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Produktbild: Alcohol and Tobacco

Alcohol and Tobacco Medical and Sociological Aspects of Use, Abuse and Addiction

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Erscheinungsdatum

15.01.2011

Verlag

Springer Vienna

Seitenzahl

354 (Printausgabe)

Dateigröße

6863 KB

Sprache

Englisch

EAN

9783709101469

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“This is an updated English-language version of a well-established comprehensive German book on alcohol and nicotine addiction. … The book is written for all professionals, clinicians, researchers, and students involved in or interested in the care and treatment of alcohol and nicotine addicted patients. … This is a comprehensive account of the different interactions among personality, environment, and effects of the substance and biology on addiction. … an excellent reference and a must read for individuals in this field.” (Michael Easton, Doody’s Review Service, May, 2011)

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Erscheinungsdatum

15.01.2011

Verlag

Springer Vienna

Seitenzahl

354 (Printausgabe)

Dateigröße

6863 KB

Sprache

Englisch

EAN

9783709101469

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  • Produktbild: Alcohol and Tobacco
  • 1 Information on the origination of the book1.1   Aims of this book1.2   Personal reasons for the first author writing this book 2 Addiction- a short overview over a widespread disease2.1 Introduction2.2 Prevention2.3 Diagnosis of addiction2.4 Aetiology of addiction2.5 Secondary disorders and addiction2.6 Secondary diseases and brain functions2.7 Subgroups of addicts2.8 Motivation of addicts2.9 The path from motivation to therapy2.10 Addiction and relapse2.11 Specific groups of addicts       2.11.1 Co-morbidity of tobacco and alcohol addiction       2.11.2 Overweight, eating disorders       2.11.3 Gender2.12 Addiction and the homeless2.13 Polytoxicomania2.14 Non-substance dependence 3   Aetiology of Addiction3.1 The psycho-socio-biological model3.2 Psychological theories       3.2.1 Behavioural approaches       3.2.2. Models of depth psychology       3.2.3 Depth psychological approach       3.2.4 Ego-psychological approaches       3.2.5 The psychological model of object relations       3.2.6 Approach according to theories of Narcissism        3.2.7 Explanation models according to family psychotherapy 3.3 Social explanation approaches3.4 Biological theories about the aetiology of tobacco and alcohol addiction       3.4.1 Important findings about tobacco and alcohol use from basic research        3.4.2 Aspects of alcohol and tobacco metabolism       3.4.3 Maternal tobacco and alcohol use during pregnancy - a risk factor for the offspring?                 3.4.3.1      Smoking during pregnancy                 3.4.3.2      Alcohol use during pregnancy3.5 Aetiological aspects of tobacco and alcohol addiction from an epidemiological perspective3.6 Aetiology of addiction from a psychiatric perspective 4 Prevention strategies 4.1 Attitude towards addictive drugs       4.1.1 Attitudes towards alcohol consumption       4.1.2 Attitudes towards tobacco consumption4.2 Primary prevention of tobacco and alcohol addiction4.3 Secondary prevention: early diagnosis and early intervention4.3.1 Conclusions for secondary prevention          4.3.1.1 Measures concerning the addictive drug          4.3.1.2 Measures for enabling adolescents to live drug-free 4.4 Tertiary prevention 5 Diagnosis of abuse and addiction 5.1 Problems concerning psychiatric diagnoses5.2 Development of the term "addiction"5.3 Substance related diagnoses in the ICD-10       5.3.1 Harmful use (ICD-10 F10.1, F17.1)       5.3.2 Dependence syndrome (ICD-10 F10.2, F17.2)       5.3.3 Withdrawal state (ICD-10: F10.3)5.4 Substance related diagnosis in DSM-IV (American Psychiatric Association. 1994)       5.4.1 DSM-IV and the multidimensional diagnostic in five axes       5.4.2 Diagnosis according to DSM-IV axis I                      5.4.2.1 Tobacco or alcohol abuse                      5.4.2.2 Tobacco and alcohol addiction        5.4.3 Specifiers defining subgroups of dependence                         5.4.3.1 Tolerance and withdrawl                        5.4.3.2 Course specifiers        5.4.4 Therapeutic appraoch         5.4.5 Withdrawal symptoms of tobacco and alcohol 5.5 Commonalities and differences of ICD-10 and DSM-IV5.6 Implication of these classification systems for therapy and research      5.6.1 Alcohol            5.6.1.1. Studies on medicamentous relapse prophylaxis (according to Hester RK and                          Miller WR 2003)            5. 6.1.2 Studies on relapse prophylaxis using psychotherapy            5. 6.1.3 Family psychotherapy      5.6.2 Tobacco 6 Types, dimensions and aetiology6.1 Alcohol addiction       6.1.1 Development of typology research       6.1.2 Important types for research and practice              6.1.2.1 Two-cluster solutions            6.1.2.2 The four-cluster solutions       6.1.3 Assessment of severity in different dimensions                 6.1.3.1 Addiction Severity Index (ASI)                 6.1.3.2 Syndrome diagnosis according to Scholz 6.2 Tobacco addiction
          6.2.1 Smoking typology according to Schoberberger and Kunze       6.2.2 Smoking typology according to Fagerstroem       6.2.2 European Smoking Classification System 6.3 Alcohol addiction: Lesch's typology       6.3.1 Framework for the definition of Lesch's typology       6.3.2 Alcohol addiction from a longitudinal perspective 1976-1982-1995       6.3.3 The "Burgenland Model"       6.3.4 Methodology of the longitudinal study on alcohol dependence (according to DSM-III                    and ICD-9), used in the development of Lesch's typology        6.3.5 Stability in the longitudinal course         6.3.6 The four long-term illness courses used in Lesch's typology        6.3.7 Results from studies using the Lesch typology                   6.3.7.1 Studies on prognosis                    6.3.7.2 Studies on biology and genetics                   6.3.7.3 Relapse prophylaxis studies, anti-craving substances                   6.3.7.4 Other results relating to Lesch's typology         6.3.8 Lesch's typology from an international comparative perspective 6.4 The relationship between alcohol dependent patients according to Lesch`s typology and the
         severity of tobacco addiction7 Motives for alcohol and/or tobacco addicted patients to seek medical help 7.1 Tobacco addiction7.2 Alcohol addiction7.3 Sequelae that bring patients into therapy       7.3.1 Tobacco and sequelae                 7.3.1.1 Introduction                7.3.1.2 Tobacco and neurology                7.3.1.3 Tobacco and internal medicine                        7.3.1.3 1Heart disease and circulatory disorders                        7.3.1.3 2 Pulmonary diseases                7.3.1.4 Oncological diseases                7.3.1.5 Dentistry                 7.3.1.6 Psychiatry          7.3.2 Alcohol and sequelae              7.3.2.1 Introduction              7.3.2.2. Alcohol¿s significance for neurology and psychiatry               7.3.2.3 Alcohol and psychiatric disorders                                    7.3.2.3.1 Alcohol and affective disorders                        7.3.2.3.2 Alcohol and anxiety             7.3.2.4 Alcohol and neurological disorders              7.3.2.5 Alcohol and internal medicine                  7.3.2.5.1 Gastroenterology                  7.3.2.5.2 Cardiovascular system                         7.3.2.5.2.1 Alcoholic cardiomyopathy                          7.3.2.5.2.2 Cardiac arrhythmia, "Holiday-Heart-Syndrome" and sudden cardiac                                    arrest                         7.3.2.5.2.3 Coronary heart disease and myocardial infarct                          7.3.2.5.2.4 Hypertonia                        7.3.2.5.2.5. Hypotheses on the aetiology of alcohol addiction and heart diseases                         7.3.2.5.2.6 Alcohol typology according to Lesch: homocysteine levels and heart disease                          7.3.2.5.3. Oncological diseases                7.3.2.6. Alcohol and medication for sequelae 8 Detection of alcohol and tobacco addiction 8.1 Recommendations for the first contact8.2 Assessment of drinking behaviour using biological markers       8.2.1 Trait markers        8.2.2 State markers        8.2.3 Associated markers        8.2.4 Practical suggestions for the use of biological markers for forensic purposes                8.2.4.1 Blood alcohol measurement                 8.2.4.2 Blood alcohol concentration (BAC)               8.2.4.3 Widmark Formula                8.2.4.4 Breath alcohol             8.2.4.5 Products of alcohol metabolism                          8.2.4.5.1 Ethylglucuronide                        8.2.4.5.2 %CDT (Carbohydrate-deficient-transferrin)       8.3 The clinical dialogue in tobacco addiction  9 Therapeutic strategies for alcohol and tobacco dependence9.1 Motivation for therapy in different settings             9.1.2 Motivational interviewing at the general practitioner's            9.1.3 Motivational interviewing in internal medicine             9.1.4. Motivational interviewing during pregnancy             9.1.5. Motivational interviewing in psychiatric settings 9.2 Pharmacotherapy of alcohol and tobacco dependence                 9.2.1 Alcohol dependence                9.2.2 Tobacco dependence 9.3 Pharmacotherapy of alcohol withdrawal                  9.3.1 Withdrawal syndrome                  9.3.2 Therapy of withdrawal states                 9.3.3 Therapy of withdrawal syndromes according to Lesch's typology                         9.3.3.1 Management of detoxification in type I alcohol dependents                        9.3.3.2 Management of detoxification in type II alcohol dependents                         9.3.3.3 Management of detoxification in type III alcohol dependents                        9.3.3.4 Management of withdrawal in type IV dependents                 9.3.4 Complications during alcohol withdrawal                           9.3.4.1 Withdrawal seizures (Grand Mal)                          9.3.4. 2 Delirant and associated states (Meta-alcoholic psychosis) 9.4 Alternatives to withdrawal                9.4.1 Gradual reduction of drinking: "Cut down drinking" method,                                      according to David Sinclair                                      9.4.2 Case study: "Cut down drinking" 9.5  Pharmacotherapy of the tobacco withdrawal syndrome                 9.5.1 Symptoms of the tobacco withdrawal syndrome                 9.5.2 Therapy of the tobacco withdrawal syndrome                          9.5.2.1. Withdrawal therapy of tobacco dependency with Fagerstroem = 5                        9.5.2.2. Withdrawal therapy of tobacco dependency with Fagerstroem = 4 9.6 Medical strategies for relapse prophylaxis                  9.6.1 General guidelines for relapse prophylaxis                 9.6.2 Goals for relapse prophylaxis                 9.6.3 Medication against so-called "positive" craving (= desire for pleasurable,                                       rewarding effects of the addictive substance)                        9.6.3.1 Alcohol                        9.6.3.2 Tobacco                9.6.4 Pharmacotherapy against so called "negative" craving (= desire for addictive                                           substances to relieve negative mood and anxiety)                         9.6.4.1 Alcohol                         9.6.4.2 Tobacco                9.6.5 Pharmacotherapy of relapse prevention in alcohol dependence                         9.6.5.1 Alcohol                        9.6.5.2 Tobacco            9.6.6  Relapse prevention according to Lesch's typology                          9.6.6.1 Relaps prevention in Lesch's type I                        9.6.6.2 Relaps prevention in Lesch's type II                        9.6.6.3 Relaps prevention in Lesch's type III                        9.6.6.4 Relaps prevention in Lesch's type IV            9.6.7 Treatment of relapse according to Lesch's typology               9.6.8 Pharmacotherapy of relapse prophylaxis in tobacco dependents                         9.6.8.1 Medication for relapse prevention of tobacco dependents                         9.6.8.1.1 Nicotine replacement therapy                                     9.6.8.1.2 Varenicline                         9.6.8.1.3 Anti-depressants                         9.6 8.1.4 Bupropion                         9.6.8.1.5 Nortriptyline                         9.6.8.1.6 Doxepin                         9.6.8.1.7 Clonidine                         9.6.8.1.8 Rimonabant                         9.6.8.1.9 Topiramate                9.6.8.2 Therapeutic procedures according to subgroups of nicotine dependent patients                        9.6.8.2.1 Subgroups according to Kunze and Schoberberger                        9.6.8.2.2 Craving in subgroups of tobacco dependent patients                9.6.8.3 Pharmacotherapy in the relapse prophylaxis of tobacco dependent patients according to                                   subgroups                          9.6.8.3.1 Relapse prophylaxis of cluster I                          9.6.8.3.2 Relapse prophylaxis of cluster II                                     9.6.8.3. 3 Relapse prophylaxis of cluster III                          9.6.8.3.4 Relapse prophylaxis of cluster IV                9.6.8.4    Medication of tobacco dependent patients in special situations                                       9.6.8.4.1 Nicotine consumption in combination with other dependencies and/or                                    other psychiatric disorders                            9.6.8.4.2 Tobacco dependence and pregnancy 10 Sociotherapy of alcohol and tobacco dependents with regards to Lesch's typology10.1 Alcohol and tobacco10.2 The sociotherapeutic mission10.3 Classification Psychotherapy-Sociotherapy 10.4 Sociogenesis and sociotherapeutic chances        10.4.1 Primary, secondary and tertiary sociogenesis        10.4.2 Sociological factor on a macro level        10.4.3 Co-morbidity and marginal group identity         10.4.4 The link between social relationships (factors on a social macro level): group                        coherence and resilience         10.4.5 Analogy to Gerontology: the atrophy of the "social atom"10.5 Sociotherapy in the context of therapeutic phases        10.5.1 Sociotherapy location(s)        10.5.2 Therapeutic phases and settings10.6 State of the art: overlapping perspectives for sociotherapeutic housing and support          projects for alcohol dependents         10.6.1 Standard categories         10.6.2 Excursus: supported housing projects  - worlds of their own10.7 Motivation- a challenge for whom?        10.7.1 Ambivalent functions of motivation        10.7.2 Relationship between dependency and motivation systems10.8 Sociotherapy as a means of promoting networking        10.8.1 Micro and meso levels of networking        10.8.2 Macro levels of networking10.9 Sociotherapy with alcohol dependents in the context of Lesch's typology          10.9.1 Critical relationship between psychiatry and sociotherapy          10.9.2 Application of the typology in sociotherapeutic contexts           10.9.2 Relationship between type and self-regulation          10.9.4 Therapeutic goals and strategies          10.9.5 Sociotherapeutic aspects of therapy with alcohol dependents, who are                               fundamentally impaired in their performance              10.9.5.1 Type IV characteristics           10.9.5.2 Cerebral damages as a result of chronic alcohol abuse, frontal lobe syndrome             10.9.5.3 Executive Cognitive Functioning           10.9.5.4 Coping with violence             10.9.5.5. Sociotherapeutic structures instead of psychotherapy             10.9.5.6 Stabilisation through social stimulation (SSS)              10.9.5.7 Compliance              10.9.5.8 Overview of pedagogic context variables               10.9.5.9 Over-challenge, "motivation"           10.9.5.10 Case studies of long-term abstinent type IV patients                          10.9.5.10.1 Norbert T., Type IV                           10.9.5.10.2 Peter N., Type IV                        10.9.5.10.3 Karl H., Type IV Appendix 1 Lesch Alcoholism Typology - QuestionnaireAppendix 2 Lesch European Smoker ClassificationIndexAbout the Authors