All across the United States, individuals, families, communities, and health care systems are struggling to cope with substance use, misuse, and substance use disorders. Substance misuse and substance use disorders have devastating effects, disrupt the future plans of too many young people, and all too often, end lives prematurely and tragically. Substance misuse is a major public health challenge and a priority for our nation to address. The effects of substance use are cumulative and costly for our society, placing burdens on workplaces, the health care system, families, states, and communities. The Report discusses opportunities to bring substance use disorder treatment and mainstream health care systems into alignment so that they can address a person's overall health, rather than a substance misuse or a physical health condition alone or in isolation. It also provides suggestions and recommendations for action that everyone-individuals, families, community leaders, law enforcement, health care professionals, policymakers, and researchers-can take to prevent substance misuse and reduce its consequences.
During 2008-2009, the world experienced its worst financial and economic crisis since the Great Depression of the 1930s. The crisis followed the effects of the food and fuel price hikes in 2007 and 2008. In 2009, global output contracted by 2 per cent. This 2011 Report on the World Social Situation reviews the ongoing adverse social consequences of these crises after an overview of its causes and transmission.
This collection of essays analyses the European Union's involvement in global emergencies from a law and policy perspective. Bringing together leading academics and officials from the European Union institutions, the book offers an expert account of the theoretical and practical issues the EU faces when dealing with global emergencies. The subjects covered are highly topical and include the financial and debt crises, regional security and the fight against terrorism, public health and food scares, human trafficking and energy security.
"Barnett's prose style is brassy and cleareyed, with echoes of Anne Lamott." --Beth Macy, The New York Times Book Review "Emotionally devastating and self-aware, this cautionary tale about substance abuse is a worthy heir to Cat Marnell's How to Murder Your Life." --Publishers Weekly (starred review) A startlingly frank memoir of one woman's struggles with alcoholism and recovery, with essential new insights into addiction and treatment Erica C. Barnett had her first sip of alcohol when she was thirteen, and she quickly developed a taste for drinking to oblivion with her friends. In her late twenties, her addiction became inescapable. Volatile relationships, blackouts, and unsuccessful stints in detox defined her life, with the vodka bottles she hid throughout her apartment and offices acting as both her tormentors and closest friends. By the time she was in her late thirties, Erica Barnett had run the gauntlet of alcoholism. She had recovered and relapsed time and again, but after each new program or detox center would find herself far from rehabilitated. "Rock bottom," Barnett writes, "is a lie." It is always possible, she learned, to go lower than your lowest point. She found that the terms other alcoholics used to describe the trajectory of their addiction--"rock bottom" and "moment of clarity"--and the mottos touted by Alcoholics Anonymous, such as "let go and let God" and "you're only as sick as your secrets"--didn't correspond to her experience and could actually be detrimental. With remarkably brave and vulnerable writing, Barnett expands on her personal story to confront the dire state of addiction in America, the rise of alcoholism in American women in the last century, and the lack of rehabilitation options available to addicts. At a time when opioid addiction is a national epidemic and one in twelve Americans suffers from alcohol abuse disorder, Quitter is essential reading for our age and an ultimately hopeful story of Barnett's own hard-fought path to sobriety.
A comprehensive four-volume resource that explains more than 800 topics within the foundations of economics, macroeconomics, microeconomics, and global economics, all presented in an easy-to-read format. As the global economy becomes increasingly complex, interconnected, and therefore relevant to each individual, in every country, it becomes more important to be economically literate—to gain an understanding of how things work beyond the microcosm of the economic needs of a single individual or family unit. This expansive reference set serves to establish basic economic literacy of students and researchers, providing more than 800 objective and factually driven entries on all the major themes and topics in economics. Written by leading scholars and practitioners, the set provides readers with a framework for understanding economics as mentioned and debated in the public forum and media. Each of the volumes includes coverage of important events throughout economic history, biographies of the major economists who have shaped the world of economics, and highlights of the legislative acts that have shaped the U.S. economy throughout history. The extensive explanations of major economic concepts combined with selected key historical primary source documents and a glossary will endow readers with a fuller comprehension of our economic world.
Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.
This book focuses on a review of how sixty years of case-law and regulatory activity transformed the European continent and the world. It provides a critical analysis of the key features of EU integration and how this integration is perceived (internally and externally). In this context, this book also explores the EU's interactions with a number of other countries and organisations with the objective of assessing the EU's role in global governance.
The age of Western hegemony is over. Whether or not America itself declines or thrives under President Trump's leadership, the post-war liberal international order underpinned by US military, economic and ideological primacy and supported by global institutions serving its power and purpose, is coming to an end. But what will take its place? A Chinese world order? A re-constituted form of American hegemony? A regionalized system of global cooperation, including major and emerging powers? In this updated and extended edition of his widely acclaimed book, Amitav Acharya offers an incisive answer to this fundamental question. While the US will remain a major force in world affairs, he argues that it has lost the ability to shape world order after its own interests and image. As a result, the US will be one of a number of anchors including emerging powers, regional forces, and a concert of the old and new powers shaping a new world order. Rejecting labels such as multipolar, apolar, or G-Zero, Acharya likens the emerging system to a multiplex theatre, offering a choice of plots (ideas), directors (power), and action (leadership) under one roof. Finally, he reflects on the policies that the US, emerging powers and regional actors must pursue to promote stability in this decentred but interdependent, multiplex world. Written by a leading scholar of the international relations of the non-Western world, and rising above partisan punditry, this book represents a major contribution to debates over the post-American era.
Economic growth, reflected in increases in national output per capita, makes possible an improved material standard of living. Sustainable development, popularly and concisely defined as ‘meeting the needs of the present generations without compromising the ability of future generations to meet their needs,' directly addresses the utilization of natural resources, the state of the environment, and intergenerational equity. Fundamental questions addressed in this textbook include: What causes economic growth? Why do some countries grow faster than others? What accounts for the extraordinary growth in the world’s population over the past two centuries? What are the current trends in population and will these trends continue? Are there limits to economic growth and population growth due to resource constraints and environmental thresholds? Is sustainable development compatible with economic growth? Can sustainable development be attained without addressing the extreme poverty that afflicts over a billion of the world’s population? This interdisciplinary textbook uses a blend of formal models, empirical evidence, history and policy to provide a coherent and comprehensive treatment of economic growth and sustainable development.
Based on over twenty years of research, radically open dialectical behavior therapy (RO DBT) is a breakthrough, transdiagnostic approach for helping people suffering from extremely difficult-to-treat emotional overcontrol (OC) disorders, such as anorexia nervosa, obsessive-compulsive disorder (OCD), and treatment-resistant depression. Written by the founder of RO DBT, Thomas Lynch, this comprehensive volume outlines the core theories of RO DBT, and provides a framework for implementing RO DBT in individual therapy. While traditional dialectical behavioral therapy (DBT) has shown tremendous success in treating people with emotion dysregulation, there have been few resources available for treating those with overcontrol disorders. OC has been linked to social isolation, aloof and distant relationships, cognitive rigidity, risk aversion, a strong need for structure, inhibited emotional expression, and hyper-perfectionism. And yet—perhaps due to the high value our society places on the capacity to delay gratification and inhibit public displays of destructive emotions and impulses—problems linked with OC have received little attention or been misunderstood. Indeed, people with OC are often considered highly successful by others, even as they suffer silently and alone. RO DBT is based on the premise that psychological well-being involves the confluence of three factors: receptivity, flexibility, and social-connectedness. RO DBT addresses each of these important factors, and is the first treatment in the world to prioritize social-signaling as the primary mechanism of change based on a transdiagnostic, neuroregulatory model linking the communicative function of human emotions to the establishment of social connectedness and well-being. As such, RO DBT is an invaluable resource for treating an array of disorders that center around overcontrol and a lack of social connectedness—such as anorexia nervosa, chronic depression, postpartum depression, treatment-resistant anxiety disorders, autism spectrum disorders, as well as personality disorders such as avoidant, dependent, obsessive-compulsive, and paranoid personality disorder. Written for mental health professionals, professors, or simply those interested in behavioral health, this seminal book—along with its companion, The Skills Training Manual for Radically Open Dialectical Behavior Therapy (available separately)—provides everything you need to understand and implement this exciting new treatment in individual therapy—including theory, history, research, ongoing studies, clinical examples, and future directions.
