: Otto-Michael Lesch, Henriette Walter, Christian Wetschka, Michie Hesselbrock, Victor Hesselbrock
: Alcohol and Tobacco Medical and Sociological Aspects of Use, Abuse and Addiction
: Springer-Verlag
: 9783709101469
: 1
: CHF 47.50
:
: Klinische Fächer
: English
: 354
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Alcoh l and nicotine addiction mostly occur together. Over the last ten years therapeutic aspects and motivational strategies have been considerably improved. Hence, groups and subgroups have been defined and can be treated with specific medication and tailor-made psychotherapies, leading in the long term to considerably better and more effective results than the once broadly applied, rigorous abstinence -based therapies. However, alcohol and nicotine addiction still represent major medical and social problems.

In this book, new therapeutic approaches are comprehensively described, outlining the different interactions between personality, environment and the effects of the substance.

In addition to prevention-based therapies and diagnosis, essential psychological and sociological strategies, as well as medication-based therapies, are also presented in detail. All of these therapies have realistic aims and are of global validity. In addition, the book provides a broad overview of the American and European epidemiology of alcohol and nicotine addictions. The book is written for all those who care for and offer professional therapy for alcohol and nicotine-addicted patients.



Otto Michael Lesch,MD is currently President of the Austrian Society of Addiction Medicine, Head of the Alcohol Research Group of the Medical University of Vienna, Department of Psychiatry and Psychotherapy. Since 1972 he is responsible for longterm studies in alcohol dependence. He organized many international clinical trials and basic research in alcohol and tobacco dependence. He served 12 years as secretary of ESBRA and organized European networks for alcohol research. He always bridged the gap between basic and clinical research and developed clinical used tools to define subgroups of addiction for better treatment approaches. His assessment tools are now available in many different languages (www.LAT-online.at).

 

Henriette Walter, MD, is University Professor at the Dept. of Psychiatry and Psychotherapy.  She is a member of the Senate and of many commissions of the Medical University, Vienna. Dr. Walter is working in the field of alcoholism since more than 20 years, both, practically and scientifically, with over 200 publications. She is secretary of the 'AUSAM, the Austrian Society of Addiction Medicine and an ESBRA board member. She is associate editor of the Journal 'Hypnose', a field in which she takes an active scientific interest since 1982. With the 'theory of frontalisation' as the neuro-equivalent for the hypnotic state, she contributed to the neuroimaging research in this field. She gives regular training courses in medical hypnosis.

 

< >Christian Wetschka, PhD.is socialpedagogue, working in diverse socialtherapeutic and pastoral fields, supervisor, founder of Verein Struktur, which provides commune-flats for alcohol dependent persons

 

Mich e N Hesselbrock, PhD is Professor Emeritus at the School of Social Work, and Professor of Psychiatry at the School of Medicine, University of Connecticut.  She held the Zach's Chair,  and was the founder and director of the PhD program at the School of Social Work before her retirement.   She has served on several NIH study sections and VA Merit review committees as a regular member and as an ad hoc reviewer.   Her research interests include epidemiology, behavior genetics, and health disparities of alcoholism and treatment

 

Vi tor Hesselbrock, PhD  is currently Professor and Interim Chairman, Department of Psychiatry, University of Connecticut School of Medicine.  He holds the Physicians Health Services endowed chair in Addiction Studies.  Dr. Hesselbrock is the Principal Investigator and Scientific Director of the University of Connecticut's NIH/NIAAA funded Alcohol Research Center and is co-PI of the NIH funded national Collaborative Study on the Genetics of Alcoholism (COGA).  He is a past President of the Research Society on Alcoholism (RSA).  Dr. Hesselbrock is Associate Editor ofAlcoholism: Clinical and Experimental Research, a Review Editor forAddiction, and a member of the editorial board of theJournal of Studies on Alcohol and Drugs.  His research interests include: the genetic epidemiology of alcoholism; co-morbid psychiatric conditions and substance dependence; and psychosocial, cognitive, and genetic risk factors for developing alcohol dependence and alcohol-related problems.

Alcohol and Tobacco2
Acknowledgements4
Foreword5
Foreword7
Statement8
Table of contents9
1 Information about the origination of this book16
1.1 Aims of this book17
1.2 Personal reasons for the rstauthor writing this book18
2 Addiction – a short overview of a widespread disease20
2.1 Introduction20
2.2 Prevention21
2.3 The Diagnosis addiction21
2.4 Aetiology of addiction22
2.5 Secondary disorders andaddiction23
2.6 Secondary diseases and brainfunctions24
2.7 Subgroups of addicts24
2.8 Motivation of addicts24
2.9 The path from motivation totherapy25
2.10 Addiction and relapse25
2.11 Specific groups of addicts26
2.11.1 Co-morbidity of tobacco andalcohol-addiction26
2.11.2 Overweight, eating disorders26
2.11.3 Gender27
2.12 Addiction and the homeless27
2.13 Polytoxicomania27
2.14 Non-substance dependence28
3 Aetiology of addiction29
3.1 The psycho-socio-biologicalmodel29
3.2 Psychological theories29
3.2.1 Behavioural approaches30
3.2.2 Models of depth psychology31
3.2.3 Depth psychological approach32
3.2.4 Ego-psychological approaches32
3.2.5 The psychological model of objectrelations33
3.2.6 Theoretical approach of Narcissism33
3.2.7 Explanation models according tofamily psychotherapy34
3.3 Social explanation approaches34
3.4 Biological theories about theaetiology of tobacco and alcoholaddiction36
3.4.1 Important ndings about tobaccoand alcohol use from basic research36
3.4.2 Aspects of alcohol and tobaccometabolism37
3.4.3 Maternal tobacco and alcohol useduring pregnancy: a risk factor for the offspring?39
3.5 Aetiological aspects of tobaccoand alcohol dependence from anepidemiological perspective44
3.6 Aetiology of addiction from apsychiatric perspective47
4 Prevention strategies50
4.1 Attitudes towards addictivedrugs50
4.1.1 Attitudes towards alcohol consumption50
4.1.2 Attitudes towards tobaccoconsumption52
4.2 Primary prevention of tobaccoand alcohol addiction53
4.3 Secondary prevention: earlydiagnosis and intervention55
4.3.1 Conclusions for secondaryprevention56
4.4 Tertiary prevention(see chapter 9)59
5 Diagnosis of abuse and addiction60
5.1 Problems concerningpsychiatric diagnoses60
5.2 Development of the term“addiction”61
5.3 Substance related diagnoses inthe ICD-1062
5.3.1 Harmful use (ICD 10 F10.1, F 17.1)63
5.3.2 Dependence syndrome(ICD 10 F10.2, F 17.2 )63
5.3.3 Withdrawal state (ICD 10 F10.3)64
5.4 Substance-related diagnosisin DSM-IV (American PsychiatricAssociation. 1994)65
5.4.1 DSM-IV and the multidimensionaldiagnostic in ve axes65
5.4.2 Diagnosis according to DSM-IV axis I65
5.4.3. Speci ers de ning subgroups ofdependence67
5.4.4 Therapeutic approach68
5.4.5 Withdrawal symptoms of tobaccoand alcohol68
5.5 Commonalities and differencesof ICD-10 and DSM-IV69
5.6 Implication of theseclassi cation systems for therapyand research69
5.6.1 Alcohol69
5.6.2 Tobacco74
6 Types, dimensions and aetiology76
6.1 Alcohol addiction76
6.1.1 Development of typology research76
6.1.2 Important typologies for researchand practice77
6.1.3 Assessment of severity in differentdimensions82
6.2 Tobacco addiction84
6.2.1 Smoking typology according toSchoberberger and Kunze84
6.2.2 Smoking Typology according toFagerstroem84
6.2.3 European smoking classi cationsystem86
6.3 Alcohol addiction –Lesch’s typology87
6.3.1 Framework for the de nition ofLesch’s typology87
6.3.2 Alcohol addiction from a longi