Book and media reviews
-
Upload
chris-cook -
Category
Documents
-
view
215 -
download
0
Transcript of Book and media reviews
1355 ± 6215/99/010093 ± 09 $9.50 � Society for the Study of Addiction to Alcohol and Other DrugsCarfax Publishing Limited
Addiction B iology (1999) 4, 93 ± 101
Book and media reviews
COMPILED BY CHRIS COOK
B ook reviews in this colum n will primarily be of titles focusing completely, or in part, on biolog ical aspects of
addiction. However, significant titles of general relevance to the addictions field will also be included, even if they
are not ª biologicalº , as will titles of general methodological and clinica l relevance, even if they are not on
ª addictionsº . Similar considerations will apply to other media (software, audio tapes and CDs, videos, etc).
However, specific ª addictionsº software applications seem to be relatively uncom mon and, as these items are
rarely reviewed elsewhere, we will endeavour to include reviews of some of the older programmes that are still
useful, as well as new titles that appear. I would appreciate suggestions of any items suitable for reviews, but
especially software and other media of specific relevance to the addictions. Please conta ct: Professor Chris Cook,
Kent Institute of Medicine and Health Sciences, University of Kent at Canterbury, Kent CT2 7NR, UK.
Email: c.c .h.cook@ ukc.ac.uk
Ninth Special Report to the US Congress
on Alcohol and Health from the Secretary
of Health and Human Services, June 1997
NATIONAL INSTITUTE OF ALCOHOL
ABUSE AND ALCOHOLISM
US Department of Health and Human
Services, Washington DC
420 pp., US$11.00
Every 4 years there is an air of excitement and
anticipation in the alcohol research community.
This atmosphere of anticipation has nothing to
do with football or the World Cup, but rather the
arrival of each successive Special Report to the
US Congress on Alcohol and Health. That
excited anticipation is fully justified as this series
provides the most comprehensive and up-to-date
review of the alcohol literature summarizing the
state of the art of alcohol research. These reports
are written in an accessible style and the target
audience is the educated Congressman. Having
said that, anyone involved in research in the
alcohol field will find this an invaluable resource
to update their knowledge in areas of research in
which they are not directly involved.
The First Special Report was published in 1971
shortly after the creation of the National Institute
on Alcohol Abuse and Alcoholism (NIAAA) and
comprised only 118 pages summarizing knowl-
edge at that time. Now, 25 years later, the Ninth
Special Report provides evidence of how far the
alcohol field has come, not least by virtue of the
size of the latest report, at 420 pages. One can only
speculate about the role that successive reports in
this series have had on the development of the field
itself. They provide a crucial opportunity both to
keep alcohol firmly on the public health agenda in
the US Congress, and to provide a showcase for
the wide-ranging research portfolio supported by
NIAAA. The considerable government invest-
ment in the alcohol field in the United States has
also encouraged many talented researchers to
enter the field of alcohol research. As the Director
of the National Institutes of Health, Harold
Varmus notes in his preface ª the alcohol field now
has access to the very best science as well as to the
very best scientistsº .
The territory covered by the report is extremely
broad and the list of contributors is a veritable
W ho’s Who of the US alcohol field. The report
contains a wealth of information on fields as
diverse as epidemiology, genetics, pharmacology,
behavioural science, health consequences, eco-
nomics, prevention, treatment and health services
research. As a reference source I find this series,
and this report in particular, the most valuable
and comprehensive text available. This is the ideal
place to start, whether one is writing a review
paper, preparing a lecture, writing a grant appli-
cation, trying to gain familiarity with a new area
94 B ook and media reviews
or simply trying to locate that elusive reference!
Quite simply, this is a triumphant achievement of
co-ordination and editorial skill; all the more
amazing that each successive Report so convinc-
ingly upstages its predecessor.
If I had to find a criticism it would be that the
report, and this one more so than preceding ones,
is overly US-centric. Only two of the 24 writers,
and only two of the 54 editors and referees, are
from outside the United States. All four of the
outsiders are based in Canada. The reference lists
exclude some important studies written by
authors outside the United States. Well, what
should one expect? Of course this is about the US
alcohol research community and NIAAA com-
municating important new developments, espe-
cially those that are Federally funded, to the US
Congress.
However, if this was the only book about
alcohol research one ever reads there would be a
danger that one might reach the conclusion that
there is little of importance in the field going on
outside the United States. Perhaps this is also an
indication of the need for non-US-based alcohol
researchers to work harder at making more of an
impact in the international arena. Nevertheless,
the report needs to carry a warning that this is not
quite the same as a systematic review of the field
in the same way that one would expect from an
academic journal. Future reports in this series
would do well to consider a wider international
contribution to the editorial board to improve the
balance.
One important study that was published too
late for inclusion in this report is Project
MATCH.1This study has had important implica-
tions for treatment research and will no doubt be
an important inclusion in the 10th Report in due
course.
If coverage in the report is an indication of the
relative importance of different areas within the
alcohol research field, one important observation
is the expansion of biological research compared
with the 8th Report. The development of the
basic science base in the alcohol field is obviously
to be welcomed. However, one would hope that
in future editions this continued biological expan-
sion is not at the expense of other important
areas, including psychosocial research.
Overall, this is an extremely well written,
accessible and valuable addition to any alcohol
researcher’s, or student’s, library whatever their
background discipline. It is unique to find such a
wide range of information in one place. Such a
book can only help to expand knowledge about,
and interest in, the alcohol field. However, it
should not be viewed as a substitute for academic
reviews in peer-reviewed journals or electronic
literature search methods for comprehensive
research inquiry. With that caveat, to quote Dr
Varmus, ª I commend the 9th Special Report to
the US Congress on Alcohol and Health to your
most serious attentionº .
D. COLIN DRUMMOND
Department of Psychiatry of Addictive B ehaviour,
St George’ s Hospita l M edical School,
University of London,
Cranmer Ter race,
London SW17 0RE, UK
Reference1. Project MATCH Research Group. Matching alco-
holism treatments to client heterogeneity: ProjectMATCH posttreatment drinking outcomes. J StudAlcohol 1997;58 :7 ± 29.
The Myth of Addiction
JOHN BOOTH DAVIES
UK, Harwood, 1997
197 pp., pbk, £13.00, ISBN 9057 022370
This book is the second edition of an already
well-known and established text. Although its
content and central message are fundamentally
the same as when first published, it is still an
important, thought-provoking and pertinent text
today. Through the use of social psychological
theory, some of the most central and established
concepts in the field of addiction are system-
atically called to account, although to say that
Booth Davies aims to explain addiction in terms
of social psychological processes does not reveal
or do justice to how challenging, absorbing and
infuriating these arguments are.
A plethora of colourful research illustrations is
utilized in an attempt to reduce the emphasis
placed on addiction as some mechanistic force
over which individuals have no control. With this
aim, a balance is sought through the incorporation
of individual motives and intentions into the
complex equation of addiction. It must be said
that a number of the lines of reasoning concerning
craving, withdrawal and so on are initially quite
seductive but, if taken to their logical conclusion,
B ook and media reviews 95
would indicate that there is no such thing as
addiction. Few would be willing to take this
extreme position, and in recognition of this the
author’s fervour seems to be inconsistent to the
extent where he feels the need to remind the reader
that, ª It is not the message behind this book that
the illicit use of drugs never creates problems for
peopleº . Realistically, it is precisely this under-
lying message that is felt throughout the book that
makes it particularly challenging and gives the
reader something to get their teeth into.
The issue of the inclusion of behavioural
addictions is raised and debated in the context of
how the term `addiction’ often results in dubious
and socially functional explanations. This type of
argument is welcome as it may set the scene for a
thorough and systematic investigation into this
difficult area, which would inevitably include the
`normal’ use of any mood-altering substances and
behaviours. This, I imagine, will be a theoretically
illuminating and more balanced approach that
removes the focus from substances and helpless
victims and replaces the emphasis on explaining
different levels of involvement in a wide variety of
substances and behaviours which are available for
deliberate mood altering.
Although the book is controversial it is an easy
and lively read, and whatever your overall impres-
sions it is guaranteed that your assumptions
about addiction will be given a thorough airing,
which can only be a good thing.
SAM HAYLETT
Department of Psychology,
University of Kent at Canterbury, UK
Addictive Behaviour: M olecules to
M ankind ± Perspectives on the Nature of
Addiction
A. BONNER & J. WATERHOUSE (Eds)
Basingstoke, Macmillan Press, 1996
1312 pp., hbk, ISBN 0 33364 555 3
This book is a series of up-to-date easy-to-read
reviews written exclusively by UK authors, and
which despite its title is principally about the
psychopharmacology of alcohol with a distinct
bias in favour of serotonin. It arose out of and in
conjunction with a conference in 1993 held at the
Roehampton Institute in London, England, which
may explain a number of the book’s peculiarities,
and also why approximately half is authored by
workers at the Roehampton Institute. Psycho-
logical and social aspects of addiction are also
covered, which is generally written so as to be of
interest to those with a biological emphasis.
In terms of quality the reviews are good,
although not generally written by recognized
authorities. The book, however, lacks an overall
coherence, containing reviews which do not fit
well into the overall theme (such as a chapter on
the biological basis of bulimia nervosa, and an
excellent review on the cardiovascular effects of
drugs of abuse ± not just alcohol), and contains a
variety of styles including some with elements of
speculation and personal reminiscences. The
primary drawback of the book, however, is its
failure to do justice to drugs of abuse other than
alcohol ± many of which hardly receive a mention ±
and the lack of reference to non-drug-based types
of addictive behaviour (apart from the chapter
devoted to bulimia). There is also an irritatingly
large number of typing errors.
Despite its peculiarities, this is a valuable book
which fills a vacant niche, by bringing together
together a wide range of up-to-date information in
easily assessable form, and is most suitable for
those interested in the biological basis of addic-
tion, and especially for those interested in alcohol.
FERGUS LAW
Lecturer in Psychopharmacology of Addiction,
University of B ristol, UK
Addiction Intervention
R. K. WRIGHT & D. G. WRIGHT
Binghampton, NY, Haworth Press, USA, 1998
154 pp., pbk, $24.00, ISBN 0 78900 434 8
This is a wonderful book for anyone interested in
following a 12-Step intervention. The chapters
are concise and clearly laid out. There are plenty
of examples of what to do. I think anyone could
pull enough information from the book to pro-
ceed with an intervention and see it through to
conclusion. However, if the Disease Model of
addiction is not your mantra, the book loses some
of its appeal.
The content that causes most concern is that of
the outcome of each intervention. While I appre-
ciate that when trying to teach people you should
be encouraging, I doubt that reading about only
successful interventions really helps. There are
suggestions that people will not accept help ± all
96 B ook and media reviews
put down to denial± but little in the way of the
reality of relapse. This is surprising, bearing in
mind the stress placed by this book on the nature
of addiction as a chronic relapsing fatal illness,
and leaves a subtext that engaging in this type of
intervention is universally successful promoting
abstinence.
My other worry concerns the amount of time
and effort invested in one patient/client, who is
denying his/her problem, when there are so many
others out there who admit to having problems
with substances and are seeking help. Further to
this, if some one is denying there is a problem,
will they necessarily be in need of inpatient care/
detoxification, which is the primary aim of
intervention according to the book? My experi-
ence suggests that if there is a clinical need for
non-community-based treatment, the substance
user has ceased denying there is a problem, even
if he/she might continue to try to minimize it.
Notwithstanding, I think Addiction Inter vention
makes a useful addition to any practitioner’s
understanding of motivation and the precursors
of change. It also reminds one that addiction is a
problem that is usually bigger than the individual
who presents (or does not) and can be under-
stood fully only in the context of home, work and
social environments.
GREG HALSE
Addiction Problems Clinic,
Chatham, Kent, UK
Nicotine, Caffe ine and Social Drinking:
behaviour and brain function
J. SNEL & M. M. LORIST (Eds)
Harwood Academic Publishers, Amsterdam,
1998
473 pp., hbk, £47.00, ISBN 90 5702 218 4
This multi-authored volume is divided into three
sections, dealing with nicotine, caffeine and
alcohol, respectively. Each section begins with a
chapter on pharmacokinetics which is followed by
a number of contributions reviewing effects on
human performance and cognition. The standard
of contributions overall is reasonably competent.
I was particularly impressed by the chapter by
Nichols & Martin from the University of Tasma-
nia, looking at the vexed question of possible
toxic effects of social drinking of alcohol on brain
function, manifesting itself in impairment of
memory and information-processing abilities.
They provide a scholarly and appropriately cau-
tious review of a methodologically and con-
ceptually difficult area. The chapter by Streufert
& Pogash from Pennsylvania State University on
similar issues was another useful dissection of
complex research findings.
The section on nicotine was disappointing. A
competent outline of nicotine pharmacokinetics
by LeHouezec, subject matter which has been
covered thoroughly by other authors recently, is
followed by a lengthy review by Pritchard &
Robinson (from R.J. Reynolds Tobacco Com-
pany) on nicotine’s effects on performance. It is
perhaps no surprise that they tend to the view that
nicotine’s effects consist largely of absolute facili-
tation rather than relief of withdrawal-induced
deficits, although they do not rule out the
possibility of some interaction between these
factors. These authors show a relentless propensity
to look for positive nicotine effects, for example
dismissing poorer academic performance in smok-
ing students as attributable to pre-existing factors
such as socio-economic group and lower IQ,
whilst citing with approval a study reporting better
examination results in undergraduate smokers
than non-smokers. In such a contentious and
important area of public health disinterested
commentators are hard to come by.
Karl Battig, another author with a long history
of close links to the tobacco industry, provides a
contrarian view of smoking motivation, down-
playing the role of nicotine titration and empha-
sizing sensory factors and anticipatory behav-
ioural responses. Here again is an account which
is certainly not inimical to the perceived interests
of the industry, and which many might challenge.
Most surprising is Warburton’s chapter on the
effects of moderate amounts of caffeine and
nicotine on attentional performance. What is
moderate, you may ask? In the case of nicotine,
we are told, it is a dose which produces no more
than 50 m g/ml [sic] of nicotine in plasma. This of
course would be an acutely lethal dose. Even on
the charitable assumption that micrograms were a
misprint for nanograms, 50 ng/ml hardly repre-
sents a moderate nicotine dose. Smokers take an
average increment of 10 ± 15 ng/ml from a ciga-
rette, and the immediate post-cigarette peak
concentration in dependent smokers averages
about 35 ng/ml.
With a book like this you are left with many
unanswered questions. What is its aim? Is it to
B ook and media reviews 97
normalize cigarette smoking, by discussing nic-
otine in the same context as caffeine and social
drinking? What is the intended audience? How
were authors selected? The Preface, which con-
sists of just one page, leaves these issues largely
untouched. There appears to be an almost
complete lack of any editorial function. Even
the fact that one of the contributors died before
his chapter appeared is given no explicit men-
tion. I suspect that few will read this book, and
that its impact on the field will be hardly
detectable.
MARTIN J. JARVIS
ICRF Health B ehaviour Unit,
Department of Epidemiology and Public Health,
University College London, UK
New Treatm ents for Opiate Dependence
SUSAN M. STINE & T. R. KOSTEN (Eds)
Basingstoke, Taylor & Francis, UK, 1997
286 pp, hbk, £25.00, ISBN 157230 190 2
This authoritative account of the treatment of
opiate dependence reflects the achievements of
the distinguished team of researchers and clini-
cians working in the Department of Psychiatry at
Yale, who have contributed immensely to this
field over the last 30 years. The focus of the book
is not so much on novel treatments as on
delivering a comprehensive account of the evolu-
tion and refinement of methadone maintenance
and detoxification treatment, particularly with
reference to recent developments in treatment-
matching. The book highlights the importance of
the integration of physical and psychosocial
treatments for optimizing success, and also
devotes attention to the treatment of medical
complications, particularly the problems of the
HIV-positive opiate-dependent patient.
The British reader will detect the American
slant and might feel a little short-changed by the
coverage of some clinical issues that are taxing
UK clinicians at present: for example, only a
single paragraph on hepatitis C compared with
extensive coverage of HIV and AIDS; the discus-
sion of co-morbid substance abuse is confined to
cocaine and alcohol ± no mention of benzodiaze-
pine co-dependence; a whole section on harm
minimization services without mention of needle
exchanges; no mention of lofexidine, the cloni-
dine analogue that is becoming increasingly
popular for the treatment of opiate withdrawal in
the United Kingdom.
I learnt a great deal from reading this book. My
only criticism is that it lacks criticism, and there
are no leaps of imagination in the discussion of
future treatment directions. The major disadvan-
tages of treatment with opiate medication are
barely alluded to. The account of naltrexone as a
pharmacological treatment for relapse prevention
is comprehensive but conventional, describing its
limited applications. However, all the papers
cited were published 15 years ago, a time when
attitudes to treatment were very different. Over
the last few years our understanding of the role of
dopaminergic pathways in dependence has
advanced significantly. However, there is no
speculation on the implications this might have
for the development of genuinely novel treat-
ments, for example, drugs selective for dopamine
receptor subtypes. Despite these quibbles, this
book is an excellent account of current clinical
perspectives on the treatment of people who are
opiate-dependent.
JENNY BEARN
B eth lem Royal Hospita l,
London, UK
Alcohol Use and Abuse among Latinos.
Issues and exam ples of culturally
competent services
MELVIN DELGADO
Binghampton, NY, Haworth Press, USA, 1998
208 pp., pbk, $30.00, ISBN 0 7890 0500 X
Melvin Delgado has produced a multi-authored
text in paperback that studies the difficulties that
the Latin community in the United States have in
accessing treatment for addictions.
The introduction gives an operationalized defi-
nition of what the concept ª cultural competenceº
means and distills the literature into five princi-
ples. First, the workers in the field should be
matched in terms of language background and
awareness of the community’s culture Secondly,
there should be an emphasis on identifying the
assets of a community. Thirdly, staff should be
appropriately trained. Fourthly, the community
assets should be used and finally, the community
should be active participants in service delivery.
The following two chapters describe the epide-
miology of substance use among Hispanics,
98 B ook and media reviews
begging the question of whether Latinos are
synonymous with Hispanics. The book needs a
glossary. The 12 tables included in these chapters
allow one to get close to the original data. For
instance, 61.5% of Hispanic youth who had used
cocaine in the previous 30 days carried a con-
cealed weapon compared to 13.5% of Hispanic
youth who did not use cocaine in the last 30 days.
In Britain a weapon is often assumed to be a knife
but in this context they meant guns.
The middle section of the book encourages
service providers to reach the target population of
Latinas (female Hispanics) by siting services in
beauty parlours. The method of evaluation of the
service is impressive.
The last section of the book concerns the
specific group of Hispanics close to the Mexican
border and the factors that make Latinos and
Latinas more vulnerable to use of alcohol. Finally,
there is a chapter on the alcohol problems of the
lesbian Latinas and their conflict with the strong
family and Catholic values of the Latino culture.
As a study of how to investigate vulnerable
groups in a population the book is well organized
and extensively referenced, including e-mail
addresses. The idea of putting services into areas
visited routinely by the target population is well
taken. Could addiction services in Britain ever
find themselves located in hairdressers and bet-
ting shops? The language used is daunting for
someone not acquainted with the literature. This
book will be of interest to those involved in
service planning, those with an interest in trans-
cultural psychiatry and research workers in the
epidemiology of substance misuse.
NICK DUNN
M ount Zeehan Unit,
St Martin’s Hospita l,
Canterbur y, UK
Cancer & Clinical Biochemistry
PETER PANNALL & DUSAN KOTASEK
ACB, UK, 1997
£21.00, ISBN 0 90242 909 4
It is fascinating to see in one book the myriad of
biochemical abnormalities that can occur in
patients with cancer. One is easily made aware of
many of these abnormalities skimming through
this book by just looking at the attractively laid-
out case histories. They are accompanied by
tables and or graphs that illustrate clearly how, for
example, electrolytes, enzymes or tumour mark-
ers can vary during the course of a patient’s
illness. However, the best chapter in my view is
the first, on the nature of cancer. It clearly
explains about cell growth and how this is
controlled by growth factors, signalling proteins
and transcription inhibitors which are influenced
by genes. This complicated process is made
understandable by listing many of the known
oncogenes according to how their protein prod-
ucts function. It then becomes easier to under-
stand how abnormalities or loss of these functions
allow cancer to develop and progress.
The next chapter, on biochemical effects of
tumour growth, is comprehensive and easy to
read. It explains how factors such as obstruction,
destruction or involvement by tumour affect
various organs and the resulting biochemical
abnormalities. The next two chapters on tumour
markers I found disappointing for their failure to
clearly indicate the situations where the marker is
essential for patient management. It is important
in this cost-conscious age that the clinical bio-
chemist, for whom this book was primarily
written, knows when to challenge the clinician
who asks for a barrage of markers or serial
markers. A section describes cancers of unknown
primary site but fails to indicate that the impor-
tance of the serum markers is to indicate whether
the patient has a treatable cancer, as may be
indicated by an elevated HCG or AFP. The section
on lung cancer fails to point out that in most cases
a chest X-ray is better than a tumour marker. They
also omit to point out that the potential value of
AFP screening in those at high risk of developing
hepatocellular carcinoma is to detect tumours that
are solitary and can be resected with curable
intent. Despite these criticisms the book does give
a comprehensive account of a wide variety of
cancers and the compounds that can be elevated
and possibly used as tumour markers. For those
working in the field of addiction, this book gives a
good overview of the biochemical abnormalities
associated with cancer but does not specifically
address the relationship between tobacco or
alcohol and cancer.
GORDON J. S. RUSTIN
Director of M edical Oncolog y,
M ount Vernon Hospita l,
Northwood,
M iddlesex, UK
B ook and media reviews 99
Software
Drug Data 2: a multimedia encyclopaedia
on drugs and drug use
Healthwise, CD-ROM 1997
Drug data 2 (Liverpool: HealthWise, Resources
Team) is an interesting and engaging CD-ROM
encyclopñ dia covering a wide range of topics
concerning drugs and drug use. The package has
been developed for adults who are interested in or
concerned about the topic and is not designed for
unsupervised use by young children. The authors
therefore suggest that adults should view the
program before using it with young people. A
ª parental lockº facility enables access to certain
images in the encyclopñ dia to be blocked by a
password if deemed unsuitable for a young
audience, while allowing access to the rest of the
database.
Minimum recommended PC hardware
requirements are a 486SX processor, with 8 Mb
of RAM, Windows, a 2-speed CD-ROM, sound
card and 20 Mb of free hard disk space. Installa-
tion of the program was painless and the system
requires that the disk is inserted in CD-ROM
drive during operation. A small yellow window in
the bottom left of the screen provides brief
reminders of what each button does. There is also
a ª helpº facility and a troubleshooting text file
which can be read using any word processor.
On accessing the program, the user is greeted
with a Homepage which comprises six main
sections: where drugs come from; how drugs
work; drugs and the law; drug services: a drugs
knowledge quiz; and a library of images and
videos. A detailed dictionary of drug-related
terms is also provided with approximately 500
entries. Many of the dictionary entries are drug
names or slang/street names, the most common
of which reveal detailed information under 15
separate headings when doubled-clicked with
the mouse. Other entries consist merely of one
line explaining what the term refers to (e.g.
Fluoxetine [Prozac]). The inclusion of slang
names in this list, although potentially very
useful, may also be hazardous, as such terms
can date rapidly and often vary across different
regions. This could result in unhelpful confu-
sion. One example of this that I found was that
the entry explaining the slang term ª gearº
neglects to mention its association with drugs
other than heroin. I was also surprised to find
that the dictionary entry under alcohol did not
include a description of the standard unit system
for measuring ethanol consumption. One rather
nice touch, particularly for someone unfamiliar
with the subject, is that by clicking on a small
musical note prompt found next to most of
the medical or chemical terms, one can hear
the correct pronunciation of the word. Diction-
ary screens also include the hypertext feature,
allowing the user to cross-reference to other
entries, images or video clips to help clarify
descriptions.
In addition to information on the action of
drugs on the brain, drugs in pregnancy and drug
testing, the section on ª How drugs workº also
includes useful material about routes of admin-
istration. The differences between taking drugs by
ingestion, smoking, sniffing, snorting or injection
are illustrated with some cleverly animated dia-
grams of the path followed by a drug through the
body to the brain. Elsewhere, still pictures and
video clips of drugs and related paraphernalia
are on show. Some of the video clips are very
detailed and involving, while others reveal little
more than a camera zoorning in and out of a still
photograph.
In the ª true or falseº quiz section a range of
topics is covered, many designed to challenge
common assumptions which people might hold.
Each answer appears as soon as the choice of
response has been made and a useful, brief
explanation, together with cross-references to
more detailed information is given. However, I
found certain answers to be ambiguous or even
misleading. For example, one answer about
cannabis declares that the effects of cannabis are
the same as for LSD, albeit milder and shorter-
acting. Young people who have experienced these
drugs might find this puzzling.
Overall, and with these minor criticisms aside,
I found that this CD-ROM offers a very useful
and engaging way to encourage thought around
important topics relating to drug and alcohol use.
I would definitely recommend it to anyone with a
general interest in the subject, particularly teach-
ers wishing to lead classroom discussions and
parents wanting to become more informed about
drug use.
ANNABEL BOYS
Research Psycholog ist,
National Addiction Centre,
London, UK
100 B ook and media reviews
Drug Discovery and Evaluation
Pharm acological Assays
H. G. VOGEL & W. H. VOGEL (Eds)
Springer-Verlag, Berlin, Heidelberg, New York,
1997
xxxi + 757 pp., hbk (with CD-ROM), £92.00,
ISBN 3 540 6029 1
There is no doubt that a great deal of effor t has
been invested in collating this compendium of
techniques used in drug discovery and develop-
ment. Each chapter deals with a major physio-
logical system and the material is subdivided into
specific indications for drug use. Every technique
is introduced by its `purpose’ and `rationale’ and
is followed by an appraisal, together with an
outline of salient modifications. There is even a
CD-ROM, but its installation is not straightfor-
ward: all those I challenged had difficulties using
it and several gave up completely.
It is unfortunate that the book gets off to a bad
start on page 1 where we are told that drug-
binding affinity indicates its potency (it does not).
However, a major problem is that some of the
methods are reproduced, almost verbatim, from
landmark papers. This means that they are
hopelessly out of date and important points are
masked by details such as the names of suppliers
and even the trade-name of the cages used! In
contrast, in vivo microdialysis and voltammetry
are covered only briefly and I defy anyone to set
up these techniques, or even to appreciate the
difficulties, from the descriptions provided. Con-
fidence is further shaken by reading that binding
studies of b -adrenoceptors use displacement by
propranolol of [3H]DHA, a combination of
ligands which has been deprecated for years. We
are also told that radioenzymic assays are used to
measure plasma catecholamines (no mention of
HPLC here).
There is a short section on tests for drug
dependence: two pages under ̀ central analgesics’ .
Substitution tests, primary and precipitated with-
drawal from opiates are described but self-
administration studies are dismissed. The light ±
dark shuttle-box appears twice (under different
headings) in section 2.4, which deals with anx-
iolytics. However, there is no discussion of the
applications or modifications of such tests in
studies of drug withdrawal; yet the effects of
anxiolytics on seizure threshold appear here
rather than under anti-epileptics. Obviously, it is
right that some obscure methods are excluded,
but I would not count conditioned place-prefer-
ence among these. I also expected, but failed, to
find important techniques such as northern
blotting and in situ hybridization.
Finally, except when a reasonable library is
totally inaccessible, I am not convinced of the
need for a book of this type at all (with or without
a CD-ROM). However, I am convinced that
there is no substitute for reading contemporary
primary sources and consulting those with hands-
on experience.
S.C. STANFORD
Department of Pharmacology,
University College London,
Gower Street,
London, UK
The Cell ª Unit of Lifeº ± A Visual Primer
ALEXANDER N. GLAZER
Oxford University Press & Cogito Learning
Medica Inc, 1998
CD-ROM, £9.95, ISBN 1 888 90218 3
The unitary component of life, the cell, is the
subject of this CD-ROM. This multimedia learn-
ing aid comprises six main sections, each further
divided into two or three subsections. The basic
components of the cell are described in the first
section, ª Vital Unitsº , and the fundamental divi-
sion between eukaryotic and prokaryotic cell as
well as their evolutionary origins are discussed in
the second part. The presentation continues by
demonstrating the assembly of prokaryotic and
eukaryotic cells, the process of energy production
in a cell and finally a brief look at ª Life’s
B luepr intsº , namely genes and genomes.
Each of the six sections can be accessed by
clicking on a dot in the main menu. Figurative
representations of each subsections are then
revealed and by double-clicking on the image,
information about the topic is displayed in the
form of a short piece of text as well as animated or
photographic illustrations. There is imaginative
use of graphics, particularly in the section on the
components of eukaryotic cells. Graphics show
the layers peeling off onion-fashion to reveal
organelles. In some instances, different parts of the
cell can be magnified using a virtual magnifying
glass to show cellular structure at the tissue level.
The marketing blurb on Unit of Life promotes it
as a ª fascinatingº and ª entertainingº interactive
B ook and media reviews 101
exploration of the cell and its workings. Admirable
3-D animation has been combined with video clips
of cell sections, organelles, the process of cell
division, etc. However, despite the creative visual
imagery the material lacks depth and is, in fact,
quite simplistic in its scientific content. Overall,
the subject content of Unit of Life is too elementary
to be of any benefit to readers of this journal. The
ideal target audience for this particular CD-ROM
would be junior schoolchildren or adults with no
scientific training whatsoever. For such an audi-
ence, it represents a well-produced, well-pre-
sented piece of educational material with superb
illustrations and graphics. As a working scientist, I
found the Unit of Life tedious to watch.
GURSHARAN KALSI
M olecular Psychiatry Laboratory,
UCL Medical School,
London, UK
CALENDAR
If you would like to publicise your workshop, meeting or seminar in the Calendar, please send your entr ies to:
Rosamund Greensted , Addiction B iology, Nationa l Addiction Centre, 4 Windsor Walk, London SE5 8AF, UK.
Please give the title, date and venue followed by a conta ct name and address for further information. This
service is free of charge.
Date Title of Meeting Venue Information
27± 29 April 1999 Eating Disorders ’99 London, UK Mark Allen LtdTel: + 44 181 671 7521
12 ± 17 June 1999 College on Problems of
Drug Dependence
Acapulco, Mexico Dr M. W. Adler, USAFax: + 1 215 707 1904E-mail:[email protected]
16 ± 19 June 1999 ESBRA ’99 Barcelona, Spain OASISFax: + 34 1 555 35 81E-mail:1060047.1 [email protected]
16 ± 20 Feb 2000 APASL International
Congress on Viral
Hepatitis, Prevention and
Control
Singapore Academy of MedicineSingaporeTel: + 65 223 8968E-mail: [email protected]
2 ± 8 July 2000 ISBRA 2000 Yokohama, Japan ISBRA 2000 SecretariatTel: + 81 3 3253 6131E-mail: [email protected]