Saturday 28 May 2011

The expert identification of the fact ...

clinic

For the latter characterized by a small dose of alcohol drunk, the sudden appearance and rapid development of a psychotic episode with confusion, hallucinatory-delusional experiences, criminal actions, quick completion, followed by prolonged sleep and postsomnolentnoy amnesia period of psychotic disorders and inappropriate actions. The expert identification of pathological intoxication fact tantamount to the treatment of insanity. Pathological intoxication occurs singly and in patients not suffering from alcoholism. At least, repeated episodes of pathological intoxication in one and the same person is not described. Is of interest to the background against which triggers the abnormal influence of alcohol: the physical and mental fatigue, chronic stress, hard feelings, infections, chronic sleep deprivation, etc. In contrast, atypical pathological drunkenness occurs in patients with alcoholism and in patients without a complete clinical diagnostic kits of the disease. The dose of alcohol drunk, usually large. Atypical intoxication in one and the same person is repeated after reaching a certain (individual) doses of alcohol. Personality characteristic of clinical manifestations of acute intoxication, and it does not affect any level of education, no intelligence, no particular environment in the microenvironment. Common to the atypical varieties of intoxication are abnormal behavioral acts, most of them do not reach the degree of criminality. The predominance of one or another mental disorder, strongly influenced by particular accentuation of personality, which in the intoxication bluntly sharpened: one becomes disforichnymi, aggressive (often on a verbal level, without psychomotor implementation), others - annoying, viscous (epileptoid), the third - maniacally excited . Characteristic of the background, abnormal soil: craniocerebral trauma in the past, the presence of mental disorders (psychosis, schizophrenia, cyclothymia, epilepsy, etc.). In this regard, atypical (modified) forms of intoxication are often observed in patients with alcoholism classified according to the prevalence of the leading symptoms of dependence, as they may appear in the outer stages. Simple drunkenness is in full compliance with the dose of alcohol in the blood and rubrifitsiruetsya in severity: mild, moderate, severe. With increasing degree of intoxication Clinic simple alcohol goes through a series of phases: subclinical, hypomanic, distimicheskuyu, adynamic, anesthesia. Depending on the type and severity of alcohol are changing goal, objectives, scope and degree of urgency cropped detoxification elimination-antidote program. Drunken state in the clinical picture of alcohol dependence is increasingly observed phenomenon of cyclicity, expressed in periodic and often situationally not caused, drunken state with signs of unrestrained, violent, uncontrollable craving, massive clock alcoholism that phase and the same type each time (on the background of specific discrete differential tolerance) completed generalized mental and somatic-neurological (physical) exhaustion.

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