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The authors include both brief intervention and specialized treatment within the remit of their chapter and make a useful practical distinction between two forms of assessment alcohol problem identi cation and comprehensive assessment It is often said that assessment, rather than being a quite separate process from treatment proper, is the rst step in a competent and effective treatment programme, and this emerges clearly from 2 In many ways, detoxi cation is the least controversial aspect of treatment for alcohol problems and the one where there is most agreement among practitioners and researchers alike In 3, Duncan Raistrick describes the alcohol withdrawal syndrome in detail before stating that detoxi cation is usually a very straightforward procedure However, the exceptions to this rule are suf ciently serious in their consequences that clinicians are advised to maintain vigilance throughout the detoxi cation procedure.

Reinventing the Recruitment Process for the Global Knowledge Economy: Brave New Talent (United Kingdom)

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The indications for and uses of a number of drug treatments and adjunctive therapies are described, while the need for accurate measurement of withdrawal severity and the outcome of detoxi cation is stressed What may be found controversial is Raistrick s view that dependence should be seen as a purely psychological phenomenon to which withdrawal makes some, quite limited contribution (p 36) This well-argued case deserves serious consideration Pharmacological agents are, of course, the main method of treatment for the alcohol withdrawal syndrome However, 4 by Jonathan Chick is not concerned with this use of therapeutic drugs but with the effort to change harmful drinking behaviour and, in particular, with ways to prevent relapse (see also 6) The last decade has seen major developments in this area, most notably research and implementation in practice of acamprosate, naltrexone and other opioid antagonists, and serotonin-enhancing drugs such as uoxetine (Prozac).

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These drugs are described in 4, as well as more traditional agents used in the treatment of alcohol problems, such as disul ram and other deterrent drugs In a useful review, Chick provides information on mode of action, evidence of ef cacy, characteristics of responders, interaction with other therapies, unwanted effects, use in practice and what to tell patients An important conclusion of this chapter is that evidence favours the use of these drugs in combination with some form of psychosocial therapy and that, at best, they are only an aid to establishing a change in lifestyle (p 64) Part I then proceeds with chapters written by the same team of authors (Parks, Marlatt & Anderson) on two related treatment approaches However, the extensive research evidence on them and their importance in the spectrum of currently available treatment modalities justi es the inclusion of separate chapters in the book.

Even facilities with captive audiences, such as school cafeterias and hospital kitchens, must produce food that is appealing to their customers and in suf cient variety to keep them from getting bored with the same old things. Grumbling about the food is a favorite sport among students, but at least it can be kept to a minimum. Restaurants have an even harder job because their customers don t just grumble if they don t like the selections.They don t come back. People are becoming more and more interested in trying unfamiliar foods,especially ethnic foods.Nevertheless,tastes vary by region, by neighborhood, by age group, and by social and ethnic background. Foods enjoyed by some people are completely rejected by others. Prices must be kept in line with the customers ability and willingness to pay. Prices, of course, place limits on what foods can be offered.

134 The Optimism Advantage Your Self-Support Strategy What have you done today that has worked for you Record every day a speci c reference in your calendar, journal or e-mail to yourself. There are many bene ts to developing this habit. If you ve ever struggled to think of speci c examples of your own work or value, your documented entries will give you all the evidence you need. If you re having a bad day, nothing is more uplifting than scanning through some of your recent accomplishments.