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Examines the profile of the addict, the nature of addiction, and explains the roller coaster syndrome that can trap innocent people. Too many people have suffered needlessly on the roller coaster of addiction. Dr. Cohen knows that addiction is a powerful trap and hopes that people will recognize that addicts are neither weak nor bad people. They are just people who underestimated the danger they were facing.
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Published by Health Press P.O. Box 1388 Santa Fe, NM 87504
All rights reserved, including the right of reproduction in whole or in part in any form. Printed in the United States of America
Library of Congress Cataloging in Publication Data
Cohen, Irving A. Addiction: the high-low trap / by Irving A. Cohen p. cm. Includes bibliographical references and index ISBN 0-929173-10-4 1. Substance abuse-Physiological aspects. 2. Substance abuse-Popular works. 3. Stimulants. 4. Central nervous system depressants. 5. Substance abuse-Treatment. I. Title. [DNLM: 1. Analeptics-pharmacology. 2. Hypnotics and Sedatives-pharmacology. 3. Substance Dependence-psychology. 4. Substance Dependence-rehabilitation. WM 270 C6775a] RC564.C624 1995 616.86dc20 DNLM/DLC91-35374 CIP
Edited by Susan Victor Design by Jim Mafchir
Page v
Table of Contents
Foreword
vii
Preface: No Pussycat Drugs
ix
Introduction
xiii
Part I
Chapter 1: Innocent Addicts
3
Chapter 2: The Addictive Sedative
18
Chapter 3: The Pill Person
34
Chapter 4: Cocaine Addiction
44
Chapter 5: Dual Addiction
62
Chapter 6: Other Addictions
69
Part II
Chapter 7: Recovery and Thinking
78
Chapter 8: Recovery and the Body
88
Chapter 9: Recovery and Sex
95
Page vi
Chapter 10: Finding Recovery
104
Chapter 11: Following the Twelve-Step Path
122
Chapter 12: Other Paths to Recovery
133
Chapter 13: Avoiding Relapse
147
Part III
Chapter 14: Prevention is Possible
154
Appendix A: What Your Doctor Should Know
168
Appendix B: How to Recognize a Specialist
171
Appendix C: Knowing Who Needs Treatment
176
Appendix D: Locating Help
182
For Further Reading
200
Index
205
About the Author
209
Page vii
Foreward
Alcohol and drug problems have been a priority concern in the United States since 1975. Alcohol is implicated in nearly half of all deaths caused by motor vehicle crashes, suicides and homicides. With greater public awareness of their dangers the general use of alcohol and other drugs for recreation has generally declined in the United States since 1985. However alcohol is still the foremost abused substance in the United States leading to dependence and many alcohol illnesses. In addition, approximately 20 million Americans use marijuana at least once in a year and nearly as many Americans have experimented at least once with crack cocaine, placing themselves at risk for developing drug dependence and other problems.
Public health professionals are actively engaged in reaching out to inform the public about the extent of the national problem and the effectiveness of treatment for alcohol and drug dependence. The development of effective treatments for alcohol and drug dependence has encouraged more individuals to acknowledge alcohol and other drug problems. Even while general use of alcohol and drugs is decreasing, the number of individuals addicted to alcohol and psychoactive medications has remained about the same or even increased in the population. National recognition of the gravity of alcohol and other drug problems has changed the social climate so that more people are willing to consider the possibility that they, too, may have a problem.
Dr. Cohen's specialty training in preventive medicine and addiction medicine work together to produce a writing style which puts the reader in the office of an experienced, concerned, and caring doctor explaining the things any concerned person or family need to know.
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