Fragmented Intimacy

1. Front Matter

   Pages i-xi

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2. Theory

   1. Addiction in Perspective

      Pages 3-17

   2. A Social World

      Pages 18-35

   3. Addiction and Connecting

      Pages 36-50

   4. Responding to Addiction

      Pages 51-68

3. Processes

   1. Becoming Intimate

      Pages 71-85

   2. Intimacies in Addictive Contexts

      Pages 86-104

   3. Intimacy and Power

      Pages 105-121

4. Families and Communities

   1. Fragmented Lives

      Pages 125-148

   2. Collective Opportunities

      Pages 149-170

   3. Reintegration

      Pages 171-193

5. Applications

   1. Family Resources

      Pages 197-219

   2. Mobilizing Communities

      Pages 220-242

   3. Applications to Practice

      Pages 243-269

   4. Looking Ahead

      Pages 270-280

6. Back Matter

   Pages 281-339

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I recall during my early years as a clinical psychologist being asked by hospital staff to speak with a 32-year-old man addicted to alcohol who was being discharged following treatment for pancreatitis. This had been his third admission for the same illness, and hospital practitioners were exasperated by his choice to continue dri- ing despite being repeatedly told it would cause irreparable damage to his pancreas from which he would be unlikely to survive. I met him in a side-room on the ward. He sat in his pyjamas in the corner of the room, thin and ashen looking, with a worried frown fixed across his face. Our conversation was initially stilted and I was trying hard not to replicate the lectures and sermons he was likely to have already received from hospital staff. As we talked I was able to piece together bits of inf- mation about his current circumstances: he lived alone, he was unemployed, and his only family contact was with a brother who visited to check on him occasionally. He started to relax into the conversation and then talked about his long struggles with alcohol: his drinking had begun in his early teens; it had provided him with con- dence and friendships; he had had some serious motor vehicle accidents; he had tried to stop drinking but soon continued; he had lost friends, jobs, and family re- tionships; and in response he had increasingly sought intoxication as a refuge.

• Addiction
• Addiction and family
• Addiction and intimacy
• Addiction and society
• Addiction and treatment
• Addiction research
• Assessment
• Fragmented intimacy
• Intervention

From the reviews:

"Adams (population health, U. of Auckland) uses a social-ecological approach to address the needs of the addicted and those around them. He closely examines the ways addiction disrupts intimacy, leading to cycles of loss and isolation, and the means by which the addicted and those around them can re-engage. … He provides a significant amount of material about applying these concepts directly to practice at the family and community level." (www.booknews.com, April, 2008)

"Adams provides a refreshing, needed analysis that complements new scientific discoveries; he goes beyond biological and neuropsychological explanations to explore the reciprocal influences of social context and addiction. … Adams’s coverage is novel, and the book is more comprehensive than previous works have been. He offers a solid theory and integrates empirical support throughout his discussion. … this volume can serve as a library resource, a textbook, or a clinical manual. Summing Up: Highly recommended. All readers, all levels." (M. Bonner, CHOICE, Vol. 45 (10), June, 2008)

• School of Population Health, University of Auckland, Auckland, New Zealand

  Peter J. Adams

Peter Adams has a practice background in clinical psychology and an academic background in critical social theory. He is currently Director of Social and Community Health at the School of Population Health, Auckland University, Auckland, New Zealand. He has developed and taught in postgraduate programs on addictions for the past ten years. Ideas for the book evolved from his 25-year involvement in research, teaching, and clinical intervention involving different aspects of addiction.

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