“Professor Orford is one of the most distinguished researchers of addictions today. In this book he aims to counter the neglect and misunderstanding faced by families affected by addiction – an estimated one hundred million worldwide – and to highlight the personal, professional and public policy dilemmas. By drawing on personal accounts from fiction, autobiography and Professor Orford and his colleagues’ own international research ­programme, the voices of children, wives, grandparents and friends spring to life. The penetrating and sensitive commentary, and thought-provoking questions and exercises make this book invaluable for practitioners, ­researchers and family members. It demonstrates the many shared ­experiences of family members across continents and over time, whether alcohol, drug misuse or gambling is involved.”

Judith Harwin, Professor of Social Work, Brunel University, UK

Addiction Dilemmas explores the impact of addiction on those closest to the individuals affected – their families. Many barriers can stand in the way of family members receiving help, not least a lack of available services and a failure on the part of professionals and their organisations to fully ­appreciate the nature of the dilemmas which they face.

This book is based on a combination of personal interviews from scientific research, accounts from biography and autobiography (featuring well-known names both past and present) and excerpts from well-informed works of literature. The book’s core theme is the stress faced by family members when a close relative has an addiction problem, and the struggles they experience in deciding how to cope. By tracing the same dilemmas through a range of contexts, Jim Orford offers unique insights to professionals who deal with people with addictions and their families, researchers, policy makers and ultimately family members themselves. Sources include The Tenant of Wildfell Hall by Anne Brontë, A Chancer by James Kelman, Long Day’s Journey into Night by Eugene O’Neill, and biographies of close relatives of Dylan Thomas and Samuel Taylor Coleridge.