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Neil Lomax was the loudest critic of the city of St. Louis in their support (or lack thereof, as far as he was concerned) of the Big Red. He was full of sour grapes, citing that he belived that "Fredbird the Redbird", the St. Louis Cardinals baseball mascot, was more popular than he cause Fredbird hit more homeruns than he did. This comment, along with many others muttered by Lomax, led to the feeling that St. Louis was a "baseball town". No one, and especially not Lomax, cared to mention that St. Louis was a baseball town cause they were the only team in the city that EVER WON. Anyone who followed football in the seventies and eighties knows that the Cardinals lost WAY more games that they won, and were the primary laughingstock of the NFL (with the exception of the Buccaneers).
I mention this because in this book, which as I stated earlier pre-dates the move to Phoenix, Neil Lomax makes numereous statements of glowing praise regarding the wonderful support of the St. Louis fans. Did he say this to sell a few more copies, which to my knowledge wasn't even carried by bookstores outside of Missouri? Or is he the prime example of the new, modern "fickle" athlete primma-donna? Here's a thought Neil...St. Louis fans put up with the losing ways of the Cardinals for 28 years, which to be honest with you is 28 years longer than any other city on earth would have. I believe Lomax recognizes this, because since his departure from professional sports, he has made numerous attempts to launch business opportunities in the Gateway City.
The book is basically like all other sport-star biographies...long on information you could care less about, short on the knowledge you do seek, and rose colored glasses regarding the authors life. This book is a waste of time. Sorry to be so harsh, Neil, but maybe next time you'll actually win a few games before you started bad-mouthing the city who supports you...or should I say, SUPPORTED you. GO RAMS!
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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.
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Don't bother.
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