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Substance Abuse Textbook
Examines the hidden epidemic of older adults experiencing psychotropic substance dependence from both individual and societal perspectives Integrates the neuroscience of psychotropic substance abuse with contemporary psychotherapeutic techniques and harm-reductive interventions Features extensive clinical vignettes that humanize the academic research Criticizes the medicalization of psychological problems older adults experience Investigates the intersectionality of substance use, abuse, and misuse with race, class, and ageism
A 17-minute passage taken from a patient's talking in a psychoanalytic interview was played to 40 subjects, including trained therapists, therapists in training, and inexperienced undergraduates. Subjects were alerted to the organizing theme (termination of the patient's treatment) and asked to attend to direct and indirect references to this theme. Tonic heart rate, averaged over 30-second periods, was lower when clues were present on the tape than during control periods when clues were not present. Profiles of phasic heart rate were drawn for 11-second periods that overlapped the end of each clue and control passage. Profiles associated with clues were significantly lower than profiles for control passages; profiles for recalled and recognized clues showed a wave form distinct from that of profiles associated with unrecognized clues.