By Edward J. Khantzian
Passionate, expert, and unfailingly astute, Dr. Khantzian examines his sufferers' inner worlds, revealing vulnerabilities whereas uncovering resiliency and power. This booklet, finished in scope, plentiful in scientific fabric, and written with readability and intelligence, presents a intensity of realizing of substance use problems and an elevated desire for restoration.
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New York: Guilford. Mason, B. , Kocsis, J. H . , Ritvo, C. E. , and Cutler, R. B. (1996). A double-blind, placebo-controlled trial of desipramine for primary al cohol dependence stratified on the presence or absence of major de pression. Journal of the American Medical Association 275:76 1-767. McGrath, P. J . , Nunes, E. , Stewart, J. , et al. (1996). Imipramine treatment of alcoholics with major depression: a placebo controlled clinical trial. Archives of General Psychiatry 53:232-240. Moss, N.
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The cases of the black addict and the Vietnam veteran who became addicted warrant special mention. In the case of the black addict, fac tors of poverty, family disorganization, and deprivation m ay loom particularly large . However, a serious question remains as to whether economic and emotional deprivations cause heroin addiction and whether heroin becomes a way of dealing with this kind of painful reality. I n a brief discussion such as this the question can only be touched upon. It is not uncommon to hear many addicts and others insist that the reason they repeatedly and avidly return to using opiates is that they have not escaped from those same societal influences that origi nally caused their problem .
