Perspectives on Substance Use, Disorders, and Addiction 2/e

Margaret Fetting, PhD, attended Rosemont College and received her baccalaureate degree from George Washington University and her master's and doctorate from the University of Pennsylvania. Fetting has been teaching courses and workshops on substance use disorders and addiction in southern California for over 25 years. She has been primarily affiliated with the School of Social Work at the University of Southern California, led the effort to develop substance use disorders courses for its online Virtual Academic Center. She is a visiting faculty member at the America College of Greece in Athens and a regular guest lecturer at the Los Angeles Institute and Society for Psychoanalytic Studies. Fetting has been in clinical private practice for over 25 years in Santa Monica. She specializes in the treatment of substance use disorders and addiction for individuals, couples, and families. She is affiliated with Clearview Treatment Programs and Milestones Ranch, both nationally-respected and multileveled treatment facilities in Southern California. Fetting addresses national and international audiences, has many articles in print, and published her first text, Perspectives on Addiction, in 2012 with SAGE Publishing Inc.

Part I: A Perspective on the World of Substance Use Disorders and Addiction Chapter I: Philosophical Core Philosophical Core Chapter II: Ancient Desires and Symposiums Ancient Desires and Symposiums Chapter Summary and Reflections Chapter III: Globalization and Addiction Key Words: Dikaiosune, Psychosocial Integration, and Dislocation Daily Impacts and Everyday Stories Addiction Symptoms as Social Adaptation, Not Individual Pathology Clinical Cases Chapter Summary and Reflections Chapter IV: Cultural Stories Cultural Prohibitions, Approvals, Disapprovals, and Treatments Avoidance of Communication on the Topic of AOD and Their Problems Chapter Summary and Reflections Chapter V: Contemporary Concepts Contemporary Concepts Chapter Summary and Reflections Part II: A Perspective on Diagnosis and Substance Classification Chapter VI: DSM-5 and Fifteen Clinical Sketches of Using, Misusing, and Addiction Recent DSM History From Over- and Under-Diagnosing to Exploring Clinical Sketches Reading the Clinical Sketches Clinical Sketches (DSM-5) Chapter Summary and Reflections Chapter VII: Ten Classes of Substances and Gambling Basic Neuroscience Research Chemicals, Legal Highs, and Web 2.0 Gambling and the DSM Reference Charts Chapter Summary and Reflections with Further Study Part III: A Perspective on the Suffering Behind Substance Use Disorders and Addiction Chapter VIII: Self-Medication, Psychoanalytic, and Psychodynamic Theories Self-Medication Theorists Chapter Summary and Reflections Part IV: A Perspective on Treatment Chapter IX: They Symposium Approach: Use, Prevention, Education, and Treatment Four Guiding Principles of the Symposium Approach Reading the Case Studies Chapter Summary and Reflections Chapter X: Non-Problematic Use (Healthy) Clinical Cases Chapter XI: Mild Substance Use Disorder Clinical Cases Chapter XII: Moderate Substance Use Disorder Clinical Cases Chapter XIII: Severe Substance Use Disorder Clinical Cases Chapter XIV: Addiction Clinical Cases Epilogue References Glossary Index About the Author

"Fetting helps the reader recognize addiction issues as they go beyond personal troubles and impact families and societies." -- Dian Jordan-Werhane "Fetting provides numerous case studies and in-depth exposure of the developmental model of addiction leaving students not only with a clear grasp of the model but a strong background in how it works, which is directly applicable to clinical work." -- Todd F. Lewis "The human condition is one that destines us to alternate between states of contentment, discomfort, distress, and, worst of all, unbearable suffering. Alcohol and other drugs (AODs) can enhance, alter, and relieve such feeling states. Margaret Fetting in this wonderfully nuanced and sophisticated book explores and explains how and why this is so dating back to ancient times up to the present. Professor Fetting richly explores the historical, cultural, social, and clinical contexts, and related theories, of intoxicant use in pursuing her special perspective. Throughout the book she provides compelling case vignettes that richly illustrate the various situations in which we use AODs adaptively and maladaptively. She is passionate about her subject matter; her writing style is evocative, and she builds a compelling narrative for why the desire for AODs is enjoyable for most, problematic for some, and devastating for a few. After pondering, studying, and treating these problems now approaching five decades I find her approach and perspective very refreshing because it takes me beyond my own models and paradigms for understanding, at the same time it provides me with a more flexible basis to better appreciate the wide range of use that AODs take in all its variant normal and pathological forms." -- E. J. Khantzian, MD. "Margaret Fetting has produced an excellent and encompassing harm reduction perspective on drug use, abuse, and treatment for the globalized twenty-first century." -- Bruce Alexander, Simon Fraser University "Perspectives on Substance Use, Disorders, and Addiction, by Margaret Fetting is a special textbook for the beginning student and the experienced practitioner alike. It is intended as a thought-provoking overview of what is most cutting edge in thinking and clinical practice about substance use along the spectrum from non-problematic through addictive. This book is radical in acknowledging what we all know, that people have used substances for their positive effects from the beginning of time. It is ambitious in suggesting that we must consider many factors in any honest, disciplined attempt to understand how and why substance use becomes so devastating for individuals and society: globalization and other socio-cultural factors, individual cultural and family history, learning, personal meaning and self-medication of suffering. Fetting introduces each of these areas clearly and succinctly. Her overarching philosophy for helping is harm reduction, an approach that is fully committed to seeing each individual who struggles with substance use issues as a unique human in unique circumstances who needs help that is collaboratively tailored to them. The ideas in this book are brought to life with powerful case vignettes and student contributions that bring the reader into real people's lives. I have learned much that I am already using in my teaching and clinical work. I know you will too. Enjoy!" -- Andrew Tatarsky, PhD., Author, Harm Reduction Psychotherapy: A New Treatment for Drug and Alcohol Problems "Dr. Margaret Fetting's book is essential reading for students, clinicians, and those who suffer from alcohol and substance use disorders. Fetting traces the ancient roots of the human wish to become intoxicated, and, without judgment, puts that desire into a modern context. For the past 80 years, the U.S. has relied on a one-size-fits-all treatment for a complex set of problems, and Fetting presents flexible and innovative approaches for addiction and substance-use disorders at a time when Americans are desperate for alternatives -- for themselves, their loved ones, and their clients. This highly readable, engaging book is essential for clinicians, faculty and students of addiction and also those who struggle with substance- and alcohol-use disorders themselves." -- Gabrielle Glaser