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Alcoholism Treatment in Transition (Routledge Library Editions: Alcohol and Alcoholism)


Originally published in 1980, the purpose of this book was to aid a process of rethinking alcoholism treatment. Such a process was already underway in many parts of the world at the time. It was hoped that this volume would be useful in the modest role of abetting such a rethinking. Alcoholism treatment was definitely in transition, abandoning old certainties, searching for new syntheses and that is the position this book takes looking for an alternative understanding. The book is divided into six parts: Transition as Challenge; Does Treatment Work?; Towards Better Questions and Better Methodologies; Treatment System as Case For Study; Models in Transition; and Alcohol Agendas. The book also contains one chapter that discusses alcoholism treatment in a developing country, not often addressed at the time but acknowledgement that the problem is a global one.

Alcoholism: New Knowledge and New Responses (Routledge Library Editions: Alcohol and Alcoholism)

by Griffith Edwards Marcus Grant

Originally published in 1977, alcoholism was acknowledged to be a seriously growing problem in many parts of the world. It is a complex disorder with psychiatric, physical, psychological and social aspects, having far reaching harmful effects on the family and society, as well as on physical and mental health of the alcoholic themself. At the time of original publication it had been estimated that in England and Wales 11 out of every 1,000 in the adult population had a serious drink problem, and alcoholism was a major cause of admission to psychiatric and general hospitals. Alcoholism was a medico-social problem of such magnitude that this comprehensive volume, embodying advances in knowledge of causation, treatment and prevention filled an urgent need at the time. Still a major concern today this reissue can be read in its historical context.

Vagrant Alcoholics (Routledge Library Editions: Alcohol and Alcoholism)

by Tim Cook

In the 1970s the vagrant alcoholic was not a new problem, and for the previous two hundred years people had asked: What can be done to help them? Why not lock them up? Why don’t they get jobs? Tim Cook had worked for many years with homeless men and in this book, originally published in 1975, he describes the problems of vagrant alcoholics and the way in which one voluntary organization, the Alcoholics Recovery Project, based in South London, responded to these problems. The response had in essence been one of experimentation beginning with the first hostel in 1966, the development of non-residential shop fronts in 1970, and the employment of a team of recovered alcoholics in 1974. The Project sought to break down the mistrust surrounding the problem on all sides and to rediscover the potential of the so-called ‘hopeless’ skid row alcoholic. Tim Cook places the Project’s work in the wider context of social work and social responsibility, and shows that its methods had relevance for other agencies. He also examines the persistent failure of successive governments to take any positive action to tackle the problems of vagrant alcoholics. Throughout the book the views of the alcoholics themselves are integrated with the attitudes and experiences of the Project workers. The author offers an assessment of the Project’s work, and an outline of its limitations, stressing that no easy answer exists to this problem. But, he believed, the Project had made valuable progress towards a greater understanding of the vagrant alcoholic and his milieu.

Alcoholism in Perspective (Routledge Library Editions: Alcohol and Alcoholism)

by Marcus Grant Paul Gwinner

In the 1970s, an important change of emphasis had occurred in the field of alcoholism. Instead of seeing alcoholism as an ‘all or none phenomenon’ it was now recognised that a continuum of alcohol problems existed so that individual cases could show different degrees of dependence and different degrees of harm. Originally published in 1979, this book examines the implications of this change of emphasis. It looks at definitional, aetiological, epidemiological and socio-cultural questions and contains contributions from acknowledged experts in all of these areas. The scientific evidence in each area is fully reviewed and made comprehensible to the non-specialist reader and similarities between trends in thinking in different fields are emphasised. In addition, the book analyses the implications of the modern view of alcohol problems in terms of their theoretical basis and their practical application. A rational and pragmatic approach to the problems of working with alcoholics is analysed in some detail so that the links between new ideas and their manifestation in clinical practice are made clear. At the time, this book represented a multi-disciplinary approach to a complex problem where previous thinking had been clouded by too ready acceptance of untested hypotheses.

Alcohol Problems and Alcohol Control in Europe (Routledge Library Editions: Alcohol and Alcoholism)

by Phil Davies Dermot Walsh

The nature of alcohol problems is very diverse and the strategies adopted for minimising these vary even more. Thinking in the study of alcohol problems in the 1970s and early 1980s had focused on the public health perspective, seeking not only to lessen alcohol problems by controlling the availability of alcohol, but also to promote moderate drinking practices and to preserve the positive advantages of alcohol use. Originally published in 1983, a detailed review of public health issues in this field at the time opens the book. This is followed by an examination of alcohol-related problems and policies for their control in sixteen different European countries. The chapters on individual countries provide a source of information and data on alcohol policies, consumption and problems with which it is possible to examine from a cross-cultural and comparative basis the claims of a public health perspective. The final chapter draws together the cross-national data and discusses their implications for a public health response to alcohol problems. This book should now be a historical reference source for all interested in health policy in general and alcohol problems in particular.

Alcoholism Treatment in Transition (Routledge Library Editions: Alcohol and Alcoholism)

by Griffith Edwards Marcus Grant

Originally published in 1980, the purpose of this book was to aid a process of rethinking alcoholism treatment. Such a process was already underway in many parts of the world at the time. It was hoped that this volume would be useful in the modest role of abetting such a rethinking. Alcoholism treatment was definitely in transition, abandoning old certainties, searching for new syntheses and that is the position this book takes looking for an alternative understanding. The book is divided into six parts: Transition as Challenge; Does Treatment Work?; Towards Better Questions and Better Methodologies; Treatment System as Case For Study; Models in Transition; and Alcohol Agendas. The book also contains one chapter that discusses alcoholism treatment in a developing country, not often addressed at the time but acknowledgement that the problem is a global one.

Responding to Drinking Problems (Routledge Library Editions: Alcohol and Alcoholism)

by Stan Shaw Alan Cartwright Terry Spratley Judith Harwin

In the 1970s family doctors, social workers, researchers and administrators had been aware of the inadequacy of the response to drinking problems for some time. However, there had been no systematic examination of why such agents felt negatively about drinkers and disinclined to respond to them. Originally published in 1978, this book develops a radical new perspective on the prevalence and causes of drinking problems, combining reviews of historical and contemporary literature with the authors’ own research studies. This perspective is then linked to the need for an integrated response from both medical and social services, with a particular accent on the need for a community response. By focusing on the relationship between helper and helped a solution is sought to the question which has troubled the field for many years: why are agents like family doctors and social workers so inadequate in recognising and responding to people with drinking problems? The crucial aspects within the therapeutic relationship are pinpointed and experimental studies are described which show how training, casework, supervision and the redeployment of expertise can help improve recognition rates and responses to individual drinkers. This book thus expresses the need for major changes both in our attitudes and understanding of people with drinking problems and the difficulties of agents who try to help them. It should still be of historical interest to social scientists and those involved in helping people with drinking problems.

Alcohol Problems in Employment (Routledge Library Editions: Alcohol and Alcoholism)


The majority of problem-drinkers are not unemployed derelicts but are employed persons often with senior positions in commerce, the professions and industry. Furthermore, it is well-known that alcohol causes widespread absenteeism, inefficiency and accidents at work. Originally published in 1981, Alcohol Problems in Employment reviews the evidence relating to the general effects of alcohol misuse on employment and the special problems involved in certain ‘high-risk’ industries at the time. A number of international case studies are then presented to illustrate what was being done to counter the problem.

The Misuse of Alcohol: Crucial Issues in Dependence Treatment and Prevention (Routledge Library Editions: Alcohol and Alcoholism)


In the 1980s the study of alcoholism was in a period of rapid change, this book, originally published in 1985, identifies and explores the three most controversial contemporary issues: changes at the basic explanatory level in our concept of harmful drinking; the undermining of our confidence that drinking behaviour can be effectively modified in the traditional context of ‘treatment’; and the changes in our concept of the effective prevention of harmful drinking. The authors of the book came from a variety of backgrounds, but all were members of the New Directions in the Study of Alcohol Group. They broadly reject the disease concept of alcoholism, but, as this volume shows, there is still scope for vigorous debate and this book should have something of interest for all concerned with problems of alcoholism.

Drink: An Economic and Social Study (Routledge Library Editions: Alcohol and Alcoholism)

by Hermann Levy

Originally published in 1951, this title was the last book by Hermann Levy who died in 1949 before it was finished. Completed by his friend and fellow academic Rolf P. Lynton, this title looks alcohol as a drink, both economically and socially. Divided into three parts – in brief: what is the drink problem and what are its effects; how widespread is its incidence; and what can be done about it. Today it can be read and enjoyed in its historical context.

Alcohol Education: A Handbook for Health and Welfare Professionals (Routledge Library Editions: Alcohol and Alcoholism)

by Barbara Howe

Alcohol education in the 1980s was receiving greater emphasis in the training and practice of a wide range of health and welfare professionals. As we became more aware of the risks associated with excessive drinking, this practical, straightforward guide, originally published in 1989, would have been essential reading for health and welfare workers who were keen to develop the alcohol education aspect of their work and enable their clients and patients to use alcohol in a harm-free way. Barbara Howe looks at alcohol education in context, clarifying its role and place in the day-to-day work of health and welfare professionals at the time. She also discusses common myths and misunderstandings about alcohol among professionals and their clients. She describes various approaches to alcohol education and includes a series of practical exercises for use with individuals and families, aimed at increasing professionals’ confidence and competence in broaching the subject of alcohol. Although working practices may have changed since first publication, much of this title will still be useful today.

Alcohol: The Prevention Debate (Routledge Library Editions: Alcohol and Alcoholism)

by Marcus Grant Bruce Ritson

In the early 1980s, emphasis had shifted from the treatment of alcohol problems to their prevention. Yet no clear integrated policy yet existed about how alcohol problems could best be prevented. Many different strategies were put forward as solutions but some were in competition with each other, while some were actually incompatible. Originally published in 1983, what this book does is to draw together a cross section of these different and competing voices so as to give a sense of the quality and direction of the great alcohol debate at the time. After setting into context some of the basic questions to do with the prevention of alcohol problems, the authors knit together and juxtapose short contributions from a very wide variety of experts from around the world. Clinicians, educators, sociologists, advertisers, marketing men, economists, philosophers, geneticists and international civil servants present different points of view on health education, the media, advertising, trade, the law, the environment and on the ethical basis of the debate itself. The authors bravely attempt to pull some general sense out of this profusion of what the way ahead is likely to be. It should be noted that this reissue very much reflects the context of the times in which it was written and that the contributors were participating in a debate where differences of opinion were actively encouraged.

Controlled Drinking (Routledge Library Editions: Alcohol and Alcoholism)

by Nick Heather Ian Robertson

Originally published in 1981 and revised in 1983, Controlled Drinking was the first scholarly review of the literature on a controversial but increasingly practiced approach to the treatment of alcoholism. Nick Heather and Ian Robertson analyse all the pertinent questions that controlled drinking raises, starting with the need to examine the ‘disease conception’ of alcoholism and ‘total abstinence’ treatment. They look at the evidence indicating that some people, previously diagnosed as alcoholics, are able to return to normal, controlled patterns of drinking, and discuss therapies where controlled drinking is the treatment goal, fully reviewing the evidence for their success and failure. Concluding with a discussion of the theoretical and policy implications of controlled drinking, the authors recommend that the disease view of alcoholism be finally abandoned. For the revised paperback edition, as well as correcting and updating the text and references, the authors included an important postscript on the charges of falsification of evidence and their subsequent refutation which made up the Sobell affair. The wealth of other material presented in Controlled Drinking supports the authors’ conclusions even if the Sobells’ work were ignored. However, this revised edition was made more useful for student and professional readers by the postscript’s discussion of the controversy surrounding the most widely known and quoted controlled drinking trial at the time.

Responding to Drinking Problems (Routledge Library Editions: Alcohol and Alcoholism)

by Stan Shaw Alan Cartwright Terry Spratley Judith Harwin

In the 1970s family doctors, social workers, researchers and administrators had been aware of the inadequacy of the response to drinking problems for some time. However, there had been no systematic examination of why such agents felt negatively about drinkers and disinclined to respond to them. Originally published in 1978, this book develops a radical new perspective on the prevalence and causes of drinking problems, combining reviews of historical and contemporary literature with the authors’ own research studies. This perspective is then linked to the need for an integrated response from both medical and social services, with a particular accent on the need for a community response. By focusing on the relationship between helper and helped a solution is sought to the question which has troubled the field for many years: why are agents like family doctors and social workers so inadequate in recognising and responding to people with drinking problems? The crucial aspects within the therapeutic relationship are pinpointed and experimental studies are described which show how training, casework, supervision and the redeployment of expertise can help improve recognition rates and responses to individual drinkers. This book thus expresses the need for major changes both in our attitudes and understanding of people with drinking problems and the difficulties of agents who try to help them. It should still be of historical interest to social scientists and those involved in helping people with drinking problems.

Alcohol Problems in Employment (Routledge Library Editions: Alcohol and Alcoholism)

by Brian D. Hore Martin A. Plant

The majority of problem-drinkers are not unemployed derelicts but are employed persons often with senior positions in commerce, the professions and industry. Furthermore, it is well-known that alcohol causes widespread absenteeism, inefficiency and accidents at work. Originally published in 1981, Alcohol Problems in Employment reviews the evidence relating to the general effects of alcohol misuse on employment and the special problems involved in certain ‘high-risk’ industries at the time. A number of international case studies are then presented to illustrate what was being done to counter the problem.

The Misuse of Alcohol: Crucial Issues in Dependence Treatment and Prevention (Routledge Library Editions: Alcohol and Alcoholism)

by Nick Heather

In the 1980s the study of alcoholism was in a period of rapid change, this book, originally published in 1985, identifies and explores the three most controversial contemporary issues: changes at the basic explanatory level in our concept of harmful drinking; the undermining of our confidence that drinking behaviour can be effectively modified in the traditional context of ‘treatment’; and the changes in our concept of the effective prevention of harmful drinking. The authors of the book came from a variety of backgrounds, but all were members of the New Directions in the Study of Alcohol Group. They broadly reject the disease concept of alcoholism, but, as this volume shows, there is still scope for vigorous debate and this book should have something of interest for all concerned with problems of alcoholism.

Drink: An Economic and Social Study (Routledge Library Editions: Alcohol and Alcoholism)

by Hermann Levy

Originally published in 1951, this title was the last book by Hermann Levy who died in 1949 before it was finished. Completed by his friend and fellow academic Rolf P. Lynton, this title looks alcohol as a drink, both economically and socially. Divided into three parts – in brief: what is the drink problem and what are its effects; how widespread is its incidence; and what can be done about it. Today it can be read and enjoyed in its historical context.

Alcohol Education: A Handbook for Health and Welfare Professionals (Routledge Library Editions: Alcohol and Alcoholism)

by Barbara Howe

Alcohol education in the 1980s was receiving greater emphasis in the training and practice of a wide range of health and welfare professionals. As we became more aware of the risks associated with excessive drinking, this practical, straightforward guide, originally published in 1989, would have been essential reading for health and welfare workers who were keen to develop the alcohol education aspect of their work and enable their clients and patients to use alcohol in a harm-free way. Barbara Howe looks at alcohol education in context, clarifying its role and place in the day-to-day work of health and welfare professionals at the time. She also discusses common myths and misunderstandings about alcohol among professionals and their clients. She describes various approaches to alcohol education and includes a series of practical exercises for use with individuals and families, aimed at increasing professionals’ confidence and competence in broaching the subject of alcohol. Although working practices may have changed since first publication, much of this title will still be useful today.

Alcohol: The Prevention Debate (Routledge Library Editions: Alcohol and Alcoholism)

by Marcus Grant Bruce Ritson

In the early 1980s, emphasis had shifted from the treatment of alcohol problems to their prevention. Yet no clear integrated policy yet existed about how alcohol problems could best be prevented. Many different strategies were put forward as solutions but some were in competition with each other, while some were actually incompatible. Originally published in 1983, what this book does is to draw together a cross section of these different and competing voices so as to give a sense of the quality and direction of the great alcohol debate at the time. After setting into context some of the basic questions to do with the prevention of alcohol problems, the authors knit together and juxtapose short contributions from a very wide variety of experts from around the world. Clinicians, educators, sociologists, advertisers, marketing men, economists, philosophers, geneticists and international civil servants present different points of view on health education, the media, advertising, trade, the law, the environment and on the ethical basis of the debate itself. The authors bravely attempt to pull some general sense out of this profusion of what the way ahead is likely to be. It should be noted that this reissue very much reflects the context of the times in which it was written and that the contributors were participating in a debate where differences of opinion were actively encouraged.

Controlled Drinking (Routledge Library Editions: Alcohol and Alcoholism)

by Nick Heather Ian Robertson

Originally published in 1981 and revised in 1983, Controlled Drinking was the first scholarly review of the literature on a controversial but increasingly practiced approach to the treatment of alcoholism. Nick Heather and Ian Robertson analyse all the pertinent questions that controlled drinking raises, starting with the need to examine the ‘disease conception’ of alcoholism and ‘total abstinence’ treatment. They look at the evidence indicating that some people, previously diagnosed as alcoholics, are able to return to normal, controlled patterns of drinking, and discuss therapies where controlled drinking is the treatment goal, fully reviewing the evidence for their success and failure. Concluding with a discussion of the theoretical and policy implications of controlled drinking, the authors recommend that the disease view of alcoholism be finally abandoned. For the revised paperback edition, as well as correcting and updating the text and references, the authors included an important postscript on the charges of falsification of evidence and their subsequent refutation which made up the Sobell affair. The wealth of other material presented in Controlled Drinking supports the authors’ conclusions even if the Sobells’ work were ignored. However, this revised edition was made more useful for student and professional readers by the postscript’s discussion of the controversy surrounding the most widely known and quoted controlled drinking trial at the time.

Helping the Problem Drinker: New Initiatives in Community Care (Routledge Library Editions: Alcohol and Alcoholism)


Originally published in 1987, Helping the Problem Drinker addressed the realisation that only a small proportion of problem drinkers ever contacted existing treatment agencies, and that therefore a more comprehensive community-oriented approach should be developed. This included training of primary care health workers and the development of multidisciplinary Community Alcohol Teams. At the time other community-based initiatives such as self-help groups for early problem drinkers and early intervention programmes in general practice and general hospitals, had been implemented. This book draws together what had been learned about these new developments, a number of which had now been evaluated. The book will still be of interest to all planners and professional staff concerned with alcohol problems: both specialists and non-specialists in general medicine, psychiatry, psychology and the social services.

Helping the Problem Drinker: New Initiatives in Community Care (Routledge Library Editions: Alcohol and Alcoholism)

by Tim Stockwell

Originally published in 1987, Helping the Problem Drinker addressed the realisation that only a small proportion of problem drinkers ever contacted existing treatment agencies, and that therefore a more comprehensive community-oriented approach should be developed. This included training of primary care health workers and the development of multidisciplinary Community Alcohol Teams. At the time other community-based initiatives such as self-help groups for early problem drinkers and early intervention programmes in general practice and general hospitals, had been implemented. This book draws together what had been learned about these new developments, a number of which had now been evaluated. The book will still be of interest to all planners and professional staff concerned with alcohol problems: both specialists and non-specialists in general medicine, psychiatry, psychology and the social services.

Make Better Strategic Decisions: How to Develop Robust Decision-making to Avoid Organisational Disasters

by Jeremy N. White

Every day we hear of serious errors of judgement that result in organisational disaster. Why do seemingly successful businesses, NGOs, or even political parties fall prey to irrevocable governance breakdowns or, worse still, criminal malpractice? By prompting readers to think deeply about strategic decision-making, human behaviour, and cognitive biases, this book offers a disciplined, objective, and thoughtful approach to making better decisions. Every strategic problem is fundamentally a journey into the unknown, which involves a unique combination of duration, scale, external and internal dynamics, and personal motivations. Rarely is a strategic decision solved by saying, ‘If a situation is A, then the solution is B.’ The book explores how to develop a strong foundation for problem resolving – rather than simplistic problem-solving – by strengthening competence so that decisions are made wisely. The case of Carillion plc, the second-largest construction group in the United Kingdom that went bankrupt in January 2018, is used to explore how a large and profitable company collapsed so dramatically when it was run by an experienced board and advised by three of the Big Four accounting firms. Professor Jeremy N. White presents a clear strategic toolkit for better strategic decision-making. This book will appeal to senior managers who are interested in techniques for making better strategic decisions. The lessons from the failure of Carillion plc are applicable to corporate leaders in addition to politicians and those who run not-for-profit organisations.

Make Better Strategic Decisions: How to Develop Robust Decision-making to Avoid Organisational Disasters

by Jeremy N. White

Every day we hear of serious errors of judgement that result in organisational disaster. Why do seemingly successful businesses, NGOs, or even political parties fall prey to irrevocable governance breakdowns or, worse still, criminal malpractice? By prompting readers to think deeply about strategic decision-making, human behaviour, and cognitive biases, this book offers a disciplined, objective, and thoughtful approach to making better decisions. Every strategic problem is fundamentally a journey into the unknown, which involves a unique combination of duration, scale, external and internal dynamics, and personal motivations. Rarely is a strategic decision solved by saying, ‘If a situation is A, then the solution is B.’ The book explores how to develop a strong foundation for problem resolving – rather than simplistic problem-solving – by strengthening competence so that decisions are made wisely. The case of Carillion plc, the second-largest construction group in the United Kingdom that went bankrupt in January 2018, is used to explore how a large and profitable company collapsed so dramatically when it was run by an experienced board and advised by three of the Big Four accounting firms. Professor Jeremy N. White presents a clear strategic toolkit for better strategic decision-making. This book will appeal to senior managers who are interested in techniques for making better strategic decisions. The lessons from the failure of Carillion plc are applicable to corporate leaders in addition to politicians and those who run not-for-profit organisations.

My Blob Feelings Workbook: A Toolkit for Exploring Emotions! (Blobs)

by Pip Wilson Ian Long

My Blob Feelings Workbook provides the reader with a series of unique visual reflective exercises that help to reveal one’s own emotional portrait. Using a combination of Blob characters and open questions, the reader can gradually build up an image of themselves across a wide range of ‘who I am’ subjects and real-life scenarios.Packed with well-loved blob illustrations, this book includes a wealth of downloadable pages and will enable the individual to ‘draw’ a picture of themselves emotionally through the series of exercises. Sections covered include: My Charts My Feeling Scales My Scenarios Myself Scales Best used as a personal toolkit for self-awareness, this book is also a rich resource for professionals working in the field of feelings to use with their own clients. It is suitable for all ages from secondary school upwards and ideal for individuals, couples, groups and all who wish to go deeper in understanding their emotional strengths and areas for development.

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