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By Edward J. Khantzian

Passionate, specialist, and unfailingly astute, Dr. Khantzian examines his sufferers' inner worlds, revealing vulnerabilities whereas uncovering resiliency and power. This ebook, entire in scope, considerable in scientific fabric, and written with readability and intelligence, presents a intensity of realizing of substance use issues and an elevated wish for restoration.

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1992). Child­ hood precursors of adolescent drug use: a longitudinal analysis. Ge­ netics, Society and General Psychology Monograph 1 18: 1 95-2 1 3 . 14 TREATING ADDfCTION AS A H UMAN PROCESS Ciraulo, D. , Sands, B. , and Shader, R. 1. (1988). Critical review of liability for benzodiazepine abuse among alcoholics. American Journal of Psychiatry 145: 1 501-1 506. Cornelius, J. R . , Salloum, 1 . M . , Cornelius, M. D . , et. al. (1993). Fluoxetine trial in suicidal depressed alcoholics. Psychopharmacol­ ogy Bulletin 29 :195-199.

His ultimate failure in both of these expectations was accompanied by much apprehension and depression. When he was first seen, he had been using heroin exclusively. How­ ever, he had become heavily involved with other drugs in high school, where he used significant amounts of amphetamines, hallucinogens, hashish, marijuana, cough syrup with codeine, and combinations such as amyl nitrate with alcohol. He explained his indiscriminate use of every drug he could obtain as a way of gaining acceptance from "hip­ pie-intellectual types" after he had gotten into trouble with the law and had become disillusioned with society.

And Miller, M. S. (1 994) . The biology of addictive and psychiatric disorders. In Treating Co-existing Psychiatric and Ad­ dictive Disorders: A Practical Guide, ed. N. S. Miller, pp. 35-49. Center City, MN: Hazelden. Greenfield, S. , Weiss, R. D . , Muenz, L. , et al. (1 998) . The effect of depression on return to drinking: a prospective study. Archives of General Psychiatry 55:259-265. Kellam, S. , Dollan, L. J . , et al. (1991). Devel­ opmental epidemiologically based preventive trials: baseline mod­ eling of early target behaviors and depressive symptoms.

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