antecedent rather than the consequence of drug abuse. The authors' position is that drugs are taken for their "positive, brain reinforcing effects" and not for relief from psychiatric symptoms. The argument seems a revision of the "which came first question." The sections on managed care and legal and ethical issues in substance abuse are well done and informative. The preface states that the book is appropriate for "physicians and other mental health care specialists." The back cover states that the text is " Designed to meet the diverse needs physicians, psychiatrists, mental health professionals, medical students and residents, this authoritative text offers clear, step-by-step recommendations on the selection and application of both pharmacological and psychosocial therapies." While useful in supplying pharmacological information and data on diagnosis and assessment, this manual misrepresents itself as giving an adequate representation of psychosocial treatments- the chapter titles and subheadings do not present what they state. The preface states that "As many as 50% of general medicine populations and 75% of general psychiatric populations contain patients with addictive disorders." The authors state, "Enthusiasm for treating addictive disorders can result from developing and possessing knowledge and skill in their diagnosis and treatment, especially when patients are followed into their recovery." This is the only place enthusiasm is found in the entire book. The interior of the book is clinical in the worst sense of the word, and contains unfounded generalizations and statistics. The psychosocial parts are done with such superficiality that only someone unfamiliar with this material would benefit from reading it. The UglyMost prevalent forms of treatment are included, but represented by a brief one-paragraph description. The only chapter with any depth or passion is the one on Alcoholics Anonymous. This chapter is the most
poorly written of the manual. It contains bias, lack of analysis of the findings and more erroneous generalization than fact. The author of this chapter borrows statistics without questioning from AA's big book and other AA surveys. For example, they report that 50% of those starting AA drop out within the first three months; of those sober less than a year, 41 % continue for another year; and of those sober over 5 years, 91% will continue in AA for another year. The implication is made that the longer in AA, the more likely the abstinence, which may be true. However no mention is made of all the people for whom AA is not working. The author of the AA chapter makes generalizations that are contradicted elsewhere in the manual. He states, "All physicians are viewed as friends of AA." On page 264, he states, "...several pitfalls can occur between treatment professionals and members of AA, primarily involving conflict and rivalry." Other areas of conflict are noted, which imply the relationship with medical and mental health personnel is sometimes less than endearing. The commitment to AA and its derivatives as the only form of effective treatment is disquieting. It is stated that "AA and NA are compatible with the treatment of all medical and mental disorders. They should be considered essential in the treatment of all addictive disorders." Norman Miller (1995) concluded in another book, that "Only one method of treatment appears to be effective and to consistently work in the long run, mainly abstinence based treatment when combined with either regular continuous and indefinite attendance at AA meetings." This reader can mostly accept that abstinence based programs are the most effective, although it has not been empirically established that AA is the only effective treatment for alcoholism. In Project Match (1996), a study sponsored by National institute on Alcohol Abuse and Alcoholism, a comparison of the treatment modalities of "twelve step facilitation", cognitive-behavioral therapy and motivational enhancement therapy, found all treatments to be equally effective. Also, it seems very odd to me how someone so familiar with the drug area would choose to classify alcohol separately from all the other drugs. For the last two decades in professional circles, the rallying cry has been that alcohol is a drug like any other drug. Summary: Although the manual contains many important statistics and discussions, due to the inadequacy of the psychosocial sections, I would not even recommend this book to the medical student or physician interested in the non-medical aspects of addiction.
I also looked at the walkthroughs of the various campaigns and senarios and these seem to be lacking some depth. If you are looking for anything earth shattering in this guide book in the walkthroughs don't bother. If your looking for unit stats to be accurate and informative you had better just look at the data the game gives you.
My overall ratting is a 1 and would not recommend this book to anyone who loves this game.
List price: $16.95 (that's 30% off!)
List price: $25.00 (that's 30% off!)
Nonetheless, this work has numerous unforgivable mistakes. Hall over-emphasizes Wilson's democratic tendencies, going so far as to actually call him a democrat -- a title that Wilson would have abhored as much as aristocrat. Hall notes Wilson's belief that majoritarian government had to have its power checked, but this aspect of Wilson's ideology he gives slight attention to. He makes a disengenuous argument that Wilson believed that balance of power was needed to check corruption rather than the democracy. This distinction is hollow. To believe that democratic government needs to be limited is equivalent to believing that democratic rule needs to be checked. The truth is that though Wilson did believe that the people could be trusted more than did the other Founders, he also believed in limiting popular power. Wilson disagreed at many points how these checks ought to be achieved and to what degree they were to be implimented. But the same can be said for most of the Founders. Wilson is better classified along with the majority of the other Founders as a republican and a liberal -- a republican willing to allow the people a slightly greater role in authority, but a republican nonetheless, not a democrat.
Hall also over-emphasizes Wilson's role in developing the governmental ideology of the new republic. Likewise he often underestimates the activity of others. This work also fails to place Wilson's ideas in the context of broader, external, intellectual activity, therefore giving the reader the impression that he originated more than he did. Finally, this author fails to chart Wilson's intellectual development. There seems to be an assumption that what Wilson believed in 1789 was what he believed in 1768 soon after he arrived in America.
This is a book that I wanted to like and it does have some redeeming value, but ultimately it is too flawed to allow any more than a single star. I will be looking for a new biography of Wilson, soon.