abuse etiology, maintenance, and relapse. Part I of this edited volume examines various theoretical perspectives on the interrelationship between substance abuse and emotion, such as craving and positive/negative reinforcement; cognitive theories; relapse; and developmental, sociobiological, and evolutionary perspectives. Part II explores new assessment methodologies, such as ecological momentary assessment and the linkage between affect and cognitive deficits among drug users. The book concludes with a research agenda to expand the volumes new paradigm in understanding and treating substance abuse.

Emotion and addiction lie on a continuum between simple visceral drives such as hunger, thirst, and sexual desire at one end and calm, rational decision making at the other. Although emotion and addiction involve visceral motivation, they are also closely linked to cognition and culture. They thus provide the ideal vehicle for Jon Elster's study of the interrelation between three explanatory approaches to behavior: neurobiology, culture, and choice. The book is organized around parallel analyses of emotion and addiction in order to bring out similarities as well as differences. Elster's study sheds fresh light on the generation of human behavior, ultimately revealing how cognition, choice, and rationality are undermined by the physical processes that underlie strong emotions and cravings. This book will be of particular interest to those studying the variety of human motivations who are dissatisfied with the prevailing reductionisms. *Not for sale in Belgium, France, or Switzerland.

An overview of the psychological effects of such substances as nicotine, alcohol, cocaine, and amphetamines.

How learning to deal with unresolved emotions leads to true healing—and authentic emotional recovery from addiction. Just as one needs to hit bottom with drinking or using in order to begin recovery, eventually one will also hit an emotional “bottom” of fear, anger, and grief. And recovery can only start by first understanding how, when, and where those emotions took control. Barb Rogers challenges readers in recovery to investigate the unresolved grief and loss in their lives and navigate the impacts of those emotions—emotions that can lead back to using if not resolved. Recovery from addictions involves more than getting sober. It involves finding happiness, which can only happen if the emotional work is done as well. Negative emotions have the ability to weigh on us and influence both our decisions and the way we handle life’s challenges. If we continue to live with fear, anger, and grief, we aren’t really free from our addictions. The steps to recovery—authentic and complete recovery—involve healing from the deeper issues in our life. Learn more about:The emotional healing that goes hand-in-hand with addiction recoveryDealing with grief and resolving underlying issuesHow to find happiness after getting sober

"This book is extremely useful for a broad range of readers. This book reflects the extensive scientific and clinical expertise of the authors and is compelling reading for anyone interested in addictive behaviors. It is one of the rare books that from page one immediately engrosses, educates and broadens your perspective." —Alex Blaszczynski, The University of Sydney, International Journal of Mental Health Addiction "Psychologist Harvey Milkman and chemist Stanley Sunderwirth explore why our relentless search for pleasure sometimes leads to dangerous addictions and show us healthy ways to achieve happiness." —SCIENTIFIC AMERICAN MIND "Harvey B. Milkman and Stanley Sunderwirth have written a tour de force. Craving for Ecstasy and Natural Highs: A Positive Approach to Mood Alteration . . . is a beautifully written and organized book . . . a thrill ride through the most innovative and insightful perspectives that science and clinical experience have to offer . . . hip and artistic, reflecting a deep understanding of addiction . . . a major contribution to the field; it is must reading." —Howard J. Shaffer, PhD, CAS Editor, Psychology of Addictive Behaviors, Associate Professor, Harvard Medical School Director, Division on Addictions, Cambridge Health Alliance "Reading this book is in itself and ecstatic experience! . . . a fascinating journey that explores the benefits and risks of pleasure and the universal desire to feel good . . . It′s quite a trip." —G. Alan Marlatt, PhD, University of Washington People from all walks of life often lose themselves in pursuing counterfeit pleasures—cigarettes, alcohol, drugs, thrill seeking, sex, food, gambling, and on-line fantasies to name just a few. How does the pursuit of pleasure result in compulsion and loss of control? Craving for Ecstasy and Natural Highs addresses this fundamental question and then explores positive ways to achieve lasting happiness and fulfillment. Readers will gain important insight on how to improve their own quality of life and will learn how to offer support to clients, students, family, and friends whose lives may be compromised by addiction. Students of addictive behaviors and anyone interested in discovering healthy means to satisfy the drive to alter consciousness will find this book compelling. Reviews of previous work: "The chemistry and psychology of addiction are described with considerable insight. . . . These authors know their stuff and make a compelling case." —The Los Angeles Times "The authors provide a valuable service by placing into perspective a large array of behaviors that could be considered addictive." —JAMA

Adolescent substance abuse is the nation's #1 public health problem. It originates out of a developmental era where experimentation with the world is increasingly taking place, and where major changes in physical self and social relationships are taking place. These changes cannot be understood by any one discipline nor can they be described by focusing only on the behavioral and social problems of this age period, the characteristics of normal development, or the pharmacology and addictive potential of specific drugs. They require knowledge of the brain's systems of reward and control, genetics, psychopharmacology, personality, child development, psychopathology, family dynamics, peer group relationships, culture, social policy, and more. Drawing on the expertise of the leading researchers in this field, this Handbook provides the most comprehensive summarization of current knowledge about adolescent substance abuse. The Handbook is organized into eight sections covering the literature on the developmental context of this life period, the epidemiology of adolescent use and abuse, similarities and differences in use, addictive potential, and consequences of use for different drugs; etiology and course as characterized at different levels of mechanistic analysis ranging from the genetic and neural to the behavioural and social. Two sections cover the clinical ramifications of abuse, and prevention and intervention strategies to most effectively deal with these problems. The Handbook's last section addresses the role of social policy in framing the problem, in addressing it, and explores its potential role in alleviating it.

Presents comprehensive information on the effects of drug use on anger, and provides advice on stress as a cause of anger, distinguishing between types of anger, and healthy ways to deal with anger