Substance Abuse and Psychopathology

Portada
Springer Science & Business Media, 1985 M06 1 - 397 páginas
Substance misuse and abuse exist in almost every human society. In our western civilization, the bulk of attention has focused on those indi viduals who specifically seek treatment or those who have become so disabled by these problems that they require treatment. These indi viduals usually qualify for a psychiatric diagnosis of alcohol or other substance abuse. However, just as it has been recognized that primary substance abuse is frequently associated with other diagnosable psychi atric disorders, such as sociopathy or attention deficit disorder (residual type) and that the origins of substance abuse are multivariate, we have also begun to become aware that many other individuals in our society with psychiatric or other problems also suffer, to varying degrees, from substance abuse. These problems may be considered secondary by vari ous specialists or treatment personnel; but nevertheless, they are prob lems, and what disorder is primary or secondary in a given individual may often be very difficult to determine in a meaningful fashion. Thus, within the past decade, research studies have reported significant inci dences of substance abuse/or misuse in high school and college-aged populations, in medical populations, and in individuals with other psy chiatric disorders such as schizophrenia, depression, and the anxiety and personality disorders. Yet to date little has been done to bring together and systematize this widely scattered data that describes the presence of substance abuse problems in various populations.
 

Contenido

Relationships between Substance Abuse and Psychopathology Overview
1
2 Overview
3
3 Conclusions
9
4 References
11
Alcohol Drug Use and Psychopathology in the General Population
15
2 Drug Use and Abuse
25
3 Summary
38
4 References
39
6 Animal Models of Psychosis
191
7 Summary and Conclusions
196
8 References
197
Interactions of Drugs of Abuse with Prescription Drugs
213
2 General Considerations
215
3 Drug Interactions
216
4 Examples of Adverse Interactions between Drugs of Abuse and Therapeutic Drugs
223
5 Summary
234

Substance Abuse and Psychopathology Sociocultural Factors
45
2 Historical Perspectives
46
3 Research of Psychopathological Conditions
51
4 Research on Sociocultural Factors in Treatment and Treatment Outcome
56
5 Efforts at Prevention
59
6 Discussion
61
7 Comment
63
Substance Abuse in the Affective Disorders
69
2 Other Drugs
80
3 Summary
86
Substance Abuse in Psychopathic States and Sociopathic Individuals
91
2 Substance Abuse as Antisocial Behavior
92
3 Sociopathic Personality
95
4 Psychopathic States
101
5 Discussion
109
6 Summary
113
7 References
114
Substance Abuse in Psychiatric Patients Etiological Developmental and Treatment Consideration
121
2 DiagnosisIdentification
122
3 Incidence and Prevalence
123
4 Etiological and Developmental Considerations
128
5 Treatment Considerations
129
6 Discussion
132
7 Summary
133
8 References
134
Drug Abuse and Psychiatric Disorders Role of Drug Choice
137
2 Part IBackground
138
3 Part IITreatment Implications
155
4 Summary
168
5 References
169
DrugInduced Psychosis Neurobiological Mechanisms
173
2 Symptom Patterns Induced by Psychotomimetic Drugs
174
3 Neurotransmitter Mechanisms
176
4 Cortical and Limbic Electrographic Effects
185
5 Psychotomimetic Drug Mechanisms and Natural Psychosis
187
6 References
235
Identification and Treatment of Substance Abuse Problems in the Emergency Room
239
2 Alcohol
245
3 Anticholinergics
254
4 Arylcyclohexlamines PCP
256
5 Cannabinoids
258
6 Hallucinogens
259
Miscellaneous Substances or Household Hallucinogens
262
8 Narcotics
264
9 SedativeHypnotics
270
10 Sympathomimetics
275
11 Evaluation and Treatment of Overdose
279
12 Summary
285
13 References
286
Neuropsychology of Alcohol and Drug Abuse
289
2 Alcohol
290
3 Drug Abuse Other than Alcohol
320
4 Summary
332
5 References
335
Family Adaptation to Substance Abuse
343
2 Historical Perspectives
344
3 Current Research and Knowledge
346
4 Specific Treatment Issues
357
5 Summary
363
6 References
364
Conjoint Treatment of Dual Disorders
367
2 Population Profile
369
3 Program Philosophy
372
4 Program Description
375
5 Staff Issues and Community Concerns
384
6 Conclusions and Future Directions
388
7 References
389
Index
391
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