Defense Addiction


Book Description

Whatever happened to the post–Cold War “peace dividend”? Why does military spending continue to escape federal budget reductions? Why, despite the nearly universal desire to reduce government waste and budget deficits, is the United States still saddled with a costly, bloated military-industrial complex? The answer, says Sanford Gottlieb, is the debilitating dependence of a key sector of the American economy on defense jobs and profits. Defense Addiction is based on hundreds of interviews with defense contractors, union representatives, members of Congress, state and federal officials, lobbyists, economic development professionals, and local activists. Gottlieb explains how these groups and individuals cope with defense dependence, competition for federal funds, and budget and job cuts—painting a sobering picture of how this addiction hampers the nation’s ability to deal effectively with a host of domestic and global problems. Gottlieb’s engaging and jargon-free volume points to civilian public investments, reduced military spending, strengthened international peacekeeping, and other measures that could help our country kick the defense habit. His book also provides guidance to companies and communities struggling to break free in the face of inadequate government policies.




TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment (Updated 2019)


Book Description

Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.




Saying Yes


Book Description

The nationally syndicated columnist and Reason magazine editor presents a damning portrait of how politicized government agencies, antidrug activists, and a naïve national media have exaggerated the public's fears of the harmful effects of recreational drugs. Jacob Sullum goes beyond the debate on legalization or the proper way to win the "war on drugs," to the heart of a social and individual defense of using drugs. Saying Yes argues that the all-or-nothing thinking that has long dominated discussions of illegal drug use should give way to a wiser, subtler approach exemplified by the tradition of moderate drinking. Saying Yes further contends that the conventional understanding of addiction, portraying it as a kind of chemical slavery in which the user's values and wishes do not matter, is also fundamentally misleading.




The Insanity Defense


Book Description




Addiction and Choice


Book Description

The central problem in the study of addiction is to explain why people repeatedly behave in ways they know are bad for them. For much of the previous century and until the present day, the majority of scientific and medical attempts to solve this problem were couched in terms of involuntary behavior; if people behave in ways they do not want, then this must be because the behavior is beyond their control and outside the realm of choice. An opposing tradition, which finds current support among scientists and scholars as well as members of the general public, is that so-called addictive behavior reflects an ordinary choice just like any other and that the concept of addiction is a myth. The editors and authors of this book tend to take neither view. There has been an increasing recognition in recent literature on addiction that restricting possible conceptions of it to either of these extreme positions is unhelpful and is retarding progress on understanding the nature of addiction and what could be done about it. This book contains a range of views from philosophy, neuroscience, psychiatry, psychology and the law on what exactly this middle ground between free choice and no choice consists of and what its implications are for theory, practice and policy on addiction. The result amounts to a profound change in our thinking on addiction and how its devastating consequences can be ameliorated. Addiction and Choice is a thought provoking new volume for all those with an interest in this global issue.










Substance Use Disorders in the U.S. Armed Forces


Book Description

Problems stemming from the misuse and abuse of alcohol and other drugs are by no means a new phenomenon, although the face of the issues has changed in recent years. National trends indicate substantial increases in the abuse of prescription medications. These increases are particularly prominent within the military, a population that also continues to experience long-standing issues with alcohol abuse. The problem of substance abuse within the military has come under new scrutiny in the context of the two concurrent wars in which the United States has been engaged during the past decade-in Afghanistan (Operation Enduring Freedom) and Iraq (Operation Iraqi Freedom and Operation New Dawn). Increasing rates of alcohol and other drug misuse adversely affect military readiness, family readiness, and safety, thereby posing a significant public health problem for the Department of Defense (DoD). To better understand this problem, DoD requested that the Institute of Medicine (IOM) assess the adequacy of current protocols in place across DoD and the different branches of the military pertaining to the prevention, screening, diagnosis, and treatment of substance use disorders (SUDs). Substance Use Disorders in the U.S. Armed Forces reviews the IOM's task of assessing access to SUD care for service members, members of the National Guard and Reserves, and military dependents, as well as the education and credentialing of SUD care providers, and offers specific recommendations to DoD on where and how improvements in these areas could be made.




Mechanical Choices


Book Description

Mechanical Choices details the intimate connection that exists between morality and law: the morality we use to blame others for their misdeeds and the criminal law that punishes them for these misdeeds. This book shows how both law and morality presuppose the accuracy of common sense, a centuries-old psychology that defines people as rational agents who make honorable choices and act for just reasons. It then shows how neuroscience is commonly taken to challenge these fundamental psychological assumptions. Such challenges--four in number--are distinguished from each other by the different neuroscientific facts from which they arise: the fact that human choices are caused by brain events; the fact that those choices don't cause the actions that are their objects but are only epiphenomenal to those choices; the fact that those choices are identical to certain physical events in the brain; and the fact that human subjects are quite fallible in their knowledge of what they are doing and why. The body of this book shows how such challenges are either based on faulty facts or misconceived as to the relevance of such facts to responsibility. The book ends with a detailed examination of the neuroscience of addiction, an examination which illustrates how neuroscience can help rather than challenge both law and morality in their quest to accurately define excuses from responsibility.