Understanding and Working with Substance Misusers explores the complex nature of addiction and the challenges involved in responding effectively through policy and practice. It examines the biopyschosocial elements of addiction to substances (including alcohol) and, draws together key research findings from these fields to present a new framework for integrating theory and practice. This book fills the need for a text which makes the complex issues surrounding substance misuse accessible to both students and practitioners.

Pulling it all Together: An Extended Case Study

Pulling it all together: An extended case study

The aims of this chapter are, through the use of an extended case study, to:

  • highlight the key themes raised in the book with respect to the biopsychosocial paradigm
  • highlight particularly issues concerning evolution, emergence, and adaptation
  • encourage reflection upon those key themes.

The following interview was carried out specifically as a case study for this book, and at her request, apart from her first name, Fiona remains entirely anonymous. My meeting with Fiona was entirely serendipitous; the peer review for this book had requested a case study and a real life example emerged after a meeting at an academic conference. Apart from polishing some of the dialogue in terms of removing ‘ers’ and ...

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