By Otto Michael Lesch MD, Henriette Walter MD, Christian Wetschka PhD, Michie N. Hesselbrock PhD, Victor Hesselbrock PhD (auth.)
Alcohol and nicotine habit quite often ensue jointly. over the past ten years healing facets and motivational suggestions were significantly enhanced. consequently, teams and subgroups were outlined and will be handled with particular medicine and tailored psychotherapies, major within the long-term to significantly greater and greater effects than the as soon as largely utilized, rigorous abstinence -based cures. although, alcohol and nicotine habit nonetheless symbolize significant clinical and social problems.
In this booklet, new healing methods are comprehensively defined, outlining the several interactions among character, atmosphere and the results of the substance.
In addition to prevention-based cures and prognosis, crucial mental and sociological suggestions, in addition to medication-based cures, also are awarded intimately. All of those treatments have sensible goals and are of world validity. furthermore, the booklet offers a wide evaluate of the yankee and eu epidemiology of alcohol and nicotine addictions. The ebook is written for all those that deal with and provide specialist remedy for alcohol and nicotine-addicted patients.
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Additional info for Alcohol and Tobacco: Medical and Sociological Aspects of Use, Abuse and Addiction
In the beginning, the relative or partner might admire the addict for being able to drink such large amounts of alcohol. After the ﬁrst excesses, the consumption behaviour becomes noticeable to the relative and the addict promises to reduce his drinking; then control mechanisms are established and when these are not effective, the relative assumes the “role of a judge” and starts to make judgements about the “morally wrong behaviour” (for more information on the topic Co-addiction see: Beiglboeck W.
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). Linkage and genome-wide association studies have examined the human genome, but the different loci identiﬁed to date have not yet been replicated. However, almost all of the speciﬁed loci appear to impact the regulation of the dopamine system. Furthermore, there are other ﬁndings implicating the noradrenalin system, the serotonergic system and the nicotine acetylcholine receptor.
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).
Alcohol and Tobacco: Medical and Sociological Aspects of Use, Abuse and Addiction by Otto Michael Lesch MD, Henriette Walter MD, Christian Wetschka PhD, Michie N. Hesselbrock PhD, Victor Hesselbrock PhD (auth.)