Harm Reduction, Second Edition: Pragmatic Strategies for Managing High-Risk Behaviors

417 Pages·2011·3.202 MB·English

by  G. Alan Marlatt, Mary E. Larimer, Katie Witkiewitz (eds.)

Harm reduction

Harm Reduction
Pragmatic Strategies
for Managing
High-Risk Behaviors
SECOND EDITION
Edited by
G. Alan Marlatt
Mary E. Larimer
Katie Witkiewitz
tHe GuiLFord PreSS
NEW YORK LONDON
© 2012 The Guilford Press
A Division of Guilford Publications, Inc.
72 Spring Street, New York, NY 10012
www.guilford.com
All rights reserved
No part of this book may be reproduced, translated, stored in
a retrieval system, or transmitted, in any form or by any means,
electronic, mechanical, photocopying, microfilming, recording,
or otherwise, without written permission from the publisher.
Printed in the United States of America
This book is printed on acid-free paper.
Last digit is print number: 9 8 7 6 5 4 3 2 1
The authors have checked with sources believed to be reliable in their efforts to provide
information that is complete and generally in accord with the standards of practice
that are accepted at the time of publication. However, in view of the possibility of
human error or changes in behavioral, mental health, or medical sciences, neither the
authors, nor the editors and publisher, nor any other party who has been involved in
the preparation or publication of this work warrants that the information contained
herein is in every respect accurate or complete, and they are not responsible for any
errors or omissions or the results obtained from the use of such information. Readers are
encouraged to confirm the information contained in this book with other sources.
Library of Congress Cataloging-in-Publication Data
Harm reduction : pragmatic strategies for managing high-risk behaviors / edited by G. Alan
Marlatt, Mary E. Larimer, Katie Witkiewitz. — 2nd ed.
p. cm.
Includes bibliographical references and index.
ISBN 978-1-4625-0256-1 (hardcover)
1. Substance abuse—Complications—Prevention. 2. Substance abuse—Treatment.
3. Health behavior—Social aspects. 4. Harm reduction. I. Marlatt, G. Alan.
II. Larimer, Mary E. III. Witkiewitz, Katie.
RC564.H364 2012
362.29—dc23
2011026409
In memory of G. Alan Marlatt
His generosity, compassion, and brilliance
championed the harm reduction movement
and touched the lives of so many people worldwide.
We express our sincerest gratitude to Alan
for his gentle spirit and his extraordinary ability
to accept us exactly as we are. We miss him terribly.

about the editors
G. Alan Marlatt, PhD, until his death in 2011, was Director of the Addic-
tive Behaviors Research Center and Professor of Psychology at the Univer-
sity of Washington. For over 30 years, Dr. Marlatt conducted pioneering
work on understanding and preventing relapse in substance abuse treat-
ment and was a leading proponent of the harm reduction approach to treat-
ing addictive behaviors.
Mary E. Larimer, PhD, is Professor of Psychiatry and Behavioral Sciences
and Adjunct Professor of Psychology at the University of Washington, where
she is also Associate Director of the Addictive Behaviors Research Center
and Director of the Center for the Study of Health and Risk Behaviors.
Katie Witkiewitz, PhD, is Assistant Professor of Psychology at Washington
State University Vancouver. In August 2012 she will be joining the faculty
of the Department of Psychology at the University of New Mexico, with
a joint appointment at the Center on Alcoholism, Substance Abuse, and
Addictions.
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contributors
Michele Peake Andrasik, PhD, Fred Hutchinson Cancer Research Center
and Department of Psychiatry and Behavioral Sciences, University of
Washington, Seattle, Washington
Paul L. Bergen, MSc, Populi Health Institute, Edmonton, Alberta, Canada
Arthur W. Blume, PhD, Department of Psychology, Washington State University,
Vancouver, Washington
Seema L. Clifasefi, PhD, Addictive Behaviors Research Center, University of
Washington, Seattle, Washington
Susan E. Collins, PhD, Department of Psychiatry and Behavioral Sciences,
Harborview Medical Center, University of Washington, Seattle, Washington
Jessica M. Cronce, PhD, Center for the Study of Health and Risk Behaviors,
Department of Psychiatry and Behavioral Sciences, University of
Washington, Seattle, Washington
Patt Denning, PhD, Harm Reduction Therapy Center, San Francisco, California
Tiara M. Dillworth, PhD, Department of Psychiatry and Behavioral Sciences,
University of Washington, Seattle, Washington
William H. George, PhD, Department of Psychology, University of Washington,
Seattle, Washington
Karyn K. Heavner, PhD, Populi Health Institute, Wayne, Pennsylvania
Scott B. Hunt, MA, School of Psychology, Fielding Graduate University, Santa
Barbara, California
Scott Kellogg, PhD, Schema Therapy Institute and Department of Psychology,
New York University, New York, New York
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