Review
It is also a book that addresses several levels of readers. One is that of the\ sudent in social work (or other related field) who needs an introduction to th\ e basics of addiction. Van Wormer skillfully explores issues such as the biolo\ gy of alcoholism, actual family dynamics, history, special groups, treatment ph\ ilosophies, etc. Another level is that of the advanced addictions workers who \ is ready to question rather than just absorb. The author sets the pace of care\ fully challenging some conventional assumptions of the field, as in her incorpo\ ration of the ecological perspective, her discussion of damage to sperm in rela\ tion to drug/alcohol-related birth defects, her critique of the idea of "codep\ endency," her exploration of treatment services for women and her overall rejec\ tion of the simplistic thinking about addictions that was characteristic of bot\ h the First and Second Waves. Another level is that of the specialty student. \ Van Wormer examines many interesting specialty themes, whether that of ethnici\ ty and addictions, or that physiology of addictions, or the analysis of the ex\ istence of addictions work in the macroculture (a theme which pervades the book\ ). --
Marguerite Babcock, Center for Substance Abuse, Mckeesport, Pennsylvania The second section, aspects of addiction, is van Wormer's strongest contribution. She takes a needed holistic approach to alcoholism treatment that considers the biolgical, psychological, social, and sprititual contexts. Van Wormer provides an overview of the biology of alcoholism and its many physical effects. Her chapter on cognitive aspects offers helpful orientation to the thought processes of many people with alcohol problems. Lacking this understanding, many professionals are baffled and frustrated in their interactions with such individuals. --
Thomas Gregoire, Social Work 41, 1996