It was clear to me from the start that the authors have a very open minded approach, non-judgemental approach to addiction treatment that is unusual and very refreshing. They make it clear that there is no one "correct" way to deal with addiction. Instead they explore the pros and cons of all available treatment methods so that each reader can decide for him or herself, which course of action is appropriate.
I highly recommend this book to anyone who feels that they, a loved one or a friend might have an addiction problem and to anyone who wants honest, up to date information based on scientific research. The authors include many examples of real people (including themselves) which makes this book easy to read and relate to.
Experienced addiction treatment staff at all levels will find this book to be an excellent review, along with some interesting updated perspectives. It definitely should be required reading for new staff members and trainees.
Volpicelli, associate professor of psychiatry at the University of Pennsylvania and senior research scientist at the University of Pennsylvania Addiction Treatment Research Center, was an initial investigator of naltrexone for the treatment of alcoholism. However, his outlook in this book is extremely well-balanced, without lobbying for any particular treatment approach as a "one size fits all" solution. In fact, the "Penn Paradigm," which he advocates, stresses that "it is what the patient considers important, not what the treatment program is pushing, that matters."
Szalavitz, an experienced and well-known journalist specializing in health, science, and drug policy, is savvy to the real world concerns and fears of patients and their loved ones. Her philosophy of treating addiction is "if it helps people, do it," and the underlying posture of the entire book is, "Patients given a menu of treatment options do significantly better than those who are simply told what to do."
Case studies and anecdotes, used liberally throughout, vividly illustrate important principles in the book and make for very interesting reading to hold one's interest. The book is obviously well researched and evidence based, although we would have preferred a more thorough referencing of the sources used.
Then again, the primary audience isn't researchers or healthcare professionals, as denoted by the book's subtitle: How You and Your Loved Ones Can Understand and Treat Alcohol and Other Drug Problems. Volpicelli writes that "to get the best care, patients themselves need to know what to look for -- because many professionals have too much of an attachment to their own ideas of what should work to take into account individual differences."
While that statement might perturb some professionals, most will agree with the authors that educated consumers of addiction treatment make the best patients. The one caveat is that this first-of-its-kind book exploring all treatment options may be challenging reading for some persons and getting the most from it would require a commitment to take more responsibility for one's own treatment success. It may not be for everyone but, as suggested earlier, one size needn't fit all; but this book could help many people.
Recovery Options: The Complete Guide (ISBN 0-471-34575-X, paperback, $15.95) is a Wiley book available at local bookstores or by calling 1-800-225-5945. In Canada, call 1-800-567-4797. Also available at www.amazon.com ($12.76 + shipping) and from other online booksellers.