The authors review the article "Prescription Drug Use and Abuse: Risk Factors, Red Flags, and Prevention Strategies" (J. H. Isaacson, J. A. Hopper, D. P. Alford, & T. Parran, 2005), which provides an overview of the recent increase in prescription opioid abuse and dependence from the physician's perspective. In the present article, the authors…

Three distinct clinical orientations were identified in a sample of chemical dependency counselors (N=406). Based on cluster analysis, the largest group, identified and labeled as "uniform counselors," endorsed a simple, moral-disease model with little interest in psychosocial interventions. (Contains 50 references and 4 tables.) (GCP)

These comments represent a response to J. R. Culbreth and L. D. Borders (1999) and suggest consideration of other factors when addressing the impact of clinical supervision in the addictions field. This article supports formal graduate academic preparation for substance abuse counselors and clinical supervisors and challenges the use of…

Applies a philosophy of science perspective to substance abuse theory to clarify these theories in general and peer cluster theory in particular. Examines the natural history of an illicit drug from a macroscopic level of analysis to illuminate some of the social-psychological factors that influence drug use and abuse patterns. (Author/KS)

A brief history of Substance Use Disorders in the Diagnostic and Statistical Manual of Mental Disorders is presented, and the symptoms of substance dependence are presented. Substance dependence is distinguished from substance abuse. Assessment instruments, including laboratory tests and interviews for diagnosing substance use disorders, are…

Describes contributions of Alcoholics Anonymous (AA) to drug and alcohol treatment. Discusses potential for AA's steps to encourage growth, and examines their consistency with counseling philosophy. Proposes and contrasts 12 new steps based on counseling theory to stimulate constructive discussion. Advocates more solid boundaries between AA and…