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March 22, 1985

Substance Abuse Disorders in Clinical Practice

Author Affiliations

Albert Einstein College of Medicine Yeshiva University Bronx, NY

JAMA. 1985;253(12):1799. doi:10.1001/jama.1985.03350360125037

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This authoritative book is succinct and remarkably thorough for its length. In spite of the volume of material published on substance abuse, the reader will find here a fresh perspective. Until the publication of this book, physicians have lacked a really valuable tool for dealing with substance abusers, who are appearing with greater frequency in their offices, with either a primary complaint of substance abuse or, all too often, a history of substance abuse that is overlooked when they present with more common medical ailments.

Dr Senay's simple "how-to" approach to interviewing, history taking, and counseling as well as his specific and detailed outlines of management principles should enable even the most inexperienced practitioner to establish a therapeutic relationship with substance abusers. The author wisely cautions against mere advice-giving and encourages instead "sensitive listening in an attempt to increase understanding of the forces at work...."

This book is particularly valuable