By Otto Michael Lesch MD, Henriette Walter MD, Christian Wetschka PhD, Michie N. Hesselbrock PhD, Victor Hesselbrock PhD (auth.)
Alcohol and nicotine dependancy in general take place jointly. during the last ten years healing features and motivational techniques were significantly superior. for that reason, teams and subgroups were outlined and will be handled with particular medicine and tailored psychotherapies, best within the long-term to significantly larger and greater effects than the as soon as largely utilized, rigorous abstinence -based treatments. although, alcohol and nicotine dependancy nonetheless characterize significant scientific and social problems.
In this ebook, new healing techniques are comprehensively defined, outlining the various interactions among character, surroundings and the results of the substance.
In addition to prevention-based remedies and prognosis, crucial mental and sociological innovations, in addition to medication-based cures, also are provided intimately. All of those cures have sensible goals and are of world validity. moreover, the publication presents a extensive review of the yank and eu epidemiology of alcohol and nicotine addictions. The ebook is written for all those that take care of and supply specialist treatment for alcohol and nicotine-addicted patients.
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Extra resources for Alcohol and Tobacco: Medical and Sociological Aspects of Use, Abuse and Addiction
1984): CUT DOWN: Have you ever thought to cut down your drinking? ANNOYED BY CRITICISM: Have you ever been upset because someone criticized your drinking behaviour? GUILT FEELINGS: Have you ever felt badly or guilty because of your drinking? EYE OPENER: Have you ever drunk alcohol ﬁrst thing in the morning (a pick-me-up) to ease your nerves or to get rid of a hangover? ing and alcohol addicted adolescents were found amongst the smokers. Alcohol addiction is twice as prevalent in smokers who were shown to have 14 times more cannabis in their urine.
Vogler E. and Revenstorf D. 1978). For Freud, masturbation is the prototype of addiction and Rado even speaks of a “pharmaceutical orgasm” (Rado S. 1926, 1975). One of the motives of consumption behaviour is the urge to unleash one’s potential for pleasure. Fenichel O sees the causes of increased alcohol consumption in frustration and internal inhibitions, the weak ego is exposed to the rivalling impulses of the “super-ego” and the “id” and it is unable to satisfy needs and desires for pleasure mean- 18 ingfully (Fenichel O 2006).
Heath AC et al. state that the heritability of alcohol dependence is about 64 % (Heath AC et al. 1997). Similar studies on nicotine addiction show a heritability of approximately 60 % (True WR et al. 1997). The genetic basis of smoking and drinking has been supported by twin and family studies. In a study of tobacco and alcohol addicts, True et al. 1999). The occurrence of both forms of addiction in families is however not entirely genetic, but could also be partially explained by intoxication during pregnancy (a drinking and/ or smoking mother).