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Medicine (R0)

Julie R. Gaither

Living with Opioids

A Clarion Call to Safeguarding our Homes and Families

&lt;p&gt;&lt;span lang="EN-US" style="font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-ligatures: none; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;"&gt;Introduction.- Opioids Through History: The Unfulfilled Promise.- The U.S. Opioid Epidemic: An Evolving and Systemic Crisis.- Neonatal Opioid Withdrawal Syndrome: Clinical Challenges and Evolving Approaches to Care.- The Hidden Crisis: How the Opioid Epidemic has Endangered America's Children.- A Systemic Crisis: Failed Responses and Overlooked Solutions.- Ground Zero: Learning to Live with Opioids in Our Homes and Communities.- Strengthening the Safety Net: Institutional Approaches to Family Protection.- What Can We Learn from Other Countries, Past Eras?.- Current Trends: An Opportunity for States to Prioritize Children.- Conclusion.&lt;/span&gt;&lt;/p&gt;

This book advocates for harm reduction as a humanizing overarching approach to substance use and addiction care, one that can increase access to and engagement in treatment and other services.In this book, the authors lay out the challenges and limitations of the abstinence-only approach to treatment and care, which can lead to disillusioned clients and frustrated providers. Based on interviews conducted at two harm reduction programs, this book describes how the approach demarginalized clients and led them to voluntarily engage in services, thereby resulting in improved quality of life, hopeful future goals and plans, better social functioning, and reduced substance use. In their own words, clients and providers described what uniquely characterized a harm reduction approach and how it as an alternative, supplement, or complement to existing abstinence-only options.This important volume contributes key information critical for training future generations of social workers, healthcare providers, and addiction specialists.

Beyond One-Size-Fits-All Addiction Treatment

The Case for a Harm Reduction Approach

From a psychotherapist and the New York Times bestselling author of Monkey Mind, a thoughtful, deeply personal exploration of our most difficult emotions, arguing that they are not obstacles to overcome but essential messengers that can lead us toward wisdom and wholeness. What if the emotions we fight hardest against—anger, shame, envy, regret, jealousy, annoyance, despair—are not enemies to be vanquished but essential guides to self-knowledge? When two birthday gifts—a centuries-old treatise on melancholy and a book of Bosch’s hellscapes—arrived just months before the birth of Daniel Smith’s second child, he began questioning our culture’s dismissal of difficult feelings and his own lifelong struggle against these so-called “negative” emotions. Moving between intimate personal narrative and rich intellectual exploration, Smith investigates how our relationship with negative emotions has evolved through history—from the Seven Deadly Sins to modern psychology’s sometimes equally damning classifications. He explores what science, psychology, art, and philosophy can and cannot tell us about the nature of emotion itself, challenging conventional wisdom about what our feelings really are and how they function. With unflinching honesty about his own emotional turbulence and the insights gained from his work as a psychotherapist, Smith makes a compelling case that our negative emotions serve crucial purposes—if only we would listen to what they’re trying to tell us. Whether examining the striking absence of anger among the Inuit or confronting his own emotional inheritance as a new father, Smith offers a perspective that is both deeply humane and surprisingly hopeful. This book is not so much a guide to banishing difficult feelings, but rather an invitation to wholeness—to feeling everything—and discovering that even our darkest emotions contain intelligence, meaning, and the potential for profound transformation.

Finding the Wisdom in Our Darkest Emotions

Hard Feelings

From Melissa Febos, the national bestselling author of Girlhood, comes an examination of the solitude, freedoms, and feminist heroes she discovered during a year of celibacy and a wise and transformative look at relationships and self-knowledge. In the wake of a catastrophic two-year relationship, Melissa Febos decided to take a break: For three months she would abstain from dating, relationships, and sex. Her friends were amused. Did she really think three months was a long time? But to Febos, it was. Ever since her teens, she had been in one relationship after another with men and women. As she puts it, she could trace a “daisy chain of romances” from her adolescence to her mid thirties. Finally, she would carve out time to focus on herself and examine the patterns that had produced her midlife disaster. Over those first few months, she gleaned insights into her past and awoke to the joys of being single. She decided to extend her celibacy, not knowing it would become the most fulfilling and sensual year of her life. No longer defined by her romantic pursuits, she learned to relish the delights of solitude, the thrill of living on her own terms, the distinct pleasures unmediated by lovers, and the freedom to pursue her ideals without distraction or guilt. Bringing her own experiences into conversation with those of women throughout history—from eleventh-century mystic Hildegard von Bingen, Virginia Woolf, and Octavia Butler to the Shakers and Sappho—Febos situates her story within a newfound lineage of role models who unapologetically pursued their ambitions and ideals. By abstaining from all forms of romantic entanglement, Febos began to see her life and her self-worth in a radical, new way. Her year of divestment transformed her relationships with friends and peers, her spirituality, her creative practice, and, most of all, her relationship to herself. Blending intimate personal narrative and incisive cultural criticism, The Dry Season tells a story that’s as much about celibacy as its inverse: pleasure, desire, fulfillment. Infused with fearless honesty and keen intellect, it’s the memoir of a woman learning to live at the center of her own story, and a much-needed catalyst for a new conversation around sex and love.

A Memoir of Pleasure in a Year Without Sex

The Dry Season

'A thoughtful and unvarnished account of a storied life and career' Guardian, Best Books of the Year An honest, moving and long-awaited memoir from Academy Award-winning actor Sir Anthony Hopkins. Growing up in the small Welsh town of Port Talbot, Sir Anthony Hopkins struggled in school and was deemed by his peers and parents to be a failure. But on a fateful Saturday night, he came across the 1948 film adaptation of Hamlet - which changed the course of his life forever. &nbsp;With candour and a voice that is both arresting and vulnerable, Sir Anthony recounts his various career milestones and provides a once-in-a-lifetime look into the brilliance behind some of his most iconic roles, as well as taking a deeply honest look at his personal life and battles with addiction. &nbsp;We Did OK, Kid is a raw and passionate memoir from a complex, iconic man who has inspired audiences with remarkable performances for over sixty years. &nbsp;'Honest, thoughtful and surprisingly tender' Mail on SundaySir Anthony Hopkins, Sunday Times bestseller, November 2025&nbsp;

The Sunday Times bestselling memoir

We Did Ok, Kid

Shortlisted for the Crime Writers' Associate Twisted Dagger, 2026 There's your side. My side. And the truth. From the bestselling author of All Of Us Are Broken, a dark, emotional detective thriller featuring DC Saul Anguish. 'Truly thrilling' - Daily Mail 'Cummins is a keeper' - Lee Child, author of the Jack Reacher series She must face justice. When Jen Miller entrusts her youngest child to the care of her beloved sisters, she has no idea of the devastating tragedy that is about to unfold. As her sister it kills me to say it. To celebrate her sister's wedding, global superstar Winter Kellaway throws the party of the decade at her luxurious beachside estate. But one misstep will have heartbreaking consequences that will rock this close-knit family to their core. As his mother I demand it. Saul Anguish, a brilliant but tormented young detective, is called in to investigate and uncovers a long-buried and shocking family secret. As the trail takes a dramatic turn, they must now all face the truth that you can never truly leave the past behind . . . Authors love Some of Us Are Liars: 'Stunning' - Claire Douglas 'Devastating' - Abigail Dean 'Crime fiction at its very best' - Neil Broadfoot 'Absolutely loved it' - Nikki Smith 'Heartbreaking, evocative and propulsive' - Holly Seddon Readers adore Some of Us Are Liars: 'I'm in awe . . . truly unique' 'This might just be her best one yet!' 'Further cements Fiona Cummins as a must read author for me' 'Tense, complex and tightly plotted, but also layered and thoughtful' 'Just as I got comfortable, something would shift and I'd feel the chill again.' 'Perfect for book club discussions' 'An unputdownable and unforgettable read, and that ending . . . WOW!'

Some of Us Are Liars

The sixth edition of this leading reference book on insurance medicine provides a comprehensive guide to life expectancy for underwriters and clinicians involved in the life insurance industry. Extensively revised and expanded, the new edition reflects developments in life and healthcare insurance as well as medicine. Almost 20 years since it's last edition, each chapter&nbsp;is&nbsp;significantly updated to include the latest advancements in each disease, risk selection, and classification. Additionally, new content&nbsp;has been&nbsp;added to include rare disorders, the impact of climate and environmental changes on insurance medicine, screening for diseases and risk of disease, and critical illness. The impact of AI and other advanced technologies&nbsp;is&nbsp;also be discussed.&nbsp;

Brackenridge's Medical Selection of Life Risks

This book offers fresh perspectives on the role of addiction in prior fault culpability by integrating legal, psychological, neuroscientific and philosophical dimensions. Are intoxicated defendants responsible for harms they cause to persons and property when intoxicated? Should they be criminally liable for those harms, even if they act without intention or control? What if their intoxicated state is associated with addiction? Analysing the complex interactions between addiction, intoxication and law, prior fault is addressed from various jurisdictions including predominantly England and Wales, Scotland, and the Netherlands, while also incorporating multiple disciplines, thereby discussing prior fault structures from overarching, non-jurisdictional perspectives. These different disciplines and legal systems are not merely described but closely integrated through co-authored chapters, involving academics from different disciplinary fields and legal traditions. This collection is a thorough resource for students, academics, researchers, and practising lawyers who aim to deepen their understanding of the law's approach towards addiction and intoxication. Moreover, it illustrates the importance of a collaborative approach between different legal traditions and interdisciplinary scientific understanding, thereby laying the groundwork for future legal reforms, informed legal practice, and research.

Comparative Perspectives on Addiction and Intoxication

Criminal Law and Prior Fault

FROM THE SUNDAY TIMESBESTSELLING AUTHOR OF MONEY: A USER'S GUIDEWe vow for richer for poorer. We sacrifice for our children, we give back to our parents. Because in true love and family matters, money's irrelevant and it would be terrible to suggest otherwise. Right?So why - in the privacy of the therapy room - does money emerge as one of the biggest causes of tension for modern couples? Why is it cited as the major factor in family estrangement between parents, children, and siblings? Why is there a trend for the 'Bank of Mum and Dad' to go to court to retrieve loans they regret handing over?In MONEY: A USER'S GUIDE, Laura showed us how to save into a pension and understand investment. This time, she delves into the really complex stuff - a non-judgemental examination of whether there is a "right" way to share our money with those we love, and what everyone else does behind closed doors. A book that none of us want to admit we need.How do you decide who picks up the bill, or what goes in the joint account? Is your partner being generous or controlling? Is this house mine if your parents paid most of the deposit? How much are you prepared to spend to have a baby? When should we give money to our kids, our mum and dad, our siblings, our community? Should they pay us back? What does everyone else do? Why don't we know? And why does it feel so agonisingly awkward to ask?This is a book of personal finance advice told through real stories about other people's modern money and relationship dilemmas.Laura speaks to financial advisers and wealth managers, marriage counsellors and matchmakers, philosophers, religious leaders, funeral directors and divorce lawyers, to get to the bottom of the questions that can be much more fundamental to our wealth and happiness than where to put our savings.

The Modern Money Questions That Could Save Your Relationships

Yours or Mine?

“The perfect book for anyone who has ever built an entire fantasy life around a man who barely knows your last name and who makes you ask, ‘Is this love, or am I just deeply unwell?’ It’s funny, cringey, painfully real yet still tender about the humiliations we endure to feel chosen." — Samantha IrbyFor fans of Asako Yuzuki and Fleabag, an audacious, unhinged debut following the major humiliations and minor triumphs of an overworked, undersexed young woman in Tokyo who must save herself from the hazards of her own lust, obsession, and delusion. limerence. [li-mer-uhns] nounthe state of being obsessively infatuated with someone, usually accompanied by delusions of or a desire for an intense romantic relationship with that person; e.g., her limerence lasted for around three months before she actually met himMika is about to turn 25, and all she has to show for it is a soul-sucking office job and a terminal case of virginity. Between unwanted advances from co-workers and subway commuters, and love-bombing from unappealing fuckboys, Mika’s ready to explode. Her only therapeutic outlet is her imagination, which manifests in a series of comically violent and horny fantasies.Determined to change her fate, and with the encouragement of Nana, her certified “Hot Girl” best friend, Mika loses half of her virginity to Tyler, a Japanese-American boy with an allergy to commitment. The other half is taken by a man with a drawer full of red flags, all while Mika indulges in fantasies of women much to her titillation and confusion.Caught in a love(less) triangle, Mika also must weather a mysterious outbreak spurred by the unhygienic bathroom practices of white male westerners. Will she emerge from quarantine a new woman? Or, spurred by a reunion with an estranged friend, can she shift her life in a new direction? Could this be yet again limerence, or might it be the beginning of something a bit less one-sided?Scathingly funny, delightfully profane, and surprisingly heartfelt, Hello, Limerence is a story for the unloved and the unhinged—a madcap spin through the frenzy of one woman’s desire. “Brilliant…Genuinely hilarious, addictive, and original. Momo Yamaguchi is my new literary obsession.” —Alice Slater

A Novel

Hello, Limerence

Life can't go on like this - can it?A sexy and hilarious Spanish bestseller, where a young woman's office persona threatens to crack when she's forced to attend her company's annual retreat.'Tremendously entertaining' Guardian 'A wild ride' Express 'An impressive new comic talent' Daily Telegraph 'Wry and incisive... very funny' New York TimesOn the surface, Marisa's life looks enviable. She lives in a nice apartment in the heart of Madrid, her friendly neighbour and lover Pablo lives downstairs, and she's risen quickly through the ranks at a successful advertising agency.And yet Marisa hates her job and everything about it. Over one hot summer she finds herself in danger of being exposed when she's forced to deliver a talk on creativity at a horrendous team-building retreat. Surrounded by psychopathic bosses, flirty facilitators, and an excess of drugs, Marisa is pushed to the brink of a complete spiral.Discontent is a bold, biting novel about acting on our wilder impulses to reclaim our lives from work, for everyone who has ever wanted more: more time, more meaning, more connection.'Serrano writes with a caustic flair for detail, with charm and utter hilarity. Absolutely brilliant' Danya Kukafka, author of Notes on an Execution'I adored our heroine... A razor-sharp debut' Anna Dorn, author of Perfume and Pain'A love song to the listless and lonely of the LinkedIn age' Ariel Courage, author of Bad Nature

Discontent

Don Winslow’s acclaimed fiction collection, featuring “Crime 101,” soon to be a major motion picture starring Chris Hemsworth, Halle Berry, Mark Ruffalo, Barry Keoghan, and Monica Barbaro.No matter how you come into this world, you come out broken . . .&nbsp;Hailed as “one of America’s greatest storytellers” (Stephen King), #1 international bestseller Don Winslow presents&nbsp;six intense short novels with characters—some familiar, some new—&nbsp;connected by the themes of crime, vengeance, guilt, and redemption. It includes:<ul><li>Crime 101: A string of high-level jewel heists up and down the Pacific Coast Highway has gone unsolved for years, mostly because the perpetrator has lived by a strict code he calls “Crime 101.”&nbsp;Police attribute the thefts to the Colombian cartels.&nbsp;But Detective Lou Lubesnick’s gut says it’s the work of just one man.&nbsp;Now the lone-wolf jewel thief is looking for that fabled final last score.&nbsp;And Lou breaks all the rules of Crime 101…</li><li>Broken: Police dispatcher Eva McNabb takes the call on a police officer’s brutal murder by a vicious drug gang.&nbsp;It’s her own kid, Danny.&nbsp;Then Eva makes her own call.&nbsp;Summoning her elder son, Jimmy, also a cop, Eva commands: Avenge your brother.&nbsp;I want you to kill them all.</li><li>The Last Ride: To former soldier and cowboy-turned-Border Patrol agent Cal Strickland, the illegals who try to jump his stretch of the Texas-Mexico border are a nameless, faceless group who need to be sent back to their side of the line. That is, until he sees the little girl in the cage. And Cal knows that the time has come to make a stand and help her escape.</li></ul>With his trademark blend of insight, humanity, humor, action, and the highest level of literary craftsmanship, Winslow delivers a collection of tales that have become classics of crime fiction.“While Winslow is in widely fluent in many different prose techniques&nbsp;— from the twisty punchline felonies of Elmore Leonard and Robert B. Parker to the&nbsp;rebop riffs of James Ellroy to mega-works of dark literature a la Cormac McCarthy and James Lee Burke&nbsp;— he's not 'copying' anyone. He's writing his OWN masterpieces and just happens to do so in the fashion appropriate to the work. . . . Every piece in&nbsp;Broken&nbsp;is a winner and compellingly different.”&nbsp;—&nbsp;The Day&nbsp;(CT)“Broken&nbsp;will make you laugh and cry, but in the end will explain why&nbsp;The New York Times&nbsp;thinks Winslow is simply ‘the greatest.’ . . . He crafts every sentence until it beats to a rhythm of its own. . . .&nbsp;Broken&nbsp;is devastating and brilliant.” —&nbsp;Sydney Morning Herald

A Novella

Crime 101 [Movie Tie-in]

A revolutionary new paradigm for understanding addiction Why do people with addiction use drugs self-destructively? Why don’t they quit out of self-concern? Why does the rat in the experiment, alone in a cage, press the lever again and again for cocaine—to the point of death? In this pathbreaking book, Hanna Pickard proposes a new paradigm for understanding the puzzle of addiction. For too long, our thinking has been hostage to a false dichotomy: either addiction is a brain disease, or it is a moral failing. Pickard argues that it is neither, and that both models stifle addiction research and fail people who need help. Drawing on her expertise as an academic philosopher and her clinical work in a therapeutic community, Pickard explores the meaning of drugs for people with addiction and the diverse factors that keep them using despite the costs. People use drugs to cope with suffering—but also to self-harm, or even to die. Some identify as “addicts," while others are in denial or struggle with cravings and self-control. Social, cultural, and economic circumstances are crucial to explaining addiction—but brain pathology may also matter. By integrating addiction science with philosophy, clinical practice, and the psychology and voices of people with addiction themselves, Pickard shows why there is no one-size-fits-all theory or ethics of addiction. The result is a heterogeneous and humanistic paradigm for understanding and treating addiction, and a fresh way of thinking about responsibility, blame, and relationships with people who use drugs.

A Philosophy of Addiction

What Would You Do Alone in a Cage with Nothing but Cocaine?

Living with Opioids

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