Foreword |
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xi | |
Preface by Peter R. Martin, M.D. |
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xv | |
Preface by Bennett Alan Weinberg, Esq., and Bonnie K. Bealer |
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xxi | |
Acknowledgments |
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xxiii | |
Part I Out of Control: The Biopsychosocial Model of the Causes of Addiction |
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1 The Many Faces of Addiction |
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3 | (12) |
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6 | (2) |
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8 | (1) |
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9 | (1) |
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Primary and Secondary Addiction |
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10 | (5) |
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2 The Historical Development of Drug Addiction |
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15 | (7) |
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Changing Attitudes about Psychoactive Substances |
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16 | (2) |
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Epidemiology: The Prevalence of Drug Use |
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18 | (4) |
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22 | (10) |
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23 | (2) |
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Drugs and the Chemical Systems of the Brain |
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25 | (1) |
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26 | (3) |
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Complications of Drug Abuse |
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29 | (3) |
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4 Biopsychosocial Factors in Addiction |
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32 | (9) |
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Biological Factors: Brain Chemistry |
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33 | (1) |
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34 | (1) |
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35 | (1) |
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Biopsychosocial Factors and the Typical Course of Addiction |
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36 | (5) |
Part II The Integrated Approach: Pharmacopsychosocial Treatment of Addiction as a Bona Fide Mental Illness |
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5 The Players: Psychiatrists and Other Physicians, Therapists, Social Workers, Clergy, Family and Friends, and Support Groups |
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41 | (11) |
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Addiction and Co-Occurring Psychiatric Conditions |
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43 | (3) |
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Importance of Pharmaceuticals in Treatment |
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46 | (2) |
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Advice to Caregivers: "Above All, Do No Harm!" |
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48 | (4) |
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6 Identification and Diagnosis: Why Is It Difficult to Recognize Addiction? |
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52 | (3) |
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55 | (11) |
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What Can the Family Do, and Why Is the Family Invaluable in Recovery? |
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58 | (3) |
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How Should Treatment Continue after Detoxification or Stabilization? |
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61 | (1) |
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Healing: When Treatment Requires Professional Supervision |
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62 | (4) |
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66 | (13) |
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Inpatient or Outpatient Treatment: Which Is More Effective or Gives the Better Value for the Money? |
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66 | (2) |
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Who Really Decides What Treatment Is Best? |
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68 | (2) |
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Psychosocial Treatment Programs |
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70 | (2) |
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72 | (2) |
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Safety of Medications in the Treatment of Primary Addiction: Why Become Addicted to a Doctor-Prescribed Medicine? |
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74 | (5) |
Part III Gaining Understanding: Treating Drug Addictions |
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79 | (17) |
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81 | (3) |
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84 | (1) |
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85 | (1) |
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Absorption, Distribution, and Elimination |
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86 | (1) |
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87 | (1) |
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87 | (5) |
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Other Issues Related to Treating Alcoholism |
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92 | (2) |
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Alcoholism as a Paradigm for Understanding Drug Addiction |
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94 | (2) |
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10 Heroin and Other Morphine-Related Drugs |
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96 | (8) |
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96 | (2) |
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98 | (2) |
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Drug-Seeking Behavior: Sought-After Effects |
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100 | (1) |
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101 | (3) |
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11 CNS Depressants: Barbiturates, Benzodiazepines, and Other Hypnotics and Tranquilizers |
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104 | (11) |
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107 | (1) |
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108 | (3) |
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Drug-Seeking Behavior: Sought-After Effects |
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111 | (1) |
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111 | (4) |
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12 Stimulants: Cocaine and Amphetamines |
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115 | (11) |
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116 | (2) |
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Amphetamines, Including Methamphetamine |
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118 | (1) |
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119 | (2) |
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121 | (1) |
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Drug-Seeking Behavior: Sought-After Effects |
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122 | (1) |
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122 | (2) |
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Medical and Other Complications |
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124 | (2) |
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126 | (13) |
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128 | (2) |
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130 | (2) |
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132 | (1) |
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133 | (1) |
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134 | (1) |
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Absorption, Distribution, Metabolism, and Excretion |
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134 | (1) |
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134 | (1) |
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135 | (1) |
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136 | (3) |
Part IV Gaining Understanding: Treating Behavioral Addictions |
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14 What Are Behavioral Addictions? |
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139 | (10) |
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144 | (1) |
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Sex Addiction: Problematic Hypersexuality |
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145 | (1) |
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146 | (3) |
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149 | (11) |
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151 | (1) |
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152 | (3) |
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Gambling Addiction: Behavioral Characteristics |
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155 | (1) |
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156 | (4) |
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160 | (23) |
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163 | (2) |
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165 | (1) |
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166 | (6) |
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172 | (2) |
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174 | (2) |
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Summary and Comparison of the Eating Disorders |
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176 | (1) |
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177 | (1) |
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Neuroadaptation: Tolerance, Dependence, and Withdrawal? |
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178 | (5) |
Part V Recovery as an Ongoing Process: Control Is Never Complete |
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17 Criteria for Treatment Success |
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183 | (2) |
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185 | (5) |
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186 | (1) |
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Continuing Relationship with the Physician or Therapist |
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187 | (1) |
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Should Recovering Addicts Become Treatment Professionals? |
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188 | (2) |
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19 Managing Long-Term Treatment |
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190 | (35) |
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Recovery Requires Maintaining Health |
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190 | (1) |
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Honesty with the Primary Care Doctor Helps Both Patient and Doctor |
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191 | (1) |
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The Primary Care Doctor: Partner in Recovery and Point Man of the Recovery Net |
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192 | (1) |
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Beware of the Quickly Drawn Pen and the Ever-Ready Prescription Pad |
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193 | (1) |
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Denial Is Incompatible with RecoveryHealing Requires Acceptance of Addiction(s) |
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194 | (1) |
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Responsible RecoveryThe Blame Game Helps No One |
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194 | (1) |
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Drugs Are Not DangerousPeople Who Take Drugs Can Make Them Dangerous |
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195 | (4) |
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Mutual Trust, Respect, and Open Communication in the PhysicianPatient Relationship |
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199 | (2) |
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Recovery Is More than Abstinence |
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201 | (3) |
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Pharmacopsychosocial Treatment Knits a Strong Recovery Safety Net |
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204 | (3) |
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Peer Mutual Support Fellowship: A Safe Haven in the Storm of Addiction |
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207 | (1) |
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Recovery Requires Self-Examinationwith Help from Others Who Care about the Recovering Addict |
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208 | (2) |
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Professional Guidance on the Journey from Active Addiction to Recovery |
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210 | (3) |
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Psychotherapy with a Professional Is Highly Compatible with a 12-Step Program |
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213 | (3) |
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How Does a Professional Help Recovering Addicts Understand Themselves Better and Enable Them to Heal Their Addiction? |
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216 | (1) |
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Addiction as a Way to Cope? |
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217 | (2) |
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Despondency During Recovery |
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219 | (1) |
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Wanting to Do Things Differently |
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220 | (1) |
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Setting Priorities in Order to Do Things Differently |
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220 | (2) |
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How to Make Changes after Determining Priorities |
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222 | (1) |
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Recovery Means Understanding the Role of Fundamental Emotions in Addiction, Such as Trust and Shame |
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222 | (3) |
Appendix A Glossary of Terms |
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225 | (9) |
Appendix B Helpful Web Sites |
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234 | (2) |
Appendix C Epidemiological Tables |
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236 | (2) |
Appendix D Pharmacological Treatment of Withdrawal Syndromes from Substances of Abuse |
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238 | (2) |
Appendix E Pharmacological Maintenance Strategies for Substance Dependence after Detoxification Is Completed |
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240 | (1) |
Bibliography |
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241 | (2) |
Index |
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243 | (4) |
About the Authors |
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247 | |