Thursday 23 June 2011

Pr J Addict, 1991; 86: 1415-1424.

Alcoholics - not a homogeneous group, although attempts to classify these patients, Jellinek undertaken in the 50 years, doctors did not leave, and to this day. It must be remembered that for such patients should be treated without bias, avoiding the possibility of stereotyping. Success after adequate detoxification is highly dependent on the living conditions of the patient. Isolation - not the best way, but be aware that alcoholics frequently marry alcoholics. Employers often go towards trying to cure an alcoholic, a policy of tolerance toward drinking. Attractive model for alcoholics is controlled drinking. If this is possible, it is only after a period of abstinence, when the patient is able to assess the impact of drinking bouts. For those who drink a long time, years and whose brain is struck by the influence of alcohol, just as it is described Korsakov, abstinence is an absolute requirement. There is evidence that cognitive impairment caused by alcohol, may to some extent offset by a period of abstinence, especially if it lasts more than two years. References 1. Latcham R. W. Gamma GT and MCV: their usefulness in the assessment of in-patient alcoholics. Br J Psychiatry, 1986, 149: 353-356. 2. Lamy J., Baglin M-C, Aron E, Weill J. Diminution de la gamma GT serique des cirrhotiques a las suit de sevrage. Clinica Chimica acta, 1975, 60: 97-101. 3. McCrady B. S, Stout R., Noel N., et al. Effects of three types of spuose-involved behavioural alcoholism treatment. Pr J Addict, 1991; 86: 1415-1424. 4. Mattick R. P., Heather N. Developments in cognitive and behavioural approaches to substance misuse. Curr Opin Psychiatry 1993; 6: 424-429. 5. Orford J, Edwards G. Alcoholism. Maudesley Monographs no 26. London: Oxford University Press, 1977.

The principal questions of the anti-drug prevention among children


M. Vedischeva, Ph.D., LN Rybakov, MD, MG Tsetlin, MD, Ph.D. Institute of Addictions Ministry of Health, Moscow Vposlednie 10-15 years in the Russian Federation is rapidly growing number of consumers of alcohol, drugs and other psychoactive substances (PAS). In this case, there is a clear trend towards the rejuvenation of the contingent addicted patients, to an increasing reduction in the age of first samples. In the sample of surfactants, "experiments" with them involved children 8-10 years (and even younger). By the age of 12 know the taste of alcohol for more than 50% of children, and to 14 years about 15% of teenagers have tried any drugs or substances for abuse. Among the newly diagnosed, primary patient drug treatment service with a diagnosis of "substance abuse" children and adolescents make up about half the total. There is every reason to believe that this situation will continue, at least in the near future. It should be borne in mind that children and teenagers is particularly high risk probability of a rapid transition from a random, episodic, "search" to re-use of surfactants, and then systematically receive them, and the danger of the formation of clinical drug treatment patterns of diseases, malignant course of disease with early personal degradation, increasing desotsializitsiey often disability of patients with high early of their mortality.

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